Hastings Ranch Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required- 1 year visit. LPA was met by Dan De Jesus and Dolly De Jesus, Homeowners and explained the purpose of the visit. LPA was informed by the homeowners that, to their knowledge, the facility has shut down and that Ralph Estanislao (Administrator), the previous renter, has been skipping rent payments since September 2025. According to the homeowners, they moved back to the home in November 2025 and the Administrator left the house unkempt and in a state of disrepair. LPA did not utilize the Compliance and Regulatory Enforcement (CARE) tools for the visit today. LPA conducted a tour of the facility to ensure that there are no residents in the home needing care and supervision. Currently, the facility has zero (0) residents under care and supervision and zero (0) staff present. The facility is a single story home consists of (5) bedrooms, (3) bathrooms, a living room, a dining room, a TV room, a kitchen and an attached garage. The outdoor facility has a front yard, and back patio. At 12:30pm, LPA left the Administrator a voicemail message requesting the Administrator to call LPA back to discuss the closure plan and provide the documents needed to submit. After reviewing the facility's history, LPA did not find any communication reported between the Administrator and CCLD regarding the facility's intent to close nor facility's closure plan. No exit interview conducted and no deficiencies cited at this time. A copy of this report will be emailed to the Administrator, Ralph Estanislao.the state’s words, verbatim · CDSS document, Dec 19, 2025

Type of visit: POC

Licensing Program Analyst(s)(LPA)s Mary Flores and Blanca Gonzalez conducted an unannounced plan of correction (POC) visit to follow up on deficiencies noted on 1/28/25. LPAs met Noel Navarro with and explained the reason for the visit. On 1/28/25 LPA Flores conducted an annual visit and noted the following deficiency: Type A - Section 87705(l)(2) Care of Persons with Dementia: On 1/28/25 LPA observed main entrance door had a lock that required a key on both sides (indoor and outdoor). On 2/6/25 LPA observed the lock had been switched to a lock with a latch on the inside and a key required on the outside. Deficiency cleared as of 2/6/25. Exit interview was conducted with Marissa Carreon and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Marissa Carreon and explained the reason for the visit. The facility is licensed to serve 5 non-ambulatory and 1 bedridden residents over the age of 60, with an approved hospice waiver for 6. The facility has 5 bedrooms, 3 bathrooms, a living room, a dining room, a TV room, a kitchen and an attached garage. The outdoor facility has a front yard, and back patio. LPA toured the facility with Marissa Carreon and observed the following: All common areas: Living room, dining room, and TV area are clean with furniture in good repair. Fireplace located in the living room is covered. A/C vent in TV area's ceiling is full of dust mites. Required posters were observed in the living room. Each resident rooms (5) have sufficient lighting, the required furniture, lighting, and bedding supplies. Room #1 has a piece of frame wood coming off on the exit door to the patio. Room # 2's bed was observed with full bed rails, resident is no longer in hospice. Room #5 has a dresser that has 3 broken drawers. Three (3) bathrooms were observed each is in working condition, showers have grab bars and skid mats. Water temperature was tested between 105.0-106.8 degrees F., which is within the required 105-120 degrees F. Kitchen was observed clean. Sharps were observed locked in a drawer. Medication cabinet was observed locked. Sufficient food supplies were observed. Cleaning supplies were observed in the garage. Garage is used as storage. Smoke/ Carbon Monoxide detectors were observed and tested. Fire extinguisher was observed mounted in the kitchen and last checked on 12/30/24. Facility has auditory devices in each door as they serve dementia residents. Sound device in front door, exit door to garage, room #1, and room #4 were not on during the visit. Backyard, passageways, and front yard are free of debris and have shaded seating area. Main entrance exit door was observed with a lock that requires a key from both sides inside and outside. Facility has one item to promote activities, or activity schedule was observed. LPA reviewed medication for 3 residents, and files for 4 residents. Resident #2(R2) has PRN medication prescribed that has been log provided each day for the month of January. (CONTiNUED ON LIC 809C) However, The date and time the PRN medication was taken, the dosage taken, and the resident's response are not documented. R2 was found not to be on hospice and a full bed rail was observed in their bed. R2's admission agreement was missing signature. No hospice initiation or discontinuation were observed or submitted to the department for R2 and R3. LPA reviewed 3 staff files. Staff #3(S3) was cleared and associated to the facility on 3/1/24 and has only 24 hours of initial training. LPA reviewed LIC 500 - Personnel Record and it list 3 staff schedule to work Saturday- Sunday between 6am-6pm. No additional staff files for review, no night staff was listed, and LPA observed both staff working the morning shift. LPA reviewed Infection control plan and emergency disaster plan. Per disaster drill log, drills were conducted on 7/6/24 and 12/1/24. LPA interviewed 3 resident and 2 staff. Exit interview was conducted and a copy of this report, LIC 809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 28, 2025

The state marks this report as 13 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met William Carreon with and explained the reason for the visit. The facility is licensed to serve 5 non-ambulatory and 1 bedridden residents over the age of 60, with an approved hospice waiver for 6. The facility has 5 bedrooms, 3 bathrooms, a living room, a dining room, an activity room, a kitchen and an attached garage. The outdoor facility has a front yard, and back patio. LPA toured the facility with William Carreon and observed the following: Facility is in good repair inside and outside. Common areas: Living room, dining room, and TV area are clean with furniture in good repair. Fireplace is cover. Each resident rooms (5) have sufficient lighting, the required furniture and bedding supplies. Room # 2's bed was observed with full bed rails, resident is in hospice and has a request on file. Room #3's bed was observed with half bed rails, Resident #3(R3) does not have a physician's order on file. Administrator has document the request submitted to the physician. Bathrooms were observed (3) each is in working condition, showers have grab bars and skid mats. Water temperature was tested between 107.2-110.1 degrees F., which is within the required 105-120 degrees F. Kitchen was observed clean. Sharps were observed locked in a drawer. Medication cabinet was observed locked. Food supplies were observed sufficient for at least (7) days of non-perishables and (2) days of perishables and emergency food supplies are stored. Cleaning supplies were observed locked in the garage. Garage is used as storage. Backyard, passageways, and front yard are free of debris and have shaded seating area. LPA reviewed files and medication for 5 residents. Resident #1(R1) last physician's report is dated 3/3/21 and Resident #4(R4)'s last physician's report is dated 8/24/22 both residents have a dementia diagnosed, and Resident #2(R2)'s admission agreement is missing signatures. LPA reviewed 4 staff files. (CONTINUED ON LIC 809C) LPA reviewed infection control plan and disaster plan. Last fire drill was conducted on 12/1/23. Administrator's certificate was reviewed for Ralph Estanislao #6053102740 exp 3/17/25. Deficiencies are noted on LIC 809D per Title 22 Regulations. Exit interview was conducted and a copy of report, LIC 809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 6, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.