Cacho's Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin arrived at 10:02 a.m. to conduct a 1-year required annual visit. LPA met with Jeosela Dizon, Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: LPA toured resident rooms and observed that rooms were tidy, free of odor, and the lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have non-skid mats/flooring. The indoor pathways are clear of any obstructions. Disinfectant and cleaning solutions are inaccessible to residents in care and locked under kitchen sink. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for residents’ use. The facility has smoke and carbon monoxide detectors that were tested and operational. Operational Requirements: The facility has a current plan of operation on file with the department. A staff room noted on the fire clearance is now used as clients room, the room has an exterior door. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory residents. Hospice waiver is approved for 4 residents. Personnel Records & Training: The facility currently employs 2 full-time staff which includes the administrator, 2 part-time staff, and 6 on-call staff. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator Certificate is active and expires on 4/2/27. Continued on 809-C The facility keeps confidential files for each staff member. All staff records reviewed have annual training completed for various subjects/topics and hours for 2026. Items of training needing increased hours were discussed with administrator. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 4 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians reports, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, and all forms were legible and complete. Food Service: The facility has 2-day perishables and 7-day non-perishables to meet the food service requirements. Meals were prepared during LPA visit. All food is covered and stored appropriately. Cleaning solutions and equipment are stored separately from food supplies. Fruit and vegetables are available for residents. Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR) and the Medication Administration Records (MAR). LPA reviewed all residents’ medications, all medication was recorded and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility last conducted a quarterly disaster drill/training 7/2/26. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Sep 30, 2026

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin arrived at 8:52 a.m. to conduct a 1-year required annual visit. LPA met with Jeosela Dizon, Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: LPA toured resident rooms and observed that rooms were tidy, free of odor, and the lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have non-skid mats/flooring. The indoor pathways are clear of any obstructions. Disinfectant and cleaning solutions are inaccessible to residents in care and locked under kitchen sink. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for residents’ use. The facility has smoke and carbon monoxide detectors that were tested and operational. Operational Requirements: The facility has a current plan of operation on file with the department. LPA will review fire clearance within stated records. A staff room noted on the fire clearance is now used as a clients room, the room has a sliding door. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory residents. Hospice waiver is approved for 4 residents. There is currently 1 hospice resident. Personnel Records & Training: The facility currently employs 2 full-time staff, 5 on-call staff, and 1 administrator. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Continued on 809-C Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator Certificate is active and expires on 4/2/27. The facility keeps confidential files for each staff member. Full time staff have annual training completed for various subjects/topics and hours for 2025. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians reports, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, and all forms were legible. Food Service: The facility has 2-day perishables and 7-day non-perishables to meet the food service requirements. Meals were prepared during LPA visit. All food is covered and stored appropriately. Cleaning solutions and equipment are stored separately from food supplies. Administrator is going to do a thorough review of all food items in the refrigerator and pantry. Lots of fresh fruit and vegetables were available for residents. Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR) and the Medication Administration Records (MAR). LPA reviewed a sampling of residents’ medications, no medications were expired, and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility last conducted a quarterly disaster drill/training in July of 2025. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Oct 21, 2025

The state marks this report as 8 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erika Miller arrived at 10:40 a.m. to conduct a 1-year required annual visit. LPA met with Jeosela Dizon, Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has at least a 30-day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). Physical Plant & Environment Safety: LPA was authorized to enter and inspect facility. LPA toured resident rooms and observed that rooms were tidy, free of odor, and the lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant and cleaning solutions are inaccessible to residents in care and locked under kitchen sink. The facility has sufficient space inside and outside for activities and visiting. The facility has telephone and internet service for resident use. The fire extinguishers were last charged and inspected on 1/11/23. The facility has smoke and carbon monoxide detectors that were tested and operational. Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory residents. Hospice waiver is approved for 4 residents. The facility currently has 2 ambulatory and 3 non-ambulatory. There is currently 1 hospice resident. Continued on 809-C Staffing: The facility currently employs 3 full time staff, 5 on-call staff, and 1 administrator. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator Certificate is active and expires on 4/2/25. Personnel Records & Training: The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2024. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians reports, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, and all forms were legible. Food Service:. The facility has 2-day perishables and 7-day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored, and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed residents’ medications, no medications were expired, and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility last conducted a quarterly disaster drill/training on 9/28/24. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Oct 4, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.