Meadowlark Gardens on Cornell

Type of visit: Required - 1 Year

On July 28, 2026, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Administrator (AD) Ronald Wilkes was present and assisted with the inspection. Ronald Wilkes has an administrator certificate which expires on September 7, 2027. The facility is licensed to operate for six (6) non-ambulatory residents, with a Hospice waiver for four (4) residents. The building is a single-story home located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, one (1) staff bedroom, two (2) full bathrooms, living room area, dining area, kitchen, an outdoor covered seating area, and an attached two car garage. There are currently six (6) residents on census. During the visit, LPA toured inside and outside of the physical plant with AD and the following was observe: There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. A comfortable temperature of 74 degrees F was maintained in the facility. Bathrooms were found to be clean and operational with water temperatures measured between 106.1 degrees F and 114.8 degrees F. The kitchen was observed clean with all appliances in working order. Evaluation Report Continues on LIC 809-C... The smoke alarms and carbon monoxide detectors were operable. First aid kit is maintained and contains all the necessary elements. Emergency safety drills were last conducted on July 25, 2026. The facility has two (2) fire extinguisher that was charged and last serviced on September 9, 2025. Emergency food, emergency water, or emergency supplies were observed. Current Liability Insurance was provided during the visit with a policy start date of July 11, 2026, through July 11, 2027. A working telephone (714)248-9021 remains available and the facility has a device that can be used for video teleconference purposes. LPA conducted an audit of six (6) resident files (R1-R6), three (3) staff files (S1-S3), and medication and medication administration review. Resident and staff interviews were conducted. Based on today’s observations, no deficiencies are being cited. An exit interview was conducted with Administrator Ronald Wilkes, and a copy of this report provided to at exit.the state’s words, verbatim · CDSS document, Jul 28, 2026

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Facility is restricting residents ability to have visitors Facility is not allowing resident to leave facility Facility is charging additional fees not agreed upon at admission

Licensing Program Analyst (LPA) Jenifer Tirre, met with Administrator Ron Wilkes for the purpose of delivering findings for the above allegations. The investigation consisted of records obtained and interviews conducted. On February 27, 2023, the department received allegations that Facility is restricting residents ability to have visitors, Facility is not allowing resident to leave facility, and Facility is charging additional fees not agreed upon at admission. The investigation was completed by the department and revealed the following: Re: Allegation Facility is restricting residents ability to have visitors, Per facility Admission Agreements visiting hours state hours are from 9:00 to 7:00pm for six residents living at facility during time period. Two of six agreements have modified times with note “covid times”. All agreements were initialed and signed by responsible parties. Per facility visitor logs dated between 1/15/2023 to 3/1/2023 there was 82 visitors to facility which visited at different times throughout the day between 7:00 AM-7:00PM. Per staff interviews all staff stated they have never restricted residents from having visitors. CONTINUED ON 9099C Unsubstantiated Re: Facility is not allowing resident to leave facility, Per interviews conducted, Residents are allowed to leave facility as long as their Physicians report permits and as well as being accompanied by staff/ family or responsible party. Per staff interviews, staff stated that Residents are often taken for walks throughout the week. Re: Facility is charging additional fees not agreed upon at admission. Per Admission Agreement, additional fees are noted that if a resident requires care between 10:00PM to 6:00AM a nighttime fee will charge Residents for each 15 minutes increments, all six resident agreements state this and all agreements are initialed and signed confirming understanding of this policy in agreement. Per interviews with staff, staff stated that they only charge for the following fee’s which are discussed upon during admission: Admission fee, Room fee, incontinence fee, Nighttime fee and Hospice fee. Based on information gathered from investigation, it is determined the allegations Facility is restricting residents ability to have visitors, Facility is not allowing resident to leave facility, and Facility is charging additional fees not agreed upon at admission are deemed UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur as reported. An exit interview was conducted with Administrator Ron Wilkes and copy of report was provided.the state’s words, verbatim · CDSS document, Jul 9, 2026 · control 22-AS-20230227133358

Allegation investigated: Staff did not ensure that resident's oxygen equipment was operable during a power outage.

