Partners N Care Senior Residence

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA's) Yolanda Delgado and Toni Nwala arrived unannounced to conduct an annual inspection. Upon arrival LPA's was greeted by facility staff and granted entry. LPA's began inspection with introduction, visit purpose and provided the facility with LPA's identification and business card. Resident record review began- Six (6) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 120.0 degrees F with warning labels posted. Laundry facilities and a locked cabinet is present for storing laundry soap in the laundry room and other chemicals in the garage. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. Food Service- Food supply meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. Foods are dated to assure safety. Food prep areas are clean and organized. (Continued on next page) (Continued from Page 1) LPA began review of employee records- Three (3) records were reviewed. LPA reviewed employee records for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is present and current. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 06/27/2025. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 12/7/2025. Based on the information received during this visit today, there are zero (0) deficiency is being cited Title 22, Division 6 of The California Code of Regulations. This report was reviewed with Karin Vaughn and a copy provided at the time of the exit interview.the state’s words, verbatim · CDSS document, Jan 29, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. Resident record review began- Five (5) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 120.0 degrees F with warning labels posted. Laundry facilities and a locked cabinet is present for storing laundry soap in the laundry room and other chemicals in the garage. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. Food Service- Food supply meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. Foods are dated to assure safety. Food prep areas are clean and organized. LPA began review of employee records- Four (4) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is present and current. (Continued on next page) (Continued on from Page 1) LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan however LPA observed two (2) bedridden residents and LPA interviewed second bedridden resident. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 01/24/2024. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 12/7/2024. LPA allocated time to prepare this report for delivery. Based on the information received during this visit today, there is one deficiency is being cited with Civil penalties for $500 per Title 22, Division 6 of The California Code of Regulations. This report, 809-D, LIC421IM, Appeal Rights was reviewed with and a copy provided to the facility representative at the time of the exit interview. LPA has requested updates to the following documents to be submitted to the CCLD by 1/25/2025: LIC 500, and updated floor plan.the state’s words, verbatim · CDSS document, Jan 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with Staff, Karen Vaughan, who was informed of the purpose of the visit. At time of visit there were (6) clients and (3) staff present. The facility is a two story home with the downstairs housing residents, with (4) bedrooms and (3) bathrooms with attached garage. The facility does a pool which has a locked gate surrounding it. No fire arms are kept at the facility. The facility is designated a residential home for the elderly serving elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following: Infection Control: LPA observed the hand washing stations in the facility. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has an infection control plan. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility's outdoor area was observed to be free of hazards. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The carbon monoxide detector was operation during the time of the visit. The LPA observed video surveillance in the entry way of the facility. The facility does not have signed consent forms or waiver for video surveillance on file with the department. The deficiency was cited and plan of correction was created with staff. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Record Review and Resident/Staff Files: LPA reviewed staff files and training that contained staff criminal clearance and updated training along with CPR/First Aid. Client files were reviewed and possessed all required paperwork. Health Related Services/ Incidental Medical Services: All client medication was locked in laundry room. LPA reviewed client medications and found M1 was not initialed from 1/13 to 1/18, and there was a physician's report and discrepancy on the MARS log for M2 on medication dosage. The deficiency was cited and plan of correction was created with staff. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing last fire drill conducted October 2023. The staff stated they would conduct a drill by the end of the month. LPA observed all facility exits were clear from obstructions. An exit interview was conducted where a copy of this report along with deficiency page and appeal rights were provided to Staff, Karen Vaughan.the state’s words, verbatim · CDSS document, Jan 19, 2024