Pronto Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with licensee/administrator (LIC/ADM) Diana Natividad and stated the purpose of the visit. The facility is licensed for adults 60 and over and all 6 may be non-ambulatory. LPA observed 4 residents were present and were at their respective rooms and 1 staff. LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces and storage areas. Indoor temperature was within acceptable range of 70°F. The kitchen was sanitary and organized; knives and chemicals were locked. Food supply met requirements (2 days perishable, 7 days non-perishable). Kitchen water temperature measured at 118.7°F. Bathroom water temperature is at 117.8°F. Bathrooms had grab bars and non-skid mats, however, LPA observed the visible debris and brown stained buildup observed within the toilet bowl below the waterline. Resident rooms had adequate storage. Medications were locked and inaccessible to residents. The outdoor walkway are free from obstruction and any tripping hazards; laundry appliances were functional, and cleaning supplies were secured. Fire, smoke, and carbon monoxide systems were operational; hallways were clear and well-lit. page 1 of 2 LPA reviewed resident and staff records, including medication logs, admission agreements, care plans, personal and incidentals, health screenings, and training. Based on document review the following were observed; the appraisal needs and services plan for 1 out of 5 done on 2017, and 2018, 1 out of 5 was done on 2023, and 1 out of 5 done in 2022 and 2 out of 5 had no appraisal needs and services plan. 1 out of 2 staff training was dated 2024, 2019 and 2013. Based on record review 4 out of 5 residents were diagnosed with dementia. The facility conducted the fire drill 3/01/2026. According to licensee, the facility conducts fire drills but not for earthquake drills. The facility is equipped with panel fire alarm system and 3 fire extinguisher were inspected on 04/01/2026. Deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22 See LIC 809D for details. An exit interview was conducted with licensee Diana Natividad and a copy of the report was provided. page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Apr 21, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Diana Natividad. LPA observed 1 staff and 4 residents in the facility. LPA reviewed 3 resident files and 2 staff files. 3 out of 3 residents' appraisal needs and service plans over than one year, ADM stated the facility has updated appraisal needs and service plans and he/she will send to LPA. 3 out of 3 residents' centrally stored medication form were observed inaccurate. LPA toured the facility inside out with ADM. License, ADM Certificate, and Personal Rights posters were observed in the facility. Family room, kitchen, dinning area and two restrooms were inspected. 4 resident bedrooms, 1 staff room, and garage were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Room temperature was at 69 degree F, and hot water temperature was at 114 degree F in the facility. The temperature of the freezer was observed at -1 degree F and the temperature of the refrigerator was observed at 37 degree F. Fire extinguisher was serviced on 05/1/2025. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Carbon monoxide detector was tested by ADM, and as working. Front yard and backyard were inspected. There was no obstruction to block the walkways. Flash lights, first aid box, and night light were observed in the facility. the last time the facility conducted the fire drill was on 3/1/2025. Deficiencies were noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.the state’s words, verbatim · CDSS document, May 15, 2025

Type of visit: POC

On 6/5/2024, Licensing Program Manager (LPM) Romeo Manzano and LIcensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced plan of correction (POC) visit and was met by the staff (S1) and resident (R1). Administrator (ADM) Diana Natividad was called by S1 and arrived at a facility after 15 minutes. During the tour, LPM and LPA, observed that the facility addressed the 2 Out of 2 of maintenance requirement deficiencies that was cited on 5/22/2024 and was cleared - [CCR 87303(a)(1)] At the time of the visit, LPM and LPA, reviewed 4 out of 5 resident appraisals needs and services plan, and physicians' medical assessment. 5 out of 5 resident have neurocognitive impairment. 2 out of 5 are ambulatory and 3 out of 5 are non-ambulatory. Based on the document review the physicians report (LIC 602) needs to be updated. 5 Out of 5 residents needs to be scheduled to visit their PCPs (primary care physicians) need to update the LIC 602 to state the most current assessment. The needs and services plan of 5 out of 5 residents needs to be updated by the plan of correction due date as originally planned. LPA discussed that appraisal needs and services plan needs to be discussed with responsible parties and the resident. LPA deadline for this deficiencies is not due until 6/7/2024. ADM will notify LPA once the residents have been scheduled with their corresponding PCPs for re-assessment. During today's visit LPA discussed the bladder incontinent of 5 out of 5 resident with ADM and asked ADM to submit a plan to address the issue of bladder incontinence. LPA discussed the department's TSP (Technical Service Program) for record maintenance. page 1 of 2 No deficiencies were cited during today's visit per California Code of Regulation (CCR) Title 22. An exit interview was conducted with ADM Diana Natividad and a copy of the report was provided. page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Jun 5, 2024

