Maemar Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Mayanne Matias and introduced self and stated purpose of the visit. LPA was informed that there are currently 6 residents in care who are in the facility. Mayanne phone called Administrator, Cristina Duarte to inform her about the visit and stated that she will arrive shortly. The facility has 6 bedrooms, 3 bathrooms, kitchen, dining area, living room, office area, laundry room, pantry room, attached garage, and backyard with a shed. LPA completed a walk through of facility, and review of records. 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 of 72 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA observed that a resident is sleeping in a bedroom approved for staff only. Deficiency with civil penalty issued. LPA observed a nonambulatory resident sleeping in an ambulatory approved bedroom. Deficiency issued with civil penalty. 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, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman and CCL complaint poster were posted in a common area. LPA observed that the rights of resident councils was not posted. Technical violation issued. There was a designated storage space for resident/staff files and medication. There is no swimming pool, bodies of water, guns or ammunition in the facility. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. Overall, the facility is clean and in good repair for residents in care. LPA observed that the main entrance door had a lock from the inside which had to be unlocked with a key in order to enter/exit the facility. Deficiency with civil penalty issued. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a wide variety of food available for residents. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard, and 1 shed used for storage. All outdoor pathways were free of obstructions. 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 resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed that the resident records were incomplete due to missing signatures on admission agreements, no POLST records, no preappraisals, and no needs and services updated. Deficiency issued. LPA also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA audited medication at random. LPA observed that the facility did not have current and updated medication records for all residents. Deficiency issued. LPA reviewed the facility's infection control plan, emergency disaster plan, emergency drills, and liability insurance. LPA observed that the facility did not have an Infection Control Plan. Deficiency issued. LPA observed that the emergency disaster plan did not have a signature and date of the last revision/update. Technical violation issued. LPA observed that the facility did not have proof of oxygen report sent to the local fire jurisdiction. Technical violation issued. Deficiencies, technical violations and civil penalties were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102TV, LIC421IM, LIC421FC and appeal rights were discussed and copies were provided to Administrator, Cristina Duarte who later arrived.the state’s words, verbatim · CDSS document, Jun 16, 2026

The state marks this report as 10 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct a health and safety case management visit to the facility. LPA met with Staff, Mayanne Matias and introduced self and stated purpose of the visit. LPA was informed that there are currently 4 residents in care who are in the facility. During today's visit, LPA conducted a health and safety inspection, reviewed records, and did a walk-through of the facility. LPA found no current issues. An exit interview was conducted where this report, LIC809 was discussed and provided to Administrator, Cristina Duarte who later arrived.the state’s words, verbatim · CDSS document, Oct 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Mayanne Matias and introduced self and stated purpose of the visit. LPA was informed that there are currently 5 residents in care who are in the facility. The facility has 6 bedrooms, 3 bathrooms, kitchen, dining area, living room, office area, laundry room, pantry room, attached garage, and backyard with a shed. LPA completed a walk through of facility, and review of records. 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 of 72 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, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman and CCL complaint poster were posted in a common area. There was a designated storage space for resident/staff files and medication. There is no swimming pool, bodies of water, guns or ammunition in the facility. Cleaning supplies, toxins, sharps, and other dangerous items were kept 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. Facility has a wide variety of food available for residents. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard, and 1 shed used for storage. All outdoor pathways were free of obstructions. 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 resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed two nonambulatory residents accomodated in ambulatory approved bedrooms. Deficiency issued. LPA also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA audited medication at random and appeared to be dispensed appropriately. LPA reviewed the facility's infection control plan, and emergency drills. LPA observed that the facility did not have proof of liability insurance. Deficiency issued. LPA observed that the facility did not have an emergency disaster plan. Deficiency issued. Deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, and appeal rights were discussed and copies were provided to Administrator, Cristina Duarte who later arrived.the state’s words, verbatim · CDSS document, Aug 14, 2025

Type of visit: Required - 1 Year

On 4/11/24, Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Administrator, Maria Lucas and introduced self and stated purpose of the visit. LPA was informed that there are currently 6 residents in care who are in the facility. The facility has 6 bedrooms, 3 bathrooms, kitchen, dining area, living room, family room, laundry room, medication room, attached garage, and backyard with a shed. LPA completed a walk through of facility, and review of records. 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 of 74 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA observed a urinal inside a resident's bedroom with urine inside and not discarded. Deficiency issued. LPA inspected resident bathrooms; bathroom were clean and appliances were found functional. Water temperatures tested at 110.1 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman and emergency disaster plans were posted in a common area. LPA observed a broken bedroom closet; medication accessible in the kitchen drawer, refrigerator and residents bedrooms; knives in kitchen sink and drawers; chemicals underneath the kitchen sink and inside the accessible laundry room; and dust accumulated in residents bedrooms. Deficiency issued. There was a designated storage space for resident/staff files and medication. There is no swimming pool, bodies of water, guns or ammunition in the facility. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a wide variety of food available for residents. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard, and 1 shed used for storage. All outdoor pathways were free of obstructions. 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 resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed incomplete resident records: outdated physician's reports and missing personal rights forms. Deficiency issued. LPA observed a bedridden resident record without an approved fire clearance. Deficiency with civil penalty issued. LPA also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed the emergency disaster plan not reviewed/outdated since 04/20/09. Technical violation issued. LPA discovered that the facility has not been conducting disaster drills. Deficiency issued. Deficiencies, one technical violation and one civil penalty were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102TV, LIC421IM and appeal rights were discussed and copies were provided to the administrator, Maria Lucas.the state’s words, verbatim · CDSS document, Apr 11, 2024

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.