Crystal Springs Senior Care Facility

Type of visit: Required - 1 Year

On February 19, 2026, Licensing Program Analyst (LPA), Jarred Torres, and LPA, Armando Perez, arrived at the facility unannounced to conduct an annual inspection and met with Administrator Nelly Nunez. A facility file review was conducted at the regional office and additional records were requested and reviewed at the facility. The facility is licensed for six seniors and is currently operating at a census of five seniors. LPA Torres and LPA Perez toured the facility along with administrator Nunez and made observations pertaining to the annual visit. The LPAs inspected the facility inside and outside. There were no obstructions or debris to the indoor nor 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 41747 Whittier Avenue, Hemet, CA 92544. The LPAs were given a tour of the physical plant. The facility phone number is 951-658-4817 and is operable. The LPAs observed the residents' bedrooms which were equipped with the required furniture as stated in Tittle 22 of the California Code of Regulations (CCR). The LPAs observed the bathrooms to be compliant with grab bars and anti slip pads. The facility's appliances were observed to be operational at the time of this visit. The facility is equipped with operational smoke detectors and a carbon monoxide detector. The LPAs observed fire extinguishers in good condition which had been purchased on 10/21/2025. The LPAs observed the required postings regarding safety, personal rights, and emergency exits. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the resident and staff files. The furniture in the facility is in good condition. The facility's cooling and heating system is operational and the LPAs observed the air temperature at 73 degrees Fahrenheit and the hot water at 123.2 degrees Fahrenheit. The LPAs observed the medications to be locked and inaccessible to residents in care. The medication supply was sufficient for the five residents in care. No discrepancies with medication were observed. The LPAs observed an adequate food supply of non-perishable and perishable foods which consisted of frozen meats, vegetables, drinks, and fruits. The dishes and utensils were in sufficient supply. The LPAs observed adequate staff being present for the supervision of the residents in care. Floor plans, telephone numbers and personal rights were found posted in the facility. The licensee, Nelly Nunez, has a valid Residential Care Facility for the Elderly license which expires on 9/14/2026. The LPAs reviewed staff files and client files. The staff files are current, which includes, but is not limited to, TB tests showing a negative result, completed trainings, and first aid certifications. Resident files were reviewed and the LPAs found no discrepancies. The LPAs reviewed the emergency disaster plan and fire clearance. The last emergency disaster drill was conducted on 1/26/2026. The emergency disaster plan meets the department's standards. The LPAs observed the hand washing stations in the facility restrooms. The restrooms contained the required non-medicated soaps and single-use hand towels. Additionally, the facility has an approved infection control plan in their files. An exit interview was conducted and a copy of this report was discussed and provided to the licensee, whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, Feb 19, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Seo Jeon conducted an unannounced annual required visit. Upon entry, LPA was greeted by Nelly Nunez, Licensee, and informed them of the purpose of the visit. At the time of the visit, there were one (1) staff member and six (6) residents present. Facility Overview: The facility is a one-story home with six (6) bedrooms and two (2) bathrooms. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 116°F. Fully charged fire extinguisher with new purchase receipt from October 18, 2024 is located at dining area. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Continued on LIC809-C.... Record Review and Resident/Staff Files: LPA reviewed files for five (5) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Six (6) resident files were reviewed and contained all required documentation. Health-Related Services/Incidental Medical Services: All resident medications were securely locked. LPA reviewed medications for two (2) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill conducted on 1-16-2025, but Licensee did not have any log for the previous quarterly drill. A citation is issued. All facility exits were clear of obstructions. One deficiency was cited during the visit. An exit interview was conducted, during which this report was reviewed and provided along with LIC809-D and appeal rights.the state’s words, verbatim · CDSS document, Feb 28, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Stephanie Martinez, conducted a required annual inspection to the facility. The LPA was allowed entrance into the facility and met with Administrator, Nelly Nunez. The LPA informed the Administrator of the purpose for the visit. The facility currently has an approved Hospice Waiver for six (6) residents. The inspection included the following: Physical Plant: The facility consists of six (6) resident bedrooms, an office, one dinning area, two living spaces, an open kitchen, a laundry area, and a patio with sufficient seating and space for activities. There are no bodies of water located on the property. According to Administrator Nunez, there are no weapons stored in the home. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways are 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 non-skid mats available. The carbon monoxide and smoke devices were tested by the Administrator and were found to be in operating condition. The home was kept free of any odors. The home was exceptionally clean and well organized. Food Service: There is a minimum of 2 days supply of perishable foods and 1 week's supply of non-perishable foods available. Staff Two (S2), who was observed to be cooking at the time of the LPA's visit, appeared to be following proper hygiene practices. In addition, proof of food handling training was observed on file for S2. 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. Dementia care training was observed to be conducted for S2. No proof of postural support related training, restricted health conditions related training or hospice related training was observed on file for S2. This posses a potential threat to the health, safety and personal rights of the residents in care. A citation will be issued. The facility was not operating beyond the conditions specified on the license. The LPA was informed by Administrator Nunez there is currently one resident in care who is receiving hospice services. A copy of the resident's Hospice Care Plan was observed to be available. Proof of emergency drill training was observed on file. Medication Review: The LPA reviewed medications for R1. The LPA observed three of R1's medications to not be listed on the Centrally Stored Medication list retained by the facility. This posses a potential threat to the resident's health and safety. Therefore, a citation will be issued. An exit interview was conducted with Administrator Nunez in which this report was reviewed and a copy was provided, along with the LIC 811 and instructions on appeals rights.the state’s words, verbatim · CDSS document, Apr 3, 2024