Crestige Care

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to conduct a Health and Safety check of the clients in care at the facility. LPA Rico met with House Manager Glenn Bagro and explained the reason for the visit. LPA Rico attempted to contact Licensee Hershey Duenas, and a detailed voicemail was left. LPA Rico also contacted staff Natalie Eyler and explained the purpose of the interview. The Health and Safety check included an overall observation of the facility inside and outside, including the food supply, medications, physical plant, and the residents in care. During the record review, LPA observed that R1 did not have their Admission Agreement, Pre-Admission Appraisal, or Care Plan. R2 did not have their Care Plan or Pre-Admission Appraisal. In addition, LPA observed that S1 and S2 have criminal record clearances that are not associated to the facility. A civil penalty of one thousand dollars was issued to the facility. Based on the observations made during today’s visit, four deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and the report was discussed with and provided to House Manager Glenn Bargo. A copy of the appeal rights was also provided.the state’s words, verbatim · CDSS document, Jun 16, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87457(a) · Plan of correction due date: Jun 23, 2026

87457(a)Pre-Admission Appraisal (a) Prior to admission, the prospective resident and his/her responsible person, if any, shall be interviewed by the licensee or the employee responsible for facility admissions. Based on record review, the licensee did not comply with the section cited above by not having an pre-admission appraisal for S1 and S2 which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 16, 2026

Plan of correction: House Manager stated they will complete the documents and send them to LPA Rico. POC 6/23/2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR87465(a) · Plan of correction due date: Jun 23, 2026

87465(a) Incidental Medical and Dental Care (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 in obtaining such care, by compliance with the following: Based on record review, the licensee did not comply with the section cited above by not having a care plan for R1 and R2 which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 16, 2026

Plan of correction: House Manager stated they will complete the documents and send them to LPA Rico. POC 6/23/2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a) · Plan of correction due date: Jun 23, 2026

87507(a) Admission Agreements(a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. Based on record review, the licensee did not comply with the section cited above by R1 not having an Admission Agreement which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 16, 2026

Plan of correction: House Manager stated they will complete the documents and send them to LPA Rico. POC 6/23/2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Jun 17, 2026

Criminal Record Clearance 87355(e)(3) All individuals subject to a criminal record .. shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance as specified in Section 87355(c) or Based on LPA observation, and record review, the licensee did not comply with the section cited above S1 and S2 is not associated with the facility which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 16, 2026

Plan of correction: House Manager stated they will complete the forms and associate S1 and S2 to the facility. POC 6/17/2026

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 House Manager Glen Bagro and was granted entry to the facility. Licensed capacity is (6) current census (2). LPA was accompanied House Manager Glen Bagro 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 resident/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 (2) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (2) resident medications and (1) hospice files. LPA also reviewed (2) 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 House Manager Glen Bagro. .the state’s words, verbatim · CDSS document, Jan 7, 2026

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 Administrator Hershey Ann B Duenas and was granted entry to the facility. Licensed capacity is (6) current census (4). LPA was accompanied by Administrator Hershey Ann B Duenas 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 resident/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 (2) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (2) resident medications and (2) hospice files. LPA also reviewed (2) 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 Administrator Hershey Ann B Duenas.the state’s words, verbatim · CDSS document, Jan 8, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Mary Rico arrived at the facility to conduct an unannounced case management visit. LPA met with caregiver Glen Bagro and explained the reason for today’s visit. During a prior visit on 1/8/2024 LPA discovered the facility garage was converted into a bedroom. During this visit, the facility was given a deficiency and plan of correction to convert the garage back to the original facility sketch. During today’s visit, LPA observed the garage was converted back to the original facility sketch. 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 caregiver Glen Bagro.the state’s words, verbatim · CDSS document, Feb 6, 2024

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 Administrator Hershey Duenas and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by Administrator Hershey Duenas 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 client 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. 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 clients in care. There was a designated space for client/staff files. During facility tour, LPA observed a portion of the garage was converted into a bedroom. Administrator informed LPA she is currently living in the garage with her family. Administrator stated she did not receive city approvals to build a bedroom in their garage. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. 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 (3) client files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed two (3) client medications. LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, one (1) deficiency were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to Administrator Hershey Duenas. Along with the appeal rights.the state’s words, verbatim · CDSS document, Jan 8, 2024