Vineyard Senior Retreat

Type of visit: Required - 1 Year

On September 23, 2026, at 9:00 AM, Licensing Program Analyst (LPA) Sulma Lopez arrived unannounced at the facility to conduct an annual required inspection. LPA Lopez met with staff Kameka Cunningham and explained the purpose of today's visit. The Administrator 1 (A1) Marcela Sparatiu arrived shortly after. The Administrator holds current certificate #7001732740 and expires on August 8, 2027. The facility is licensed for 6 non-ambulatory residents. There are currently 6 residents who reside at this facility. The facility has an approved hospice waiver for 6. At 9:10 AM, LPA conducted record reviews of 3 staff and 6 resident files. Resident files contained all the required components including Health Screen Reports, TB Test Records, Pre-placement appraisals, and current reappraisals. The staff files were observed to be contain Health Screen Reports, TB Test records, and updated training records. At 9:40AM, LPA reviewed residents' medication administration records. Medications were stored in a locked cabinet. The facility uses a MAR sheet to record all dispensed medication to residents. At 10:00AM, LPA toured the facility with A1. The facility was clean, safe, and in good repair. The LPA observed residents watching television in the living room and other residents enjoying their breakfast at the dining table. The facility dining room and living room areas were clean and free of odors. The LPA observed enough seating available for the current census. The facility restrooms were clean and sanitary. The showers contained slip- resistant mats and grab bars for resident safety. The resident bedrooms were observed to be clean and contained furniture that was in good repair. The beds contained clean bedding. Continued... The LPA toured the laundry room which was locked and made inaccessible to residents. The room contained toxins and cleaning supplies which were kept out of resident reach. The LPA observed 2 linen closets containing clean towels, blankets, and bedsheets. The kitchen was clean and contained cooking appliances that were in good working condition. The kitchen contained non-perishable food items up to 7 days, and at least 2 days worth of perishable foods. The kitchen also contained fresh fruit on the counters. The facility has a menu posted on the refrigerator door. LPA observed locked cleaning supplies stored under the kitchen sink. Sharps were observed to be stored in a locked kitchen cabinet. The facility temperature was 76 degrees. The hot water temperature was 113 degrees. The facility's smoke and carbon monoxide detectors were located on the ceilings and in each resident bedroom. The fire extinguishers were serviced annually on June 22, 2026. The exterior of the facility was clean and free of debris. The LPA observed a shaded seating area available for resident use. The walkways were free of obstructions. The side exit and perimeter fence were in good repair. The LPA requested the following documents to be mailed/ faxed to the Regional Office within 15 days: - LIC 500 Personnel Report, LIC 308 Designation of Facility Representative, LIC 610E Emergency and Disaster Plan, Copy of Liability Insurance Certificate. As a result of this annual inspection, the facility is in compliance with Title 22 Regulations. An exit interview was conducted, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 23, 2026

Type of visit: Required - 1 Year

On 9/22/24, Licensing Program Analyst (LPA) Cynthia Tamayo arrived unannounced to conduct a required - 1 year inspection visit. Was met by staff1 (S2) and explained the purpose of the visit, S2 called administrator, Marcela Spatariu (S1). S1 arrived around 9:20 AM. An entrance interview was conducted and S1 assisted with today’s inspection. Administrator certification #7001732740 expires 8/8/27. The facility is licensed to serve up to 6 non-ambulatory residents. Hospice approved for 6. Current census is 5. LPA observed 4 residents and 2 staff were present during this visit. LPA toured the facility with Marcela Spatariu. LPA toured the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms; resident bathrooms, laundry room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility is clean and in good repair. LPA observed required furniture and lighting throughout the facility. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. The hot water temperature was measured at 118.2*F which was within the required range of 105-120*F. The temperature inside the facility measured at 78*F which was within the required range of 68-85*F. LPA observed the centrally stored medications area to be locked and inaccessible to residents. LPA observed the fire extinguisher(s) and first aid kits were up to date. LPA observed smoke and carbon monoxide detector(s) in the facility were in good repair. Proof of current liability insurance was observed. LPA observed an activity calendar posted in the kitchen area. Continues on 809-C Exterior passageways were clean and clear of any obstructions. There is a patio area with table and chairs with an umbrella available for client and visitor use with furniture observed to be in good condition. Clients are supervised at all times when they are outside. There is one gate with a self-latching mechanism for persons to exit the backyard in emergencies. LPA observed a locked shed which contains general equipment and supplies. LPA requested resident and staff files for review. LPA reviewed (2) staff files and (6) resident files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. The following forms and documents were received and will be added to the facility file: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, Copy of Administrator Certificate, LIC 610 Emergency Disaster Plan and Proof of Current Liability Insurance. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were cited. An exit interview was conducted, and a copy of this report was provided upon exitthe state’s words, verbatim · CDSS document, Sep 22, 2025

Type of visit: Required - 1 Year

On 9/17/24, Licensing Program Analyst (LPA) Tung Truong arrived unannounced to conduct a required - 1 year inspection visit. LPA met with Administrator Marcela Spatariu and explained the purpose of the visit. Administrator certification expires on 8/9/2025. The facility is licensed to serve up to 6 non-ambulatory residents. Hospice approved for 6. Current census is 5. LPA observed 4 residents and 2 caregivers present during this visit. LPA toured the facility with Marcela Spatariu. LPA toured the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms; resident bathrooms, laundry room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility is clean and in good repair. LPA observed required furniture and lighting throughout the facility. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. The hot water temperature was measured at 118*F which was within the required range of 105-120*F. The temperature inside the facility measured at 78*F which was within the required range of 68-85*F. LPA observed the centrally stored medications area to be locked and inaccessible to residents. LPA observed the fire extinguisher(s) and first aid kits were up to date. LPA observed smoke and carbon monoxide detector(s) in the facility were in good repair. Proof of current liability insurance was observed. LPA requested resident and staff files for review. LPA reviewed (3) staff files and (4) resident files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. The following forms and documents were requested to be submitted within 15 days: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, Copy of Administrator Certificate, LIC 610 Emergency Disaster Plan and Proof of Current Liability Insurance. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were observed. An exit interview was conducted, and a copy of this report was provided upon exitthe state’s words, verbatim · CDSS document, Sep 17, 2024