Ann's Care Home

Type of visit: Required - 1 Year

At approximately 1:00PM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a required 1-year annual inspection and met with Administrator Debra Best. Facility is a Residential Care Facility for the Elderly (RCFE) with two (2) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with zero (0) Hospice residents currently in care, and is approved for all non-ambulatory residents. At approximately 1:20PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguisher was observed charged and last serviced 1/26. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 118.2 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed one (1) locked shed in the backyard which contained additional storage. LPA was informed that Administrator and residents had recently returned from a multi-night out of town trip. LPA informed Administrator that a plan shall be submitted before construction or renovation that details length of construction as well as how resident safety will be ensured. Continued LIC809C... Continued from LIC809... LPA unable to complete Annual Visit. Annual Continuation Visit to be conducted at a later date. Updated copies of the following documents shall be submitted to CCL by 6/19/2026: Liability Insurance LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC610E - Emergency Disaster Plan No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.the state’s words, verbatim · CDSS document, May 21, 2026

Type of visit: Required - 1 Year

At approximately 12:40 PM, Licensing Program Analysts (LPAs) Magdaleno and Cuadra arrived unannounced to conduct a required 1-year annual inspection and were greeted by Administrator Debra Best. Facility is a Residential Care Facility for the Elderly (RCFE) with zero (0) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with zero(0) Hospice residents currently in care and is approved for all non-ambulatory residents. At approximately 1:00 PM, LPAs initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 11/24. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured between 106.2 and 110.1 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPAs observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to be move in ready with all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Continued 809C... Continued from 809... LPAs observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. LPAs observed one locked shed in the backyard which LPAs inspected and observed the contents of which to be overflow storage. LPAs observed a piano, bookshelves full of books, puzzles, and LPAs were informed that the facility has residents plays bingo, tend flowers, conduct afternoon exercises, dance, and go on weekend trips into the community to eat. Facility telephone was tested and operational during inspection. LPAs observed a locked cabinet that will be used to centrally store medication upon resident arrival. At approximately 2:00 PM LPAs conducted review of three (3) staff records. Administrator will have all required paperwork when new residents are taken in. LPAs observed staff on staff roster that was not associated with facility. Administrator informed LPAs they are in the process of associating new staff and they will not work until associated. Debra Best Administrator Certificate 7006809740 expires 11/2026. All fees are current as of this time. LPA and Administrator discussed facility's Emergency Disaster plan, last updated 6/24. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Liability Insurance LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC400 - Affidavit Regarding Client Cash Resources LIC402 - Surety Bond No deficiencies cited. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Apr 8, 2025

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 6/25/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Licensee, Debra Ann Best. The facility currently has 0 residents admitted. The Licensee is in the process of conducting assessments with potential clients for possible admission within the next month. LPA continued with a tour of the facility with Licensee, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers found to be charged on 10/23/2023. Smoke and carbon monoxide detectors found throughout the facility, were tested and found to be functioning. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations, with food stored in the kitchen refrigerator found to have appropriate coverings. LPA reviewed staff training and found it to be in order, facility is currently halfway through staff annual training with plans of completing by the end of the year. In addition, staff 1st aid and CPR training on file and up to date. Cleaning supplies and other toxins are safely stored in locked cabinets in the garage and under kitchen sink, all of which were secured upon inspection. Sharps and other kitchen supplies that could pose danger if available to residents were found secured. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. Water at faucets accessible to residents were measured at 109.5 degrees F which is within regulation. There is one primary emergency exit located in the backyard which were found to be unobstructed. There is an outdoor patio with shade and large outdoor space for residents to utilize with exits equipped with ramps for accessibility. No deficiencies cited during today's visit. Licensee, Debra Best's Administrator Certificate 7006809740 is valid through 11/22/2024. LPA requested the following documents be sent to CCL by COB 7/25/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan Liability Insurance Control of Property/Rental Agreementthe state’s words, verbatim · CDSS document, Jun 25, 2024