Papa Joe's Hands

Type of visit: Required - 1 Year

On 07/14/2026, at approximately at 09:30AM, Licensing Program Analyst (LPA) Troy Watson conducted an unannounced annual visit using the CARE Inspection Tool. The department met with lead Direct Support Staff Kendra Howard, and the purpose of the visit was explained. The facility is licensed to serve four (4) elderly adults aged 60 and above, with an approved hospice waiver for three (3) residents. Physical Plant / Structure The facility is a single-story home located in a residential neighborhood. It consists of six (4) resident bedrooms, three (3) bathrooms, a living room, dining room, kitchen, attached garage, and an outdoor patio area and back yard. All exterior walkways were clean, clear, and free of debris, obstructions, or hazards. The department observed an outdoor table with a shaded roof area and chairs for residents’ use. No bodies of water were observed on the premises. CONTINUED ON LIC9099-C Bedrooms All residents’ bedrooms were inspected and found clean and in good repair. Each room had the required furniture: bed, dresser, nightstand, chair, and adequate storage for personal belongings. Beds had required linens, including mattress covers, fitted sheets, blankets, comforters, and pillows. An additional supply of linens in good repair was stored in a hallway closet. Each bedroom had sufficient lighting. Bathrooms All bathrooms met Title 22 requirements and were operable. Showers were clean and free of mold or mildew. Resident hygiene boxes and extra hygiene products were stored in the hallway closet. The supply of towels, hand towels, and washcloths was adequate. Safety handrails were secured. A sufficient supply of incontinent products was observed. Cleaning supplies were locked and inaccessible under the kitchen cabinets. Water temperatures measured in the bathrooms between 113.4 ° F. Kitchen The kitchen was clean and sanitary. All appliances were operable and in good repair. Dishware, cookware, and utensils were adequately supplied and in good condition. The facility had at least a 3-day supply of perishable food and a 7-day supply of non-perishable food, properly stored, labeled, and dated. Cleaning supplies and toxins were locked and inaccessible under the kitchen sink. Water temperature measured 118.2 °F. CONTINUED ON LIC9099-C Common Areas The living room contained four (2) couches and the tv room included 4 recliners for resident use. Games and activities were available. The dining room had a large table with seating for all residents. The facility was appropriately furnished. A screened fireplace was observed and was inaccessible to residents. Interior walkways and hallways were clean, clear, and free of hazards. The indoor temperature was maintained at 78.2°F. Files The department reviewed four (4) resident files and found required documents present. The department reviewed the Administrator file and three (3) staff files and verified required documents, training, and certifications. Medications Medications were locked in a kitchen cabinet and inaccessible to residents. All medications were observed in their original packaging. The department reviewed medications and Medication Administration Records (MARs) for four (4) residents and found all records consistent and properly documented. CONTINUED ON LIC9099-C Safety Nine (9) smoke detectors and carbon monoxide detectors were operable. One (1) fully charged fire extinguishers was last serviced on 06/24/2025. The First Aid kit contained all required items and a current manual. The facility has an operational landline telephone. All exits were marked with EXIT signs. All doors had alarms that sounded when opened. Required postings were observed in the hallway near the entrance. Infection Control The department observed infection control procedures, including a sanitizing station at the entrance with a visitor log, hand sanitizer, thermometer, and masks. The facility had a 30-day supply of PPE. All required infection control signage was posted. During today’s visit, no deficiencies were observed or cited. An exit interview was conducted with lead Direct Support Staff, and a copy of this report was provided. CONTINUED ON LIC9099-Cthe state’s words, verbatim · CDSS document, Jul 15, 2026

Type of visit: Case Management - Annual Continuation

On 06/19/2025, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced case management continuation annual visit. LPA met with Licensee Swafford Rashimer and explained the purpose of today’s visit. The facility is licensed for 4 age ambulatory elderly ranging 60 and over with a hospice waiver for 3 residents. A total of 4 clients are currently enrolled in this facility. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted including Activities Calendar and Food Menu. LPA conducted an audit of 4 resident records, and 4 personnel records. The facility is current in CCLD annual license fees. The administrator and Liability Insurance Certificate are current and valid. The following were observed during today’s visit: Hot water temperature measured at 127 degrees Fahrenheit in bathroom faucet. The facility is current in CCLD annual license fees. One Advisory Note was issued please see LIC 9102. No deficiencies were cited during today’s visit. An exit interview was conducted with Administrator and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jun 19, 2025

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 06/18/2025, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced annual required visit. LPA met with Lead Staff Kendra Howard and explained the purpose of today’s visit. The facility is licensed for 4 age ambulatory elderly ranging 60 and over with a hospice waiver for 3 residents. A total of 4 clients are currently enrolled in this facility. The facility consists of the following: One story building, 4 bedrooms, 2 living room, 3-bathroom, 1 kitchen area, 1 office, 1 laundry and a backyard patio area with shaded seating. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were stocked during the visit. A comfortable temperature was maintained in the facility at 75 degrees F. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected, and 2 days supplies perishable, and 7 days non-perishable food was maintained. Smoke detectors and carbon monoxide were operable. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted including Food Menu. No deficiencies were cited during today’s visit. An exit interview was conducted with lead staff and a copy of the report was provided. Due to time constraints, only a portion of the visits was completed. The remaining items will be addressed upon return to the facility.the state’s words, verbatim · CDSS document, Jun 18, 2025

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

On 07/18/2024 at around 8:00 AM, Licensing Program Analyst (LPA) Leandro conducted an unannounced continuation Required – 1 Year Inspection to the above-named facility and met with Staff, Shamier Swafford. LPA explained the purpose of the visit and was accompanied by staff inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept in locked storage cabinet. LPA observed that medications were safe, locked, and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. There is a fire extinguisher near the kitchen area. There are two landline telephones in the facility. 4 out of 4 resident’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. LPA tested hot water temperature and it measured between 105 and 120 degrees Fahrenheit. This facility provides residents with hygiene products such as nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb. 5 staff records were reviewed, 5 out of 5 staff records had required documentation. 3 resident records were reviewed and, 3 out of 3 resident records had required documentation. No deficiencies are being cited based on LPA observation and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted and a copy of this report was left with staff.the state’s words, verbatim · CDSS document, Jul 18, 2024

Type of visit: Required - 1 Year

On 07/11/2024 at around 2:00 PM, Licensing Program Analyst (LPA) Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Licensee/Administrator, Rashimer Swafford. LPA explained the purpose of the visit and was accompanied by a staff inside and outside the facility during this inspection. This facility is licensed to serve 4 adults ages 55 and above. A total of 3 ambulatory residents are currently residing in this facility. The facility is a one-story house located in a residential street. The home consists of 4 resident bedrooms, 3 bathrooms, 1 living room, 1 dining room, 1 kitchen, 1 attached garage, 1 community room, and 1 backyard patio area with shaded seating. Due to time constraints, LPA was unable to complete annual inspection. No deficiencies were cited. An exit interview was conducted and a copy of this report was left with the Administrator.the state’s words, verbatim · CDSS document, Jul 11, 2024