Saint Joseph Home's FV

We haven’t transcribed this report yet. The complete document is on the state’s site.

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 after explaining the purpose of the visit. Administrator (AD) Jilmark M. Realis was notified via telephone and later arrived to assist with the inspection. LPA observed the Administrator certificate was current with an expiration date of August 09, 2028. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, of which one may be bedridden, with a hospice waiver for five. The facility is a two-story home with six resident bedrooms, one staff bedroom, six bathrooms, living room, dining room, kitchen and two attached garages. The second floor is made up of one bedroom, one bathroom and a living space designated for staff use only. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, garage and observed the following: Continued on LIC 809C LPA observed a residents watching television in the dining room and resting in their respective bedrooms. LPA observed six residents in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the facility entrance. All resident bedrooms had the required furnishings however, Resident 6 had full bed rails and is not receiving hospice care; a deficiency was cited on today's date. LPA observed all resident beds had linens and blankets with additional linens stored in the garage. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be clean, faucets and toilets were operational. Water temperature tested between 71.2 and 115.8 degrees Fahrenheit; a deficiency was cited on today's date. 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. LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors tested operational. Carbon monoxide detector was non-operational and in a drawer; a deficiency was cited on today's date. Licensee replaced batteries and mounted device on wall by facility entrance. Fire extinguisher was observed to be fully charged with a service date of September 19, 2025 and mounted on the kitchen wall. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. LPA observed knives and sharps to be stored in a locked kitchen cabinet. The garages are being used for storage. Toxic chemicals, cleaning solutions, and disinfectants were observed to be centrally stored in the garage and under the kitchen sink, however, multiple hazardous items were located throughout the facility including resident rooms; a deficiency was cited on today's date. Medication cabinet was observed to be locked and centrally stored in the dining room closet. LPA observed the facility conducted their last emergency disaster drill on May 26, 2026 and is conducted every 3 months. During record review. LPA reviewed six resident records. All the required documentation were present and current in the resident 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 . An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Jul 24, 2026

The state marks this report as 10 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On November 21, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Licensee (LI) Brian Estorba arrived at the facility and remained to assist during the visit. The facility is licensed to operate for six (6) non-ambulatory residents of which one (1) may be bedridden, with a hospice waiver for five (5) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, three (3) staff bedrooms, six (6) bathrooms, living area, dining area, kitchen, an outdoor covered seating areas, and an attached two car garage. During the visit, LPA toured inside and outside of the physical plant with LI Estorba There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. Medications and sharps objects were observed unlocked and accessible to residents in care and a deficiency was cited. The water temperature in five resident bathrooms measured between 105.4 degrees F to 116.6 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. CONTINUE TO LIC809-C...... The facility has two (2) fire extinguishers that were charged and serviced on September 19, 2025. Emergency food, emergency water, and emergency supplies were observed. A working telephone (657)259-0700 remains available, however the facility does not currently have a device that can be used for video teleconference purposes. LPA provided Technical Assistance. The smoke detectors and carbon monoxide detectors were operable. First aid kit is maintained and contains all the necessary elements. Emergency safety drills were last conducted on April 10, 2025 and no record of current Liability Insurance was provided during the visit. Deficiencies were cited. LPA conducted an audit of five (5) resident files (R1-R5), five (5) staff files (S1-S5), and medication and medication administration review. Resident and staff interviews were conducted. Deficiencies were cited during this visit, as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted, and a copy of this report, LIC809-D, Technical Violation, Technical Assistance, and appeal rights were provided to Licensee Brian Estorba at exit.the state’s words, verbatim · CDSS document, Nov 21, 2025

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to the facility to conduct a Required - 1 year inspection. LPA identified herself and was granted entry into the facility by Caregiver (CG) Ted Abapo. Administrator (AD) John Jason Eugenio's certificate expired on 10/15/2024. Upon entry, LPA noted residents having lunch. Facility appears clean, safe and sanitary. AD Eugenio arrived shortly after. There are 6 Residents of which 4 are receiving Hospice care and 2 staff present during today's visit. LPA, along with AD Eugenio toured the physical plant. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each Resident comfortably. Bathrooms were checked, toilets/water faucets worked properly and shower was free of mold/mildew. Hot water temperature was within regulatory requirements. Bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen is clean and organized. Perishable and non-perishable food supply was checked and adequately stocked. LPA observed sharps and cleaning supplies are inaccessible to the residents. Smoke detectors and carbon monoxide detector tested operational; Fire extinguisher was fully charged and mounted. No bodies of water were observed outside. Walkways around the home were clear of hazards. Exit gates are unlocked and self-latching. Backyard has a covered patio with patio furniture for outdoor activities and sufficient seating for Residents and visitors. Emergency/Fire Drills are conducted last one being 06/12/2024. LPA observed emergency supplies including food and water. LPA reviewed 6 Resident files and 2 staff file. Resident files contained required documentation such as health assessments and admission agreements. Staff files contained required documentation including fingerprint clearance. Medication was observed to be in a centrally stored location and medication reviewed appeared to have been dispensed accurately. Based on the observations made during today’s visit, no deficiency is being cited. This report was discussed with the facility Administrator and a copy of LIC9102 Advisory were sent to email on file.the state’s words, verbatim · CDSS document, Oct 24, 2024