St. Joseph's Home

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Becky Mann and Matthew Aguilar conducted an unannounced required 1-year visit to the facility. LPA met with Muhamad Hamad, Staff Manager and discussed the purpose of the visit. The facility is an Residential Care Facility for Elderly (RCFE). Licensed capacity of 8 with a current census of 8. LPAs conducted an overall inspection of the facility, which included, but was not limited to the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature 69 degrees Fahrenheit. LPAs inspected resident bedrooms; they are equipped with the required furniture such as beds, mattresses, night stands, storage space, chairs and sufficient lighting. Bathrooms were clean and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. The hot water temperature tested 118 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents. All the sharps are locked. There was a designated area for resident/staff files. Overall, the facility is clean, in good repair, and operating in a safe condition for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for the number of residents. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPAs reviewed (4) resident files for admission agreements, updated physician reports, and needs and services plans. Resident files are maintained and up to date. LPA reviewed (2) resident medications. LPAs was unable to determine when bubble packs were started and it was not consistent with Medication Administration Record (MAR). Deficiency cited. Medications are kept locked and inaccessible to residents LPAs reviewed (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Facility staff records are up to date. Based on the observations made during today’s visit, 1 deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D was discussed and provided to House Manager Muhamad Hamad.the state’s words, verbatim · CDSS document, Sep 2, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 87465(e) · Plan of correction due date: Sep 3, 2026

87465 (e)For every prescription and nonprescription PRN medication which licensee provides assistance shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, a label on the medication. Requirement was not met: Based LPA observations and record reviews, bubble packs are not consistent with Medication Administration Record (MAR). LPA was unable to determine when staff administered medication to residents, which poses immediate health, safety to persons in carethe state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: House Manager will train staff on how to use MAR (Medication Administration Record) and bubble packs to determine when medications are being administered. House Manager will submit proof training to LPA by Plan of Correction (POC) due date

Allegation investigated: Staff does not provide a comfortable environment for the residents. Staff records are incomplete.

On 07/23/2026, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility in order to deliver findings for the above allegations. Facility Administrator Ebraheem Hamed was informed of the visit and LPA Singh discussed the purpose of the visit with Administrator, Ebraheem Hamed. The investigation consisted of interviews and records review. At the time of the visit there were two (2) staff and five(5) clients present, three (3) clients were attending Day Program. First Allegation:-Staff does not provide a comfortable environment for the residents. LPA Singh interviewed staff and residents at the facility and five(5) out of five(5) residents interviewed stated that facility do provide them comfortable environment and no staff is bringing any children in the facility. Furthermore, these residents affirmed that the facility is safe and noted that the staff consistently assists them whenever aid is required. Overall, the facility is clean, in good repair, and operating in safe conditions for clients. Unsubstantiated Second Allegations:-Staff records are incomplete. During the Staff file review, LPA Singh reviewed, three(3) staff and administrator records, to verify compliance with personnel requirements. Record review confirmed that all required First Aid and CPR certifications, criminal record clearances, annual training records, health screenings and employment contracts were fully up to date for staff and administrator files. During the investigation, LPA Singh was not able to find sufficient evidence to corroborate the allegation. Statements, records, and interviews obtained did not provide sufficient information to corroborate the allegation. Based on the evidence found during the investigation, the allegations listed above Staff does not provide a comfortable environment for the residents and Staff records are incomplete are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report LIC 9099, 9099 C was discussed and provided to Miquel Sarabia, Staff/Caregiver, facility representative, at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 23, 2026 · control 56-AS-20260202114153

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA's) Bernadette Allen and Becky Mann made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection LPA's met with Josephine Rodriguez-Administrator At the time of the visit there was two (2) staff present, two (2) clients present and four (4) clients were attending Day Program. The facility has four (4) bedrooms and four (4) bathrooms a kitchen/dining area, living room. LPA's were accompanied by Facility Administrator, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA's inspected clients bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA's observed sufficient furniture and lighting throughout the facility. LPA's measured and observed the water temperatures in the bathrooms to be at 105.2-111 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide detectors. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in the open office area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Food Service: Non-perishable and perishable food supply are sufficient for number of clients in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA's reviewed two (2) client files for admission agreements, updated physician reports, and needs and services plans. The residents files were missing/not current as required by CCL a technical advisory has been issued requiring the clients files to be updated. The administrator was also provided the entrance checklist LIC9123. The licensee has also agreed to update all clients files with their updated physicians reports and MARS for 2024. LPA's also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screening and all appeared to be current. Medications are locked inside the closet in the main entrance area. Overall, the facility is clean, in good repair, and operating in safe conditions for clients.. An exit interview was conducted where this report was discussed and provided to Josephine Rodriguez- Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 5, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.