Asuncion Board & Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nune Margaryan conducted an Annual Required visit and inspection of the facility. LPA met with Licensee Adelaida Asuncion. LPA explained the purpose of the visit. During the visit, the CARE tool was used. The facility is licensed to serve Dementia residents, ages 60 and above, approved for two (2) non-ambulatory and four (4) ambulatory residents. Currently, there is no hospice resident in placement. The facility is a single-story house located in a residential neighborhood. It consists of five (5) bedrooms including three (3) resident bedrooms, one (1) staff room, one (1) room for family member; three (3) bathrooms, kitchen, dining room, living room, and detached garage. Facility was toured, staff/residents files were reviewed. Residents medications were reviewed. No pools and bodies of water on the premises. All residents' bedrooms and bathrooms were inspected. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the backyard. The common areas are clean and have the required furniture. The resident bathrooms have the required grabs bars and non-skid mat. The water temperature was tested and was measured within Title 22 Regulation guidelines. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. The kitchen was inspected. LPA observed that kitchen equipment are in working condition. LPA observed sufficient supply of perishable and non-perishable foods. There is additional food in the refrigerators located in the garage. Adequate linen and personal hygiene supplies was observed. Auditory alarm devices to monitor exits were operable. Continue 809C Knives and sharps are locked in the kitchen and inaccessible to residents. Smoke detectors and carbon monoxide detectors are operable. Fire extinguisher observed in the dining room and fully charged. Laundry area was observed in the covered patio between the house and garage. Laundry detergents were observed locked next to the washer and dryer and in the garage. The outdoor activity area has a shaded patio with ample seating. Medication is centrally stored in a locked cabinet; resident and staff records are stored in a locked room and both inaccessible to residents. First Aid kit was fully stocked with current manual. LPA reviewed 3 resident records to confirm emergency contact is updated, physician's reports are on file, and admission agreements are complete. Two staff records were reviewed to confirm health screenings, training, and fingerprint clearances. LPA reviewed residents' medications. Medications are documented properly and given as prescribed. No deficiencies were found during this visit. Exit interview was conducted with Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nune Margaryan conducted an Annual Required visit and inspection of the facility. LPA met with the Administrator Rosemarie Honrado and Licensee Adelaida Asuncion. LPA explained the purpose of the visit. During the visit, the CARE tool was used. The facility is licensed to serve Dementia residents, ages 60 and above, approved for two (2) non-ambulatory and four (4) ambulatory residents. Currently, there is no hospice resident in placement. The facility is a single-story house located in a residential neighborhood. It consists of five (5) bedrooms including three (3) resident bedrooms, one (1) staff room, one (1) room for family member; three (3) bathrooms, kitchen, dining room, living room, and detached garage. Facility was toured, staff/residents files were reviewed. Residents medications were reviewed. No pools and bodies of water on the premises. All residents' bedrooms and bathrooms were inspected. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the backyard. The common areas are clean and have the required furniture. The resident bathrooms have the required grabs bars and non-skid mat. The water temperature was tested and was measured within Title 22 Regulation guidelines. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. The kitchen was inspected. LPA observed that kitchen equipments are in working condition but the stove and refrigerator were dirty with oil stains all over. Kitchen cabinets also needed cleaning. LPA observed sufficient supply of perishable and non-perishable foods. There is additional food in the refrigerators located in the garage. Adequate linen and personal hygiene supplies was observed. Auditory alarm devices to monitor exits were operable. Last fire drill was conducted on 12/07/24. Knives and sharps are locked in the kitchen and inaccessible to residents. Smoke detectors and carbon monoxide detectors are operable. Fire extinguisher observed in the dining room and fully charged. Continue 809C Laundry area was observed in the covered patio between the house and garage. Laundry detergents were observed locked next to the washer and dryer and in the garage. The outdoor activity area has a shaded patio with ample seating. Medication is centrally stored in a locked cabinet; resident and staff records are stored in a locked room and both inaccessible to residents. First Aid kit was fully stocked with current manual. LPA reviewed 3 resident records to confirm emergency contact is updated, physician's reports are on file, and admission agreements are complete. Two staff records were reviewed to confirm health screenings, training, and fingerprint clearances. LPA reviewed 3 residents' medications. Medications are documented properly and given as prescribed. Per California Code of Regulations, Title 22, the deficiency observed are documented on the attached 809D. Exit interview held. A copy of the report and appeal rights were provided to Adelaida Asuncion.the state’s words, verbatim · CDSS document, Jan 31, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced case management - annual continuation visit. LPA met with Adelaida Asuncion (Administrator) and explained the reason for the visit. The initial annual visit was conducted on 01/23/24. The facility is a single-story house located in a residential neighborhood. It consists of five (5) bedrooms including three (3) resident bedrooms, one (1) staff room, one (1) room for family member; three (3) bathrooms, kitchen, dining room, living room, and detached garage. During the visit, the CARE tool was used, facility was toured, staff/residents files were reviewed. Residents medications were reviewed. No pools and bodies of water on the premises. All residents' bedrooms and bathrooms were inspected. Common areas were observed for the ability to safely serve the needs of the residents. Hot water temperature was tested in all bathrooms,and reading shows 100.4 degree F. Adequate linen and personal hygiene supplies was observed. Auditory alarm devices to monitor exits were operable. Last fire drill was conducted on 12/10/23. Sufficient supply of perishable and nonperishable foods is observed. There is additional food in the refrigerators located in the garage. Knives and sharps are locked in the kitchen and inaccessible to residents. Smoke detectors and carbon monoxide detectors are operable. Fire extinguisher observed in the dining room and fully charged. Laundry area was observed in the covered patio between the house and garage. Laundry detergents were observed unlocked next to the washer and dryer. The outdoor activity area has a shaded patio with ample seating. Medication is centrally stored in a locked cabinet; resident and staff records are stored in a locked room and both inaccessible to residents. First Aid kit was fully stocked with current manual. LPA reviewed 3 residents' medications. R1's Folic Acid 1 mg and Aspirin EC 81 MG were present at the facility / prescribed by the doctor, but not listed / recorded on the MAR. Per California Code of Regulations, Title 22, the deficiencies observed are documented on the attached 809D. Exit interview held. A copy of the report and appeal rights were provided to Adelaida Asuncion.the state’s words, verbatim · CDSS document, Mar 4, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(2) · Plan of correction due date: Mar 4, 2024

