Inspirations Home Care III

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff Karla Camoos and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by House Manager Rose Macdangdang 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. 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 designate space 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 (5) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (5) resident medications and (1) hospice files. LPA also reviewed (3) 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 Rose Macdangdang.the state’s words, verbatim · CDSS document, Jul 28, 2026

Allegation investigated: Facility staff handled resident in a rough manner. Facility staff took inappropriate photos of resident.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver the findings on the allegation listed above. LPA met with staff Karla Campos and explained the purpose of today’s visit. The investigation consisted of staff interviews, resident interviews and record review. The Licensee was also contacted and informed about today’s visit. For the allegation, Facility staff handled residents in a rough manner. During staff interviews 3 out of the 3 staff stated they have not handled a resident in a rough manner. In addition, 3 out of the 3 staff stated that they have not witnessed staff handling a resident in a rough manner. During resident interviews, 3 out of the 3 residents stated they have not been handled in a rough manner. Unsubstantiated For the allegation, Facility staff took inappropriate photos of residents. During staff interviews 3 out of the 3 staff stated they have not taken an inappropriate photo of residents. During residents’ interviews, 3 out of the 3 residents stated no inappropriate photos have been taken. Based on the evidence found during the investigation, the two (2) allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are 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 staff Karla Campos.the state’s words, verbatim · CDSS document, Mar 10, 2026 · control 56-AS-20250812144548

Allegation investigated: Staff are overmedicating resident in care.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver the findings on the allegation listed above. LPA met with House Manager Rose Mary Macdangdang and explained the purpose of today’s visit. The Licensee was also contacted and informed regarding today’s visit. The investigation consisted of staff interviews, resident interviews and record review. For the allegation, Staff are overmedicating resident in care. During medication audit, LPA Rico observed 1 lose pill in R1 medication bin and 1 lose pill in R2 medication bin. In addition, R1 PRN medication was documented as given but did not include the reason and result. R2 medication was documented as given but the medication was still on the bubble pack. During staff interviews, 1 out of the 2 staff admitted they had made medication errors. During resident interviews, 1 out of the 3 residents stated that staff will sometimes forget to provide medication. Substantiated Based on the evidence gathered during today’s investigation, the one (1) allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegations are valid because of the preponderance of evidence the standard has been met. 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 (LIC9099) and LIC9099D was discussed and provided to House Manager Rose Macdangdang, along with a copy of the appeal rights. Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are 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 House Manager Rose Mary Macdangdangthe state’s words, verbatim · CDSS document, Mar 3, 2026 · control 56-AS-20260225122758

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(d)(3) · Plan of correction due date: Mar 4, 2026

87465 Incidental Medical and Dental Care (d)(3)The date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. Based on record review , the licensee did not comply with the section cited above having medication errors on R1 and R1 PRN medications which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 3, 2026

Plan of correction: The Licensee stated they will conduct an in-service training for medication and will send a copy to LPA Rico. POC 3/4/2026.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Mary Rico and Antoinette Davis 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 Rosemarie Macadangdang and was granted entry to the facility. Licensed capacity is (6) current census (6). LPA was accompanied by House Manager Rosemarie Macadangdang 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, 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 residents in care. There was a designated space for resident /staff files. 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 (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (6) resident medications and (2) hospice files. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. During medication audit, LPA Rico observed 3 out of the 6 resident's medications were not given, and medication documentation did not match the medication start date. Based on the observations made during today’s visit, (1) one deficiency was 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 House Manager Rosemarie Macadangdang. Along with a copy of appeal rights.the state’s words, verbatim · CDSS document, Jun 3, 2025

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 Staff Romulo Garcia and was granted entry to the facility. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of six (6) non-ambulatory residents. The current census is six (6) residents. LPA was accompanied by Staff to conduct a general overall inspection, which included, but was not limited to, the following: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. 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 bathrooms to be at 106.1 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, 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 files and staff files. The medications are kept inside a kitchen cabinet inaccessible to residents. The non-perishable and perishable food supply is sufficient for the residents in care. The pool and spa in the backyard is gated, locked, and secured. LPA reviewed six (6) residents files for admission agreements, updated physician reports, and needs and services plans. During file review, LPA found that Residents R1, R2, R3, R4, R5, and R6 do not have needs and services plans. The facility will be issued a deficiency for not having needs and services plans completed for the residents. LPA reviewed five (5) staff files for First Aid/CPR certifications, criminal record clearances, trainings, and health screenings. During today’s visit, Staff S1 admitted that the facility does not have an awake staff at night. S1 stated that the facility has staff present in the facility, but they are asleep and on call if the residents need assistance. The facility has a resident(R5) that has a condition that requires the staff to be awake at night. The facility will be issued a deficiency for not having an awake staff at night. Based on the observations made during today’s visit, two (2) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D and LIC811 were discussed and provided to Staff Romulo Garcia, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Apr 5, 2024