Diamond Cottage

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ivashia Wright conducted an unannounced annual required visit. Upon entry, LPA was greeted by Mike Vito, House manger, and informed them of the purpose of the visit. At the time of the visit, there were two (3) staff members and four (4) residents present. Facility Overview: The facility is a single- story building with 4 residents' bedrooms, 1 staff bedroom, 2 bathrooms, a dinning room, a living room, a kitchen, a laundry room, an outdoor area, and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in a kitchen drawer and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was measured at 118.4 F, meeting the department requirements. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of 6/23/2027. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate expires 9/4/2027 and a valid CPR certification. Record Review and Resident/Staff Files: LPA reviewed files for two (2) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Two (2) resident files were reviewed and contained all required documentation. LPA observed first aid kit to be stored in a locked cabinet inaccessible to residents. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for 3 (three) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire/earthquake drill conducted on 7/1/2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided to the House manager, Mike Vito.the state’s words, verbatim · CDSS document, Aug 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection. The LPA was greeted by Caregiver Grace Santiago, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Facility Overview: The facility is a single- story building with 4 residents' bedrooms, 1 staff bedroom, 2 bathrooms, a dinning room, a living room, a kitchen, a laundry room, an outdoor area, and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to residents. The smoke detector and carbon monoxide detector were operable. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of 12-31-2025. The water temperature was tested within regulations measuring 117.8 F Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The Administrator holds a current administrator’s certificate with the expiration date of 08-04-2026 and a CPR certification with the expiration date of 08-8-2027. Record Review and Resident/Staff Files: LPA reviewed files for 2 staff members, confirming criminal clearance, updated training, and health screening. 2 clients' files were reviewed and contained all required documentation. LPA observed first kit to be available for the residents in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the kitchen. LPA reviewed medications for 2 residents confirming that all medication were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 08-08-2025, which met the department's requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Caregiver Mike Vitothe state’s words, verbatim · CDSS document, Aug 8, 2025

Type of visit: Case Management - Deficiencies

This Case management– Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Abdoulaye Zerbo on 12-06-24 for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 18-AS-20241127153632. LPA met with Mike Vito and explained purpose of the visit. During the visit, LPA observed the water temperature to be measuring at 149.5 F. LPA also observed residents with dementia not having a current physician's report. Based on observations, record review and interview, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809-D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative, Mike Vito.the state’s words, verbatim · CDSS document, Dec 6, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(5) · Plan of correction due date: Jan 2, 2025

Care of Persons with Dementia: (c) Licensees...shall be responsible for ensuring the following: (5) Each resident with dementia shall have an annual medical assessment...and a reappraisal done at least annually... This requirement is not met as evidenced by: Based on observation,interview, record reviews, the licensee did not comply with the section cited above in three (3) out of four (5) residents not having a current and updated Physician's Report, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 6, 2024

Plan of correction: Licensee will ensure all of the residents with dementia shall have an annual medical assessment conducted and will submit proof to LPA by the POC due date

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(3) · Plan of correction due date: Dec 3, 2024

(e)Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Based on observation,interview, record reviews, the licensee did not comply with the section cited above as water temperature was measuring at 149.5 Fthe state’s words, verbatim · CDSS document, Dec 6, 2024

Plan of correction: Licensee to monitor water temperature for 10 days and create a water log that will be sent to LPA Zerbo on 12/12/2024. Staff to check hot water temperature routinely to assure the proper water temperature is maintained at all times.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit to obtain a signature on an amended report. During today’s visit, LPA was greeted by Caregiver Mike Vito, who was informed of the purpose of the visit. A tour was conducted of the facility. No immediate health and safety concerns were observed during the visit During today’s visit, LPA obtained Mike Vito's signature on an amended version of a report originally delivered on 12-02- 2024. An exit interview was conducted with Mike Vito, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 6, 2024

Allegation investigated: Licensee falsified staff records

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to deliver investigation findings for the above allegation. LPA met with Staff, Anthony Vito, who was informed of the purpose of the visit. The investigation consisted of LPA conducted interviews, documented observation, and conducted records reviews. Regarding allegation, “Licensee falsified staff records” it was alleged that the facility was falsifying CPR training records by having the licensee complete the training for the staff. LPA conducted (3) staff interviews regarding staff CPR training. (3) of (3) staff revealed they have taken their own CPR training online and denied the records were falsified. (1) of (3) staff revealed they had taken some of the modules online for their CPR certificate and had not completed them due to time constraints. LPA conducted records review of (3) staff files and found that (2) of the (3) staff had updated CPR training with a certificate of completion on 9/25/2024. LPA verified the validity of the certificates for the (2) staff with the issuing agency. The remaining staff completed their CPR training on 9/25/2024, LPA verified the certificate and confirmed the validity with the issuing agency. Therefore, there is no evidence to suggest the records are being falsified. Although the allegation may have happened or may be valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 17, 2024 · control 18-AS-20240917143214

Allegation investigated: Licensee did not ensure staff completed required training hours

Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to investigate the above allegation. LPA met with Licensee, Venus Braco, who was informed of the purpose of the visit. During the visit, LPA conducted interviews, conducted a walk through, and conducted records reviews. It was alleged that "Licensee did not ensure staff completed required training hours" pertaining to CPR and first aide training for staff. LPA reviewed (2) random staff files and found that (1) staff did not certificate of current CPR and first aide trainings. LPA interview (2) staff which confirmed Staff #2 (S2) did not complete CPR training. Substantiated Based on interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations is being cited on the attached LIC 9099 D. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 25, 2024 · control 18-AS-20240917143214

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(c)(1) · Plan of correction due date: Oct 3, 2024

(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training...(1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. LPA conducted interviews and staff interviews (1) staff #1 did not have CPR first aid training. This poses a potential health saftey or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 25, 2024

Plan of correction: The licensee agreed to conduct a check of staff records monthly to ensure that all staff have required and renewed training and send this procedure in writting to the LPA by the POC due date. CPR certificate for S1 to be sent by the POC due date.

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Staff, Anthony Mike Vito who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (5) residents present. The facility is a one story home with (4) bedrooms and (2) bathrooms for the residents. No pools or firearms are being kept at the facility. Infection Control: The LPA observed hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had infection control training. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to residents. The carbon monoxide was operational, and the hot water temperature was read at 120F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff are present for the supervision of clients during the visit. The staff schedule was unable to be presented during the time of the visit, the administrator stated they would send it to the LPA by 8/23/2024. The administrator agreed to send copy of liability insurance that had been renewed this past week by Friday 8/23/2024. Record Review and Resident/Staff Files: LPA reviewed (3) staff files and training. One (1) staff did not have proof of CPR training, and health screening and TB test. Deficency was issued and plan of correction was created. Two (2) resident files were reviewed, and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in the facility kitchen. LPA observed the resident medication is being transferred from bubble packs to daily pill boxes. A deficiency was issued and plan of correction was created. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. Through staff interview the facility's last fire drill was conducted May of 2024, documentation of the drill was unable to be shown to the LPA. LPA issued a technical note for the drill to be documented and sent to LPA by Friday 8/23/2024. LPA observed emergency supplies in the and first aid kit. An exit interview was conducted where this report along with deficiencies and technical notes were reviewed and provided with the staff and Administrator, Venus Bravo over the phone.the state’s words, verbatim · CDSS document, Aug 21, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.