Dato Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Imaculada Vasquez conducted an unannounced annual required visit. Upon entry, LPA was greeted by Administrator, Cristina Dato, and informed her of the purpose of the visit. At the time of the visit, there were four (4) staff members and four (4) residents present. Facility Overview: The facility is a one-story home with three (3) resident bedrooms and two (2) resident bathrooms, including an attached garage. 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 has infection control plan on file. 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 106.5°F. Fire extinguisher located at kitchen has current inspection tag dated 11/05/2025. 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. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate expiring 05/04/2028. Record Review and Resident/Staff Files: LPA reviewed files for two (2) staff members, all contained required documentation confirming criminal clearances, updated training, and CPR/First Aid certification expiring 07/16/2026. Two (2) 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 08/06/2026, which met department requirements. All facility exits were clear of obstructions. Zero (0) citations were issued during the visit. An exit interview was conducted, during which this report was reviewed and provided to Administrator, Cristina Dato..the state’s words, verbatim · CDSS document, Aug 27, 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 Helen Apostades, Caregiver, and informed them of the purpose of the visit. At the time of the visit, there were one (1) staff member and five (5) residents present. Facility Overview: The facility is a one-story home with four (4) bedrooms and three (3) bathrooms, including an attached garage. 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 has infection control plan in file. 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 120°F. Fire extinguisher located at kitchen has current inspection tag. 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. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for four (4) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Staff #1 (S1) who was the only staff at the time of LPA's arrival did not have current first aid/CPR certification. A citation was issued. Four (4) 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 four (4) 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 08-03-2025, which met department requirements. All facility exits were clear of obstructions. One citation was issued 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, Aug 27, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Stephanie Martinez, conducted a required annual inspection at the facility. The LPA was allowed entrance into the facility and met with Administrator, Cristina Dato. The LPA informed the Administrator of the purpose for the visit. The inspection included the following: Physical Plant: The facility consists of three (3) resident bedrooms, one (1) staff room, three (3) bathrooms, a kitchen and dinning area, a living room, a laundry room and garage, and a patio and yard with sufficient seating and space for activities. There are no bodies of water located on the property. According to Administrator Dato, 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, bathtub and shower used by residents. Resident showers have non-skid mats present. The carbon monoxide and smoke detectors were tested and observed to be in operating condition. The home was kept exceptionally clean and organized. Food Service: There is a minimum of 2 days supply of perishable foods and 1 week's supply of non-perishable foods available. Sufficient dinning supplies were available for residents in care. A variety of food was available. 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. There is at least one staff member on the premises with current First Aid and CPR training. Resident records had required documentation; such as admission agreements, medical assessments, and pre-placement appraisals. The medical assessment (physician's report); however, for Resident One (R1) was missing information on the resident's TB test results. Resident Two's (R2's) physician's report was not completely filled out; the report was missing information on the resident's ambulatory status. Resident Four's (R4's) and Resident Five's (R5's) physician's report was missing the TB test information. A citation will be issued. A disaster and mass casualty plan was observed on file. Proof of emergency drills was observed on file. All records were observed to be well organized and safely secured. The inspection found the facility was operating beyond the conditions specified on the license. The facility currently has an approved Hospice Waiver for two (2) residents; however, there are currently four (4) residents in care receiving hospice services. A citation will be issued. Medication Review: The LPA inspected resident medications. Medications were observed to be well organized, appropriately labeled and inaccessible to unauthorized individuals. An exit interview was conducted with Administrator Dato in which this report was reviewed and a copy was provided, along with the LIC 811, LIC 9098, and instructions on appeal rights.the state’s words, verbatim · CDSS document, Aug 21, 2024