The Palazzo of Downey

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Caregiver Josie Ontiberos and explained reason for visit. Administrator Rowena Carrillo arrived shortly. This home is licensed to serve age range of 60 and over. Fire clearance approved for six (6) ambulatories. Licensed is subject to terms and conditions for hospice waiver approved for four (4) residents. No Dementia residents.The facility is a two-story home located in Downey, Ca. A tour of the facility includes 1st floor: 2 resident bedrooms, 1 full bath, 1 1/2 bath, kitchen dining area, family room, living room, pantry, laundry room, closets, attached garage, front yard and backyard. 2nd (frontal) floor: 5 bedrooms (4 are resident rooms, two (2) with private bath, 1 Administrator office with bathroom), 1 additional restroom, and living room. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. Extra linen was observed in downstairs laundry room. LPA observed downstairs bathroom with no lights. The Smoke detectors and carbon monoxide detectors were observed throughout the facility and are properly operating. The facility has two (2) fully charged fire extinguishers which are kept in kitchen and upstairs. Cleaning supplies and toxic substances were observed to be inaccessible in a locked cabinet in kitchen and in laundry room. Knives were locked in kitchen drawers. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed to have sufficient supply of 2 days perishable & 7 days non-perishable foods. There are no firearms or weapons stored at the facility. The resident bathrooms have the required grabs bars and non-skid mats. LPA observed caregiver signing MAR log for medication that was given on 28th. LPA advised caregiver to stop signing MAR. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents in backyard. Passageways and exits are free of obstruction. ***Due to time constraints, LPA was not able to complete the annual inspection for this facility. LPA will do a continuation of this inspection. ***Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D, and appeal rights were provided to Rowena Carrillo.the state’s words, verbatim · CDSS document, Sep 29, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst’s (LPA’S) Christian Gutierrez, and Gabby Castro conducted an unannounced Annual required inspection to Palazzo of Downey, Inc., The. Upon arrival LPA’s were greeted by the administrator Rowena Marantal and explained the reason for the visit. This home is licensed to serve age range of 60 and over. Fire clearance approved for six (6) ambulatories. Licensed is subject to terms and conditions for hospice waiver approved for four (4) residents. No dementia residents. The facility is a two-story home located in Downey, Ca. A tour of the facility includes 1st floor: 2 resident bedrooms, 1 full bath, 1 1/2 bath, kitchen dining area, family room, living room, pantry, laundry room, closets, attached garage, front yard and backyard. 2nd (frontal) floor: 5 bedrooms (4 are resident rooms, two (2) with private bath, 1 Administrator office with bathroom), 1 additional restroom, and living room. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. Extra linen was observed in downstairs laundry room. LPA’s observed R4 with full bed rails with no physician’s order. The Smoke detectors and carbon monoxide detectors were observed throughout the facility and are properly operating. The facility has two (2) fully charged fire extinguishers which are kept in kitchen and upstairs. Cleaning supplies and toxic substances were observed to be inaccessible in a locked cabinet in kitchen and in laundry room. Knives were locked in kitchen drawers. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed to have sufficient supply of 2 days perishable & 7 days non-perishable foods. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were not measured between the required range of 105-120 degrees F. The resident bathrooms have the required grabs bars and non-skid mats. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents in backyard. Passageways and exits are free of obstruction. Two (2) out of four (4) staff files reviewed included criminal clearance record, and health screening with TB. Staff (S1) has expired CPR/First aid and is alone with residents at night, S2 is missing health screening with TB. Six (6) resident files were reviewed, all six (6) were missing appraisal needs and service plan (625), R2 has physicians report 602 with no dates, R4’s 602 has no dates and physicians signature missing, R5’s 602 is expired, and R6’s 602 is expired. During document review it was revealed that R4’s physician report stated that he/she is non-ambulatory and has dementia both not approved in fire clearance. Civil penalties cited. Fire/earthquake drill was conducted in July of 2025. The medications are centrally stored and LPA’s observed key hanging from knobs that are accessible to residents in kitchen cabinet. LPA reviewed medications for six (6) residents and three (3) out of six (6) are missing medication. Mar log is being used. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit will be detailed on the LIC809-D. Exit interview held and a copy of the report and appeal rights were provided to Rowena Marantal Carrillo.the state’s words, verbatim · CDSS document, Sep 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Rowena Marantal Carrillo - Administrator and explained the purpose for today’s visit. The facility is licensed to serve 6 Ambulatory Residents ages 60 and above, and a hospice waiver for (4). The facility currently has 2 residents on Hospice. The facility is a two-story home located in Downey, Ca. A tour of the facility includes: 1st floor: 2 resident bedrooms, 1 full bath, 1 1/2 bath, kitchen dining area, family room, living room, pantry, laundry room, closets, attached garage, front yard and back yard. 2nd (frontal) floor: 5 bedrooms (2 are resident rooms with private bath, 3 are staff rooms with bath), staff bath. 2nd (rear) floor: 2 staff bedrooms and 1 staff bath. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit todays visit and the initial visit and observed the following: Infection Control: Staff are cleaning and disinfecting throughout the day and have an Infection Control Plan maintained at the facility. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Infection Control Plan and facility maintains the required liability insurance. Staffing: There appears to be sufficient staffing at all times in the facility. Personnel Records-Training: Staff has criminal record clearance, and ongoing training are documented in personnel files. LPA reviewed 4 staff files and 3 out of the 4 staff files reviewed were missing their first-aid certificates, citation will be detailed in the LIC809-D. Administrator Rowena Marantal Carrillo administrator certificate expires 6/24/2025. Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 4 Resident Files with no issues observed. (Continued on LIC809-C) Physical Plant & Environment Safety: LPA toured facility, residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The front yard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available for clients. The hot water temperature was tested throughout the facility and measured within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are kept in a locked and are inaccessible to residents, however, during visit LPA observed a empty can of disinfectant in an unlocked cabinet in residents downstairs restroom, also Laundry room was observed to be unlocked with door open during visit making disinfectants/cleaning supplies accessible to residents. citation issued and detailed on LIC809-D. Smoke detectors and carbon monoxide detectors are operable and in compliance. There fire extinguisher was observed and is fully charged. Last fire/disaster/earthquake drill was conducted on 9/1/24. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility has a variety of activities to choose from within the facility. There is an outdoor activity area available for the residents. Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Incidental Medical & Dental: Medication is properly labeled and are centrally stored in a closet and are in their original containers. LPA reviewed 4 residents’ medications during visit. LPA observed staffs personal medication/supplements in an unlocked kitchen cabinet along with medication cabinet being unlocked with key hanging from cabinet making medication accessible to residents, citation issued on LIC809-D. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. Residents with Special Health Needs: There are no bedridden or residents with postural supports at this facility. The facility currently has 2 residents on Hospice Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit will be detailed on the LIC809-D. Exit interview held and a copy of the report and appeal rights were provided to Rowena Marantal Carrillo.the state’s words, verbatim · CDSS document, Sep 9, 2024