Silver Pines Care Home II

Type of visit: Annual/Random

Unannounced Annual Inspection visit was made by Licensing Program Analyst (LPA) Kimberly Viarella to this facility on 09/01/26. LPA identified herself upon arrival, stated the purpose of the visit, and asked to speak with Licensee/Administrator. Staff phoned Debbie Loesch and she arrived shortly after. The two toured the facility. The inspection began in the kitchen. All knives and sharps were locked and inaccessible to residents in care. The food supply was adequate for 2-day perishable and 7-day nonperishable. The fire extinguisher was last serviced on 07/08/26 by Sacramento Fire Company and was also in compliance. LPA observed breakfast being prepared for and served by 3 permanent staff and 1 ex-tern from a local college and to 4 of 6 of the residents. Each was served what they wanted based on their personal preferences. LPA inspected the resident 5 bedrooms,1 staff office, 2 living rooms, the laundry room, a storage room and garage. All resident rooms had the required furniture, furnishings and lighting to be in compliance at this time. LPA also observed a closet full of activities for residents to enjoy. LPA inspected the two resident bathrooms and noted trash cans with lids, grab bars in the bathrooms, and non-skid surfaces in the shower unit. LPA was told that all residents required assistance in the bathroom and soap and towels were brought in by staff each time. The exterior of the building was inspected by the LPA. There were no bodies of water present and the yard was completely fenced in. LPA observed that all screens and gutters were in good repair. There was a locked storage shed as well. Loesch unlocked the shed for this LPA to inspect. It contained yard maintenance equipment. There was also a covered area with furniture for residents to enjoy. This morning LPA observed one of the resident’s enjoying sitting on one of the sofas after having their breakfast. The LPA observed medications were stored in a large locked cabinet in the laundry room and inaccessible to residents in care. A review of the First Aid kit by the LPA found it to be complete and in compliance. LPA compared Guardian Roster to the LIC 500 to ensure that all staff were appropriately background cleared as required. All were in compliance at the time of this inspection. A file review was completed by the LPA. The review of 2 resident' files and 2 staff files were completed. All were in compliance at the time of this inspection. LPA observed that the mandated reporter form needed to be updated as the one staff had been filling out was last revised in 2015. The Administrator stated thewill print out new copies for all staff to review and sign. According to the California Code of Regulations, Title 22, no deficiencies were cited during today's inspection. A copy of this report was provided and an exit interview was conducted with the Administrator.the state’s words, verbatim · CDSS document, Sep 1, 2026

Type of visit: Required - 1 Year

On 7/29/2025, Licensing Program Analyst, Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their annual inspection visit. LPA initially met with staff on duty, and stated the purpose of the visit. The Administrator Debbie Loesch was notified and arrived shortly after. The Assistant Administrator, Ingrid Meyer, also arrived during the annual. Overview: Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 4 adult residents, ages 18 to 59, all ambulatory only. Facility is also vendored by Valley Mountain Regional Center. Facility has 4 resident bedrooms and two resident bathrooms, and one staff room. Initial Observation: Upon arrival LPA observed 2 staff on duty with 5 residents in care. Per staff, one resident was out in the community. One resident was sitting at a reclining chair in the living room. Other residents were in their bedroom. LPA observed required posters and facility license at the entrance. Room temperature was at 74 degrees Fahrenheit upon arrival. Physical Inspection: Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 6 resident bedrooms and were observed to be equipped with the required furniture and sufficient lighting throughout. LPA measured the hot water temperature in the 1 of the bathrooms to be at 112 degrees Fahrenheit. Resident bathrooms were observed to be in clean and good repair at this time. {Con't to 809-C} {Con't from 809} Fire extinguisher was observed in the kitchen area and was last inspected on 1/3/2025. Smoke and carbon monoxide detectors were observed throughout. LPA observed centrally stored medications, toxins, and sharp objects were kept locked and inaccessible to residents in care. In the kitchen area, LPA observed sufficient seven day non-perishable and two day perishable food supplies. Pantry was observed to be stocked with non-perishable food items. Additional food items were observed in the garage area. Proper storage of food items were observed. Kitchen refrigerator and freezer were maintained at regulatory temperature. Outdoor area was inspected. LPA observed outdoor furniture for resident use. LPA observed goats in the backyard. Ramps were observed to be in good repair at this time. Emergency walkways were observed to be unobstructed. No bodies of water were observed at this time. Record Reviews: Review of 3 of 3 resident files (R1, R2, R3) was conducted, include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. No issues were noted at this time. Medication review of 2 residents (R1, R2) include review of physician orders for over-the-counter medications. Facility does not handle resident cash. No issues were noted at this time. Review of 3 staff files (S2, S3) include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. No issues were noted at this time. LPA also reviewed fire drill/disaster drill records; facility conducts monthly drill. Last drill was on 7/15/25. LPA reviewed Infection Control Plan and Emergency Procedure Plan. Advisory was provided to review these plans at least annually. LPA requested a copy of current Liability Insurance Certificate, LIC500 and LIC308 during this visit. Interviews: LPA interviewed 1 staff during this visit. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were cited. Exit interview was conducted with S1. A copy of the report was provided upon exit.the state’s words, verbatim · CDSS document, Jul 29, 2025

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 7/16/24, at 10am, Licensing Program Analyst (LPA) Arvin Villanueva arrived to the facility unannounced to conduct an annual required visit. LPA met with Debbie Loesch, Administrator (ADM), and explained the purpose of the visit. During this visit, present were 5 residents in care and 6 staff. The facility is a one-story home located in a residential neighborhood. LPA and ADM toured the facility to ensure compliance with Tile 22 regulations. LPA observed 5 resident bedrooms. Bedrooms were equipped with a bed, chair, lamp, dresser, and closet space. No emergency exits were obstructed. Resident bathrooms were observed to be clean and had required items. Medications, sharps, and cleaning supplies were observed to be locked and inaccessible to residents in care. Common areas were clean and free from debris. LPA observed a covered patio with outdoor furniture. Fences and gate were observed to be in good repair. Hot water temperature was measured at 109*F. Room temperature was observed at 75*F. Carbon monoxide and smoke detectors were observed and tested and found to be operable. Food supplies were observed to be properly stored. Facility maintains 2-day perishable and 7-day nonperishable food supplies. Oxygen signage was observed. Fireplace was observed to be screened and not in use. Today was the facility's grocery day. Staff were observed to be completing ADLs, assisting residents, and preparing lunch. Residents were observed watching TV, and some were inside their room watching television. LPA reviewed 5 staff files and 5 resident files. Technical assistance (TA) was provided to complete ongoing training and ensure all required staff files are maintained. For resident files, TA was provided to ensure facility maintains a complete resident files including updating Needs and Services Plan, ensuring signatures were completed, and PRN authorization to be obtain for each resident, medical assessment of ambulatory status is accurate. LPA reviewed 2 of 6 residents medications. Per review of disaster procedure, facility conducts monthly fire drills. No health or safety concerns were observed during this visit. LPA requested a copy of the following documents to be emailed by 7/18/24: updated LIC500, LIC308 and current Liability Insurance Certificate. Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, no deficiencies were observed. An exit interview was held, and a copy of the report was providedthe state’s words, verbatim · CDSS document, Jul 16, 2024