Twin Oaks Manor

Type of visit: Required - 1 Year

On 05/12/26, Licensing Program Analyst (LPA) Aziz Faizi made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Administrator Lolita Gatmaitan who was informed of the purpose of the visit. The facility is a one-story home with four (4) bedrooms and two (2) bathrooms, including a garage. There are no pools or known firearms on the premises. LPA toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the clients in care. The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. LPA toured the kitchen and observed the facility has a two-day supply of perishable foods and more than a seven-day supply of non-perishable foods, which are stored in a safe and healthy manner. LPA observed knives and sharp instruments were secured in locked kitchen cabinets. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 105.6°F. Fire extinguisher located in the kitchen does not meet departments expiration requirements. The facility has no residents in care and staff present at the time of the visit. The administrator was unable to provide required documentation, including the current Emergency and Disaster Plan, records of the most recent fire earthquake drill and a valid Administrator certificate, all of which are necessary for lawful operation of a facility for elderly clients in care As a result, the facility will be cited. An exit interview was conducted and a copy of this report, LIC 809-D, and Appeal Rights were reviewed and provided to Lolita Gatmaitan.the state’s words, verbatim · CDSS document, May 12, 2026

Type of visit: Required - 1 Year

On 5/29/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver, Grace Romero who was informed of the purpose of the visit. Grace reported they informed Licensee, Lolita Gatmaitan of LPA's visit at the facility. The facility has a fire clearance to serve five (5) non-ambulatory elderly residents. LPA was informed none of the current residents receive hospice services. LPA toured the facility with Grace and observed the facility is made up of a one-story home with three (3) resident bedrooms, one (1) bathroom, a kitchen, dining area, living room, laundry room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. The bathroom had a grab bar and non-skid mat in the shower. The hot water temperature in the bathroom measured at 116 degrees Fahrenheit. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in a locked cabinet stored near the kitchen. The facility has additional incontinent supplies, towels, blankets and linens available for resident use. Grace tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher mounted near the kitchen. Grace has a criminal record clearance, is associated with the facility, and has a valid CPR/AED/first aid certificate expiring on 5/31/2026. Long Term Care Ombudsman's contact information, residents' personal rights, complaint procedures, facility sketch, and emergency disaster plan are posted on a hallway wall leading to the residents' bedrooms. LPA reviewed the facility's certificate of liability insurance, which expired on 3/24/2024. Grace reported they informed licensee who communicated they would search for a more current one at their home. During the visit, licensee/Grace were unable to produce a current copy of the facility's certificate of liability insurance. As a result, the facility will be cited. An exit interview was conducted and a copy of this report, LIC 809-D, and Appeal Rights were reviewed and provided to Grace.the state’s words, verbatim · CDSS document, May 29, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Javina George conducted an unannounced visit to the facility for the purpose of conducting a 1 year required visit/annual inspection. LPA George met with Caregiver Grace Romero and informed her of the purpose of today's visit. The Administrator was unable to come to the facility during LPAs visit. Below is a summary of what was observed during today’s inspection: Infection Control: LPA observed that the facility has an updated Infection Control Plan on file and is demonstrating best practices in the facility to maintain a healthy environment for staff and residents. Physical Plant: LPA toured the interior and exterior of the facility and observed that there a sufficient bedrooms and bathrooms for both staff and residents. The facility was observed to have the required furniture and linen to be present and in good condition in resident bedrooms. The exits are free from obstruction and that there is plenty of space for activities. There are no pools or bodies of water on the premises. Staff Records Review: LPA verified staff present at the facility to have criminal record clearance and to be associated to the facility. LPA observed facility staff to have received initial training, but no subsequent or refresher training's to confirm they are able to perform their required duties. In addition staff present was observed to have have expired CPR/First Aid Certification as 5/13/24. Deficiency cited. The administrator certificate expires on 12/5/24. Resident Records Review: LPA conducted a review of all 3 resident files and observed for required information present in their files, such as Physician's Report, Admissions Agreement. However no updated appraisals to have been present or completed. Deficiency cited. Food Services: The kitchen and dining area to be maintained in a clean and healthful manner. Sufficient dishware and silverware were present for resident’s use. LPA observed the facility to have the required amount of 7 day supply non-perishable and a two supply perishable food items. In addition the facility was observed to have 18 expired food items ranging from salad dressing to cake mix, crackers and seasoning, rice and pudding. Some of the expiration dates go as far back as November 2014. Deficiency cited. Medication: Resident medication was observed to be locked in a steel file cabinet located inside the kitchen that and is inaccessible to residents. A review of medication revealed that the medication is being given as prescribed as evidenced by the Medication Authorization Record (MAR) and medication (bubble packs and or pill bottle). Emergency Disaster Preparedness: The facility has an Emergency Disaster Plan on file. LPA observed for the facility to not conduct disaster drills on a quarterly basis. The last documented drill was conducted on 12/15/21. Deficiency cited. The smoke and carbon monoxide detectors were tested and were found to be operable. The facility has 1 fully charged fire extinguisher. There are no known guns or ammunition on the premises. The hot water was tested and was found to be within regulatory limit measuring at 116 degrees Fahrenheit. The sharps and hazardous chemicals were observed to be locked and inaccessible to residents in care. The Licensee/Administrator Lolita Gamitan will submit a copy of liability insurance to the department by 5pm on 6/1/124. An exit interview was conducted and a copy of this report, 809D, appeal rights LIC9098-Proof of Corrections form were provided to Grace Romero, Caregiver.the state’s words, verbatim · CDSS document, May 31, 2024