Santo Rosario Care Home

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sarah Hurt arrived at the facility and met with Licensee Gloria Ignacio gave notice to Licensing of intention of facilities to cease operation in July 2025. The purpose of today’s inspection is to follow up on the facility’s closure and surrendering of license. LPA toured facility, and observed no residents in any of the bedrooms, and rooms are not occupied. LPA Hurt toured all 4 bedrooms, garage, outdoor areas, and all common areas. LPA conducted a final tour with Facility Licensee Gloria Ignacio, and confirmed that there are no residents in the facility. Closure inspection is complete. Exit interview conducted, and report signed on site by facility Licensee Gloria Ignacio. LPA Hurt collected the License and will place in facility file. Facility closure will be processed upon LPA Hurt return to the office. No Deficiencies Cited Per Title 22 Regulations, and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 24, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sarah Hurt conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. LPA arrived and was granted entry to the facility by Licensee Gloria Ignacio, and facility staff Regina Bautista. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Unit (CAU) on 02/28/2024 for a capacity of six adult residents. LPA Hurt observed the following: Structure: Facility is a two story house with 4 resident bedrooms, 2 bathrooms, family / living room, dining area and kitchen. There is a 2-car garage attached in front of home. The resident bedrooms will accommodate residents' furnishings. Signal System: Central air/heating system installed with a central panel to control entire house. Bedrooms Residents: Bedrooms #1-4 will accommodate 4 clients (2 shared bedrooms, and two single bedroom) Bathrooms: All bathrooms have a working toilet, wash basin, and shower. Linens and Hygiene Supplies: Adequate supply of linens is stored in garage cabinet. Emergency Phone Numbers, Exit Plan, and Sample Menu: Will be posted and readily available for review in the living room. Continued from 809C... Food Service: Adequate supply of 7-day non-perishable and 2 day perishables would be stored in the kitchen and pantry. Smoke and Carbon Monoxide Detectors: Smoke and carbon monoxide alert systems were hardwired and found operational. Fire Extinguisher: 1 Fully charged and stored by sliding glass door in kitchen area. Fire Clearance: Approved on 08/07/2024 Appliances: Electric four burner stove with oven, refrigerator/freezer and microwave which were clean and noted to be operational. Washer and dryer are located in the laundry room in the hallway, and were clean and noted to be operational. Toxins: Will be locked away/ stored in locked laundry room cabinets.. Water Temperature: Tested and recorded at 110 degrees (within regulation) Medications, First Aid Kit & Manual: First Aid kit with guide will be stored in locked cabinet next to dining area. Medication will be stored and locked in cabinet next to dining area Resident and Staff Files: Records will be kept in locked cabinet next to dining area. Reading Material, Games, Equipment, & Materials: The facility has materials that commensurate with their plan of operation. Continued onto 809C.. Continued from 809C .. The license will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Unit. Applicant was reminded of the statute that requires notification to Licensing Program Analyst within 5 business days of admitting the first resident. This notification may be done by phone, mail, email or fax. At this time, facility has met all pre - licensing requirements of Title 22 division 6. An exit interview was conducted with Licensee Gloria Ignacio, and a copy of this report was provided at the time of visit.the state’s words, verbatim · CDSS document, Oct 3, 2024

Type of visit: Office

Facility Type: RCFE Application Type:Initial Capacity:6 Census (n/a): COMP II Participants: Name, Title Interview Method: Telephone On [8/22/2024], applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Aug 22, 2024