Candlewood Manor

Type of visit: POC

Licensing Program Analyst (LPA) Hanna Fuller made an unannounced visit to conduct a plan of correction (POC) inspection on deficiencies cited during the required annual inspection on August 31, 2026. LPA was greeted and granted entry by staff. LPA met with House Manager Irish Tacsuan and discussed the purpose of the visit. LPA toured the facility and tested the water in both resident restrooms for deficiency 87303(2). The water tested between 107.4 and 111.7 degrees Fahrenheit, thus meaning the citation 87303(2) has been cleared. LPA reviewed pest control services that was conducted at the facility on September 3, 2026, stating that initial treatment was conducted in the kitchen, garage and common areas for roaches. LPA toured the kitchen and observed it to be clean and free of vermin appearing that the treatment is in effect. Thus, the citation 87555(b)(27) has been cleared. Based on today's inspection no deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with clearance letters were left at the facility.the state’s words, verbatim · CDSS document, Sep 8, 2026

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Hanna Fuller made an unannounced visit to the facility to conduct the required annual inspection. LPA was unable to chose this option in drop down menu when choosing what type of visit is being conducted. LPA was greeted and granted entry by staff. LPA met with House Manager (HM) Irish Tacsuan and discussed the purpose of the visit. The facility is a two story home with the downstairs being where facility operations are conducted. There are three resident bedrooms, two resident bathrooms, living room, dining room and attached garage. LPA toured the facility and observed the kitchen to have traces of bugs and living cockroaches in the drawers. LPA observed a two day perishable and seven day non perishable food supply on hand. LPA observed the centrally stored medication to be in a locked kitchen cabinet and made inaccessible. LPA observed the toxins and chemicals to be locked under the kitchen sink and made inaccessible. The knives and sharps were observed to be in a locked drawer by the stove and made inaccessible. A fire extinguisher was observed in the kitchen charged and with a service date of June 16th, 2026. LPA observed the resident bedrooms have all the required components and furnishings. LPA observed the bathrooms to have toilet paper, paper towels and grab bars. The water was tested between 104.5 and 129.2 degrees Fahrenheit. Toxins and chemicals were observed to be locked under the bathroom sinks and made inaccessible. LPA observed the backyard to be free of debris and obstructions with unlocked exit gates. A shaded outdoor seating area was observed for resident use. The garage is used as extra facility storage with an extra working freezer and fridge. LPA observed the emergency food and water supply to be stored in the garage. A completed first aid kit was observed to be in the facility. LPA toured the 2nd floor of the facility and observed all caregiver rooms to be inaccessible by a gate at the bottom of the stairs. LPA observed an operational carbon monoxide detector in the facility. Continue on LIC809C LPA reviewed resident and staff files and no discrepancies were observed. LPA reviewed resident medications and no discrepancies were observed. LPA reviewed the last emergency drill was conducted on July 28th 2026. All staff present are background cleared and associated to the facility. Based on today’s inspection deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with records reviewed, LIC809D and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Aug 31, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(27) · Plan of correction due date: Sep 1, 2026

87555(b)(27) General Food Service Requirements All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement was not met as evidence by: LPA observed living bugs/cockroaches in the kitchen drawer which poses an immediate health, safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 31, 2026

Plan of correction: Licensee stated they will have staff clean the kitchen drawers and pantry, call a pest control company and send proof of treatment scheduled to LPA by POC due date. Licensee to send LPA invoice once treatment has been conducted with visit summary.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87303(2) · Plan of correction due date: Sep 1, 2026

87303(2) Maintenance and Operation ... Hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement was not met as evidence by: LPA tested the water in the residents restroom to be between 104.5 and 129.2 degrees Fahrenheit. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 31, 2026

