Palomino Residential Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced annual visit at the facility using the CARE tool. LPA was greeted by DSP Juana Reyes, Amanda Palomino, Administrator, and Evangelina Reyes, Administrator and LPA explained the reason for the visit. The facility is licensed for residents ages 60 and over and approved for 5 non-ambulatory and 1 bedridden. The facility is a one-story home located in a residential area and has 4 bedrooms, 3 bathrooms, a living room, kitchen, dining room, family room, laundry area, and an attached garage. LPA Lopez conducted a tour with the Administrator and observed the following: The facility is clean and mostly in good repair inside and outside. The living room has a fireplace that is not used. The kitchen is clean, and knives and cleaning supplies are kept in lock cabinets. Refrigerator and freezer were observed at 40 degrees and 0 degrees which are within the recommended temperatures. Sufficient food was observed for at least 2 days of perishables and 7 days of non-perishables. The dining room has sufficient seating space. Each bedroom has the required furniture, bedding, and sufficient lighting. 3 bathrooms were observed in working condition with grab bars and skid mats. Water temperature was tested in each, and tested between 112.5 – 116.4 degrees F., which is within the required 105.0-120.0 degrees F. Smoke/Carbon Monoxide detectors were observed and tested throughout the facility. A shaded seating area was observed in the backyard. Fire extinguisher was last checked on 07/28/2026. The facility conducted an evacuation drill on 7/10/2026. Emergency food supplies and water were observed. Emergency disaster plan was posted at facility and updated. (continued on 809C) (continued from 809) LPA reviewed medication and files for four (4) residents and reviewed four (4) staff files and all had the required documents, No deficiencies were noted during this visit per Title 22 Regulations. An exit interview was conducted with the administrator, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 18, 2026

Allegation investigated: Staff do not accord privacy to resident in care.

On 04/30/26, Licensing Programming Analyst (LPA) Jewel Baptiste conducted an unannounced complaint investigation at the facility listed above. Upon arrival, LPA met with Amanda Palomino (Administrator) and explained the purpose of the visit. During the visit, LPA obtained the resident roster, staff roster, visiting policy, Advanced care directive form for R1, Letter from R1’s Advanced care directive designee, R1’s family living trust, and R1’s admission agreement. LPA toured the facility with the Administrator. Three (3) administrators and two (2) staff members were interviewed and shall be referred to as the Administrator (Admin.) and Staff #1 through Staff #4 (S1-S4). LPA also interviewed a total of 6 residents, who shall be referred to as residents #1 through #6 (R1-R6). LPA also interviewed the person responsible for R1, who shall be referred to as W1. Report continued on 9099C Unsubstantiated The investigation reveals the following: Regarding "Staff do not accord privacy to residents in care," it is alleged that facility staff listen in on R1's conversations with visitors. According to the Administrator, all residents have the option to visit with their families and friends in their rooms, the common area, or the backyard. 4 out of 4 staff denied listening in on the residents' conversations. They also stated that they have the option to go to their rooms during family visits. R1 refused to talk and wanted to sleep. R3 through R6 stated that they like living at the facility and have always been afforded privacy during family or friends’ visits. Due to R2’s diagnosis, LPA could not use their interview. LPA notices there are cameras in common areas, but they do not have audio to listen to the residents' conversations. Based on LPA's interviews, the investigation revealed that, although the allegation may have occurred or be valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur; the allegation is UNSUBSTANTIATED. An exit interview was conducted with Amanda Palomino, and a copy of this record was provided.the state’s words, verbatim · CDSS document, Apr 30, 2026 · control 28-AS-20260424165258

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Alberto Lopez conducted an “announced” PRE-LICENSING visit to the facility and met with Licensee Applicant/Administrator Boris and Amanda Palomino. Licensee Applicant is a corporation [PALOMINO RESIDENTIAL CARE, INC] and Administrator [Boris Palomino] is designated for the facility. Licensee will operate a business as Palomino Residential Care inc. Component III was not required. Facility has an approved fire clearance for six (6) non-ambulatory residents (age 60 and above), including one (1) bedridden in room two (2), and was granted on 08/18/2025. Physical plant was toured inside and out. Facility is equipped with smoke detectors (inter-connected w/battery backup), fire alarm device, and carbon monoxide system. Bedroom #1 is a shared bedroom with no bathroom. Bedroom #2 is a shared bedroom with no bathroom. Bedroom #3 is a private room for one (1) resident Bedroom #4 is a private room for one resident. The bedrooms are set up with beds, nightstands with sufficient lighting, dressers, and closet space. The supply of extra bedding and bath linens is adequate. All resident rooms are equipped with smoke detectors, and the facility smoke alarm system is synchronized with battery backup. The common bathroom in the living room has a toilet with grab bars. The common areas (living room and dining area) were appropriately furnished, and the lighting is adequate. There is a fireplace in the living room that the licensee stated gas was capped and will not be used. LPA observed controls removed from fireplace. Fire extinguisher (located in the kitchen area) is fully charged and was inspected on June 11, 2025. Medications will be stored in a locked cabinet (located in the kitchen area). A first-aid kit was complete with first-aid manual and stored in the locked cabinet in the kitchen area. (continued from 809) Kitchen cleaning supplies and other toxins are stored in a locked cabinet under the kitchen sink. The laundry room with washer and dryer has a secure cabinet for laundry detergents and are in a locked cabinet in the laundry area. The hot water temperature measured between 108.6 - 112.6 which is within the required range of 105.0 -120.0 degrees F. The Facility Administrator stated that the facility will have phone service transferred from the current facility next door on same day of approval. The administrator agreed to not install or use any video cameras in private rooms until the department has approved the use of video cameras in the private rooms. During the visit, LPA observed all four (4) resident rooms with no video cameras installed. Two (2) rooms have the hardware for video cameras and Licensee agreed to not install video cameras until approval is granted by the department. Licensee was asked and agreed to send an updated facility sketch to California Application Bureau (CAB) showing the absence of video cameras in the four (4) resident’s room. There is a locked drawer in the kitchen where the knives will be stored and inaccessible to residents. The supply of perishable and non-perishable food is adequate. The supply of dishes is adequate. Appliances (stove, oven, microwave, refrigerator, dishwasher) in the kitchen are functional. The front yard is well landscaped with one palm tree. The backyard is secured with a self-closing gate and patio cover. LPA observed the patio furniture with appropriate shade. LPA did not observe bodies of water in the backyard. The trash cans have covered lids. There is an attached garage used for storage and not accessible to residents. The licensee cleared all obstructions from outside of the home during the visit. Facility has current disaster plan with relocations sites and approved plan of operation. Facility is ready for license LPA will submit the Pre-Licensing Report to CAB. Licensee was advised to contact their CAB analyst with further questions. An exit interview was conducted, and a copy of this report was provided to Licensee/Administrator Boris and Amanda Palomino.the state’s words, verbatim · CDSS document, Sep 16, 2025