Great Place Home Care

Type of visit: Required - 1 Year

On 11/05/2025 at 11:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Great Place Home Care Facility. LPA Calderon was allowed entry into the facility by Administrator Coty Cabra. The Facility is licensed to serve residents age range 60 and over, six Non- ambulatory residents of which, one may be bedridden and approved hospice waiver for two residents. Currently, there are six (6) residents residing in the facility. LPA Calderon explained to Administrator Coty Cabra 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: Six (6) client service records, six (6) client medication records (MAR), two (2) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 11/03/2025. The one story residential home consists of five (5) client bedrooms, two (2) 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 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 100 degrees Fahrenheit; bathroom #2 hot water temperature properly measured at 95 degrees Fahrenheit. Kitchen hot water temperature properly measured at 100 degrees Fahrenheit. Facility one (1) Carbon Monoxide and six (6) Smoke Detectors, hardwired and connected, were tested and are working properly. Facility two (2) 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 one (1) 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. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications (MAR) and they were all found to be administered according to doctor's orders. Two (2) staff files were checked, and they have the required documents. LPA Calderon noted the Administrator Coty Cabral Certification # 6000867740 expiration date of 06/05/2025 was NOT valid at time of inspection. Commercial General Liability Policy #000896746 policy period from 03/01/2025 to 03/01/2026 underwritten by James River 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 Coty Cabra.the state’s words, verbatim · CDSS document, Nov 5, 2025

Type of visit: Required - 1 Year

On 11/09/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Administrator Coty Cabral. Facility is licensed to serve residents age range 60 and over, six non- ambulatory residents of which, one may be bedridden and approved hospice waiver for two residents. During this visit, there were zero hospice residents. This is a single-story home consisting of four resident bedrooms, one staff bedroom, one common bathroom, one ensuite bathroom (bedroom#5), living room, kitchen with dining area, garage, and a shaded outdoor patio. The facility is clean, sanitary, and in good repair. The Administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens, and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Continue to LIC809-C. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher, last serviced October 3, 2024 was observed in the kitchen area. Another fire extinguisher was observed in the hallway. Administrator tested the carbon monoxide and smoke detectors in the house. Device were functional and interconnected. Five staff records were reviewed, and five out of five staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. Five resident records were reviewed, and five out of five resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with Administrator Coty Cabral.the state’s words, verbatim · CDSS document, Nov 9, 2024

Type of visit: Required - 1 Year

On 12/1/2023 at 9:30 AM, Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced annual inspection visit to the above facility. LPA met with Caregivers Iosefo Naumati and Imelda Diquit and LPA explained the purpose of the visit. Administrator/Licensee Coty Cabral arrived later and joined the visit. Facility is licensed to serve residents age range 60 and over, six non- ambulatory residents of which, one may be bedridden and approved hospice waiver for two residents. During this visit, there is one hospice resident. This is a single-story home consisting of four resident bedrooms, one staff bedroom, one common bathroom, one ensuite bathroom (bedroom#5), living room, kitchen with dining area, garage, and a shaded outdoor patio. At 9:42 AM, LPA Montoya toured the facility with Caregiver Imelda Diquit. The kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. At 10:30 am, outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. REPORT CONTINUED IN LIC 809-C At 10:40 am, LPA observed the resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. At 11:15 am, LPA observed the smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. At 11:30 am, LPA conducted records review, staff files, resident files and medication administration records (MARs) are complete. At 11:45 AM, LPA conducted interviews with staff and residents. LPA observed the following deficiencies: At 9:46 AM, LPA observed the filing cabinet where client files are stored has no lock. At 10:03 AM, LPA checked the water temperature in resident bedroom #5 ensuite bathroom and it measured at 120.7 degree Fahrenheit. At 3:08 PM, LPA Montoya checked the water temperature again in the same bathroom and it measured at 124.8 degree F. Deficiencies cited under California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted, and a copy of the report and Appeal Rights were provided to Administrator Coty Cabral.the state’s words, verbatim · CDSS document, Dec 1, 2023