Licensing Program Analyst (LPA) Jenifer Tirre, met with Administrator Ron Wilkes for the purpose of delivering findings for the above allegations. The investigation consisted of records obtained and interviews conducted. On August 7, 2023, the department received allegations that Staff did not ensure that residents equipment was operable during a power outage. The investigation was completed by the department and revealed the following: Per facility records, Facility Emergency Disaster Plan displays diagrams and photos for staff to know how to indicate if a electricity or gas valve is turned on or off. Emergency Disaster plan also states that in the event of a power outage Caregivers 1 & 2 are trained in putting residents on portable oxygen tanks and to notify Administrator and Licensing. Per facility Disaster checklist states that in the event of a power failure, the Safety Monitor is to switch Oxygen Concentrators to backup Oxygen tanks. Per facility interviews, Staff stated that Staff are trained on how to follow facility protocol for power outages. Staff stated that facility protocol is to put residents on portable oxygen tanks immediately. CONTINUED ON 9099C Unsubstantiated Per interviews Staff 2 stated they could recall home having one power outage at the time around complaint was received stated that outage only lasted 10-15 minutes before power was restored. Based on information gathered from investigation, there is not enough information to determine if allegation occurred as reported deeming allegation Staff did not ensure that residents equipment was operable during a power outage to be UNSUBSTANTIATED meaning that although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Administrator Ron Wilkes and copy of report was provided.the state’s words, verbatim · CDSS document, Jul 9, 2026 · control 22-AS-20230807103330

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 8:00 AM, LPA Tea was greeted and granted entry into the facility by caregiver staff and explained the reason for the visit. Administrator (AD) Ron Wilkes, House Managers (HMs) Geene Paracuelles and Sharon Pajarillaga arrived shortly to assist with the visit. Facility is licensed for six non-ambulatory residents with a hospice waiver for four. Currently there are six residents, of which two are on hospice during today's visit. At 8:12 AM LPA Tea reviewed six resident files and two staff files. Resident files and staff files contained all the required documentation. The administrator certificate expires on September 7, 2025. LPA Tea along with HM Paracuelles toured the facility at 9:09 AM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of six resident bedrooms, a staff room, two bathrooms, living room, family room, dining room, kitchen, and an attached 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. The water temperature measured between 116.9 F degrees and 118.4 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, and doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply were checked and adequately stocked at time of visit. LPA observed sharps locked and secured inside the medicine closet. LPA also observed toxin substances to be secured and locked and inaccessible to clients in cabinets in the garage. Annual inspection continued on LIC809-C The fire extinguisher in the kitchen is fully charged. The facility’s last disaster drill was conducted in May 14, 2025. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade and there are two exit gates on both sides of the house that are self-latching and operational. The backyard has a shaded patio area for residents to sit. LPA observed emergency supplies, food and water in the garage. Activities are based on resident’s personal preference or health condition. Facility provides activities like walking. There is someone that comes weekly for exercises. They do arts and crafts and puzzles. At the time of the visit, LPA observed residents eating breakfast, socializing and watching television. LPA then reviewed medication storage and administration. Medications are stored in a locked closet in the facility. Medications are being administered per physicians 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, 809-C, LIC858, LIC859 was read and provided to the facility.the state’s words, verbatim · CDSS document, Jul 25, 2025

Type of visit: Required - 1 Year

On 11/13/2024, 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 (AD) Ron Wlkes arrived shortly after and was 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 two-car garage facility. The facility has seven bedrooms ( six private resident rooms and one staff room) and two full bathrooms. At around 8:10AM, LPA conducted a tour of the physical plant accompanied by Administrator, 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, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured between 113.5 to 116.2 degrees F. A comfortable temperature of 70 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Ample seating in common areas. Storage areas for personal hygiene, toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has supply of emergency food and water. Facility has a fire extinguisher which was mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. CONTINUED ON 809C 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 a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were observed and posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 10/11/2024. The facility had operational smoke and carbon monoxide detctors in bedrooms and common areas. The facility has current liability insurance on file effective 7/11/2024 - 7/11/2025. The facility is current on Community Care Licensing annual dues. A review of Six residents (R1-R6) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Ron Wilkes # 6001292740 - Expiration 09/07/2025 No deficiencies during this inspection visit. Administrator Wilkes had to leave early and appointed House Manager Sharon Pajarillaga to sign report on his behalf. An exit interview was conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 13, 2024