Ebony & Cecilia Residential Care Facility

Type of visit: Required - 1 Year

On 05/05/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua met with Facility Designated Administrator (FDA), Ebony Aliriagwu and explained the purpose of the visit. There are currently no residents in care at this facility. LPA Pascua verified that FDA Aliriagwu has an active certificate #7036602740 and expires on 03/17/2028. A tour of the facility was conducted to ensure that facility safety was in compliance, such as the fire extinguishers, smoke detectors, and carbon monoxide were present. All were present and in good repair at this time. A tour of facility bedrooms were conducted to verify that there are currently no residents in care. LPA advised FDA Aliriagwu to notify the department once facility accepts residents in care. Based on the observations made, there are no deficiencies observed during this annual visit. An exit interview was conducted and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 5, 2026

Type of visit: Prelicensing

On 05/09/2025 at 9:00 am, Licensing Program Analyst (LPA) Noel Wolf Petersen and Licensing Program Manager(LPM) Liza King arrived announced to perform a follow up pre licensing inspection, and met with administrator/licensee Ebony Aliriagwu and explained the purpose of the visit. Admin cert expires 03/17/2026. Facility is licensed to provide housing to dementia residents 2 ambulatory and 4 nonambulatory in 3 shared rooms. LPA inspected the Physical Plant, including but not limited to the common areas, resident bedrooms and resident bathrooms. Prior concerns with incomplete preparedness including but not limited to: the storage of the fire extinguishers being locked and inaccessible, the posters not being up, the rubber mats not being in the showers, the bathroom trashcans with lids missing, the nightlights in the halls/bathrooms missing. Grab bars for the shower, the walkways to the emergency exit were obstructed in the master bedroom and the cameras had microphones (in the kitchen area and along the side of the house and backyard) were reviewed and observed to be addressed and now complaint. Master bathroom toilet continues to need grab bars, licensee will address this and send pictures to LPA. The facility has cameras in the common area, signs have been posted and the admissions agreement contains an addendum to notify residents of this.Technical Assistance provided re elopement behaviors and the requirements for awake staff and auditory signal system on the doors. During todays visit, LPA reviewed the facility admissions agreement, resident and staff mock files, emergency preparedness documentation and discussed various scenarios with licensee. Comp III was reviewed with the licensee. LPA will notify CAB that the facility has passed the prelicensing inspection. Licensee will be notified by CAB of licensure. Licensee is to notify LPA upon accepting first resident into care. Report reviewed with Licensee.the state’s words, verbatim · CDSS document, May 9, 2025

Type of visit: Prelicensing

On 4/21/25 at 9:30 am, Licensing Program Analyst (LPA) Noel Wolf Petersen and Licensing Program Manager(LPM) Liza King arrived announced to perform a pre licensing inspection, and met with administrator/licensee Ebony Aliriagwu and explained the purpose of the visit. LPA requested and reviewed several documents and needs more submitted in a more complete fashion before we continue, including but not limited to all required posters, the plan of operation, the admission agreement, the LIC 308, the evacuation plan, the infection control plan. They should be printed out and available for licensing to audit. LPA inspected the Physical Plant, including but not limited to the common areas, resident bedrooms, resident bathrooms, and the outdoor area, and had concerns of incomplete preparedness including but not limited to: the storage of the fire extinguishers being locked and inaccessible, the posters not being up, the rubber mats not being in the showers, the bathroom trashcans with lids missing, the nightlights in the halls/bathrooms missing. Grab bars for the non ambulatory bathroom toilet and shower, the walkways to the emergency exit were obstructed in the master bedroom and the cameras had microphones (in the kitchen area and along the side of the house and backyard). LPA inspected emergency preparedness procedures, required postings, and kits, including the first aid kit and found the required items. The fire extinguisher was not dated, but purchased 11/4/24 and the water temperature of the residents bathroom was measured at 118degrees between the required 105-120* F. Cont on pg C The facility is not in a condition to accept clients at this time, and LPA did not perform a staff interview or give the Comp III presentation. LPM assisted Ebony with the Technical Support Program(TSP) referral, and the LPA will return when the Licensee is more prepared. An exit interview was conducted and a copy of the report was read and delivered to the administrator via papercopy since the LPA and LPM experienced technical issues. Final print was conducted on 04/23/25 and a copy of this report was provided via email. A folllow up visit is scheduled at this time for May 9, 2025 at 930am.the state’s words, verbatim · CDSS document, Apr 21, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Interview Method: Telephone interview On 4/1/2025, applicant/administrator participated in COMP II. Identification of the applicant / administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant / administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Apr 1, 2025