Taylor Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with Administrator and explained the purpose of the visit. LPA observed two residents in the common area and one resident in private room. Facility is licensed for six non-ambulatory. Today's visit, LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: three residents bedrooms, bathroom, kitchen, backyard and the common areas. LPA observed facility to have Licensing compliance poster posted in the common area. LPA observed facility to have two days of perishable and seven days of nonperishable food. LPA observed facility to have a designated lock space for medications. Sharps are stored in the kitchen which there is a lock sliding door at entry. LPA reminded Administrator sliding door is to be locked when kitchen is not occupied by staff. LPA observed fire extinguisher present with service date of July 21, 2026. LPA observed Emergency Disaster Plan and reminded Administrator it is to be reviewed and updated annually. LPA observed an active liability insurance present effective January 2, 2026 to January 2, 2027. LPA observed Administrator Certificate #7034511740 to be active effective February 18, 2025 to February 17,2027. Administrator reported no concerns at this time. CARE tool completed with Administrator and found facility to be compliance. No deficiencies cited. Exit interview and a copy of report provided.the state’s words, verbatim · CDSS document, Aug 13, 2026

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct an annual continuation case management visit. LPA met with Administrator and explained the purpose of the visit. Facility is licensed for six non-ambulatory residents, hospice waiver of two. Today's visit, there are five residents with one resident on hospice. Today's inspection, LPA observed fire extinguisher present with recent service date of August 25, 2025. LPA conducted a file review for three resident records. LPA observed resident records to be complete. LPA advised Administrator that moving forward facility should use the most updated LIC602A to ensure facility is in compliance with dementia regulations. CARE tool was completed with Administrator and found facility to be compliance during today's visit. At this time, LPA is requesting a copy of facility liability insurance to be emailed to LPA by September 3, 2025. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 27, 2025

Type of visit: Required - 1 Year

On June 25, 2025, Licensing Program Analyst (LPA) Cassie Yang and Associate Governmental Program Analyst (AGPA) Dana Garcia arrived unannounced at the facility to conduct a required annual inspection. LPA and AGPA met with Administrator and explained the purpose of the visit. Today's inspection, LPA, AGPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: residents bedrooms, bathroom, kitchen, dining room, backyard and the common areas. LPA and AGPA observed facility to have ample supply of linens, and food supplies for residents in care. LPA, AGPA and Administrator observed the knife drawer to not have a lock present. LPA was informed there is no lock due to the wooden sliding door present which can be locked; however, LPA and AGPA observed the wooden sliding door to be disrepaired as it was not sliding and detached. LPA observed one cockroach present in the kitchen knife drawer. Additionally, cockroaches were observed on the dining chairs and rats were observed on top of the backyard table. Medication audit was conducted for R1. LPA observed a bottle of AllerClear to be expired with expiration date of April 2025. Administrator stated it will be discarded immediately. Administrator counted the pills in the bottle of R1's Amlodipine and found inconsistencies. Medication count revealed there are 41 pills remaining in container; however, based on medication start date, there should have been only 40 pills remaining. LPA and AGPA were unable to complete today's visit, an additional visit will be conducted to complete the annual. Deficiencies cited, please see LIC 809-Ds. Exit interview and a copy of the report and appeal rights provided.the state’s words, verbatim · CDSS document, Jun 25, 2025

Type of visit: Required - 1 Year

On August 21, 2024, Licensing Program Analyst (LPA) De Anna Williams-Lyons arrived unannounced to conducted an Annual Inspection of the facility to ensure compliance with Title 22 regulations. LPA Lyons met with Filomena Taylor, the licensee, who assisted LPA in today’s inspection. The Administrator certificate is up to date. The current census is 5. The facilities Administrator’s Certificate, Emergency Disaster Plan, Resident’s Rights and Facility Sketch was available for viewing. The room temperature was 74 degrees F which is within range. LPA inspected the interior and the exterior of the facility including the common living spaces, the kitchen, resident bedrooms and bathrooms. The facility is a one-story home with 3 bedrooms. Living rooms, dining room, and areas designated for resident use were toured. Furniture and furnishings were observed to be sufficient and in good repair. Resident bedrooms and bathrooms were toured. All rooms had the required items of furniture. Window screens were on and in good repair. Bathrooms were clean, sanitary and odorless and consisted of grab bars and non-skid mats. Hot water temperature is 120 degrees F. The sink, toilet, bathtub and shower operate properly. The facility has a sufficient supply of linens, towels, bedding, etc. for residents in care. Washer and dryer was present and operating properly. Toxic substances, laundry and cleaning supplies were inaccessible. Fire alarms, smoke alarms, and carbon monoxide detectors operate properly. Fire extinguisher is maintained and ready for emergency use. LPA inspected the exterior grounds of this facility. There are no bodies of water on the premises. The perimeter fence, side gates, and latches were in good repair. Passageways are free of obstruction and potential hazards. There’s a centralized storage area for resident’s medication. Medication cabinet was locked. To continue see 809-C.. In the kitchen area, cabinets and drawers were reviewed. Knives and sharp objects were reviewed to make sure that they were locked and made inaccessible to the residents at all times. LPA observed there to be a sufficient amount of 2-day perishable and 7-day non-perishable food. Hot water temperatures were taken and measured at 120 degrees F, which is within the allowed range of 105-120 degrees. There’s appropriate lighting throughout the facility. LPA reviewed a staff file and 3 resident files. Staff file was complete with criminal record clearance and First Aid certificates and residents files was complete with emergency contacts, physician's reports, assessments, admission agreements, personal rights and service plans. In the areas that were evaluated, no deficiencies were observed at the time of the visit. Per California Code of Regulations, Title 22, no citations were issued. An exit interview was conducted and a copy of this report was given to Filomena. The administrator shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610E the Emergency Disaster Plan, and copy of your current Liability Insurance to update the facility file in our Regional Office. Administrator shall submit the listed documents to Licensing no later than September 21, 2024..the state’s words, verbatim · CDSS document, Aug 21, 2024

