D&C Angels Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Lariza Ramos, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6), a current census of (6). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility does not have a swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) resident bathrooms measured between 109 and 109.4 degrees F. Four (4) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, administrator certificate, facility sketch, resident roster, personal rights, emergency disaster plan and telephone numbers, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. Medication was pre-poured for the following day, deficiency issued. Record Review: Five (5) Staff files reviewed were observed to be complete. Six (6) Resident files reviewed were observed to be incomplete, with five (5) residents had missing needs and service plans, deficiency issued. Based on observations and record review two (2) deficiencies and both Technical Assistance and Technical Violations were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along with LIC 809D, LIC 9102, and Appeal Rights were discussed and provided to Administrator Lariza Holcomb at the conclusion of the visit.the state’s words, verbatim · CDSS document, Mar 6, 2026

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Lariza Holcomb, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6), a current census of (6). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility does not have a swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) resident bathrooms measured between 106.1 and 108 degrees F. Four (4) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, administrator certificate, facility sketch, resident roster, personal rights, emergency disaster plan and telephone numbers, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. A MAR for all residents for half the month of February and March was not created or marked off after administration, deficiency issued. Record Review: Three (3) Staff files reviewed were observed to be complete. Three (3) Resident files reviewed were observed to be complete. Based on observations and record review one (1) deficiency and a Technical Assistance was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along with LIC 809D, LIC 902, and Appeal Rights was discussed and provided to Administrator Lariza Holcomb.the state’s words, verbatim · CDSS document, Mar 6, 2025

The state marks this report as 4 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

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Lariza Holcomb Ramos, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (5) residents in care. The facility has a hospice waiver for (4) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility's outdoor activity area is fenced and sufficient for residents. The facility's indoor activity area has sufficient lighting and is maintained at a comfortable temperature for residents. Resident’s bathrooms are operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured 118 to 119 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. The facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Ombudsman poster, facility license, disaster evacuation plan and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Sharps, pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision: Facility has 24-hour staff supervision. Staff working have criminal record clearances or exemptions through the Department. Record Review: Administrator's certification expires on 7/18/2024. LPA review of staff files reveal, staff #1 (S1) did not have a complete health screening with tuberculosis results on file. LPA review of resident files reveals, resident #1 (R1) did not have documentation of a complete preappraisal assessment on file. Medical Related Services: The facility has a complete first aid kit with first aid manual. All medication is centrally stored and kept in a locked cabinet. Based on LPA observations and record review, deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where reports LIC809, LIC809-D, and LIC9102 were discussed and copies with Appeal Rights were provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 16, 2024

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.