New Horizons

Type of visit: Required - 1 Year

On 9/25/2026, Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with the Administrator and was granted entry to the facility. The licensed capacity is fifteen (15), and the current census is zero (0). LPA was accompanied by Administrator Teresa Perez to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: During today’s visit, LPA Rico observed that the facility is undergoing renovations due to a flooding leak that occurred on 05/31/2026. The Administrator notified Community Care Licensing of the incident and submitted the appropriate documents. As of today, the facility has no residents living at the facility and no staff working on site. The Administrator stated that they do not have an official date for when the renovations will be completed. The Administrator agreed to notify Community Care Licensing once the renovations have been completed and to provide updates throughout the process. Record Review: LPA reviewed four (4) staff file for First Aid/CPR certification, criminal record clearance, employee training, and health screenings. LPA also reviewed the facility’s Infection Control Plan, Disaster Plan, and liability insurance. Based on the observations made during today’s visit, no deficiencies were cited under Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC 809) was discussed with and provided to Administrator Teresa Perez.the state’s words, verbatim · CDSS document, Sep 25, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to conduct a Health and Safety check of the residents in care at the facility. LPA Rico met with House Manager Eldalin De Deugd explained the reason for the visit. The Health and Safety check included overall observation of the facility inside, and outside, including food supply, medications, physical plant, and the clients in care. LPA Rico did not observe any safety hazards. LPA Rico also obtain documents pertaining to the Incident Report that Community Care Licensing received. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.An exit interview was conducted, and this report was discussed and provided to House Manager Eldalin De Deugd.the state’s words, verbatim · CDSS document, Nov 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff Elsie Calapano and was granted entry to the facility. Licensed capacity is (15) current census (12). LPA was accompanied by staff Elsie Calapano to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for residents/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.Record Review: LPA reviewed (6) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (6) resident medications and (3) hospice files. LPA also reviewed (6) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings.Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrators Eldalin De Deugd and Teresa Perez.the state’s words, verbatim · CDSS document, Sep 15, 2025

Allegation investigated: Resident sustained unexplained fracture while in care.

On 2/11/2025 Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the facility to deliver complaint investigation findings for the above allegation. After introducing and identifying self, LPA met with Facility Manager Eldalin De Deugd to discuss the findings. On September 1, 2023, the Department received a complaint with allegation of personal rights violation resulting in R1 sustaining injury (fracture). The Department investigation consisted of review of facility and other records, observations, and interviews with pertinent individuals. Investigation revealed that on August 30, 2023, R1 went to local hospital due to right knee swelling. Per medical records, it was indicated that R1 sustained an unexplained fracture while in care. Substantiated More specifically, diagnosis was acute displaced right distal femur fracture. Per interviews, facility staff denied there was a fall or other known trauma to explain the injury. According to physician doctor who treated R1 while at the hospital, R1’s age and medical condition made R1 more susceptible to the fractures. However, physician reported that some type of force or trauma was still necessary to cause the fracture. Though the exact mechanism of the injury cannot be established, a fall, drop or some other trauma during a transfer cannot be ruled out. According to the Osteoporosis Foundation website, fragility fractures result from low level or low energy trauma, such as a fall from standing height or less. According to facility records, R1 was non-ambulatory, and wheelchair bound. R1 was confused, disoriented, and not able to indicate how injury occurred. In addition, Records revealed that R1 needed help with transferring from the bed to the wheelchair. R1 also needed assistance with bathing, showering, toileting, grooming, dressing, and feeding. R1 further needed assistance with medication management and administration. It was specifically indicated that R1 could not bear weight, kept legs in curled up position, and was resistant to straightening legs. Based upon further review of R1 records, services such as care, supervision, and observation for changes in physical, mental, emotional, and social functioning was to be provided. However, the preponderance of evidence supports that facility staff failed to implement a care plan to address R1 needs. As a result, on or around August 30, 2023, while at the facility, R1 sustained an unexplained fracture. The above allegation is found to be SUBSTANTIATED. A deficiency is being issued per California Code of Regulations, Title 22. A substantiated finding means that the allegation is valid because the preponderance of evidence standard has been met. In addition, this violation posed an immediate Health and Safety risk to resident(s) in care. An Immediate Civil Penalty of $500 is being assessed. The licensee was also informed that a civil penalty may be assessed based on Health and Safety Code § 1569.49. An exit interview was conducted where this report, LIC9099D, LIC421IM, and appeal rights were discussed and provided to the Facility Manager Eldalin De Deugd.the state’s words, verbatim · CDSS document, Feb 11, 2025 · control 56-AS-20230901090815

