Stayman Estates - Alston

Type of visit: Required - 1 Year

At approximately 10:00 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by Maria Socorro Hernandez, Administrator. Facility is a Residential Care Facility for the Elderly (RCFE) with five (5) residents in care, all of whom were present during today's inspection. Facility has a Dementia Care Plan, a Hospice waiver for six (6), is approved for all non-ambulatory residents, and is vendored with the North Bay Regional Center (NBRC). At approximately 10:45 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. LPA observed egress devices activated on all facility doors. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, and hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a shaded seating area in the backyard with outdoor space for activities. LPA inspected an unlocked storage shed in the front driveway which contained care equipment and holiday decor. LPA observed residents resting or visiting with loved ones in their rooms or watching TV in the common area. Facility has internet service and an internet access device designated for resident use. The telephone was tested and was operational during inspection. Smoke and carbon monoxide detectors were tested and operational during inspection. Continued on LIC809-C... Continued from LIC809C... Fire extinguisher was observed fully charged and was last inspected 08/2026. Emergency Disaster Plan was reviewed and updated 07/2026. Facility conducts monthly disaster drills with the most recent drill conducted 09/2026. However, LPA observed drills conducted on the AM and PM shifts only. LPA informed Administrator that a drill must be conducted on each shift (including the night shift) no less than quarterly. Administrator conveyed understanding and agreed to comply immediately in order to bring the facility into compliance with regulation. LPA observed first aid kits equipped with the required materials and facility has emergency lighting throughout. At approximately 11:45 AM, LPA conducted file review of four (4) staff and four (4) resident files. Four (4) of four (4) staff files reviewed contained all the required documents, proof of training and proof of current First Aid and CPR certifications. Four (4) of four (4) resident files reviewed contained all the required documentation as per regulation. At approximately 2:30 PM, LPA conducted a review of medications and medication records which were observed stored and maintained in compliance with regulation. Administrator states that the facility staff assist with coordinating medical and dental appointments as well as transportation to and from appointments as needed. Facility does not manage P&I cash resources for residents. LPA was provided proof of current liability insurance. No deficiencies cited during today's inspection. Exit interview conducted with Administrator whose signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Sep 21, 2026

Type of visit: Case Management - Annual Continuation

At approximately 1:10 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a Case Management - Annual Continuation inspection and was greeted by Maria Socorro Hernandez, Administrator. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care, all of whom were present during today's inspection. Facility has a Dementia Care Plan, a Hospice waiver for six (6), is approved for all non-ambulatory residents, and is vendored with the North Bay Regional Center (NBRC). At approximately 1:30PM, LPA began file review of four (4) staff and four (4) resident files. Four (4) of four (4) staff files reviewed contained all the required documents, proof of training and proof of current First Aid and CPR certifications. Four (4) of four (4) resident files reviewed contained all the required documentation as per regulation. Administrator states that the facility staff assist with coordinating medical and dental appointments as well as transportation to and from appointments as needed. Medications and medication records were inspected and the logs were observed maintained in compliance with regulation. Facility does not manage P&I cash resources for residents. Exit interview conducted with Administrator whose signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Sep 15, 2025

Type of visit: Required - 1 Year

At approximately 2:30 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by Maria Socorro Hernandez, Administrator. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care, all of whom were present during today's inspection. Facility has a Dementia Care Plan, a Hospice waiver for four (4), is approved for all non-ambulatory residents, and is vendored with the North Bay Regional Center (NBRC). At approximately 2:50 PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. LPA observed egress devices activated on all facility doors. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, and hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a shaded seating area in the backyard with outdoor space for activities. LPA inspected an unlocked storage shed in the front driveway which contained care equipment and holiday decor. LPA observed residents resting or visiting with loved ones in their rooms or watching TV in the common area. Facility has internet service and an internet access device designated for resident use. The telephone was tested and was operational during inspection. Smoke and carbon monoxide detectors were tested and operational during inspection. Continued on LIC809-C... Continued from LIC809C... Fire extinguisher was observed fully charged and was last inspected 08/2025. Emergency Disaster Plan was reviewed and updated 06/2025. Facility conducts quarterly disaster drills with the most recent drill conducted 07/2025. LPA will return at a later date to conduct medication and file review. No deficiencies cited during today's inspection. Exit interview conducted with Administrator whose signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Aug 12, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) J Macias arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Maria Hernandez. Facility contact information was reviewed. At approximately 10:20am LPA and Administrator toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and dated. Kitchen cabinet containing cleaning supplies was locked underneath sink. Kitchen drawer with sharp knives were locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 112.2 and 111.2 degrees F which is within the allowable range of 105 to 120 degrees F per regulation. Fire extinguishers were last inspected August 9, 2023. Carbon Monoxide detectors located throughout the facility were tested and operational. Fire Alarm was last inspected on September 6, 2023. Fire Sprinkler System is serviced by an outside vendor and was last inspected on 8/15/2023. Facility’s last quarterly disaster drill was last conducted 7/8/2024. At approximately 12:30pm LPA conducted a review of five (5) resident records. All required documentation were found to be well organized and complete. Continued on 809C... Continued from 809... At approximately 1:30pm LPA conducted review of five (5) staff records. All staff files were found to be complete with all required documentation. First Aid and CPR certifications were all current. At approximately 2:00pm LPA and Administrator conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies Maria Socorro Hernandez Administrator Certificate 7004163740 expires 04/28/2026. No deficiencies cited during this inspection. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Jul 30, 2024