Windsor House II

Type of visit: Required - 1 Year

At approximately 11:55 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit. Administrator John Schoonover arrived at 12:10 PM. Windsor House II is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents, two (2) of whom may be bedridden. The facility has a Hospice Waiver for two (2) residents. Upon arrival, LPA was informed that there were four (4) residents in care. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 12:15 PM, LPA toured the facility with Administrator Schoonover. All exits were clear and unobstructed. The facility's fire extinguisher was new, having been purchased on 3/18/2026. The facility was sufficiently lighted. LPA inspected six (6) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 2/24/2026. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 At approximately 2:00 PM, LPA reviewed four (4) resident files. Four (4) of four (4) resident files were observed with all required documentation. LPA reviewed four (4) staff files. Four (4) of four (4) staff files were observed with all required documentation including First Aid and CPR certification and proper training documentation. LPA audited Medication for three (3) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. John Schoonover’s Administrator Certification 7009037740 is current with an expiration date of 2/2/2027. LPA requested the following documents be submitted to Community Care Licensing by 5/30/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance - after 5/17/2026 No deficiencies cited during today's visit. Exit interview conducted. Copy of report discussed and provided to Administrator Schoonover. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Apr 30, 2026

The state marks this report as 7 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

At approximately 1:20 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Administrator John Schoonover. Windsor House II is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for two (2) residents. Upon arrival, LPA was informed that there were four (4) residents in care and two (2) staff members on-site. At approximately 1:30 PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 1:35 PM, LPA toured the facility with Administrator Schoonover. All exits were clear and unobstructed. The facility's fire extinguishers was new having been purchased on 3/29/2025. The facility was sufficiently lighted. LPA inspected six (6) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 At approximately 2:00 PM, LPA reviewed two (2) resident files. Two (2) of two (2) resident files were found to be well organized and thorough with all required documentation. LPA reviewed two (2) staff files. All staff files were found with all required documentation including First Aid and CPR certification and proper training documentation. LPA spot checked Medication for two (2) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. John Schoonover’s Administrator Certification 7009037740 is current with an expiration date of 2/2/2027. LPA requested the following documents be submitted to Community Care Licensing by 6/9/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance - after 5/17/2025 No deficiencies cited during today's visit. Exit interview conducted. Copy of report discussed and provided to Administrator Schoonover. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, May 9, 2025

The state marks this report as 4 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

Licensing Program Analyst, (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator, John Schoonover. Required postings were observed. LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathrooms measured at 116.2 and 111.6 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cabinet in laundry room containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was bought April 22, 2024 and it was fully charged. Smoke detectors located throughout the facility were tested and operational. Carbon Monoxide Detector was tested and operational. Last disaster drill conducted on April 25, 2024. File review was initiated at 9:30 am. Two staff files and three resident files were reviewed. Residents have current medical assessments and care plans. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, John Schoonover 6030504740 expires 2/2/2025. Medications and medication records were reviewed. Training records were reviewed. Administrator to submit updates of the following documents by 5/24/2024: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Emergency Disaster Plan (LIC610E if there are any changes) and copy of liability insurance. No deficiencies cited during this inspection. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, May 14, 2024