Type of visit: Office

On 02/06/24 at 01:30PM, an informal conference was conducted at the Sacramento Regional office. The purpose of this informal conference meeting is to discuss the complaint citations regarding association of an individual who has been convicted of a crime for which registration as a Registered Sex Offender (RSO) is required, is residing at the facility or has presence/contact that pose immediate a risk to the health and safety of the client(s) in care. Present in the meeting is, Licensing Program Manager (LPM) Laura Munoz, Licensing Program Analyst (LPA) Talwinder Bains, and facility’s licensee/administrator, Filomena Taylor. The informal conference process was explained during this meeting. Issues discussed during the meeting were: - Association of an individual who has been convicted of a crime for which registration as a Registered Sex Offender (RSO) is required - Incidents Reporting - Administrator’s qualifications and duties The facility has stated they will do the following to achieve continued and substantial compliance: • Adhere to Community Care Licensing Division (CCLD) Regulations per Title 22 for facility’s operations • Maintain an internal audit for reporting of incidents. • Reach out to Community Care Licensing Division (CCLD) as a resource. During today's meeting, deficiencies are cited pursuant to California Code of Regulations, Title 22 and documented on the attached LIC809D. Exit interview conducted and appeal rights provided. Informal meeting concluded and a copy of report was given.the state’s words, verbatim · CDSS document, Feb 6, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87405(d)(2) · Plan of correction due date: Feb 7, 2024

87405- Administrator - Qualifications and Duties(d)(2)- Knowledge of and ability to conform to the applicable laws, rules and regulations….. This requirement is not met as evidenced by; Based on the records reviewed and interviews, it has been determined that the administrator did not report an incident regarding association of an individual who has been convicted of a crime for which registration as a Registered Sex Offender (RSO) is required, is residing at the facility or has presence/contact that pose immediate a risk to the health and safety of the client(s) in care.the state’s words, verbatim · CDSS document, Feb 6, 2024

Plan of correction: Administrator agreed to submit a self-certification of understanding the regulation ,87405 (d)(2) and will make sure to report any reportable incidents to CCLD as required and submit proof to CCLD by POC date-02/07/24. Additionaly, administrator shall complete training regarding to report such incidents for minimum 4 hours and will submit proof to department by 03/06/24.

Allegation investigated: RSO who is not a client allegedly resides, is present and/or has contact that may pose a risk to the health and safety of clients in care.

On 01/25/24, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator, Filomena Taylor. “Based on evidence obtained during the course of this investigation, the Department has Substantiated that an individual who has been convicted of a crime for which registration Assignment of the investigation: as a Registered Sex Offender (RSO) is required, is residing at the facility or has presence/contact that may pose a risk to the health and safety of the client(s) in care at a facility licensed by the department. This is a factual determination based on all the facts and circumstances of the case.” Based on this information, citation has been issued per CCL, Title 22 regulations. Exit interview conducted. Appeal Rights and copy of the report provided. Substantiatedthe state’s words, verbatim · CDSS document, Jan 25, 2024 · control 59-AS-20240125102540

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87356(a)(1) · Plan of correction due date: Jan 26, 2024

87356-Criminal Record Exemption (a) The Department shall notify a licensee to act immediately to terminate the employment of, remove from the facility licensee shall comply with the notice.... (1)Any person who has been convicted of, or is awaiting trial for, a sex offense against a minor; this requirement is not met as evidenced by; Based on evidence obtained during the course of this investigation, the Department has Substantiated that an individual who has been convicted of a crime for which registration as a Registered Sex Offender (RSO) is required, is residing at the facility or has presence/contact that pose immediate a risk to the health and safety of the client(s) in care .the state’s words, verbatim · CDSS document, Jan 25, 2024

Plan of correction: Licensee/Administrator shall ensure that No individual who has been convicted of a crime for which registration as a Registered Sex Offender (RSO) is required, is residing at the facility or has presence/contact with clients/ residents in any manner. Civil Penalties shall be assessed if POC requirements are not met.