Alex' Caring Hands

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Taylor Simerly made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by staff. During today’s visit, LPA met with Alex Bryant, Administrator. The Administrator has a valid administrator certificate through September 23, 2026. The facility has active liability insurance from February 20, 2026 to February 20, 2027. The facility is licensed for six clients of which six can be non-ambulatory and a hospice waiver for six. The facility currently has a census of five in care, two are on hospice with three staff on duty. The facility is a two story home consisting of six client bedrooms, three bathrooms, a kitchen, dining area, living room, upstairs is a staff bedroom and bathroom and an attached garage. LPA observed the PUB 475 “See Something Say Something” poster posted in the living room. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in resident bathrooms. The hot water temperature measured at 111.4 degrees F. LPA noted bathroom toilets were in working order and grab bars and non-skid floor mats were provided. Hygiene supplies, including towels and toiletries, were adequately stocked. The facility was observed to be clean, safe, and well maintained. Smoke detectors and carbon monoxide detectors were operational in both common areas and bedrooms. Client bedrooms were appropriately furnished with beds, linens, and sufficient storage space. The facility’s last fire drill was conducted on July 2, 2026. Fire extinguishers were charged and operable. Continued on the LIC 809C LPA toured the exterior and observed a shaded seating area for client use, no hazards or obstacles were observed. The two side gates were both operational. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Sharp items and knives were located in the kitchen and were locked and inaccessible to residents. Facility had back-up emergency food and water supply located in the garage. Cleaning supplies were locked and stored away from food. Medication storage and administration practices were reviewed. Medications were securely stored in a locked cabinet and administered in accordance with physician order. LPA reviewed the centrally stored medications for all five clients and no discrepancies observed. The First Aid Kit had the required elements. LPA reviewed two staff files and all five client files. No discrepancies were noted in the staff or client files. LPA conducted interviews with staff and clients regarding the quality of care and services provided. Based on observations and record reviews conducted during today’s inspection, no deficiencies were cited in the areas evaluated in accordance with Title 22, Division 8 of the California Code of Regulations. An exit interview was conducted with Alex Bryant, Administrator and a copy of this report was given to the facility along with a copy of the LIC 858 and LIC 859. The CARE tool was manually completed as it was not available in our system.the state’s words, verbatim · CDSS document, Sep 3, 2026

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents of which 5 may be bedridden. Facility has an approved hospice waiver for 6 residents and the home currently has 6 residents, with 1 resident on hospice. Administrator (AD) Alexandra Bryant assisted with facility tour. AD provided updated liability insurance that expires on 02/20/2026. LPA along with AD toured the facility at 8:45 AM. LPA toured the physical plant, checked food service, and facility documentation. The 2 story home consists of 6 resident bedrooms on the first floor, 3 staff rooms in the second floor, living room, dining room, and kitchen as well as 6 bathrooms. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 111.5 degrees F and 112.8 degrees F in all bathrooms checked. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. LPA toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 06/01/2025. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Exit gates are unlocked and operational. Continued on LIC809-C dated 09/05/2025 First aid kit contained all required items including tweezers, scissors and thermometer. LPA observed the emergency food and water supply. LPA reviewed six resident files and two staff files. Five out of six resident files contained required documentation including admission agreements, physician reports, resident appraisals, and physician orders for bed rails as indicated. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in a locked closet. Medication for resident 6 (R6) is not being administered as prescribed by the physician. Based on the observations made during today’s visit, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided along with appeal rights.the state’s words, verbatim · CDSS document, Sep 5, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Staff #1 (S1) Adrianne Pascual and discussed the purpose of the inspection. Administrator (AD) Josephine Teehankee arrived during the inspection. LPA reviewed Infection Control requirements. At about 10:30AM, LPA and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 8-bedroom, 5-bathroom, two-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA and AD observed 2 staff and 6 residents present at the facility. Resident Bedrooms: the 6 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA observed two staff bedrooms on the second floor. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested 109 degrees F and 110 degrees in the four resident bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 11:15AM, LPA reviewed 6 resident files and 3 staff files, interviewed 2 residents and 2 staff, and inspected medications for 6 residents. Facility does not handle resident money. CONTINUED During the inspection, LPA and AD observed the following: based on observation and admission, R1's bed contained a full bed rail but per S1 and AD, R1 is not on hospice; based on observation, the facility has two stories with staff bedrooms on the second floor but does not have an evacuation chair. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Dec 2, 2024