The Care Home at Lawler Ranch

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced at the address of 237 Lawler Ranch Parkway to make a final inspection to officially close the facility. The Administrator of the facility, John Girard met LPA and conducted a final walk through of the property. LPA determined that the facility was no longer in operation. All residents had found placement at other facilities. Facility will be formally closed. A copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Nov 25, 2025

Type of visit: Required - 1 Year

On 09/03/2025, Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced 1 year required inspection and met with Administrator John Girard. There were 5 residents in care at the time of inspection. There were two caregivers on duty. Facility was found to be clean, orderly, and at a comfortable temperature of 74F with all exits free from obstruction .All postings were up and visible to all as required. Toxins are stored in locked cabinets in the garage and laundry room. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored in locked cabinets in the entryway making them inaccessible to residents. There was an adequate supply of perishable and non-perishable foods. Sharps are stored in locked drawer in kitchen and inaccessible to residents. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. Water temperature measured approximately 115.8 F in 2 out of 2 faucets tested, which is within regulation. The (2) carbon monoxide detectors were tested and found to be operational. (2) Fire extinguishers were fully charged and last serviced on March 28, 2025. There was an adequate supply of perishable and non-perishable foods. Facility has a sufficient supply of personal protective equipment . Residents' rooms were furnished as required, clean and well-organized. The last fire drill was on 09/02/2025. LPA requested the following documents: *Proof of liability insurance * Updated LIC 500 *Proof of First Aid/CPR Training *Updated Lease Agreement No deficiencies found at the time of inspection. No citations issued.the state’s words, verbatim · CDSS document, Sep 3, 2025

Allegation investigated: Facility is in financial distress.

On 6/6/25, Licensing Program Analyst (LPA) Nakagawa arrived unannounced to deliver findings regarding the above allegation. LPA met with House Manager Nini Lourdes-Girard, and Licensee Robert Coleman via phone. The complaint alleges that the facility is in financial distress. LPA inspected the property on multiple occasions (9/11/2024, 4/24/2025 and 6/6/2025) and observed lights and power were on, grounds were well-kept, an ample supply of perishable and non-perishable food, and 4 of 4 residents (R1, R2, R3, R4) were clean and appeared cared for. 3 of 3 staff (S1, S2, S3) stated they had received wages regularly and there are no staffing shortages. On 4/17/25, property owner/Lessor agreed to send LPA payment records showing lack of payment from Licensee, but as of this date none have been received. LPA interviewed Licensee, who stated the facility is not in financial distress and monthly lease payments are up to date. Continued on 9099-C Unsubstantiated Continued from 9099... Due to a lack of corroborating evidence or witnesses, the LPA was unable to prove or disprove the allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with House Manager whose signature on this form confirms receipt of these documents. No deficiencies cited regarding the above allegations during this inspection.the state’s words, verbatim · CDSS document, Jun 6, 2025 · control 21-AS-20250416115517

Type of visit: Prelicensing

LIcensing Program Analyst (LPA) Jill Nakagawa arrived on 09/11/2024 for the purpose of conducting a Pre Licensing Inspection. LPA was met at the front door by care staff and granted access to the facility; Administrator Ron-Mark Adriano arrived shortly. There were 2 care staff at the time of inspection and there were 4 residents in care. Fire Clearance approved for 6 with 5 being non-ambulatory in any room; hospice waiver for 5. Ron-Mark Adriano will be the Administrator, Administrator's Certificate # 7024492740, effective 02/26/2023 - 02/25/2025. LPA and Administrator toured the one story facility, which has 5 bedrooms, 2 bathrooms, and family room/ dining area and kitchen. LPA observed the facility to be clean and at a comfortable temperature of 74 degrees F with all exits free from obstruction. LPA found the 2 carbon monoxide detector to be operational during the inspection. The 2 fire extinguishers were last serviced on 03/29/2024 and fully charged and operational. First Aid kit was inspected and found to be complete. Water temperature was 112.2 - 114.6 degrees F and is within acceptable range of 105 to 120 degrees F. There were sufficient perishable and non-perishable foods located in the kitchen. Knives and other hazardous items were locked and inaccessible to residents in care. Medications are locked in cabinet in living room where it is inaccessible. Cleaning products and other toxins are locked in laundry room and locked cabinet in garage and inaccessible to residents in care. There was a supply of linens, cleaners, hygiene products and paper products available for residents. Bathrooms were supplied with paper towels and hand soap, and outfitted with grab bars and non-slip floors/mats. A tour of all resident bedrooms was conducted, and bedrooms inspected have lighting and appropriate furnishing. (Report continued on LIC 809C) LPA discussed the Emergency Disaster Plan in detail. Licensee has a supply of water and non-perishables. Facility has a supply of PPE. A review of staff and resident files were found to be complete. Medication records were in order, and medications are disposed of properly as needed. Component III was conducted with Administrator. Licensee has attended the Component III during pre-licensing inspection for another facility. LPA found no deficiencies at the facility at the time of inspection. Exit interview was conducted, and a copy of this report was given to the Administrator. LPA will forward this report to the Licensing Program Manager and assigned Application Analyst in our Department.the state’s words, verbatim · CDSS document, Sep 11, 2024

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Robert Coleman, Applicant RonMark Adriano, Administrator Interview Method: Telephone interview On August 26, 2024, Applicant and Administrator participated in COMP II. Identification of the Applicant and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License type, Client/Resident populations, and Program. 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readiness Exit interview conducted with Applicant and Administrator. Report sent via email and request to send sign copy to CAB by end of business day.the state’s words, verbatim · CDSS document, Aug 26, 2024