JJ Assistance Home Care

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 Arnel Magbiray. Administrator (AD) Simona Aziza arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility AD Aziza which expires on December 2, 2026. LPA Ramirez toured the interior and exterior portions of the facility with facility representative. The facility is a single level structure and is licensed for six non-ambulatory residents, of which six may be on hospice and one bedridden. There are a total of seven bedrooms, of which six are private resident bedrooms, and one private bedroom for staff. 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 three full restrooms and four half 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 105.0-118.2 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 was charged, and had a service tag dated April 3, 2026. The fire extinguisher is located by the dining room. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the main entrance. Licensee was advised to use the update Emergency Distaste Plan (LIC610E) dated December 2025. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. Medications are locked in a cabinet by the kitchen. There are no bedridden residents present on the premises. For the exterior portion, LPA Ramirez observed a shaded patio area 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 five resident files and three staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Aziza. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Apr 28, 2026

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Simona Aziz was notified and arrived later to assist with the visit. There are currently six residents in care, three of which are receiving hospice care. LPA observed residents relaxing in the facility's common living areas as well as in their respective bedrooms. Three resident interviews conducted during the visit. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage. The facility has six private rooms. There are two shared bathrooms along with one ensuite bathroom throughout the facility. All showers have slip mats as well as hand rails in place. Bedrooms appeared clean and sanitary. Three residents receiving hospice care are using full bed rails for postural supports. Another resident uses half rails. Hospice plans of care reviewed, physician orders for the half rails to be provided at the licensee's earliest convenience. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary. Hot water temperature measured at 106F in one bathroom with a faucet used for personal grooming. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning products and the laundry area are secured, along with the medication central storage. Fire extinguishers are charged and mounted, with up-to-date maintenance documented on the attached tags. LPA tested the smoke and carbon monoxide detectors which were found to be operational. The attached garage is inaccessible to residents. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and facility staff toured the outside of the facility. LPA observed two shaded outdoor seating areas with furniture for resident use. There are self-latching gates on both sides of the property, with no obstructions to the routes of egress observed. There are no bodies of water on the premises. Facility does not utilize locked perimeters or delayed egress. LPA reviewed six resident records which included all necessary components. One physician report is missing, along with one hospice plan of care, both of which will be provided by the licensee. LPA reviewed resident medication records and prescription orders for all residents with no discrepancies observed. Oxygen is currently in use with adequate signs in place. There are no bedridden residents present on the premises. LPA reviewed staff records for both caregivers present. Records were found to be complete. Training and CPR/First aid training reviewed and up-to-date. All staff are background cleared and associated to the licensed location accurately. Disaster drills are conducted quarterly. 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. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Apr 9, 2025

Allegation investigated: Facility did not provide medical attention in a timely manner Facility did not report a resident's change of condition to their responsible party

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the investigation of the two allegations listed above. LPA was greeted and granted entry by facility staff after stating the purpose of the visit. Administrator Simona Aziz was notified via telephone and presented the findings remotely before authorizing facility staff to sign the report on her behalf. An initial complaint investigation visit was conducted on July 10, 2024. LPA requested resident records for former facility resident R1 which were provided via email as follows: admission agreement/ identification form, physician report, hospice plan of care. Copies of text message exchanges with the resident's daughter, hospice staff and responsible party were also provided during and briefly after the visit. LPA conducted an interview with facility administrator and two facility staff during the visit. Additional witness interviews were conducted via telephone at a later time. CONTINUED ON FORM LIC9099-C Unsubstantiated CONTINUED FROM FORM LIC9099 Regarding the allegation that Facility did not provide medical attention in a timely manner, the following has been concluded: Based on interviews conducted as well as resident and hospice records, resident R1 was admitted on March 2nd, 2024 to the facility with hospice care already in place for a documented terminal diagnosis of Senile degeneration of the brain, Unspecified. The resident was discharged on April 11, 2024 after having been transferred to the hospital and never returned to the facility. During the duration of R1's admission, frequent and ongoing interventions by hospice staff were documented as well as evidence of a call to 911 when the resident's condition appeared to warrant a transfer to the Emergency Department. There was no evidence of any deficiency from the facility in facilitating R1's access to medical resources as needed by his condition. The allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred. Regarding the allegation that Facility did not report a resident's change of condition to their responsible party, the following has been concluded: Based on interviews and copies of text messages exchanged with R1's daughter, there does not appear to have been any lapses in communication regarding R1's condition. Items such as physical therapy, supplemental nutrition, eating habits and levels of consciousness were discussed frequently verbally and via text messages during R1's period of admission. Multiple attempts were also made to interview R1's partner and responsible party as documented on the admission agreement, none of which successful. As a result, the allegation is therefore found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Jul 31, 2024 · control 22-AS-20240701134947

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit for the purpose of conducting a Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the reason of the visit. Administrator Simona Aziza was notified of the visit and arrived later to assist. During the inspection, LPA and administrator conducted a tour of the physical plant and observed the following: The facility is a one-story home with six private resident bedrooms, one staff room and three bathrooms. All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets and an adequate additional supply is present. The backyard has a shaded area and the route of egress is free of clutter and obstructions. There are currently four residents in care at the facility, two of which are receiving hospice care. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Combined smoke and carbon monoxide detectors tested operational. There are fire extinguishers present, which are observed to be fully charged with up-to-date maintenance. Medication, sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed five resident files and four staff files. LPA conducted three staff interviews and conducted or attempted five resident interviews. Based on the observations made during today’s inspection, one type B 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 along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Apr 19, 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.