Madison Senior Care

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for six non-ambulatory residents. Facility has an approved hospice waiver for five residents and the home currently has six residents, with three residents on hospice. House Manager (HM) David Avila arrived shortly to assist with facility tour. HM provided a copy of the liability insurance that expires on 4/24/2026. LPA along with HM toured the facility at 1:35 PM. LPA toured the physical plant, checked food service, and facility documentation. The home consists of five resident bedrooms, living room, dining room, kitchen, two bathrooms and an attached garage. 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 degrees F and 116.6 degrees F in all bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. LPA toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 11/19/2025. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Exit gates are unlocked and operational. LPA observed the emergency food and water supply. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of exercise and games. LPA reviewed six resident files and two staff files. All resident files contained required documentation including admission agreements, physician reports, and resident appraisals. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in a locked closet. Medications are being administered per physician order. Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Feb 19, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit and was greeted and granted entry by Caregiver Sonia Garcia. Administrator, Brianna Ramirez, joined the visit shortly after. For today’s visit, LPA observed a total of 6 residents in care and 2 staff members on duty. LPA observed the Administrator's Certificate for facility AD Breanna Ramirez which expires on 02/12/2025. LPA Haddadin toured the interior and exterior portions of the facility with (AD). The facility is a single level structure with five bedrooms and two restrooms and is licensed for 6 non-ambulatory residents, of which 5 may be on hospice and 0 bedridden. LPA and AD tested smoke detectors/carbon monoxide in common areas and bedrooms; all tested and were operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed fire extinguisher mounted in kitchen and garage areas with last inspection date of on July 29th, 2024. Upon review of record, emergency drill log indicated that the last drill was conducted in January of 2025. LPA observed sharps sand knives locked in the kitchen and are inaccessible to residents in care. However. Medication is also locked in and secured in cabinet located in the kitchen. Restrooms toilets and water faucets were also observed to be operational. Grab bars were secure, and showers were observed to be free of mold/mildew. Water temperature measured between at 117.6 degrees Fahrenheit and 118.9 degrees Fahrenheit. LPAs and AD toured the backyard of the facility and observed a shaded seating area for residents’ enjoyment. LPA checked emergency exits to be free of obstacles. LPA observed required department postings displayed on the wall of facility. LPA observed the minimum of one week of non-perishables foods and two days of perishables foods available. LPA reviewed two residents’ and two staff files and observed they all had the required documentation. Based on the observations made during today’s inspection, NO deficiencies 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 was provided to AD at end of inspection.the state’s words, verbatim · CDSS document, Feb 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Oscar Aguilar. For today’s visit, LPA observed a total of 5 residents in care and 2 staff members on duty. LPA observed the Administrator's Certificate for facility AD Breanna Ramirez which expires on 02/12/2025. LPA Ramirez toured the interior and exterior portions of the facility with Aguilar. The facility is a single level structure and is licensed for 6 non-ambulatory residents, of which 5 may be on hospice and 0 bedridden. For this visit, there are a total of 5 residents in care. There are a total of 5 bedrooms, of which 5 are private resident bedrooms. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 2 restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 117.1-118.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher were charged, mounted and one was located by the kitchen and one in the garage. LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the living room. Facility had back-up emergency food and water supply. CONTINUED ON LIC809-C... LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded patio with furniture, and the grounds were free of any hazards. There are two gates in the backyard, which are self-closing and self-latching. No bodies of water were observed. LPA reviewed six resident files and two staff files. LPA interviewed residents and staff present. For today's visit deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility representative. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Apr 29, 2024