Adora Care North

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Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Che Vang and was granted entry to the facility. At the time of the visit there was three (3) staff present, and five (5) residents present. The facility is a six (6) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, with an attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (5). LPA was 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 inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. 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 in care. There was a designated storage space for resident/staff files. Medications are kept inside hallway cabinet inaccessible to residents in care. 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 number of residents 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 reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator Che Vangthe state’s words, verbatim · CDSS document, Oct 20, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sarina Ramirez conducted an announced visit to the pending facility for the pre-licensing inspection. LPA met with applicant Che Liye Vang The pending application is for six (6) bedridden residents in a Residential Care Facility for the Elderly (RCFE). LPA toured the facility inside and out. The following was observed, reviewed, and inspected: there are six (6) bedrooms and three (3) bathrooms. There are no bodies of water. The physical plant, in general, was in good repair. Buildings and grounds are free from hazards. Indoor and outdoor passageways were free of obstruction. There is a charged fire extinguisher, operating smoke alarms, and carbon monoxide detectors. There is a locked area for medications, cleaning supplies, and sharps. LPA observed a working telephone and basic laundry equipment. Resident bedrooms had the required bedding and furniture. Bedrooms had sufficient lighting. LPA measured the hot water temperature in the resident bathrooms and it was 117 and 120 degrees F. The facility had a sufficient amount of linens and hygiene items for the clients. The facility had a sufficient amount of nonperishable and perishable food items. The food was kept in a safe and healthful manner. The facility menu was available for review. The freezer was -6 degrees F. The refrigerator was 40 degrees F. Dishes, glasses, and utensils were in good condition. The facility had a designated area for staff and resident records. Emergency disaster plans, personal rights, and complaint procedures were posted in a common area. The facility was equipped with a complete first aid kit and manual. There is adequate seating in the common areas. Facility had a supply of activities for the clients. Night lights were maintained in the hallways. Pre-licensing inspection is complete, and no corrections are needed to be made. Facility appears to be ready for licensure An exit interview was conducted where this report was discussed and provided to the applicant Che Liye Vang..the state’s words, verbatim · CDSS document, Oct 2, 2024