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Feb 12, 2025

87468.2(a)(4)Additional Personal Rights of Residents in Privately Operated Facilities(4) To care, supervision, and services. meet their individual needs.. delivered by staff.. sufficient in numbers, qualifications.. to meet their needs.This requirement is not met as evidenced by: Based upon review of facility, records, observations, and interviews licensee failed to ensure that R1 was provided with care, supervision,services required. As a result, R1 sustained a fracture while at facility. This violation posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 11, 2025

Plan of correction: The Administrator stated they conduct an in-service training for all staff members on the regulation cited. Administrator also stated they will send proof to LPA Rico. POC due date 2/12/2025

Allegation investigated: Staff touched resident inappropriately.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Facility Manager Eldalin De Deugd and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, and record review. For the allegations, Staff touched resident inappropriately. During staff interviews, 4 out of the 4 staff stated they have not touched a resident inappropriately. In addition, 4 out of the 4 staff stated they will knock, and introduce themselves, before entering resident bedroom. 4 out of the 4 staff also stated they will ask for resident permission to change their briefs. Unsubstantiated During residents interviews 4 out of the 4 residents stated they have not been touched inappropriately by staff members. 4 out of the 4 residents stated staff make them feel comfortable while providing care. Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Facility Manager Eldalin De Deugdthe state’s words, verbatim · CDSS document, Feb 11, 2025 · control 56-AS-20250203103739

Allegation investigated: Staff left resident soiled for an extended period of time. Staff does not ensure resident's hygiene needs are being met. Staff does not ensure resident is provided clean clothing.

On 11/26/2024 at 01:30 PM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Brown met with a staff and explained the purpose of the visit. Staff contacted Licensee/Administrator Maria Teresa Perez and informed of the visit. House Manager Eldalin De Deugd arrived during the visit. LPA Brown explained the purpose of the visit to House Manager De Deugd. The investigation consisted of file review, interviews with staff and residents as well as observation. The investigation was conducted by LPA Brown. The investigation consisted of observation, file review and interviews with relevant parties. The allegation indicates staff left resident soiled for an extended period of time. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with five (5) of five (5) residents indicated that staffs at the facility are checking on them three (3) to four (4) times in a day if staff needs to change their diaper or if they need assistance. ***Continuation in LIC9099C*** Unsubstantiated Five (5) of five residents interviewed reported that they do not know of an incident where a staff at the facility left them or any resident in a soiled diaper for extended period of time. Interview with Resident #1 (R1) revealed that staffs at the facility are changing R1's diaper three (3) or four (4) times in a day and there's no incident that R1 was left in a soiled diaper for a an extended period of time. Interviews with five (5) of five (5) staff indicated that they are all checking on their residents every two (2) hours, sometimes more often if needed so they will know if they need to change their residents diaper or if they need help. Five (5) of five (5) staff interviewed stated that they never left any resident at the facility in a soiled diaper for an extended period of time and no incident happened at the facility that R1 was left in a soiled diaper for extended period of time. During the facility visit on 07/15/2024 and today's visit, 11/26/2024, LPA Brown observed staffs at the facility are checking on residents if staff needs to change their diaper or if they need assistance. The second allegation indicates staff does not ensure resident's hygiene needs are being met. Interviews with five (5) of five (5) residents indicated that staffs at the facility are making sure that their hygiene needs were being met as staffs are giving them showers two (2), three, or four (4) times in a week. Five (5) of five residents interviewed reported that staffs at the facility are making sure that their hair are neatly comb, that they brush their teeth, that their nails were trimmed. R1 reported to LPA Brown that staffs at the facility are always making sure that they are meeting R1's hygiene needs even though sometimes R1 said that R1's being difficult to the staffs at the facility. Interviews with five (5) of five (5) staff indicated that they are all ensuring that they are meeting the hygiene needs of all their residents, that they are giving them showers, they all make sure that they all brush their teeth, that they put moisturizer or lotion on them, that their hair were neatly comb. Five (5) of five (5) staff interviews stated that there's no incident that happened at the facility that a staff did not ensure that R1's hygiene needs are being met or any resident's hygiene needs are being met. During the facility visit on 07/15/2024 and today's visit, 11/26/2024, LPA Brown observed residents at the facility were all clean, neatly combed and appeared that their hygiene needs were being met. The third allegation indicates staff does not ensure resident is provided clean clothing. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with five (5) of five (5) residents indicated that staff at the facility are ensuring that they were provided clean clothing as all five (5) of five residents interviewed reported that they are all wearing clean clothes everyday. ***Continuation in LIC9099C*** Interview with R1 indicated that staffs at the facility are always making sure that R1's provided clean clothing, that staffs at the facility are providing R1 and assisting R1 to wear clean clothes everyday. Interviews with five (5) of five (5) staff indicated that they are all ensuring that all their residents were provided clean clothing everyday. Five (5) of five (5) staff interviews reported that they are washing their residents clothes everyday to make sure that they will all wear clean clothes everyday. During the facility visit on 07/15/2024 and today's visit, 11/26/2024, LPA Brown observed residents at the facility are all wearing clean clothes. Based on interviews, observations and records review, the allegations staff left resident soiled for an extended period of time (Allegation #1), staff does not ensure resident's hygiene needs are being met (Allegation #2), and staff does not ensure resident is provided clean clothing (Allegation #3) are UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, where this report (LIC9099) was discussed and provided to House Manager Eldalin De Deugd.the state’s words, verbatim · CDSS document, Nov 26, 2024 · control 56-AS-20240710100342

