La Palma Homecare

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual inspection at the facility. Upon arrival, LPA Haddadin was greeted by care staff member Diana Querubin, who granted entry into the facility. LPA Haddadin explained the purpose of the visit. The facility is licensed for six (6) non-ambulatory residents and has a hospice waiver for six (6) residents. The facility is a single-story structure located in a residential neighborhood and consists of five (5) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, a living room, a dining room, a kitchen, an attached garage, and a covered outdoor patio area. At the time of the visit, there were five (5) residents in care. During the visit, LPA Haddadin toured the facility and inspected the physical plant. The inspection included testing all smoke detectors, checking the hot water temperature in both resident bathrooms, and verifying the functionality of auditory devices on all exits. The hot water temperature measured between 115.9 degrees Fahrenheit and 117.8 degrees Fahrenheit. All smoke detectors were tested and found to be operational. The fire extinguisher was observed to be fully charged and was last serviced on May 6, 2026. The facility’s most recent disaster drill was conducted on April 5, 2026. LPA Haddadin inspected the facility’s food supply and confirmed that the facility maintained the required minimum two-day supply of perishable food and seven-day supply of non-perishable food. LPA Haddadin also observed that medications were secured and inaccessible to residents in care. Cleaning supplies, chemicals, and sharps were locked in kitchen cabinets and inaccessible to residents. LPA Haddadin reviewed two (2) staff files and two (2) resident files. The files reviewed were observed to be current and up to date. Based on the observations made during this visit, no deficiencies were cited per California Code of Regulations, Title 22. An exit interview was conducted with care staff member Diana Querubin, and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 29, 2026

Type of visit: Required - 1 Year

On June 9, 2025, Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual evaluation at the facility. Care staff member Larawan Barnard granted LPA Haddadin entry. The facility is licensed for six (6) non-ambulatory residents and holds a hospice waiver for six (6) residents. It is a single-story structure located in a residential neighborhood and consists of the following: five resident bedrooms, one staff bedroom, two bathrooms, a living room, a dining room, a kitchen, an attached garage, and a covered outdoor patio area. During the visit, the LPA toured the facility and inspected the physical premises. This inspection included testing all smoke detectors, checking the hot water temperature in both resident bathrooms, and verifying the functionality of auditory devices on all exits. The hot water temperature measured between 113.3°F and 117.8°F, and all smoke detectors were operational. The fire extinguisher was fully charged and had been serviced on March 6, 2025. The facility's most recent disaster drill was conducted on March 4, 2025. The LPA inspected the food supply and confirmed that the facility maintained the required minimum of a two-day supply of perishable food and a seven-day supply of non-perishable food. The LPA also observed the medication storage area and reviewed the centrally stored medications, which appear to be administered as prescribed. All cleaning supplies, chemicals, and sharps were locked in kitchen cabinets and inaccessible to residents. A review of two of the four staff files, including training and fingerprint records, was conducted. The LPA also performed a complete review of resident records. Based on the observations made during this visit, the facility appears to be in compliance with the California Code of Regulations, Title 22, Division 6. No deficiencies were cited on this date. An exit interview was conducted with Larawan Barnard, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 9, 2025

Type of visit: Required - 1 Year

On June 13, 2024 at 1:40pm, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Caregivers Jimmy Infante and Janet Infante, and explained the purpose of the visit. The facility is licensed to operate for six (6) non-ambulatory and have a hospice waiver for six (6) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, living room, dining room, kitchen, an attached garage, and an outside covered patio area. LPA Kim toured indoor and outdoor of the physical plant Caregiver Infante. There are 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. All bedrooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident 4, Resident Room 5, and Staff Room 1. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 106.7 degrees F to 109.1 degrees F. A comfortable temperature of 75 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. 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. Emergency supplies, food, and water are in order and complete. The facility has one (1) fire extinguisher that is charged and that was serviced on March 5, 2024, smoke detectors, and carbon monoxide detectors were operable. The facility conducted Fire/Safety Drill March 14, 2024 and is done quarterly. A working telephone (714-833-5911) remains available. Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. First Aid Kit contained all the necessary elements. LPA Kim conducted an audit of resident files (R1-R5), staff files (S1-S7), and medication and medication administration review. LPA Kim conducted two (2) staff interviews and five (5) resident interviews. A deficiency was cited during this inspection visit according to the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted, and a copy of this report was provided to Caregivers Jimmy Infante and Janet Infante.the state’s words, verbatim · CDSS document, Jun 13, 2024