At Home Senior Care II

Type of visit: Required - 1 Year

On February 24, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual inspection. LPA met with Administrator, Debbie Sazon and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are six resident bedrooms, all of which are private rooms with their own full baths. Resident bedrooms were observed to be clean with all required furniture and resident bathrooms were odor-free, in good repair, equipped with non-skid mats. LPA observed two main bathrooms to be full bathrooms to be clean and odor-free. Water temperature throughout the facility measured between 106-113 degrees F. LPA observed two staff rooms, garage to be used as storage and a medication/laundry room. Garage and medication/laundry room was observed to be locked an inaccessible to residents in care. Dining room was observed free from tripping hazards. A comfortable temperature of 72 degrees F is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Extra food supply was observed to be present. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of February 2026. Emergency drills are logged and done every three month. LPA reviewed 5 resident records and 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.the state’s words, verbatim · CDSS document, Feb 24, 2026

Type of visit: Required - 1 Year

On February 19, 2025, at 08:45 AM, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrator, Debbie Sazon, and disclosed the purpose of the inspection. The Administrator informed the LPA that the facility had (5) residents in care and (2) staff members present at the time. At 9:12 AM, the LPA initiated a walk-through of the facility, accompanied by the Administrator. LPA inspected the kitchen and found it clean, with no food preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a locked cabinet containing knives and sharp objects. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for (2) days and nonperishable staples for (7) days were observed. No expired food or stored medications were noted. LPA inspected the dining area adjacent to the kitchen and found it clean. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. (3) residents were observed eating breakfast. A fireplace covered with the glass enclosure and a credenza with the music system was observed in the dining area. LPA inspected the living room and observed it clean, with all furniture in good repair. There were sofa sets, chairs, recliners, tables, and a television in the living room. (2) residents were observed sitting on the recliners taking nap. LPA inspected the (2) storage closets in the hallway and observed them contained clean linens, blankets, and towels for residents’ use. There were (6) bedrooms and (6) bathrooms designated for residents' use. All (6) resident rooms were single occupancy with private bathrooms. LPA inspected all (6) resident rooms and found them clean, well-lit, and equipped with the required furniture. All exit doors were connected to centrally monitored system for notification. Continued on LIC809-C LPA inspected (6) private bathrooms and found them clean, sanitary, and in good working condition. The bathrooms contained soap, grab bars, paper towels, a trash can, a shower chair, and non-slip flooring/mats. The hot water temperature at the sink faucet in all (6) bathrooms was measured between the range of 117.4°F to 119.6°F. LPA inspected the fire extinguisher mounted on the wall in the hallway next to kitchen and found it fully charged, with the last service tag dated 02/17/2025. The Administrator tested the smoke and carbon monoxide detector located in one of the resident’s rooms in the LPA's presence, and it was found to be functional. Additional smoke and carbon monoxide detectors were observed in all bedrooms and common areas of the facility during the visit. LPA inspected the utility room and found it clean. The access door to the utility room was locked and inaccessible to residents in care. A washer, a dryer, cabinets with detergents, disinfectants, and cleaning supplies, and cabinets with medications were observed inside the utility room. LPA inspected the storage room and a refrigerator, a freezer containing additional food supplies, and storage shelves with non-perishable food items, incontinence supplies, and paper products were observed inside. LPA toured the front porch and backyard areas, and found ramps and passageways in good condition, clear of obstructions, with no blocking or tripping hazards. The porch had a table, chairs, and shaded areas for resident use. No bodies of water were noted. LPA inspected (1) storage shed in the backyard and noted mattresses, bedframes, wheelchairs and outdoor furniture stored. LPA reviewed (5) staff personnel records and (5) resident records. The LPA observed that 5 of 5 residents had an Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, and CSDMR. LPA observed that 5 of 5 staff members had LIC 508 Criminal Record Statements and LIC 503 Health Screening and confirmed that 5 of 5 staff members were associated with the facility. LPA observed a locked centrally stored medication cabinet inside the utility room. Medications were organized in separate bins for each resident. Centrally Stored Medication Records were reviewed and found to be complete. LPA inspected the first aid kit and found it fully stocked. Emergency Drill Logs were reviewed, and it was observed that Emergency Disaster Drills were conducted quarterly, with the most recent drill completed on 02/17/2025. Continued on LIC809-C The following updated forms are requested to be submitted to CCLD by 02/26/2025: LIC 500: Personnel Report LIC 308: Designation of Facility Responsibility Certificate of Liability Insurance Administrator Certificate(s) No deficiencies were cited during today's visit. An exit interview was conducted with the Administrator. A copy of this report was left with the Administrator, Debbie Sazon, whose signature on this form confirms receipt of the report.the state’s words, verbatim · CDSS document, Feb 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Administrator Debbie Sazon. During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured the facility kitchen area and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least 7 days. The facility first aid kit was observed and found to be complete. LPA Marrufo toured 6 out of 6 resident bedrooms and observed each bedroom to have available bedding and dresser drawers and working lights. LPA Marrufo tested the facility smoke detector system and found it to function properly when tested. 7 out of 7 resident bathrooms had water temperatures from 105 F to 110 F. LPA Marrufo toured the outside area and the exits were found to be clear of obstructions. LPA Marrufo reviewed resident and staff records and found them to be complete. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Debbie Sazon and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 21, 2024