Type of visit: Case Management - Deficiencies

On 11/26/2024 at 01:30 PM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to commence a case management visit. LPA Brown was greeted and granted entrance by a staff member and LPA Brown met with House Manager Eldalin De Deugd. At the time of the visit, there were fifteen (15) residents, and five (5) staffs present. During today's visit, LPA Brown observed Staff #10 (S10) working at the facility and per documents review, LPA Brown noticed that S10 has criminal background clearance but S10 criminal background clearance was not transferred to the facility prior to S10 employment. Also, staff interview and records review indicated that S10 started working at the facility on 01/2024 and S10 reported to LPA Brown that S10 worked at the facility for 75 days. House Manager De Deugd was informed that deficiency will be issued. Also, per records review, the facility was cited for the same violation 87411 Personnel Requirements(g)(2) on 07/15/2024 which is within the 12-month period. Therefore, a Civil Penalty will be assessed with the amount of $3000.00 and will continue to be assessed of $100.00 per day per citation until corrected for not transferring S10 criminal background clearance to the facility prior to employment. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to House Manager Eldalin De Deugd.the state’s words, verbatim · CDSS document, Nov 26, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(g)(2) · Plan of correction due date: Dec 6, 2024

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as eveidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by not transferring Staff #10 (S10) criminal backgound clearance to the facility prior to employment which pose potential health, safety and personal rights risks to residents in care.the state’s words, verbatim · CDSS document, Nov 26, 2024

Plan of correction: Licensee stated to transfer S10 Criminal Background Clerance to the facility or submit a Criminal Background Clearance Transfer Request form (LIC9182) for S10 and submit proof to LPA Brown on Plan of Correction (POC) due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff Elsie Calapano and was granted entry to the facility. Licensed capacity is (15) current census (15). LPA was accompanied by staff Elsie Calapano to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (5) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (5) resident medications and (3) hospice files. LPA also reviewed (5) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrators Eldalin De Deugd and Teresa Perez..the state’s words, verbatim · CDSS document, Nov 8, 2024

Type of visit: Case Management - Deficiencies

On 07/15/2024, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to commence a case management visit. LPA Brown was greeted and granted entrance by a staff member and LPA Brown met with Licensee/Administrator Teresa Perez. LPA Brown identified herself and discussed the purpose of the visit with Licensee/Administrator Teresa Perez. At the time of the visit, there were fourteen (14) residents, and five (5) staffs present. During today's visit, LPA Brown observed Staff #8 (S8) and Staff #9 (S9) working at the facility and per documents review, LPA Brown noticed that S8 and S9 have criminal background clearance but S8 and S9 criminal background clearance were not transferred to the facility prior to their employment. Also, staff interviews and records review indicated that S8 started working at the facility on 06/16/2024 and S9 started working at the facility on 06/07/2024. Licensee/Administrator Teresa Perez was informed that deficiency will be issued. Also, Civil Penalty was assessed with the amount of $500.00 per individual and will continue to be assessed of $100.00 per day per citation until corrected for not transferring S8 and S9 criminal background clearance to the facility prior to employment. In addition, during the tour of the facility, LPA Brown observed that Resident #1 (R1) has full bed rail and staff interview and records review indicated that R1's not on hospice and no exception report was submitted and approved by Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office. Deficiency will be issued. Moreover, LPA Brown observed Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), Resident #8 (R8), Resident #9 (R9), and Resident #10 (R10) with half bed rails but staff interviews and document review indicated that there are no written order from their physician indicating the need for half bed rail for mobility. Deficiency will be issued. To add to that, during the review of R1's Medication Administration Record (MAR), LPA Brown observed that there's no record at the facility showing that staff are dispensing R1's medications per R1's physician's order since 07/01/2024. Deficiency will be issued. **** Continuation in LIC809C **** Furthermore, LPA Brown observed R1's Physician Report (form LIC602) does not have physician signature and signature date. Deficiency will be issued. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to Licensee/Administrator Teresa Perez.the state’s words, verbatim · CDSS document, Jul 15, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(6) · Plan of correction due date: Jul 9, 2024

