La Posada II

Allegation investigated: Staff did not prevent a resident from wandering from the facility

On 02/27/2026 Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to deliver findings for the above allegation. LPA discussed the purpose of the visit Licensee/ Administrator, Ruth Chinovsky. . The allegation that staff did not prevent a resident from wandering from the facility: LPA interviewed staff and reviewed records. LPA reviewed R1's physician report which stated that Resident 1 (R1) has dementia. Interviews with staff revealed that the repair person left the front gate open and R1 left the facility. The facility submitted an incident report to the Department regarding Resident 1 (R1). Based upon interview and record review, this allegation is SUBSTANTIATED. SUBSTANTIATED is defined as the complaint allegation(s) is valid and a violation has occurred based on the preponderance of available evidence. A deficiency will be cited. An exit interview was conducted where this report LIC9099, LIC9099D and Appeal Rights were discussed, and a copies were provided to Licensee/Administrator, Ruth Chinovsky. Substantiatedthe state’s words, verbatim · CDSS document, Feb 27, 2026 · control 56-AS-20260201232542

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87463(c) · Plan of correction due date: Feb 28, 2026

87463(c)Reappraisals (C) Behavioral expression... that may result in harm to self or others, such as unsafe wandering, elopement, hallucinations, lacking in hazard awareness, or lacking in impulse control. This requirement was not met as evidenced by: Based on interview and record review, the licensee did not comply in the section cited above by not ensuring that Resident 1 (R1) did not leave the facility unassisted, which posed an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 27, 2026

Plan of correction: Licensee/Administrator will conduct a training on Dementia and put other procedures in place to ensure that residents can wander safely and submit proof to LPA by Plan of Correction due date (POC).

Type of visit: POC

On 02/27/2026 Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to clear deficiencies cited on 1/26/2026, for the regulation 87555(b). LPA met with Licensee/Administrator, Ruth Chinovsky and explained the purpose of the visit. During the visit LPA was accompanied by the licensee and observed the kitchen pantry and the outdoor pantry storage area. LPA observed the canned and dried goods to be of good quality, within the use by or sell by date and in sufficient quantities for residents in care. During today's visit no deficiencies were cited. An exit interview was conducted where a copy of this report LIC809, was provided to the Licensee.the state’s words, verbatim · CDSS document, Feb 27, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to clear deficiencies cited on 1/26/2026, for regulations 87309(a) and 87303(e)(6). LPA met with Licensee Ruth Chinovsky and explained the purpose of the visit. During the visit LPA Farlow was escorted on a tour of the facility by Licensee Ruth. During todays visit no deficiency were cited. An exit interview was conducted where copy of this report LIC809, were provided to Licensee Ruth Chinovsky.the state’s words, verbatim · CDSS document, Feb 6, 2026

Type of visit: Required - 1 Year

On 01/26/2026 at 9:10AM, Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with Administrator/Licensee, Ruth Chinovsky and introduced self and stated the purpose of the visit. LPA observed seven (7) residents in care. The facility has 6 bedrooms, 3 bathrooms, kitchen, dining area, living room, office, laundry, attached garage, swimming pool and backyard with 1 shed. LPA completed a walk through of facility, review of records and medications audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 76 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 120 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguishers and first aid kit. Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, and other dangerous items were kept locked and inaccessible to residents. LPA observed a knife unlocked in the utensils drawer. A deficiency will be cited. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There are no firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for residents in care. LPA observed multiple canned and dried goods in the kitchen pantry and food storage area in the backyard exhibiting expired dates. A deficiency will be cited. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left side of the house that leads into the backyard, one shed used for storage and one inaccessible swimming pool with locked self latching gate observed. Record Review: LPA reviewed staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed files to be complete. Four (4) deficiencies and Two (2) Technical Violations were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, , LIC809D, LIC9102TV and Appeal Rights were discussed and copies were provided to Administrator/Licensee, Ruth Chinovsky.the state’s words, verbatim · CDSS document, Jan 26, 2026

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 01/06/2025 at 8:40AM, Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with Administrator, Ruth Chinovsky and introduced self and stated the purpose of the visit. LPA observed four (4) residents in care. The facility has 6 bedrooms, 3 bathrooms, kitchen, dining area, living room, office, laundry, attached garage, swimming pool and backyard with 1 shed. LPA completed a walk through of facility, review of records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 76 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 120 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguishers and first aid kit. Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There are no firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left side of the house that leads into the backyard, one shed used for storage and one inaccessible swimming pool with locked self latching gate observed. Record Review: LPA reviewed staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. No deficiencies were cited during this visit. A Technical Assistance was given to assist with the organization of distributing medication. An exit interview was conducted where this report LIC809, LIC809C and LIC9102 were discussed and copies were provided to Administrator, Ruth Chinovsky.the state’s words, verbatim · CDSS document, Jan 6, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: POC

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced Proof of Correction (POC) visit for a deficiency cited during the facility's last annual inspection conducted on 12/12/2023. During today's visit, LPA reviewed facility records and conducted a staff interview. Deficiency 1569.618(c)(3) has been cleared. Licensee complied with the terms of the POC as LPA reviewed completed required CPR/First Aid training completed on/or before 01/04/2024. Letter of Cleared POC were issued during today's visit. This report was reviewed with and a copy was provided to Mrs. Chernovsky.the state’s words, verbatim · CDSS document, Feb 28, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Anna Bueno made an unannounced visit to conduct a required annual inspection. LPA was greeted by licensee Ruth Chernovsky who was informed of the purpose of the visit. LPA and licensee toured the interior and exterior of the facility. Physical Plant and Safety of Environment/Operational Requirements: LPA observed a fenced pool area with a locked gate. LPAs observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature for the residents. Lighting is sufficient for safety and comfort. Water temperature measured to be comfortable for residents. Laundry facilities and locked cabinets were present for storing laundry soap and other chemicals. Fire extinguishers are charged and last inspected on 02/03/23. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. There is a working telephone at this location. The LIC 610E, emergency disaster plan is maintained. The facility has a current written definitive plan of operation. The facility is maintained in conformity with the regulations adopted by the state fire marshal. Personnel Records/Training/and Staffing-. LPA reviewed employee records for fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. LPA did not observe current first aid certification, certifications expired in 2021. This poses a potential health and safety concern for clients in care. Resident Records/Incident Reports/Personal Rights/Residents with Special Needs/Incidental Medical and Dental: LPA reviewed resident records and found that they contained records including, admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, safeguard for personal property/valuables, and personal rights notification. The facility is meeting documentation requirements. Resident Rights are posted in the facility and a copy is signed on file. During the visit, facility staff completed the centrally stored medication. LPA did not observe necessary records for PRN medication and administration. This poses a potential health and safety risk to clients in care. Food Service: LPA Bueno was present during dinner time. LPA observed the meal is adequate to meet the nutritional needs of the residents, including a service of vegetables, protein, and scalloped potatoes. Food prep areas are clean and organized. Food supply meets the requirement of one week supply of nonperishable and 2-day supply of perishables food on hand. LPA Bueno made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors were tested by Licensee Chirnovsky while LPA Bueno tested the bedroom hallways carbon monoxide detectors. All units were found to be operational. Based on the information received during this visit today, the following deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. Refer to LIC 809D for cited deficiencies. This report and LIC 809D were reviewed with and a copy provided to the facility representative. Appeal Rights were also provided at the time of the exit interview.the state’s words, verbatim · CDSS document, Dec 12, 2023