A & S Senior Quality Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Armando Perez and Ahliah Sharp made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with administrator, Teresa Fuentes. The LPA informed the Administrator of the purpose for the visit. The inspection included the following: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility consists of four (4) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, a kitchen, dinning area, a living room area, a garage, laundry room, and a patio and yard with sufficient seating and space for activities. The home is maintained at a comfortable temperature for the clients. Water temperature measured 111.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this home and no bodies of water observed. LPA observed one resident room without a lamp or proper functioning light. A deficiency will be cited. LPA began review of client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete. Continued on LIC 809-C. LPA began review of employee records- Three (3) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date 09/18/2027. LPA observed personnel records to be available and complete. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals and sharps in the kitchen. Medications are centrally stored. There is a locked cabinet in the kitchen allocated for medication storage. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA observed a cup of loose, and unlabeled medication. Administrator stated medication was discontinued and being stored to be discarded. A deficiency will be cited. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers were serviced on 01/05/2025. Emergency drills are conducted quarterly at the facility with the last drill on 01/08/2026 . Based on the information received during this visit today in the areas reviewed, there are deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809, LIC 809-D and Appeal rights report was reviewed with the facility representative, and a copy was provided.the state’s words, verbatim · CDSS document, Jan 9, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with house manager, Cheryl Grant. The LPA informed the manager of the purpose for the visit. The inspection included the following: The facility consists of four (4) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, a kitchen and dinning area, a living room area, a garage and laundry room, and a patio and yard with sufficient seating and space for activities. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats present. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. There are no firearms at this home and no bodies of water observed. LPA began review of client records. six (6) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available. LPA began review of employee records- four (4) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date 09/19/2025. LPA observed personnel records to be available and complete. LPA observed facility dues to be outstanding. Administrator was informed and provided the PIN number to complete payment. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals and sharps in the kitchen. Medications are centrally stored. There is a locked cabinet in the kitchen allocated for medication storage. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Administrator stated smoke detectors and carbon monoxide detectors are a combined unit and were tested and found to be operational. Fire extinguishers meets requirements and are valid until, 12/31/2025. The facility is conducting emergency disaster/fire drills quarterly; last done on 01/14/2025. Based on the information received during this visit today in the areas reviewed, there are no deficiency that are being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809 report was reviewed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Jan 16, 2025

Type of visit: Prelicensing

On December 1, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived for a scheduled visit for the purpose of conducting a pre-licensing Change of Ownership (CHOW). LPA Mixson met with Licensee, Nitin Vermani, introduced herself, and stated the purpose of the visit. The location is a single-story home located at 17764 Robusta Drive, Riverside, CA. 92503 and has five bedrooms, three bathrooms, a living room, dining room, and a kitchen, with a three car garage, and backyard and front yard. The Riverside County Fire Department approved this facility for five (5) Non-Ambulatory residents, one (1) Bedridden resident for a total of (6) six, on 07/24/2023. The home has a first aid kit and manual, the Administrator has received First Aid and CPR training, and their Administrator’s certificate is current. LPA Mixson observed where medications are stored, locked, and inaccessible to the residents. The home is equipped with lights in the passages and stocked with emergency night lights throughout the home. The smoke and carbon monoxide detectors were observed and are operable. LPA Mixson observed the fire extinguishers, it was charged and in the green, and last charged on 2023. The cleaning supplies were locked and inaccessible, along with the sharp objects. The knives were locked in a kitchen drawer, plenty of pots, pans, and other kitchen accessories. The facility has the required seven day supply of non-perishable food items and the two day supply of perishable food items. LPA Mixson observed hygiene supplies for residents. All doors, and passageways are clear of obstruction. There were no bodies of water on the premises, and the fireplace was covered with screen. There was enough clean linen and hygiene items, and there was appropriate lighting in each room. LPA Mixson observed central heating and air conditioning systems, and they are operable. The Administrator dialed the land line phone number (951) 353-1612, and it was operable. Outside/Yards: Had shade and covering for shaded visit, and activities, and there were no obstructions observed. The Licensee stated there were no firearms, and/or ammunition on the premises. CAB 8.0 Pre-licensing / COMP III Requested 11/27/2023, days available whenever available in December. An exit interview was conducted, a copy of this report was provided to the Licensee, Nitin Vermani.the state’s words, verbatim · CDSS document, Dec 1, 2023