Plan of correction: Licensee stated they will adjust the water temperature and send proof to water within regulatory degrees to LPA by POC due date. If it is determined that a plumber needs to be called, licensee will send proof of date scheduled to LPA by POC due date. Licensee to conduct in service with staff on testing the water temperature by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by caregiver staff and explained the reason for the visit. The House Manager (HM) Irish Tacsuan arrived shortly to assist with the visit. The facility is licensed for five non-ambulatory residents of which one may be bedridden with a hospice waiver for four. Currently there are three residents, of which one is on hospice during today's visit. LPA Tea reviewed three resident files and four staff files. Staff files contained all required documentation. There are some discrepancies with resident files. Upon review of records, the facility is up to date with required quarterly emergency disaster drills, which were last conducted in July 29, 2025. The administrator certificate expires May 31, 2025. LPA Tea along with staff toured the facility. LPA toured the physical plant, checked the food service, and the first aid kit. The facility is a two-story home, the first floor consists of 3 resident bedrooms, 2 bathrooms, a living room, dining room, kitchen and attached garage. The second floor is only for staff where live in care staff resides, no residents reside on the second floor. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational, they are maintained and serviced through a third-party security company. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. The water temperature measured around 106.5 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free (Annual continuation on LIC809-C) of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at the time of visit. LPA observed sharps locked and inaccessible to residents in a kitchen drawer. LPA also observed toxin substances secured underneath the kitchen sink and in cabinets in the garage. The fire extinguishers are fully charged throughout the facility. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating underneath a shaded patio area in the backyard. There are two exit gates that are self-latching and operational on both sides of the house. LPA observed PPE supplies, emergency food and water stored in the garage. Facility provides activities based on resident personal choice and health condition. Residents like to play bingo, dominoes, and other games. Sometimes they go for walks around the neighborhood. At the time of the visit, LPA observed residents lounging in the living room watching television. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the dining area. Medications are being administered per physician order. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility and a copy of this report LIC809, along with the 809-C, LIC858, LIC859, and 9102TV were read and provided to the facility.the state’s words, verbatim · CDSS document, Sep 2, 2025

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 1:15 PM, LPA Tea was greeted and granted entry into the facility by caregiver, John Mark Sison and explained the reason for the visit. The administrator (AD) Norajoy Kinney arrived shortly to assist with the visit. The facility is licensed for five non-ambulatory residents of which one may be bedridden with a hospice waiver for four. Currently there are five residents, of which three are on hospice during today's visit. Around 1:30 PM, LPA Tea reviewed five resident files and four staff files. Resident files and staff files contained all required documentation. Upon review of records, the facility is up to date with required quarterly emergency disaster drills, which was last conducted in July 29, 2024. AD Kinney administrator certificate is currently expired however administrator has complied with all course work and is pending renewal at this time. LPA Tea along with AD Kinney toured the facility at 2:23 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a two-story home, the first floor consists of 3 resident bedrooms, 2 bathrooms, living room, dining room, kitchen and attached garage. The second floor is only for staff where live in care staff resides, no residents reside on the second floor. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational, they are maintained and serviced through a third-party security company. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. Water temperature measured around 110.8 F degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit.LPA observed sharps locked and inaccessible to residents in a kitchen drawer. LPA also observed toxin substances secured underneath the kitchen sink and in cabinets in the garage. Annual continuation on LIC809-C The fire extinguishers are fully charged throughout the facility. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating underneath a shaded patio area in the backyard. There is a barbecue grill to entertain visitors when there is a special celebration like a birthday party. There are two exit gates that are self-latching and operational on both sides of the house. LPA observed PPE supplies, emergency food and water stored in the garage. Facility provides activities based on their personal choice. Residents like to play bingo, dominoes, and a few challenging card games. The staff also takes residents out to the outings like the beach or shopping. At the time of the visit, LPA observed resident lounging in the living room watching television and some residents relaxing to music. At 2:44 PM LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the dining area. Medications are being administered per physician order. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with Administrator Norajoy Kinney and a copy of this report LIC809, along with the 809-C, LIC858, and LIC859 were read and provided to the facility.the state’s words, verbatim · CDSS document, Aug 28, 2024