Tessa's Place 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez are conducting this unannounced visit for the purpose of completing the required annual inspection. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Mark Cruz, Administrator and explained the nature of the visit. There are six residents at the facility and there is one resident receiving hospice care. LPA began the tour of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of seven days of non-perishables foods and two days of perishables foods on hand. LPA inspected the medication is centrally stored in a locked storage closet located in the hallway that leads to the bedrooms. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA inspected the facility bathrooms and LPA measured the hot water temperature which measured 111.7 degrees Fahrenheit. All bathrooms observed to have a supply of soap, toilet paper and paper towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a storage cabinet located in the garage. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure their safety and comfort. All bedrooms observed to have all required components and furnishings. Storage space is provided for residents in their bedrooms. Smoke and carbon monoxide detectors were tested and found to be operational. LPA toured the outside of the facility and observed Continued on LIC809-C outdoor passageways are free of obstructions. LPA observed there is shaded seating area for residents’ enjoyment. LPA observed a fire extinguisher with a service date of March 05, 2025, in the dining room. Fire drills are conducted quarterly. LPA verified logs are kept and the last drill was conducted on January 20, 2025. LPA reviewed three resident records. All the required documentation is present and current in the residents’ files. LPA reviewed three employee records. All employees present have a criminal record clearance and are associated to the facility. Staff file review had a current first aid certificate. LPA received a copy of the current liability insurance for the Department records. Based on the observations 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 Administrator, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Feb 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Ruth Martinez and Hanna Gough are conducting this unannounced visit for the purpose of completing the required annual inspection. LPAs arrived at the facility and was greeted and granted entry by staff. LPAs spoke with Mark Cruz, Administrator and explained the nature of the visit. There are six residents at the facility and there are two residents receiving hospice care. LPAs began the tour of the facility. LPAs observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of seven days of non-perishables foods and two days of perishables foods on hand. LPAs inspected the medication is centrally stored in a locked storage closet located in the hallway that leads to the bedrooms. LPAs reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPAs inspected the facility bathrooms and LPAs measured the hot water temperature between 106.8-119.8 degrees Fahrenheit. All bathrooms observed to have a supply of soap, toilet paper and paper towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPAs observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a storage cabinet located in the garage. The facility has an available clean supply of linens. LPAs inspected residents’ bedrooms which has sufficient lighting to ensure their safety and comfort. All bedrooms observed to have all required components and furnishings. Storage space is provided for residents in their bedrooms. Smoke and carbon monoxide detectors were tested and found to be operational. LPAs toured the outside of the facility and observed outdoor passageways are free of obstructions. LPAs observed there is shaded seating area for residents’ enjoyment. LPAs observed a fire extinguisher with a service date of March 05, 2024, in the dining room. Continued on LIC809-C Fire drills are conducted quarterly with the last one being conducted on January 2, 2025. LPAs reviewed four resident records. All the required documentations were present and current in the residents’ files. LPAs reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility and are CPR certified. Based on the observations 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 Administrator, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Feb 20, 2025

Allegation investigated: -Facility is in disrepair -Staff did not provide a safe and comfortable environment for residents

This unannounced visit conducted by Licensing Program Analyst (LPA) Ruth Martinez is being conducted to initiate the 10-day visit to investigate the above mentioned complaint allegations. LPA arrived at the facility and was greeted and granted entry by staff. LPA spoke to Mark Cruz, Administrator, and explained the nature of the visit. During the course of the investigation, findings are based upon interviews conducted, a tour of the physical plant of the facility conducted and copy of pertinent documents obtained. It is alleged that the facility is in disrepair. Based on interviews with 2 of 2 staff indicated that on February 18, 2022, it was reported to landlord that there was a leak in the garage ceiling. The leak was fixed but Continued on LIC9099-C Unsubstantiated the esthetics of the ceiling were left as they were. Records review revealed that there was a leak at one point, but it was fixed. The tour of the garage shows the top left side of the door entry way of the garage to have been worked on, LPA inspected and did not observe to be any water marks or leaks coming from that location. LPA observed an AC unit in the exterior of the facility with the top screen with a wear and tear due to the weather conditions and the unit being outside. LPA tested the air flow and temperature of the facility. LPA observed that when the air conditioning was placed in cool mode the fans of the AC unit to be working with no issue. LPA tested the temperature of the cool air flowing from the vents and it measured at 78 Fahrenheit degrees, LPA changed the temperature to warm and waited 15 minutes to observe the change. LPA measures the hot air flow from the vent to be 82.2 Fahrenheit degrees which is within regulation compliance. Interviews with 2 of 2 residents indicated they have never had an issue with the facility not being cool or warm. Residents indicated that they have always had air flow by the vents and the facility is cool or warm as needed. It is alleged that staff did not provide a safe and comfortable environment for residents. LPA observed a 3 camera installed in the dinning room, hallways of the facility and in the garage. Interviews with 2 of 2 staff revealed that cameras were at the facility prior to Licensee taking over the facility and staff never had access to the cameras. Staff indicated that they don’t work and the only person who has access to the cameras is the landlord. LPA obtained a copy of the lease agreement page 4 number 17 states without Landlord's prior written consent, (i) Tenant shall not make any repairs, alterations, or improvements in or about the Premises including: painting, wallpapering, adding or changing locks, installing antenna or satellite dish(es), placing signs, displays or exhibits, or using screws, fastening devices, large nails or adhesive materials. Records received revealed that the cameras have never worked. LPA tour of the physical plant of the facility there was no observation of a monitoring screen for the cameras that were observed and observed cameras to be dusty with dirt particles in the interior of the camera dome. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with facility representative and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Mar 18, 2024 · control 22-AS-20240311113453

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff. LPA spoke with Mark Cruz, Administrator, and LPA explained the nature of the visit. There are six residents at the facility and there are five residents receiving hospice services currently. Reiner Avendano, House Manager and Justin Cruz, office manager arrived shortly after and met with LPA. LPA began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage closet located in bedroom hallway. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA inspected the facility bathrooms and LPA measured the hot water temperature which measured 115.7 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a storage cabinet located in garage. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there is shaded seating area for residents’ enjoyment. LPA observed a fire extinguisher with service date of March 05, 2024, in dining room. Continued on LIC809-C Fire drills are conducted quarterly. LPA began review of records. LPA reviewed six resident records. All the required documentation was present and current in the residents’ files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPA observed records reviewed have a current First Aid certificate. Based on the observations 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 representative, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Mar 18, 2024