Wesley House II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Janet Leon. LPA toured the facility bedrooms and observed each bedroom had working lights and available bedding and clothing storage areas. LPA tested the smoke and carbon monoxide detectors in the hallways and resident rooms and observed that they all functioned properly when tested. LPA toured two out of two resident bathrooms and observed each bathroom had working lights and available soap and paper towels. The water temperatures in the bathroom sinks measured at 110 F and 111 F. LPA toured the outside area and observed the outdoor exits to be clear of obstructions.LPA reviewed five out of five staff record and found them to be complete. The last fire drill was conducted on 01/16/2026. LPA requests that the following records be updated and copies sent to the department by 02/17/2026: LIC500 Personnel Report LIC308 Designation of Administrative Responsibility LIC610 Emergency Disaster Plan No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Janet Leon and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 10, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator Janet Leon. The purpose of the visit was to issue a deficiency citation to the facility for advertising dementia care services without having a facility dementia care plan in the facility program design. LPA Marrufo reviewed the facility file on 04/25/2025 and observed that the facility did not have a dementia care plan in its program design. The program design's "Prior to Admission" section states, Will accept ambulatory and non-ambulatory, diet problems, diabetic, arthritis, and general aging.” The facility website states, "Accommodation: Secure Living Program - Dementia / Alzheimer's Care" During visit, LPA Marrufo obtained copies of Physician's Reports for residents R1-R2, whose Physician's Reports stated they had a diagnosis of dementia. A deficiency was cited as per California Code of Regulations Title 22. See LIC809-D page for more information. This report was reviewed with Administrator Janet Leon and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 30, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87208(b) · Plan of correction due date: May 7, 2025

Plan of Operation 87208(b) A licensee who advertises or promotes dementia special care, programming, or environments shall include additional information in the plan of operation as specified in Section 87706, Advertising Dementia Special Care, Programming, and Environments. This requirement was not met as evidenced by: Licensee did not ensure that while the licensee advertised dementia care services on the facility website that there was also a Dementia Care Plan in the facility Plan of Operations, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Apr 30, 2025

Plan of correction: Licensee agrees to submit a Dementia Care Plan to the department by Plan of Correction Date. **Deficiency Cleared During visit. Dementia Care Plan submitted to CCL on 04/29/2025**

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Administrator Janet Leon. During visit, LPA toured the facility inside and out. LPA toured the facility kitchen and food storage areas and observed there to be a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed the facility first aid kit and found it to be complete. LPA toured two out of two resident bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperatures in the bathroom sinks measured at 109 F and 110 F. LPA toured three out of three resident bedrooms. Each bedroom had working lights and available bedding and clothing storage areas. LPA tested the smoke and carbon monoxide detectors in the hallway and resident rooms, and all smoke and carbon monoxide detectors functioned properly when tested. LPA toured the outside area and found the outdoor exit to be clear of obstructions. LPA reviewed three out of three resident records, including Centrally Stored Medication and Destruction Records, and found them to be complete. LPA reviewed five staff records and found them to be complete. LPA reviewed the Emergency Disaster Drill Log, which indicated that the last emergency disaster drill was conducted on 11/05/2024. No deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Administrator Janet Leon and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Administrator Janet Leon. During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo observed 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. LPA Marrufo toured 3 out of 3 resident bedrooms and observed each bedroom to have available bedding and clothing storage areas and functioning lights. LPA Marrufo tested the smoke and carbon monoxide detectors and they functioned properly when tested. LPA Marrufo toured 2 out of 2 resident bathrooms and observed each bathroom had water temperature at 115 F. Each bathroom had available soap and paper towels and working lights. LPA Marrufo toured the outside area and observed the exits to be clear of obstructions. LPA Marrufo toured the resident records and Centrally Stored Medication Logs and found them to be complete. LPA Marrufo reviewed staff records and found them to be complete. No deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Administrator Janet Leon and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 26, 2024