Chapters RCFE

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Administrator Joshua Radabaugh after stating the reason for the visit. Administrator Joshua Radabaugh has a certificate which expired April 5, 2026. Administrator Renee J Ramirez-Radabauh's certificate expired August 2, 2023. Both administrators do not have a current certificate at this time. The following was observed during the inspection: The facility is located in a residential neighborhood comprised of four single or private resident bedrooms and two resident bathrooms. LPA observed four residents in care, one of which is on hospice. LPA observed a staff who was working alongside Admin Joshua on duty. Facility is operating within the conditions and limitations specified on the license. LPA toured the physical plant. LPA inspected all common areas, the attached two car garage, all bedrooms, and the loft on the second floor. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. Facility appeared clean, sanitary, and in good repair as well as all bathrooms. Slip resistant mats were observed to be available in the bathrooms. The hot water temperature in the resident bathrooms were within range measuring at 109.0 and 108.8 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction, and there is sufficient seating and shading. LPA observed one exit gate on the side of the property that was secured. The first aid kit contains all necessary elements. The fire extinguishers were expired last purchased on June 27, 2025. New fire extinguishers were purchased on today's date. The auditory devices and dual/functioning smoke/carbon monoxide detectors were tested and operational. Facility maintains emergency food and water. A working telephone number (949) 328-9627 was tested and remains available. Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size in the entry way. LPA reviewed four residents and one personnel file. There is no documentation for the 20 hour training received for S1. Staff #1 (S1) indicated completing 2 hours of training this year. Present staff are background cleared and associated to the facility. The written Emergency Disaster Plan (LIC610E) was not completed after the last annual inspection conducted on September 17, 2025. The Emergency Preparedness Guide did not provide the same content. There was no documentation to verify that disaster drills were conducted quarterly. The last date on file was July 11, 2025. LPA provided consultation on the following areas: to maintain all files and records required by the Department to prevent future delays in review, to complete the LIC610E, to ensure S1 meets their annual 20 hour training, to ensure all residents have a current care plan on file or updated as needed based on the change of condition, to ensure the Administrator's certificate is renewed timely, and to ensure the fire extinguishers are either serviced or purchased annually. Based on the observations made during today's visit, deficiencies are being cited, and Technical Violations are being issued. An exit interview was conducted with Administrator Joshua Radabaugh, and a copy of this report including the appeal rights were provided at exit.the state’s words, verbatim · CDSS document, Jun 10, 2026

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Maria Garcia after stating the reason for the visit. Licensee Renee Radabaugh arrived on premise shortly after. The administrator's certificate for Joshua Radabaugh expires on April 5, 2026. The following was observed during the inspection: This is a single story property with a small loft on the second level located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. LPA observed two residents in care with no residents receiving hospice service. LPA observed one caregiver on duty and verified fingerprint clearance and association statuses for the caregiver and licensees. All common areas were inspected including the attached two car garage including the loft which is occupied by staff. On the first floor, LPA observed four resident bedrooms and two resident bathrooms. LPA observed the residents' bedrooms were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured at 107.7 and 107.2 degrees Fahrenheit in the resident bathrooms. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway is free of obstruction. The two exit gates (on the side of the property & driveway) were operational and there were sufficient seating and shading in the patio area. The fire extinguishers were purchased on May 27, 2025. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational on the first floor and loft. LPA observed the emergency food/water and supplies centrally stored in the garage. Emergency drills were conducted quarterly with the the last date on July 11, 2025. The Emergency Disaster Plan (LIC610E) is incomplete. LPA observed the required 'See Something, Say Something' (PUB475) poster posted in the correct size in the entry way. LPA interviewed two out of two residents. Staff interview was not conducted as staff was assisting both residents. LPA reviewed two residents' files and one personnel file in which no discrepancies were found. Medications were audited for the two residents in which no errors were found with the medication administration. However, administrator failed to maintain the doctors' orders for all the routine and PRN medications which were obtained during the visit. Licensees were consulted on the following: to have records readily available for review, to ensure all routine and PRN medication orders are obtained and maintained on file, and to complete the LIC610E. Based on the observations made during today's visit, no deficiency is being cited. Advisory Notes are being issued. LPA also offered additional guidance on questions that were raised by the licensee. An exit interview was conducted with Licensee/Administrator Joshua Radabaugh and Licensee Renee Radabaugh, and a copy of this report was provided at exit.the state’s words, verbatim · CDSS document, Sep 17, 2025

The state marks this report as 5 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) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual inspection using the CARE Tool. LPA was greeted and granted entry by Administrator Joshua Radabaugh and explained the reason for the visit. This is a single story facility with a loft. Facility is operating within the conditions and limitations specified on the license. During today's visit, LPA observed four residents in care with three on hospice and one live-in caregiver and Administrator Joshua on duty. LPA observed the facility to be clean and sanitary. There are four resident bedrooms and two resident bathrooms. There is an additional private bedroom for the staff in the loft. All common areas were inspected including the attached two car garage which also doubles as a laundry room and office. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, clean supply of linens and adequate lighting was provided in addition to sufficient storage space for each residents' personal belongings. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 109.0 and 109.4 degrees Fahrenheit. LPA observed the indoor temperature was within a comfortable range. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available. The stove top was lit unassisted. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway free of obstruction. The exit gate was in good repair. LPA observed sufficient seating and shading. Facility maintains fire extinguishers which were mounted, charged, and purchased on July 30, 2024. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Emergency disaster supplies including food/water were present in the garage. Emergency evacuation drills were conducted on a quarterly basis. The first aid kit contains all necessary elements. LPA observed the required 'See Something, Say Something' (PUB475) poster in an incorrect size of 8.5"x14." LPA verified that Administrator Joshua Radabaugh has completed all course work which was submitted to the Department on April 3, 2024. LPA conducted an audit of four residents' files and one personnel files. Residents/staff interviews were not conducted due to residents sleeping at the time or getting ready for the day. Staff was also not interviewed due to assisting residents in the morning. Medications were audited. No discrepancies noted. Based on the observations made during today's visit, no deficiencies are being cited. Advisory Notes are being issued. An exit interview was conducted with Administrators Joshua Radabaugh and Renee Ramirez-Radabaugh who was present by telephone approximately 9:30am, and copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Jul 30, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.