Water supplies and plumbing fixtures shall be maintined as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not lee than 105 (degrees F (41 degree C) and not more than 120 degrees F (49 degree C). This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above. In all bathrooms water temperature is at 100.4 degrees F, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 4, 2024

Plan of correction: Water temperature was adjusted at the time of visit.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Mar 4, 2024

Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above. Laundry detergents were observed unlocked next to washer and dryer, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 4, 2024

Plan of correction: Laundry detergents were locked at the time of visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(5) · Plan of correction due date: Mar 13, 2024

Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility... (5) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidence by: Based on observation administrator did not ensure that R1's medications are listed in the MAR. R1's Folic Acid 1 mg and Aspirin EC 81 MG were present at the facility / prescribed by the doctor, but not listed / recorded on the MAR.the state’s words, verbatim · CDSS document, Mar 4, 2024

Plan of correction: At the time of visit R1's medications added / recorded in the MAR. Licensee / administrator will ensure medication provided to the residents is recorded properly by staff on medication sheet. Licensee will conduct a medication in- service training and will provide a copy of the materials and the Sign in sheet before POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nune Margaryan conducted an Annual Required visit and inspection of the facility. LPA met with the Administrator Rosemarie A Honrado and Licensee Adelaida Asuncion. LPA explained the purpose of the visit. The facility is licensed to serve Dementia residents, ages 60 and above, approved for two (2) non-ambulatory and four (4) ambulatory residents. Currently, there is no hospice resident in placement. During the visit, LPA toured the facility inside and outside, and reviewed 2 residents files. LPA requested and obtained a copies of residents files. The facility is a single-story house located in a residential neighborhood. It consists of five (5) bedrooms including three (3) resident bedrooms, one (1) staff room, one (1) room for family member; three (3) bathrooms, kitchen, dining room, living room, and detached garage. Due to insufficient time and information during the visit at this time, LPA will return at a later time to complete annual inspection. Exit interview was conducted with Adelaida Asuncion and the copy of this report provided.the state’s words, verbatim · CDSS document, Jan 23, 2024