Type of visit: Required - 1 Year

On 5/22/2024 at 1:00 p. m. Licensing Program Analyst (LPA) Maria (Mita) Partoza arrived and conducted an unannounced required 1 year inspection visit and was greeted by resident 1 (R1) and staff (S1). Administrator, Diana Natividad was not present upon LPA's arrival. Staff contacted administrator and arrived shortly thereafter. LPA stated the purpose of the visit with ADM. LPA observed COVID-19 signs posted on the door prior to entering. The facility is a Residential Care Facility for the Elderly (RCFE) licensed to serve ages 60 and over and 6 of the residents may be non-ambulatory. Currently the resident has 3 ambulatory and 2 non-ambulatory residents that have neurocognitive impairment. 1 staff were present at the time of the visit. 1 out of 5 residents is at the rehabilitation center. 3 out of 5 are present at the facility and 1 out of 5 is in the living room watching television. At 1:22 p.m. LPA toured the facility inside and outside with ADM, including but not limited to the kitchen, bathroom, dining room, living room, residents’ rooms, staff room, backyard and walkways. LPA observed the Personal Rights disclosure, Long Term Care Ombudsman (LTCO) and Centralized Complaint and Information Bureau (CCIB) of the CA Department of Social Services (CDSS) prominently posted on the wall, visible to visitors, resident, and staff. The temperature inside the home was at 68 to 69.8 degrees F. . page 1 - see LIC 809C for page 2 LPA and ADM toured 4 resident bedrooms and 1 staff room. LPA observed the rooms to have storage spaces that are sufficient to hold the resident’s personal belonging. 2 out of 4 residents’ room are shared room and 2 out of 4 are private room. 4 out of 4 bedrooms has exit doors leading to the backyard and are free from obstruction. LPA observed that 4 out of 4 resident bedroom floor requires maintenance from visible food particles. LPA observed a commode inside one of the shared bedrooms. LPA observed the smell of urine permeating inside the facility. LPA observed that 2 of the bathrooms has grab bars and anti-skid mats, trash bins with lids. LPA observed bathrooms require maintenance such as but not limited to the upkeep of the sink, toilet, bathroom floor, tub and shower areas. LPA observed residents’ bed linens require attention and maintenance. LPA observed that the facility has a wall pull fire alarm system but is not connected to the fire department emergency line. S1 stated the pull fire alarm is only for the facility to notify residents. S1 tested the wall pull alarm and it is in good working condition. The facility has carbon monoxide alert system that is in good working condition. LPA observed smoke alarms in the hallways and the resident bedrooms and are in good working condition. LPA observed night lights on the hallway. Hallways are free from obstruction. The doors going to the backyard from the living area open with ease and is not obstructed. LPA observed walkways and ramps are free from obstruction and in good condition. LPA observed a gazebo in the backyard utilized as storage for items that are no longer used such as but not limited to walkers, wheelchairs, barbeque pit, a metal drink cooler that requires maintenance, an oxygen concentrator machine and boxes piled and stacked up. The contents are not visible to LPA. LPA tested the water temperature for kitchen and bathrooms, water temperature was measured at 107 degrees F Dining, kitchen and living room area were observed to be sanitary and organized. The facility has sufficient supply of perishable food for 2 days and non-perishable food for 7 days. The fire extinguisher located in the kitchen is monitored by S1 and logs the date when checked. page 2 LPA and ADM inspected the laundry area. LPA observed the laundry area is located at the garage. The washer and dryer are in good working condition, the laundry area has a cabinet that stores laundry detergents and cleaning supplies are kept locked and not accessible to residents. LPA with ADM inspected the medication cabinet. LPA observed the medication cabinet is locked and is not easily accessible. LPA observed first aid kit in the kitchen cabinet. LPA observed that knives and sharp are locked and not accessible to residents. LPA reviewed facility record, 3 out of 3 staff record and ADM stated that the facility's fire drill training was last conducted on 12/1/2023 and next training will be conducted this month of May 2024. Staff training records were up to date. Staff records were reviewed with current first aid certifications, clearance and training. Residents' medications are labeled and current. LPA reviewed 3 out 3 resident records and observed that 2 out of 3 did not have an updated needs and services plan. Deficiencies are cited during today's visit based on the California Code of Regulations (CCR) Title 22, see LIC 809D. An exit interview was conducted with administrator Diana Natividad. A copy of the report and appeals rights were provided. end of report page 3the state’s words, verbatim · CDSS document, May 22, 2024