Royalist Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by care provider Maria Praedes after explaining the purpose of the visit. Administrator (AD) Yaninee Aswadilokchai’s certificate was current with an expiration date of October 23, 2027. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents and an approved hospice waiver for one. The facility is a one story home with four resident bedrooms, one staff bedroom, two restrooms, living room, dining room, and a garage containing an ADU and a storage room. During the inspection, LPA and care provider conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, dining room, garage and observed the following: LPA observed one resident in care and one staff present. Care provider Maria stated other residents were with family and one resident was in the hospital. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall in the living room. LPA observed that all resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway storage closet. LPA observed bathrooms were clean and equipped with grab bars, toilet paper, paper towels, and non-skid floor mats. Bathrooms were observed to be free of debris and mildew. LPA observed faucets and toilets were operational. Water temperature tested between 103 and 104.1 degrees Fahrenheit. LPA observed all windows were appropriately screened. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC 809 C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations however, emergency water was not readily available at the facility. Gas stove, washer and dryer were inspected and observed to be operable. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service date of October 2, 2025 and located in between the kitchen and bedroom# 4. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents under the kitchen sink. Medication cabinet was observed to be locked and centrally stored in cabinet between kitchen and bedroom #4. Medication logs were reviewed and it was observed R4's log is not being signed off by staff when medication is being administered and medications are being administered outside of doctor’s prescribed orders. LPA observed the First Aid Kit had all the required components. LPA observed the facility conducted their last emergency disaster drill on February 20, 2026 and is conducted every 3 months. LPA began review of the records. LPA reviewed four resident records. All the required documentation were present and current in the residents files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. 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, LIC 809D, LIC 858, LIC 859, Appeal Rights and the Legionnaire’s Disease fact sheet was left at the facility.the state’s words, verbatim · CDSS document, Apr 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) William Vanegas made an unannounced inspection for the purposes of conducting an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) Taveewan Kaewma. LPA Vanegas explained the nature of the inspection and set up equipment. LPA Vanegas began a tour of the facility and observed the following. This is a one storied home with five bedrooms one of which is a staff room, and four of which are resident rooms. There are two and a half bathrooms all of which are shared for residents in care. LPA Vanegas observed kitchen area to be clean and free of debris, LPA Vanegas observed a gas stove, microwave, refrigerator, washer, and dryer all to be in good repair and operational. LPA Vanegas observed a two day supply of perishable food, and a seven day supply of non-perishable food, with a sufficient amount of emergency water on hand for residents in care, and staff on duty. LPA Vanegas observed resident rooms to be large enough to walk about freely, and no obstructions blocking the entry ways. LPA Vanegas observed all resident rooms to have the required furnishings such as clean linens in good repair, meaning no strains or tears, a lamp, chest drawer, enough storage space for personal belongings, a bed, and a chair. LPA Vanegas toured the outside of the facility and observed the following, there is a large backyard with no obstructions along the exit routes. Side doors are self latching and unlocked. There is an outdoor shaded sitting area, and it is available for resident use upon request. CONTINUED ON LIC809C LPA Vanegas observed resident restrooms to be clean and free of any mildew and debris. Water faucets and toilets tested operational. Restrooms have all required furnishings such as a shower chair, grab bars, and slip resistant floor matts. Water temperature tested between 115.5 and 117.3 degrees. LPA Vanegas observed all fire extinguishers to be fully charged and up to date, LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair and tested operational. LPA Vanegas reviewed first aid kit and observed for it to have all required items; such as a thermometer, adhesive tape, bandages, tweezers, and scissors. LPA Vanegas reviewed five resident files and two staff files all resident files contained all required documents, When reviewing all staff files they had required documents, however one out of two staff did not have an updated CPR and first aid certification. A deficiency was issued on todays date. Annual staff training was up to date. LPA Vanegas reviewed medications and medication administration log with AD Yaninee Asawadilokchai, and observed the following. All medications are being documented correctly, and per LPA Vanegas review all medications are being administered per physicians orders. Based on observations made during today's inspection deficiencies will be issued per title 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with AD Yaninee Asawadilokchai, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Apr 11, 2025

