Vandelon Homecare

Type of visit: Required - 1 Year

On November 06, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Annual Inspection and met with the House Manager, Maribeth Dayrit. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for 6 Elderly Adults and is currently operating at 100% capacity of 6 Elderly Adults (740). LPA Mixson toured the facility along with the House Manger, Maribeth Bayrit and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. The facility is a single-story home, located at 1335 E. Whittier Ave, Hemet CA. 92544. Physical Plant: The facility phone number is (951) 791-0061 and it is operable. LPA Mixson observed the six residents’ bedrooms, and each was furnished with required fixtures as per Title 22. LPA Mixson inspected the facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as the "Personal Rights,” the LTCO poster, and “If you See Something, Say Something.” The cleaning supplies and sharp items were locked and inaccessible to the residents in care at present. There were designated storage spaces for the residents’ and staff’s files, and it was locked and inaccessible to residents in care currently. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There were no documented errors observed on the centrally stored medication forms, and medications were stored in their original containers during this visit. The facility has two caregivers present and a Home Health Nurse arrived at the same time the LPA arrived. Food Service& furniture: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents at this time. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition and arranged in a manner which provides space for residents to move safely. The facility cooling system and other appliances were operable at present. Licensee showed the LPA the safety lights for night throughout the facility. Care & Supervision/Administration: Adequate staff are present for the care and supervision of residents. Floor plans, telephone numbers and personal rights were found posted in the facility by the front door. The listed Administrator possesses a current administrator’s certificate. Records Reviewed and Resident/Staff Files: LPA reviewed staff files and reviewed the facility's staff schedule. The staff files reviewed have criminal clearance, updated training, along with current First Aid certification. Resident files reviewed possessed the required paperwork as per Regulations including TB, and current LIC 602’s. There were no noted concerns at the time of this annual visit. Disaster preparedness: LPA Mixson reviewed the facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill met the Department standards and was conducted as required per standards. Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. Including liquid hand soap, and paper towels for hand washing. LPA reviewed the facility's infection control plan and found required infection control measures met the Department requirements. An exit interview was conducted and a copy of this report was reviewed and giving to the House Manager, Maribeth Dayrit.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Stephanie Martinez, conducted a required annual inspection at the home. The LPA was allowed entrance into the facility and met with House Manager, Maribeth Dayrit. The LPA informed Dayrit of the purpose for the visit, who later notified Administrator, Marlon Uy, via telephone. The inspection included the following: Food Service: The LPA inspected the facility's kitchen areas and food supply. The LPA observed all food to be of good quality. All readily perishable foods and beverages capable of supporting rapid and progressive growth of micro-organisms were stored in covered containers at appropriate temperatures. Soaps, detergents, cleaning compounds and similar substances were stored in areas separate from food supplies. All kitchen areas were kept clean and free of litter, rodents, vermin, and insects. According to Manager Dayrit, modified diets are being provided to residents in care. Manager Dayrit reported the staff members on shift who engage in food preparation and services observe personal hygiene and food services sanitation practices. Physical Plant: The facility consists of five (5) resident bedrooms, four (4) bathrooms, a kitchen and dinning area, a living room area, a staff room, storage spaces and a yard with sufficient seating and space for activities. There are no bodies of water located on the property. According to Manager Dayrit, no weapons are stored at the facility. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways were kept free of obstruction and are free of debris and other trash. There are grab bars for each toilet and shower used by residents. Resident showers have slip resistant mats present. The hot water temperature was tested and observed to be within regulatory requirements. One smoke detector and one carbon monoxide device were tested by staff and were observed to be in operating condition. The facility was kept clean, organized and free of any odors. Record Review: All staff were observed to have appropriate fingerprint clearances. LPA did not observe any excluded individuals on the premises at time of visit. Staff responsible for direct care and supervision have current first aid and CPR training. Training on dementia care, postural supports, restricted health conditions, hospice and medication administration was observed on file; though incomplete. Resident files had admission agreements, medical assessments, appraisal/needs and services plans, and other required records on file. The licensee appears to be operating the facility within the conditions specified on the license. The facility currently has an approved Hospice Waiver for four (4) residents; and there are currently four (4) residents in care receiving hospice services. There is an emergency disaster plan in place. Proof of emergency drills was observed on file. The licensee (Vandelon Home Care Inc.) is a current and active corporation. The LPA observed current liability insurance on file. Medication Review: The LPA inspected resident medications. Medications were observed to be well organize and inaccessible to unauthorized individuals. Centrally stored medication destruction records were observed on file. Manager Dayrit agreed to provide the LPA with a copy of the current liability insurance, staff schedule, and resident roster. An exit interview was conducted with Manager Dayrit, in which this report was reviewed, and a copy was provided. No citations were issued at time of inspection.the state’s words, verbatim · CDSS document, Dec 30, 2024

The state marks this report as 10 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to deliver an amended copy of a previously issued report. LPA was granted entry and met with caregiver Bernardo Lazo who was informed of the purpose for the visit. LPA conducted an exit interview and reviewed and provided copies of the amended report and this report to Williams.the state’s words, verbatim · CDSS document, Aug 29, 2024

Allegation investigated: Resident sustained pressure injuries while in care Staff is verbally abusive to resident

Licensing Program Analyst (LPA) Sara Martinez arrived unannounced to the facility to conclude the investigation into the allegations listed above. LPA met with caregiver Bernardo Lazo and explained the purpose of the visit. Regarding allegation “Resident sustained pressure injuries while in care” it was reported Resident One (R1) had sustained bed sores due to Staff One (S1) not rotating client frequently. Training records for S1 reveal S1 has completed their twenty (20) Hour Annual Caregiver training on 01/29/2021 and completed two (2) hours of “Hospice Care: Turning and Skin Breakdown” on 01/12/2021. Interview with S1 revealed R1 did not have a pressure wound but a rash on her back and buttocks area. R1 was rotated every two hours. Interview with staff reported R1 had to be rotated and if there was a change in R1’s condition they would notify hospice. Interview with (4) staff reported R1 did not have a pressure injury. Interview with hospice nurse reported R1 did not have pressure wounds but had rashes on their back and buttocks area that is improving. Unfounded Records review of Pacific Valley Hospice Care Physician’s Orders dated 07/09/2021 documents a new treatment order for R1 regarding a lower back and buttock rash. Records review of R1’s Hospice Sign In Log reveals hospice LVN nurse had a scheduled visit with R1 twice a week since hospice admission date 06/01/2021. Therefore based on interviews and records review the allegation “Resident sustained pressure injuries while in care” has been deemed Unfounded Regarding the allegation “Staff is verbally abusive to resident”, it was reported S1 has been verbally abusive to R1. Interview with R1 revealed they have not been yelled at or verbally abused by S1 or other staff members at the facility. Interview with three (3) residents denied allegation of S1 being verbally abusive or yelling at residents. Interview with four (4) staff denied allegation of S1 being verbally abusive or yelling at residents. Interview with S1 reported they were not verbally abusive to R1 and they did not yell at R1. S1 reported to have a loud voice but they would not yell at residents. Therefore the allegation has been deemed Unfounded at this time. This agency has investigated the complaint allegations listed above. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided to caregiver Lazothe state’s words, verbatim · CDSS document, Aug 5, 2024 · control 18-AS-20210817103910