Jewel Homecare 1

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by staff. House Manager (HM) Rowel Rivera arrived at approximately 9:15 a.m. and the purpose of the inspection was discussed. Administrator (AD) Wesley Pao arrived at approximately 9:55 a.m. During the inspection, LPA and HM conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with four resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested between 120.0 - 121.1 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations,. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag dated March 6, 2025. Electric stove, microwave, and laundry washer and dryer were all observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication was observed to be centrally stored and locked. LPA reviewed five resident files and three staff files. LPA interviewed four residents and two staff. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Mar 4, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Arnel Mendoza. LPA met with House Manager Rowel Rivera and explained the purpose of the inspection. Administrator (AD) Wesley Pao arrived at approximately 1:30 p.m. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with four resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPA observed residents socializing in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. Water temperature tested between 105.6-108.3 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag dated March 6, 2025. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication cabinet was observed to be locked. LPA reviewed centrally stored medication for select residents and did not observe any discrepancies. (Cont. LIC809-C) LPA reviewed five resident files and three staff files. Annual staff training for two of three staff did not include eight hours of which shall be dementia care training, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care. LPA interviewed two residents and two staff. Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Mar 20, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced Plan of Correction (POC) inspection. LPA was greeted and granted entry by Staff Macario Paradillo. Administrator (AD) Wesley Pao was contacted by phone and arrived at approximately 2:00 p.m. and LPA explained the purpose of the inspection. Deficiencies 87465(a)(6), 87465(h)(5), 87465(h)(2), 87463(a), 87463(c),1569.695(c), 87303(e)(3) were previously cited on March 19, 2024, during facility's annual/required inspection. During POC visit on April 11, 2024, LPA verified POC for deficiency 87465(a)(6) was met. During today’s visit, LPA verified the other six POCs for citations listed were met as well, and deficiencies previously cited will be cleared. Deficiencies 1569.625(b)(2),1569.696(a), 1569.69(a)(2) will be re-cited as POCs have not been met. Based on today’s observations, three deficiencies are being re-cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Apr 30, 2024

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.625(b)(2) · Plan of correction due date: May 30, 2024

...training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training... and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as staff have not completed required training, which poses a potential health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 30, 2024

Plan of correction: AD stated staff training will continue to be conducted to meet regulation requirement. AD will provide LPA with proof of staff training conducted via email by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.696(a) · Plan of correction due date: May 30, 2024

All residential care facilities for the elderly shall provide training to direct care staff on postural supports, restricted conditions or health services, and hospice care as a component.. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as staff have not completed required training, which poses a potential health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 30, 2024

Plan of correction: AD stated staff training will continue to be conducted to meet regulation requirement. AD will provide LPA with proof of staff training conducted via email by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.69(a)(2) · Plan of correction due date: May 30, 2024

...the employee shall complete 10 hours of initial training... consist of 6 hours of hands-on shadowing training... completed prior to assisting with... medications, and 4 hours of other training or instruction... completed within the first two weeks of employment. Based on record review, the licensee did not comply with the section cited above as staff shadowing training has not been documented, which poses a potential health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 30, 2024

Plan of correction: AD stated staff training has been completed and will be documented to meet regulation requirement. AD will provide LPA with proof of staff training conducted via email by POC date.

Type of visit: POC

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced case management visit for the purpose of conducting a Plan of Correction (POC) inspection. LPA was greeted and granted entry by Staff Macario Paradillo. Administrator (AD) Wesley Pao was contacted by phone at approximately 3:40 p.m. and LPA explained the purpose of the visit. LPA is following up on deficiencies cited on 3/19/23, during annual/required inspection. Deficiency 87465(a)(6) was cited due to resident records of centrally stored medication not being maintained. During today’s visit, LPA Gutierrez was unable to conduct a record review of centrally stored medication as a record is still not currently being maintained. Deficiency 87465(h)(2) was cited due to medication being accessible to residents on the kitchen counter, in an unlocked kitchen drawer and in an unlocked kitchen cabinet. During today’s visit, LPA verified all, and any medication is locked in the medication cabinet. One of two deficiencies previously cited will be cleared. Based on today’s observations one deficiency is being re-cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Apr 11, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Apr 12, 2024

When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Based on observation and staff interview, the licensee did not comply with the section cited above as resident records for centrally stored medication is not being maintained, which poses an immediate health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 11, 2024

Plan of correction: AD stated they will maintain a record of centrally stored medication and keep it up to date. AD stated staff training will conducted to ensure records are accurately maintained. LPA will made an additional visit to ensure POC has been met.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Nemecio Masone and explained the purpose of the inspection. During the inspection, LPA and Staff Masone conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with four resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 125.7-127.9 F degrees; a Deficiency was cited on today’s date. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag dated March 5, 2024. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication cabinet was observed to be locked, however, various prescription medications were observed unattended on the kitchen counter, and in an unlocked kitchen cabinet and drawer; a Deficiency was cited on today's date. (Cont. LIC809-C) House Manager Rowel Rivera arrived at 10:30 a.m. and Administrator (AD) Wesley Pao arrived at 11:00 a.m. to assist with the inspection. LPA reviewed four resident files and three staff files. Two out of four resident files did not have an appraisal dated in the last twelve months; a Deficiency was cited on today’s date. Staff files did not contain any documentation for initial staff training or staff training conducted in the past year and AD was unable to provide LPA with a copy of staff training conducted; a Deficiency was cited on today’s date. LPA interviewed four residents and two staff. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Mar 19, 2024

The state marks this report as 9 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.