Divine Care for the Elderly

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by Administrator Marino “Mark” Jose. LPA explained the purpose of the visit. At the time of arrival, there were six (6) residents present and two (2) caregivers on duty. Administrator and Co-Administrator were present at the time of LPA's arrival. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for four hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there is one resident on hospice. A tour of the physical environment was conducted. The front entry is a paved driveway leading to the front entrance with an outdoor sitting area conducive for outdoor visitation. The entry way leads into the living room, dining room, and kitchen. The backyard consists of a patio area, paved walkways, trees, planted garden areas and sitting areas conducive for outdoor visitation. The kitchen is open style with a service counter for food preparation and cabinets surrounding the kitchen area. There is a refrigerator, a microwave, a toaster, a toaster oven, blender, an oven, and a stove. There is an ample amount of cabinets for food and appliance storage. Behind the dining area is an enclosed patio utilized as an office. Medications are kept in a locked cabinet located in the dining area. It contains a first aid kit and medications for residents, residents’ records and personnel documents. The medications and documents are inaccessible to residents in care. Please continue to 809-C, Pg 2. There are six bedrooms and three bathrooms available to residents. Bedrooms #1, 4, and 6 are private bedrooms with exits to the front yard or backyard. Bedroom #3 is a shared room with an exit to the backyard. Bedroom 3 has a private bathroom. Bedroom #2 is allocated for staff only with no access by residents. There are two bathrooms located off the hallways with access for all residents in care. The laundry area is located in a locked closet located in the hallway near Bedrooms 5 and 6. Detergents and cleaning agents are kept in the laundry closet and are inaccessible to residents in care. Residents participate at will in activities such as music therapy, dog therapy, walks around the neighborhood, excursions to places of worship, local beaches, parks, eateries, and retail establishments. There is one fire extinguisher located at the front door of the facility. The fire extinguisher was serviced on 6/2/2026. There are nine (9) dual carbon monoxide/smoke alarms located throughout the facility. The carbon monoxide detector/smoke alarms are in good working order. LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings are clean and in good repair. Personnel records were reviewed for trainings, health screenings, and background clearances. All staff have been properly associated to the facility. Residents’ records were reviewed for health screenings, medication administration, Physician’s orders, Appraisals, and Re-appraisals. Review of medications and medication inventory revealed an unexplainable over-count of medications prescribed to Resident 1 (R1), Resident 2 (R2), and Resident 3 (R3). The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Exit interview conducted. A copy of the report and appeal rights issued at the time of the visit.the state’s words, verbatim · CDSS document, Jun 29, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by Administrator Marino “Mark” Jose. LPA explained the purpose of the visit. There were five (5) residents present and two (2) caregivers on duty. Administrator was present at the time of LPA's arrival. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for four hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there are two residents on hospice. A tour of the physical environment was conducted. The front entry is a paved driveway leading to the front entrance with an outdoor sitting area conducive for outdoor visitation. The entry way leads into the living room, dining room, and kitchen. The backyard consists of a patio area, paved walkways, trees, planted garden areas and sitting areas conducive for outdoor visitation. The kitchen is open style with a service counter for food preparation and cabinets surrounding the kitchen area. There is a refrigerator, a microwave, a toaster, a toaster oven, blender, an oven, and a stove. There is an ample amount of cabinets for food and appliance storage. Behind the dining area is an enclosed patio utilized as an office. Medications are kept in a locked cabinet located in the dining area. It contains a first aid kit and medications for residents, residents’ records and personnel documents. The medications and documents are inaccessible to residents in care. Please continue to 809-C, Pg 2. There are six bedrooms and three bathrooms available to residents. Bedrooms #1, 4, and 6 are private bedrooms with exits to the front yard or backyard. Bedroom #3 is a shared room with an exit to the backyard. Bedroom 3 has a private bathroom. Bedroom #2 is allocated for staff only with no access by residents. There are two bathrooms located off the hallways with access for all residents in care. The laundry area is located in a locked closet located in the hallway near Bedrooms 5 and 6. Detergents and cleaning agents are kept in the laundry closet and are inaccessible to residents in care. Residents participate at will in activities such as music therapy, dog therapy, walks around the neighborhood, excursions to places of worship, local beaches, parks, eateries, and retail establishments. There is one fire extinguisher located at the front door of the facility. The fire extinguisher was serviced on 6/2/2025. There are nine (9) dual carbon monoxide/smoke alarms located throughout the facility. The carbon monoxide detector/smoke alarms are programmed to alert the local fire department when activated. LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings are clean and in good repair. Personnel records were reviewed for trainings, health screenings, and background clearances. All staff have been properly associated to the facility. Residents’ records were reviewed for health screenings, medication administration, Physician’s orders, Appraisals, and Re-appraisals. Exit interview conducted. No deficiencies noted. Copy of report at the time of the visit.the state’s words, verbatim · CDSS document, Jul 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by Administrator Marino “Mark” Jose. LPA explained the purpose of the visit. There were five (5) residents present and one (1) caregiver on duty. Entrance interview conducted: The facility is a one-story Residential Care Facility for the Elderly (RCFE). The facility accepts residents with a dementia diagnosis; has a waiver for four hospice residents; and a fire clearance for six non-ambulatory residents. Currently, there is one resident on hospice. A tour of the physical environment was conducted. The front entry is a paved driveway leading to the front entrance with an outdoor sitting area conducive for outdoor visitation. The entry way leads into the living room, dining room, and kitchen. The backyard consists of a patio area, paved walkways, trees, planted garden areas and sitting areas conducive for outdoor visitations. The kitchen is open style with a service counter for food preparation and cabinets surrounding the kitchen area. There is a refrigerator, a microwave, a toaster, a toaster oven, blender, an oven, and a stove. There is an ample amount of cabinets for food and appliance storage. Behind the dining area is an enclosed patio utilized as an office. A locked medication cabinet is located in a cabinet in the dining area. It contains a first aid kit and medications for residents, residents’ records and personnel documents. The medications and documents are inaccessible to residents in care. There are six bedrooms and three bathrooms available to residents. Bedrooms #1, 4, and 6 are private bedrooms with exits to the front yard or backyard. Bedroom #3 is a shared room with an exit to the backyard. Bedroom 3 has a private bathroom. Bedroom #2 is allocated for staff only with no access by residents. There are two bathrooms located off the hallways with access for all residents in care. The laundry area is located in a locked closet located in the hallway near Bedrooms 5 and 6. Detergents and cleaning agents are kept in the laundry closet and are inaccessible to residents in care. Please continue to 809-C, Pg 2. There is one fire extinguisher located at the front door of the facility. The fire extinguisher was serviced on 6/3/2024. There are nine (9) dual carbon monoxide/smoke alarms located throughout the facility. The carbon monoxide detector/smoke alarms are programmed to alert the local fire department when activated. LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the facility for fire safety, personal accommodations, and food service. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings are clean and in good repair. Personnel records were reviewed for trainings, health screenings, and background clearances. Residents’ records were reviewed for health screenings, medication administration, Physician’s orders, Appraisals, and Re-appraisals. The facility is in compliance with Title 22 California Code of Regulations. Exit interview conducted. No deficiencies noted. Report issued at the time of the visit.the state’s words, verbatim · CDSS document, Jun 5, 2024