Renown Suites

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Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Licensee Michelle Retzer. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, ages 60 and above, Hospice waiver for three (3). During today’s inspection there were six (6) residents in care. LPA and Licensee Michelle Retzer toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per care staff, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. The facility files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Licensee Michelle Retzer to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jun 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Licensee Michelle Retzer. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, ages 60 and above, Hospice waiver for 3. During today’s inspection there were six (6) residents in care. LPA and Licensee Michelle Retzer toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Consultation was provided regarding toxic chemicals or poisons. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Licensee Michelle Retzer, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. Technical assistance/consultation was provided to Licensee regarding food safety, required postings, and hazardous chemicals. An exit interview was conducted with Licensee Michelle Retzer to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jun 19, 2025

Allegation investigated: Staff did not seek medical care for Resident.

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation regarding the above-mentioned allegation. LPA identified herself and discussed the purpose of the visit with caregiver Jesus “Patty” Olivera. Administrator Michelle Retzer arrived shortly after. On March 14, 2025, Community Care Licensing (CCL) received a complaint alleging staff did not provide medical care for Resident 1 (R1). Physician’s Report dated January 30, 2025, confirmed R1 was diagnosed with a major neurocognitive impairment and had a bladder/bowel impairment. Records collected also confirmed R1 was receiving end-of-life services from an outside source agency. According to the allegation, staff did not provide medical attention to R1 when such resident did not have a bowel movement for eleven days. Records collected revealed that outside source agency requires facility to report when resident does not have a bowel movement for two days. Substantiated Records collected confirmed that R1 did not have a bowl movement from January 29, 2025, until February 12, 2025, when medical attention was provided. Interview with Administrator revealed that there was miscommunication between staff, responsible party and medical providers which resulted in no medical care for constipation. Interview with outside source agency revealed that they were unaware R1 had not had a bowel movement for the extended period. Outside source agency also explained that medical attention is required after no bowel movement for 3 days. Based on interviews conducted and records reviewed a preponderance of evidence exists to support the allegation, therefore it is substantiated. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted and a Plan of Correction was jointly developed. A copy of this report, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Administrator Michelle Retzer, signature on this form confirms receipt of documents. Interview with an outside source revealed that R1 did not have any physical signs that R1 was left soiled for an extended period of time. It was also alleged that licensee did not issue a refund. LPA Strong reviewed final itemized receipt of services and observed R1’s responsible party was issued $2402.08 refund via check mailed. Based on signed Admissions Agreement and itemized receipt, the correct refund was issued. Interview with Administrator confirmed that refund was issued within time frame necessary. Based on the interviews, and record reviews there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report and Appeal and Licensee Rights (LIC 9058 03/22) were provided to the Administrator.the state’s words, verbatim · CDSS document, Mar 21, 2025 · control 08-AS-20250314155754

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(2) · Plan of correction due date: Apr 18, 2025

Incidental Medical and Dental Care(a)A plan for incidental medical and dental care shall be developed by each facility (2)The licensee shall provide assistance in meeting necessary medical needs. This requirement was not met as in evidence; Based on interviews and records reviewed the licensee did not provide medical care for 1 of 6 residents in care (R1) which posed a potential Health risk to persons in care.the state’s words, verbatim · CDSS document, Mar 21, 2025

Plan of correction: Adminsitrator states they will complete a training in regardings to resident care and communition between parties involved.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Blanca Vilchis. Administrator Michelle Retzer arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required and kept inaccessible to residents. No bodies of water were present. Per Michelle, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Resident records reviewed were missing 5 resident needs and services. Per Michelle, documents are being updated at this time. Staff records reviewed contained required documentation. One technical advisory was issued for missing needs and services plans. No additional deficiencies were cited on today's visit. An exit interview was conducted with Administrator Michelle Retzer, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jun 17, 2024