Hannah's Home Care

Type of visit: Required - 1 Year

On July 6, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator/Licensee Pauline Khiev was available to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for four (4) residents. Currently, there are three (3) Hospice residents present during today’s visit. This is a single story with a detached garage facility. The facility has four bedrooms (two shared resident rooms and two private rooms), and three bathrooms. LPA conducted a tour of the physical plant accompanied by Administrator/ Licensee Pauline Khiev, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bathrooms were operational with water temperature measured at 112.4 degrees F. A comfortable temperature of 76 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient two day perishables and seven day non-perishable food was maintained. Facility has supply of Emergency food and water. Facility has two fire extinguishers which was mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and six files reviewed. CONT 809C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 5/4/2026. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 7/28/2025 - 7/28/2026. A review of Six (6) residents (R1-R6) service files and three (3) staff (S1-S3) personnel files revealed to be complete. The facility has the current administrator's certification on file for Pauline Khiev - Expiration 5/15/2027 No deficiencies during this inspection visit. An exit interview was conducted with Administrator/ Licensee Pauline Khiev, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 6, 2026

Type of visit: Required - 1 Year

On July 25, 2025, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrators (Admin) Pauline Khiev and Annette Winters were present to assist with the facility inspection on today's date. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for four (4) residents. Currently, there are two (2) Hospice residents present during today’s visit. This is a single story with a detached garage facility. The facility has four bedrooms (two shared and two private) and two full bathrooms and one half restroom. At around 1:15PM, LPA Tirre conducted a tour of the physical plant accompanied by Administrator Pauline Khiev and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 108.5 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. LPA observed facility has two fire extinguishers charged and mounted. CONTINUED During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has supply of Personal Protective Equipment (PPE). All mandated department posters were posted. LPA observed a working landline phone was operational. The last fire drill was conducted on 5/4/2025. The facility had operational smoke and carbon monoxide in bedrooms and common areas. A review of three residents (R1-R3) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Annette Winters # 7029071740 - Expiration 11/28/2026. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Annette Winters, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 25, 2025

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 1:30 PM, LPA Tea was greeted and granted entry into the facility by Administrator (AD) Pauline Khiev and explained the reason for the visit. The facility is licensed for 6 non-ambulatory residents, in which 1 may be bedridden and a hospice waiver for four. Currently there are six residents, of which three are on hospice during today's visit. Around 1:53 PM, LPA Tea reviewed six resident files and two staff files. Resident files and staff files contained all required documentation. Upon review of records, the facility is up to date with required quarterly fire drill, which was last conducted in May 4, 2024. AD Khiev current certificate expires on May 15, 2025. LPA Tea along with AD Khiev toured the facility at 2:42 PM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home that consists of 4 resident bedrooms, 2.5 bathrooms, living room, dining room, kitchen and garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. 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 shower was free of mold/mildew. Water temperature measured between 111.3 F degrees and 112.2 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 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 in a kitchen cabinet. LPA also observed toxin substances to be locked and inaccessible to clients in care underneath the kitchen sink. Fire extinguisher was fully charged in the kitchen. 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 one exit gate that is self-latching and operational on the right side of the house. LPA observed emergency water supply on the side of the house and other supplies in the garage. Annual continuation on LIC809-C There is emergency food stored in the pantry in the kitchen. Facility provides activities based on their personal choice, residents sometimes work on word puzzles, they play dominos and checkers. At the time of the visit, LPA observed residents enjoying snacks and lounging in the living room watching television. At 3:10 PM LPA reviewed medication storage and administration. Medications are stored in a locked closet by the front entryway. 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 Pauline Khiev and a copy of this report LIC809, along with the 809-C, LIC858, LIC859 and LIC9102 were read and provided to the facility.the state’s words, verbatim · CDSS document, Aug 2, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.