Sweet Life Cottage

Type of visit: Required - 1 Year

On 09/18/2025 at 10:00 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Sweet Life Cottage Facility. LPA Calderon was allowed entry into the facility by Administrator Jerissa Bucu. The facility is licensed to operate for six (6) non-ambulatory residents of which one (1) resident may be bedridden and aged 60 and above. The facility is approved for four (4) hospice residents. Currently, there are five (5) residents residing in the facility, between the age of 60 and above. LPA Calderon explained to Administrator Jerissa Bucu, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Five (5) client service records, five (5) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 07/18/2025. The one-story residential home consists of five (5) client bedrooms, three (3) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored or found on the premise grounds. The kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 103 degrees Fahrenheit, bathroom #2 hot water temperature properly measured at 104 degrees Fahrenheit, and bathroom #3 hot water temperature properly measured at 104 degrees Fahrenheit. Kitchen hot water temperature is properly measured at 107 degrees Fahrenheit. Facility two (2) Carbon Monoxide and seven (7) Smoke Detectors, hard-wired and connected, were tested and are working properly. The facility one (1) Fire Extinguisher was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline telephone. All toxins and knives are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility two (2) first aid kits are fully stocked with manuals being checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Five (5) client files were reviewed and found to be complete. LPA Calderon reviewed five (5) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked, and they have the required documents. LPA Calderon noted the Administrator Jerissa Bucu Certification # 6007465740 expiration date of 11/10/2025 was valid at time of inspection. The facility does not handle clients’ money/cash resources, and no Surety bond is needed. Commercial General Liability Policy #PCI2037664703 policy period from 05/21/2025 to 05/21/2026 underwritten by Primary Care Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. All the required documents are posted in the facility in a clearly visible area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Jerissa Bucu.the state’s words, verbatim · CDSS document, Sep 18, 2025

Type of visit: Required - 1 Year

On 09/27/2024 at 08:00 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Sweet Life Cottage Facility. LPA Calderon was allowed entry into the facility by Administrator Jerissa Bucu. Administrator Jerissa Bucu asked infection control questions and took LPA Calderon temperature prior to entering the facility. The facility is licensed to operate for six (6) non-ambulatory residents of which one (1) resident may be bedridden and ages 60 and above. The facility is approved for four (4) hospice residents. Currently, there are five (5) residents residing in the facility, between the age of 60 and above. LPA Calderon explained to Administrator Jerissa Bucu, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Five (5) client service records, five (5) client medication records (MAR), six (6) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed five (5) clients and six (6) staff members for visit. The facilities’ last fire drill was conducted on 08/14/2024. The one-story residential home consists of five (5) client bedrooms, three (3) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored or found on the premise grounds. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA observed staff and clients were NOT wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Administrator Jerissa Bucu to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 106 degrees Fahrenheit, bathroom #2 hot water temperature properly measured at 107 degrees Fahrenheit, and bathroom #3 hot water temperature properly measured at 107 degrees Fahrenheit. Kitchen hot water temperature properly measured at 105 degrees Fahrenheit. Facility six (6) Carbon Monoxide and six (6) Smoke Detectors hard wired and connected were tested and are working properly. The facility one (1) Fire Extinguisher was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline telephone. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility two (2) first aid kits is fully stocked with manuals was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Five (5) client files were reviewed and found to be complete. LPA Calderon reviewed five (5) resident medications (MAR) and they were all found to be administered according to doctor's orders. Six (6) staff files were checked and have the required documents. LPA Calderon noted the Administrator Jerissa Bucu Certification # 6007465740 expiration date of 11/10/2025 was valid at time of inspection. The facility does not handle client's money/cash resources and no Surety bond is needed. Commercial General Liability Policy #PCI2037664602 policy period from 05/21/2024 to 05/21/2025 underwritten by Primary Care Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Jerissa Bucu to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 10/10/2024. All the required documents are posted in the facility in a clearly visible area.the state’s words, verbatim · CDSS document, Sep 27, 2024

Type of visit: Required - 1 Year

On 11/22/23, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual required visit using the Care Inspection Tool. LPA was first greeted by House Manager Corinthian Taporco then was joined with Administrator Jerissa Bucu and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory of which one (1) may be bedridden of elderly residents ages 60 and above. The facility is approved for four (4) hospice residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: three (3) resident bedrooms, one (1) staff bedroom, two (2) resident bathrooms, one (1) staff bathroom, living area, dining area, kitchen, outside covered patio area. The washer and dryer are in the attached garage which is also used for storage. LPA and administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. LPA observed all bathrooms to have secured handrails and non-skit mats or chairs for the shower. The water temperature measured 108.3 F in resident bathroom number one (1) and 109.8 F in resident bathroom number two (2). A comfortable temperature was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for cleaning supplies, toxins, and sharp objects were stored, and inaccessible to residents. Continued on LIC 809-C The kitchen was inspected and there is sufficient perishable and non-perishable food available, maintained properly. A fire extinguisher was charged, smoke detectors and carbon monoxide were operable. LPA observed the First aid kit and found it to fully stocked of the required items, with manual. LPA observed all medications are stored, secured and inaccessible to residents. LPA reviewed medications for five (5) residents and matched them to the MARs. LPA observed all medications to be in their original packaging. The facility has a working landline telephone and the last fire drill was conducted on 11/10/23. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed staff residents were wearing face coverings, LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved Mitigation Plan Report with CCLD. No Deficiencies were cited during this inspection visit. An exit interview was conducted and a copy of this report was provided to Administrator Jerissa Bucu.the state’s words, verbatim · CDSS document, Nov 22, 2023