Caring Team Home Care

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 Nora Clemons, Administrator, and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6) non-ambulatory, and a current census of (6) residents. LPA conducted an inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. The facility is maintained at a temperature of 76 degrees fahrenheit (F). Five (5) Resident bedrooms were furnished with beds, bed linen, night stands, chairs, storage space, and sufficient lighting. Two (2) resident bathrooms were maintained clean and bathroom equipment were working properly. The hot water temperatures in the bathrooms measured at 115 and 119 degrees (F). The facility is equipped with smoke/carbon monoxide alarms, fully charged fire extinguishers, covered fireplace, first aid kit with manual, emergency lights and water, laundry equipment, and telephone service. Posters such as personal rights, the Community Care Licensing complaint poster, Ombudsman poster, emergency telephone numbers, and facility license were posted in common area. The Administrator was informed that the facility's annual licensing fees are due on September 14, 2026. Food Service: Kitchen and dining areas were maintained cleaned. Facility maintains a week of non-perishable and a two-day of perishable food supply for residents in care. Medications: Facility maintains records of resident's centrally stored medications and medications are stored in a locked cabinet. Record Review: LPA review of resident files reveals, resident #1 (R1) did not have documentation of a reappraisal conducted within 12 months on file. LPA review of staff files reveals, that the following documentation was not maintained in staff#1(S1) and staff#2 (S2) personnel files: a health screening with chest X-ray or intradermal results, and record of past employment history/experience. Based on LPA observations, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations (CCR). An exit interview was conducted where reports (LIC809, LIC809-C, LIC809-D) and correction plans were discussed. Copies of the reports with appeal rights were provided to Administrator Clemons at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 2, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Sep 16, 2026

87463(a)The pre-admission appraisal...shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition...and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal..this requirement is not met as evidenced by: The Licensee did not comply with the section cited above by resident #1 (R1) did not have documentation of a reappraisal conducted within 12 months on file, this poses a potential health, safety, and person rights risks to persons in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: The Administrator/Licensee shall provide to the licensing agency documentation of a current reappraisal for R1 by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87412(a)(7) · Plan of correction due date: Sep 16, 2026

87412(a)(7)The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:(7)Past experience, including types of employment and former employers; this requirement is not met as evidenced by: The licensee did not comply with the section cited above by not maintaining record of past employment history/experience for Staff#1 (S1) and Staff#2 (S2); which poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: The Licensee/Administrator shall provided to the Licensing Agency documentation of personnel record containing employment history/experience for staff#1 and staff #2 by POC due.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(f) · Plan of correction due date: Sep 16, 2026

87411(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician...this requirement is not met as evidenced by: The Licensee did not comply with the section cited above by not maintaining on file documentation of a health screening and a chest x-ray or intradermal test results for staff#1(S1) and staff#2 (S1); which poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: The Licensee/Administrator shall provide to the Licensing agency documentation of health screening with a chest x-ray or an intradermal test results for S1 and S2 by POC due date.

Allegation investigated: Staff did not assist residents with their care needs in a timely manner. Staff yelled at a resident. Staff engaged in an altercation in the presence of a resident. Staff did not respond to communications from resident's representative in a timely manner.

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the complaint investigation on the above allegations. LPA met with Administrator, Nora Clemons, and discussed the purpose of the visit. The investigation consisted of interviews with pertinent parties and document review. Regarding allegation #1, staff did not assist residents with their care needs in a timely manner, three (3) staff interviewed denied they did not assist residents with their care needs in a timely manner. Three (3) out of four (4) residents interviewed denied that staff did not assist them with their care needs in a timely manner. Regarding allegation #2, staff yelled at a resident, three (3) staff interviewed denied that they yelled at residents. Three (3) out of four (4) residents interviewed deny that staff yelled at them. Regarding allegation #3, staff engaged in an altercation in the presence of a resident, three (3) staff interviewed denied engaging in an altercation in the presence of a resident. **continued on LIC9099C** Unsubstantiated Four (4) residents interviewed denied that staff engaged in an altercation in their presence. Regarding allegation #4, staff did not respond to communications from resident’s representative in a timely manner, three (3) staff interviewed denied not responding to communications from resident's representative in a timely manner. Interviews with four (4) resident reveals insufficient evidence to corroborate that staff did not respond to communications from resident’s representative in a timely manner. Based on the Department’s investigation, the allegations mentioned in this report are Unsubstantiated. Unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted were this report was discussed and a copy provided with appeal rights was provided to Administrator Clemons.the state’s words, verbatim · CDSS document, Nov 17, 2025 · control 56-AS-20251014154002

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 Nora Clemons, Administrator, and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6) non-ambulatory, and a current census of (5) residents. LPA conducted an inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. The facility is maintained at a comfortable temperature. Resident bedrooms were furnished with beds, bed linen, night stands, storage space, and sufficient lighting. LPA observed Resident #1 (R1) utilizing a bed with half bed rails without a physician's order on file. LPA observed resident#2 (R2) and resident#3 (R3) utilizing full bed rails; however, Administrator stated that the two residents were not receiving hospice care. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured at 111 degrees F. The facility is equipped with smoke/carbon monoxide alarms, fully charged fire extinguishers, covered fireplace, first aid kit with manual, laundry equipment, and telephone service. Posters such as personal rights, the Community Care Licensing complaint poster, Ombudsman poster, and facility license were posted in a common area. LPA observed cleaning supplies and disinfectants were kept unlocked and unattended in resident bathrooms, facility hallway table, and accessible garage. LPA observed sharp knives and scissors with stored in a kitchen cabinet where the lock was broken. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply is sufficient for number of residents in care. Medications: Staff centrally stores resident medications in a locked cabinet. Record Review: LPA resident record review reveals, staff did not maintain on file a copy of all five (5) resident's admission agreements on file. Staff did not maintain record of resident# 4(R4) and resident#5(R5) hospice care plans for review. Review of staff files reveal that staff#1(S1) and staff#2 (S2) did not have documentation of annual dementia and hospice training on file for review. Based on LPA observations, deficiencies were cited per Title 22 of the California Code of Regulations. An exit interview was conducted where reports (LIC809, LIC809-D, LIC9102) were discussed and copies were provided with appeal rights to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 17, 2025

The state marks this report as 16 pages; the online copy we transcribed has 8. 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 Nora Clemons, Administrator, and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (6), and a current census of (5) non-ambulatory residents. LPA conducted an inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: The facility has an infection control plan and emergency disaster plan on file. Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. The facility is maintained at a comfortable temperature. Resident bedrooms were furnished with beds, bed linen, night stands, storage space, and sufficient lighting. Resident bathrooms were maintained clean and fixtures were operating properly. The hot water temperatures in the bathrooms measured at 116 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms, laundry equipment, and telephone service. Posters such as personal rights, the Community Care Licensing complaint poster, Ombudsman poster, and emergency telephone numbers were posted in a common area. Cleaning supplies, toxins, and sharps were kept inaccessible to residents in care. Medications were labeled and centrally stored in a locked cabinet. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply is sufficient for number of residents in care. Record Review: Resident files reviewed had admission agreements, medical assessments, and appraisals. Review of staff files reveal the Administrator and care staff do not current for First Aid/CPR certifications and documentation of yearly care staff training on file for review. Record review also reveals there is no documentation of current emergency drill training with staff on file. Based on LPA observations, deficiencies were cited per Health and Safety Codes and Title 22 of the California Code of Regulations. An exit interview was conducted where reports (LIC809 & LIC809-D) were discussed and copies were provided with appeal rights to the Administrator at the conclusion of the visitthe state’s words, verbatim · CDSS document, Aug 8, 2024

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.