The Good Nests

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an announced pre-licensing inspection at the facility and met with Administrator Tiffany Montoya Application: The inspection is an initial application for a Residential Care Facility for Elderly (RCFE). The Palm Springs Fire Department approved a fire clearance on 03-20-2025 for five (5) non-ambulatory clients and one(1) bedridden in bedroom one. Buildings and Grounds: The facility is composed of three (3) residents' bedrooms, one(1) staff bedroom, two (2) bathrooms, a living room, a kitchen area, and a garage. Water temperature was measured within regulation at 106.5 F. The interior and exterior walkways of the facility were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were in working order. There is a no pool and there are no weapons stored in the facility. Residents' bedrooms are fully furnished, and privacy is available. Outdoor areas have sufficient room for activities and leisure. A washing machine and dryer were available and in working order. The facility has a working phone witnessed by calling the phone number. Storage and Supplies: Medications, residents and staff files will be stored in a locked cabinet in the kitchen area, inaccessible to any unauthorized individuals. A complete first aid kit was observed to be available. Cleaning supplies will be stored under the kitchen sink. Linens, and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged with an expiration date of February 26th, 2026. Continued 809-C... Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and freezer are in working order. Sharps knives will be stored in a locked cabinets in the kitchen area, available only to authorized individuals. Forms: The following signs were observed to be posted at the facility: Personal Rights, Complaint information, Emergency disaster plan, the facility sketch. LPA verified the Administrator's Certification, with an expiration date of April 16, 2026 and CPR certification with the expiration date of October-30-26. The applicant will be contacted by the regional office to schedule the Comp III. LPA determined the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete and has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and a copy was provided to Administrator Tiffany Montoya.the state’s words, verbatim · CDSS document, May 6, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an announced pre-licensing inspection at the facility and met with Administrator Tiffany Montoya Application: The inspection is an initial application for a Residential Care Facility for Elderly (RCFE). The Palm Springs Fire Department approved a fire clearance on 03-20-2025 for five (5) non-ambulatory clients and one(1) bedridden in bedroom one Buildings and Grounds: The facility is composed of three (3) residents' bedrooms, one(1) staff bedroom, two (2) bathrooms, a living room a kitchen area, and a garage. Water temperature was measured at 76.5 F. The licensee stated they had hot water few days ago. They stated they will have maintenance fix it and provide proof of correction. The interior and exterior walkways of the facility were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were in working order. There is a no pool and there are no weapons stored in the facility. Residents' bedrooms are fully furnished, and privacy is available. Outdoor areas have sufficient room for activities and leisure. A washing machine and dryer were available and in working order. The facility has a working phone witnessed by calling the phone number. Storage and Supplies: Medications, residents and staff files will be stored in a locked cabinet in the kitchen area, inaccessible to any unauthorized individuals. A complete first aid kit was observed to be available. Cleaning supplies will be stored under the kitchen sink. Linens, and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged with an expiration date of February 26th, 2026. Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and freezer are in working order. Sharps knives will be stored in a locked cabinets in the kitchen area, available only to authorized individuals. Forms: The following signs were observed to be posted at the facility: Personal Rights, Complaint information, Emergency disaster plan, the facility sketch. LPA verified the Administrator's Certification, with an expiration date of April 16, 2026 and CPR certification with the expiration date of October-30-26. The applicant will be contacted by the regional office to schedule the Comp III. LPA determined the facility does not meets the operational requirements for licensure. The Pre-Licensing is incomplete with deficiencies to be resolved by May 5th 2025 . A follow up Pre-licensure visit will be conducted upon resolution of deficiencies. An exit interview was conducted, and this report was discussed and a copy was provided to Administrator Tiffany Montoya.the state’s words, verbatim · CDSS document, Apr 21, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: MONTOYA, TIFFANY Interview Method: Telephone interview On 04/01/2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 1, 2025