87465 Incidental & Medical Services (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance...(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by not updating Resident #1 (R1) Medication Administration Record (MAR) when dispensing R1 medications from 07/01/2024 to 07/15/2024 which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 15, 2024

Plan of correction: Licensee stated to train all staff in CCR 87465(a)(6) and submit proof of Training Log to LPA Brown at Plan of Correction (POC) due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87608(a)(5)(B) · Plan of correction due date: Jul 16, 2024

87608 Postural Supports (a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do...(5) Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by having a full bed rail for Resident #1 (R1) and R1's not on hospice and no exception was submitted and approved to CCLD which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 15, 2024

Plan of correction: Licensee stated to remove R1's full bed rail and submit proof to LPA Brown on POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87458(a) · Plan of correction due date: Jul 16, 2024

87458 Medical Assessment (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by not having a completed Physician Report with Physician Signature Date for Resident #1 (R1) which poses an immeidate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 15, 2024

Plan of correction: Licensee stated to submit a copy of R1's completed Physician Reports with Physician Signature Date to LPA Brown on Plan of Correction (POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87608(a)(3) · Plan of correction due date: Jul 26, 2024

87608 Postural Supports (a) Based on the individuals preadmission appraisal....(3) A written order from a physician indicating the need for the postural support shall be maintained in the residents record. The licensing agency... This requirement is not met as evidenced by: Based on observation, interview and record review, the licensee did not comply with the section cited above by having Resident #2 (R2), Resident #3 (R3), Resident #4 (R4), Resident #8 (R8), Resident #9 (R9), Resident #10 (R10) with half bed rails with no written order from their physician indicating the need for the postural support for mobility which poses a potential health, safety and personal rights risks to resident in care.the state’s words, verbatim · CDSS document, Jul 15, 2024

Plan of correction: The Licensee stated to submit written order from R2, R3, R4, R8, R9 and R10 physician indicating the need for the postural support for mobility and submit proof to LPA Brown on plan of correction (POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(g)(2) · Plan of correction due date: Jul 26, 2024

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or This requirement is not met as eveidenced by: Based on observation, interview, record review, the licensee did not comply with the section cited above by not transferring Staff #8 (S8) and Staff #9 (S9) criminal backgound clearance to the facility prior to employment which pose potential health, safety and personal rights risks to residents in care.the state’s words, verbatim · CDSS document, Jul 15, 2024

Plan of correction: Licensee submitted S8 and S9 Criminal Background Clerance Transfer Request forms (LIC9182) to LPA Brown during the visit. Plan of Correction (POC) cleared.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Manager Eldalin De Deugd and was granted entry to the facility. The facility is a Residential Care Facility for the Elderly (RCFE). The facility has eight (8) resident bedrooms, and four (4) resident bathrooms, a kitchen, a dining area, and a living room. The facility is licensed for a capacity of fifteen (15) non-ambulatory residents. The current census is fifteen (15) residents. LPA was accompanied by Facility Manager to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility provides care to residents with dementia which requires auditory alarms on the facility exit doors. The facility will be issued a deficiency for not having auditory alarms on the facility exit doors. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperature in the bathroom to be at 108. 8 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident and staff files. Medications are kept inside the facility office inaccessible to residents. Overall, the facility is clean and in good repair. Food Service: Non-perishable and perishable food supply is sufficient for the residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed five (5) residents file for admission agreements, updated physician reports, and needs and services plans. LPA reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were audited and appeared to be dispensed appropriately. Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Manager Eldalin De Deugd, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Nov 30, 2023