Norwood Creek Residential Facility

Type of visit: Required - 1 Year

On 4/7/2026 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Violeta Dumo and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area. Residents are currently in the day program. Facility is a 3 bedroom facility all of which are shared. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked and inaccessible to residents. First aid kit was complete. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Carbon monoxide, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill will is done every month. Two resident records and three staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs. Staff have current First Aid/CPR certifications on file. Centrally stored medication was locked. All medication logs are complete and updated. No deficiencies cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Apr 7, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Violeta S. Dumo, Administrator. LPA announced the purpose of the visit. LPA observed 0 out of 5 residents all at day program and 2 staff. Room temperature at 70 degrees F. During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature measured at 40 degrees F and freezer at 0 degrees F. LPA toured three resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. ADM tested smoke detectors and found the smoke detector to function properly when tested. LPA toured 2 resident bathrooms. Bathrooms had available soap and paper towels and functioning lights. The water temperature in the bathroom sink measured with thermometer at 118 degrees F. During tour LPA observed a common area used for residents to watch television and read books and play board games, and patio area with karaoke and exercise bicycle. LPA observed first aid kit complete with gauze, scissors and first aid kit guide, and flashlights were also observed Page 1 of 2 Page 2 of 2 LPA toured the outside area and found the exits to be clear of obstructions. LPA observed locked storage shed used for storage and not a living space. LPA observed fire extinguisher that was last serviced 05/16/24, in the kitchen by the stove. LPA reviewed Fire and Earthquake log. The last Fire drill was conducted on 03/08/25 and Earthquake was last conducted on 03/15/2025 LPA reviewed resident records for 3 residents and 3 staff records. ADM reviewed P & I and centrally stored medication record. No deficiency were cited as per California Code of Regulations Title 22. This report was reviewed with Violeta S Dumo, Administrator and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator, Violeta Dumo. During visit, LPA toured the facility with DSP to include the entrance, kitchen, living room, resident bedrooms, staff bedrooms, bathrooms, garage, and backyard. LPA observed a shed at the side of the facility which contains storage items. All fire exit routes are free and clear of obstruction. All present staff are fingerprint cleared and associated to the facility. Upon entrance, the facility has a visitor sign-in sheet. Posters posted at the entrance to include if you see something say something, ombudsman, and personal rights. Facility temperature maintained at 75 degrees Fahrenheit. Facility has carbon monoxide detector present in the hallway. Fire extinguisher last serviced on 05/18/2023. Facility's fireplace observed screened. Medication, disinfectants, cleaning solutions, and sharp objects observed locked. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Trash bin with lid observed in the kitchen. Facility has an emergency disaster plan and emergency flashlights available. Facility conducted their last quarterly emergency drill in December 2023. Facility plans to conduct their next emergency drill this coming weekend. SEE LIC809-C. LPA observed the facility's Infection Control Plan and staff training on infection control. Facility has Personal Protective Equipment (PPE) supplies to include gowns, gloves, masks, hand sanitizer, and disinfectant supplies. 3 out of 3 resident bedrooms observed with furniture to include a bed, linens, lighting, dressers, closet, and night-stands. Bathrooms observed with grab bars and non-slip mats. Hot water temperature maintained at 116 degrees Fahrenheit. 3 residents files (R1 - R3) were reviewed. 3 out of 3 residents files contained an admission agreement, medical assessment, TB result, IPPs, personal rights form, consent forms, and safeguard of personal property and valuables form. R1 - R3's centrally stored medications and P&I money were inspected and observed maintained. 3 staff files (S1 - S3) were reviewed. 3 out of 3 staff files contained an updated 1st aid certification, fingerprint clearance, LIC501, LIC503, TB information, and training. LPA observed 1 out of 3 staff did not have a health screening form on file. Based on interview, the staff removed the sheet from the binder for another position and misplaced the form. Administrator states the staff's health screening report was obtained and reviewed prior to employment. Administrator will ensure to follow-up with the staff regarding the health screening form. LPA interviewed 5 residents and 4 staff members. The following documents were requested to include the LIC500, Administrator certificate, and liability insurance. No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided. This report was reviewed with Administrator Violeta Dumo and a copy of the report was provided.the state’s words, verbatim · CDSS document, Apr 18, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.