Allegation investigated: Facility did not obtain a fire clearance for bedridden resident

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Brandon Lopez conducted an unannounced visit to deliver findings on the above allegation received on November 06, 2024. LPAs were greeted and granted entry into the facility and met with Caregiver Taveewan Kaewma. LPAs explained the reason for the visit. Administrator (AD) Yaninee Asawadilokchai was notified by staff via telephone. This agency has investigated the complaint alleging that facility did not obtain a fire clearance for bedridden resident . Resident 1 (R1) was admitted to the facility on August 22, 2024. Regarding the allegation, the following was revealed: During the course of the investigation LPAs reviewed documents including the Physician Report (LIC602) dated August 27, 2024 for R1. Per Physician Report R1 is non-ambulatory and has a diagnoses of Dementia. LPA reviewed the Apex Hospice Care, Inc. Plan of Care (POC) dated October 08, 2024 for R1. Per POC for R1 under intervention it states turn and reposition patient frequently to avoid any further skin integrity issues. CONTINUED ON LIC9099-C... Unsubstantiated During the course of the interviews with staff, Staff 1 (S1) reported that R1 is not bedridden and stated that R1 has not had a change in condition since being admitted to the facility. During the course of the interviews with witnesses, Witness 1 (W1) reported that R1 assists to reposition themselves. Based on the information gathered during the investigation and review of documents obtained, LPAs are unable to ascertain if the allegation occurred as reported due to conflicting information. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with facility representative, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Nov 14, 2024 · control 22-AS-20241106151557

Type of visit: Required - 1 Year

On 8/22/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Yaninee Asawadilokchai who was informed of the purpose of the visit. LPA toured the facility with the administrator and observed the facility is made up of a one-story home with four (4) resident bedrooms, two (2) bathrooms, one (1) staff room, a kitchen, dining room, living room, and attached garage. During the tour, the administrator tested one (1) of the smoke alarms and carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher mounted near the medication cabinet. Indoor and outdoor passageways were free of obstruction. The facility has outdoor shaded seating for the residents in care. There were no bodies of water observed on the premises. Medications are secured in a locked hallway cabinet. LPA toured the kitchen and observed the facility had a 2-day supply of perishable foods and 7-day supply of non-perishable food items. Staff present have a criminal record clearance and valid first aid/CPR certification. During tour of the kitchen, LPA observed a mortar and pestle with white residue inside the mortar. Administrator reported the facility uses the mortar and pestle to crush Resident 1's (R1's) medications and camouflages them in their apple sauce at the request of R1's family. LPA requested to review R1's records and observed R1's file was incomplete and did not have a physician's report, pre-admission appraisal, functional capabilities assessment or appraisal/needs and services plan. The administrator reported the facility does not have a physician's order to crush/camouflage R1's medication and R1 is not cognizant to provide consent. Administrator also reported R1 is bed bound, unable to reposition themselves or independently transfer to and from bed, and requires to be repositioned by staff every two (2) to three (3) hours. LPA interviewed R1's responsible person who corroborated the information reported by the administrator. Administrator and R1's responsible person reported R1 is not on hospice and is only receiving home health services at the facility twice per week. The facility did not have a copy of R1's home health care plan either. Per a Fire Safety Inspection Request (STD. 850) dated 2/22/2024, the facility has a fire clearance for six (6) non-ambulatory elderly residents. During tour of the facility, LPA reviewed the Facility Sketch (LIC 999) and observed the "office" is being used as Resident 2's (R2's) bedroom and "Bedroom 4" is being used as a staff room. Administrator also reported a toilet was installed in R2's room (the "office") after the facility's fire inspection on 2/22/2024. Based on the aforementioned the facility will be cited and assessed a civil penalty. An exit interview was conducted where this report was reviewed and provided to Administrator Asawadilokchai along with a Confidential Names List (LIC 811), LIC809-D and LIC421M.the state’s words, verbatim · CDSS document, Aug 22, 2024