Curly Anne's Residence

Type of visit: Required - 1 Year

On May 18, 2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the annual inspection visit. LPA initially met with staff on duty, Maria Corazon Mayberry (S1) and explained the purpose of the visit. The licensee, Mary Anne De los Santos (AD) was notified and arrived shortly after. Present during this visit were 6 residents in care with 2 staff on duty (S1, S2) Overview: Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 non-ambulatory elderly residents. Facility does not have clearance for bedridden, delayed egress, and/or locked interior/exterior. Facility does not manage resident cash resources. Facility has a hospice waiver for 3 residents. Physical Inspection: Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 5 resident bedrooms and 3 bathrooms. Each bedroom has its own exit to the outside. Bathrooms are equipped with non-skid flooring; faucet, toilet and shower are in working condition. Hot water temperature was 105 degrees Fahrenheit in one of the bathrooms. Room temperature was maintained at 72 degrees Fahrenheit throughout this visit. Advisory provided to obtain a commode for the bathroom labeled “staff” in placed of a grab bar. Fire extinguisher was observed in the dining/living area and last serviced on 4/1/26. LPA observed adequate amount of linen and towels supplies. {1 of 2} In the kitchen, LPA observed at least 7-day nonperishable and 2-day perishable food items. LPA observed proper food storage as evidenced by food containers labeled with date. Knives and other sharps were locked in drawer. Refrigerator and freezer were maintained at regulatory temperatures. In the refrigerator door (left side), LPA found a liquid medication labeled Nyguil that belonged to staff. This was observed to be accessible to residents in care. The small refrigerator located on the kitchen counter where they keep insulin did not have a lock. During this visit, AD obtained a locked box for these medication and placed it in the refrigerator. The exit at the kitchen area going to the backyard did not have a ramp. Advisory was provided to AD to obtain a ramp for this exit. Outdoor area was inspected. Advisory was provided to trim the vegetation on both of the walkways to the exit gates. During this visit, staff were trimming the plants. Fence on the left side when facing the house, it was leaning. Advisory was provided to fix this side of the fence. No bodies of water were observed at this time. Advisory was provided to ensure there is a shaded area for outdoor activities. AD stated she will replace the cover of the patio shade. Record Reviews: Review of 3 of 6 resident (R1, R2, & R3) files was conducted, including but not limited to, review of Admission Agreement, Physician Reports, Centrally Stored Medication Record and Ambulatory Status. Advisory was provided to AD to obtain PRN Authorization Letter, even for those residents that do not have PRN medications. Advisory was provided to ensure all residents have their care plan updated annually. Advisory was provided to update restricted health care plan for those residents with restricted health care condition. Medication reviews were conducted for 3 residents. No issues at this time. Review of 4 staff files included but not limited to background clearance, first aid/CPR certification, and training. Interviews: conducted with 1 resident and 1 staff on duty. Documents Requested: LPA requested a copy of updated Liability Insurance Certificate, LIC500, and LIC308. Per the California Code of Regulations, Title 22, Division 6, deficiencies were cited and advisories were provided. Exit interview was conducted with AD. A copy of the report was provided upon exit. {2 of 2}the state’s words, verbatim · CDSS document, May 18, 2026

The state marks this report as 10 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct an annual inspection. LPA Campbell met with Mary Ann De Los Santos, Licensee and explained the purpose of the visit. During the visit, LPA Campbell observed residents engaged in activities with other residents and staff. The facility is a one story Residential Care Facility for the Elderly licensed (#342700772) to service adults over the age of 60. Six of the residents may be non-ambulatory and there is a hospice waiver for three residents. There are three bathrooms and five bedrooms within the facility. LPA Campbell toured the facility and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas to ensure there are no safety hazards for residents. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 72 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature was measured at 107 degrees Fahrenheit (F), which is within the required range of 105 and 120 degrees. The refrigerator temperature was set at 43 degrees F. The freezer was a -4 degrees F. The backyard was toured by LPA Campbell and pathways and exits were found to be clear. The backyard grass was kept mowed and there was a lemon tree. A garden hose was observed to have been unwound but it lay close to the perimeter of the home and was not a tripping hazard. LPS Campbell did require that the hose be wound and stored on the garden hose reel before leaving the facility and reminded the licensee to always keep the hose stored on the reel. LPA Campbell observed first aid supplies (tweezer, scissors, thermometer and first aid manual) and a fully-charged and up-to-date fire extinguisher that was last inspected on 03/31/2025, and a working carbon monoxide/smoke detectors. LPA Campbell observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Campbell observed locked closets and cabinets for the storage of medication in the kitchen cabinet. Of the 7 staff, LPA Campbell reviewed files for 4 and found the files to be complete. All staff were also found to be associated to the facility. For the 6 residents, 4 of their files were reviewed and they were found to be complete. Per California Code of Regulations (CCR's) - Title 22, Division 6, Chapter 6, no deficiencies are being cited. An exit interview was conducted with Mary Anne De Los Santos, Administrator. A printed report was provided.the state’s words, verbatim · CDSS document, Apr 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct an annual required inspection. LPA met with facility staff Jennifer L., and explained the purpose of the visit. Facility staff contacted the Administrator of LPAs arrival and arrived to the facility later during the visit. LPA Valerio toured the facility to ensure compliance with Title 22 regulations. LPA Valerio observed 5 resident bedrooms, 2 bathrooms, common areas, kitchen/dinning room area, laundry area, and exterior area. Resident bedrooms were clean, organized, free from odors, and fully furnished. Resident bathrooms were clean and equipped with skid matts, hand rails, hand soap, hand sanitizer, paper towels, toilet paper, and a trash can. Common areas were observed to have enough places to sit to conduct activities and/or family visitation. The kitchen was observed to be clean and free from debris. The facility had a food supply that met the minimum requirements of two days of perishable food items and seven days of nonperishable food items. The facility also had an emergency supply of food, water, and supplies. A first aid kit was observed. Chemicals, toxins, medications, cleaning supplies, and sharps were locked away and inaccessible to residents in care. The fire extinguisher was last serviced on 04/01/2024. No emergency exits were obstructed. Residents were observed watching television, being assisted by staff members, doing individual exercises with staff, and being visited by family members. LPA Valerio reviewed facility files; 3 resident files and 2 staff files. Resident files were up to date with current information, assessments, and care plans. Staff files were up to date and had required annual training. LPA Valerio requested the following annual documentation be sent to the Regional Office: LIC 500, LIC 308, LIC 610, Liability Insurance, and Administrator Certificate Per California Code of Regulations (CCR) - Title 22, no deficiencies are being observed today. An exit interview was held, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Apr 9, 2024