Comforts of Home Residential Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs), Armando Perez, Tremayne Barra, Jarred Torres made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with administrator, Cori Cooper. The LPA informed the Administrator of the purpose for the visit. The inspection included the following: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility consists of a kitchen and dinning area, a living room area, a garage and laundry room, and a patio and yard with sufficient seating and space for activities. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured within regulation. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. LPA observed a pool with the required secured fencing. LPA began review of client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed files to be available and complete. Continued on LIC 809-C. LPA began review of employee records- Three (3) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date 9/10/26. LPA observed personnel records to be available and complete. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals and sharps in the kitchen. Medications are centrally stored. There is a locked cabinet in the kitchen allocated for medication storage. Centrally stored medication and destruction logs are maintained. LPA reviewed records and observed 2 of 2 client records to have discrepancies with the verification of staff dispensing. A deficiency will be issued. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers was serviced on 01/27/2025. Emergency drills are conducted quarterly at the facility with the last drill on 01/07/2026. Based on the information received during this visit today in the areas reviewed, there is a deficiency that is being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809, LIC 809-D and Appeal rights report was reviewed with the facility representative, and a copy was provided.the state’s words, verbatim · CDSS document, Jan 23, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with administrator, Cori Cooper. The LPA informed the Administrator of the purpose for the visit. The inspection included the following: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility consists of three (3) resident bedrooms, three (3) bathrooms, a kitchen and dinning area, a living room area, a garage and laundry room, and a patio and yard with sufficient seating and space for activities. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 117.5 degrees F. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid material present. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. According to Administrator, no weapons are stored in the home. LPA observed a pool in the backyard with the required fencing and locked gate. LPA began review of client records. Four (4) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete LPA began review of employee records- four (4) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification is shown as pending in Guardian. LPA observed personnel records to be available and complete. . LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a locked location for chemicals and sharps in the kitchen. Medications are centrally stored. There is a locked cabinet in the kitchen allocated for medication storage. Centrally stored medication and destruction logs are maintained. LPA reviewed logs and observed four out four clients to not have initials for the medication dispensed for the last two days. A deficiency was issued. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguisher was observed to be in compliance and good until December 31, 2025. . Based on the information received during this visit today in the areas reviewed, there is one deficiency that is being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809 report was reviewed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Jan 23, 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 Administrator, Cori Cooper who was informed of the purpose of the visit. At time of visit there were (6) clients and (2) staff present. The facility is a one story home with (4) bedrooms and (3) bathrooms with attached garage. The facility does have a pool which has a locked gate surrounding it. No fire arms are kept at the facility. The facility is designated as a residential facility for the elderly serving elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents, and observed the following: Infection Control: LPA observed hand hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has an infection control plan that is documented with the department, however the administrator was unable to provide it during the visit for review. Technical note was documented for this. 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 operational during the visit. 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, training, and criminal clearance. LPA met with Staff #1 (S1) who was not on the staff roster, and was alone with residents. LPA checked S1's criminal record clearance during the visit, who possesses a cleared background. The administrator was able to show LPA S1's file during the visit, and was informed that S1 had started (4) days ago. S1 needs completed physical, orientation training and completed transfer. Deficiencies were cited and plan of correction was created with administrator. Client files were reviewed and possessed all required paperwork. Client #1 (C1) had LIC602 that was not dated or signed by a physician. Technical note was documented for this to be completed. Admission agreement for C1 was not signed by facility representative. Administrator signed the agreement during the time of the visit. Technical note was documented for this as well. Health Related Services/ Incidental Medical Services: All client medication was locked in a kitchen cabinet. LPA reviewed client medications for C1 and found medication for today's date was not initialed as given. LPA also found PRN medications for C1 did not have a physician's order with C1's medical provider. Deficiency was cited for this and plan of correction was created with administrator. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA was informed by administrator that the last drill was conducted October 2023, documentation was unable to be provided during the time of the visit for the drill. Deficiency was cited and plan of correction was created for drill to be conducted and documented. An exit interview was conducted where a copy of this report, along with deficiency pages, appeal rights, and technical notes were provided to Administrator, Cori Cooper.the state’s words, verbatim · CDSS document, Jan 23, 2024

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.