Living Oak Home Care

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of reviewing the physical plant for capacity increase requested from five to six residents. LPA were greeted by caregiver Gilbert Shivachi. Licensee, Emma Mutunga, was not able to come to the facility, but was available over the phone and gave authorization for caregiver to sign the report. Previously on 6/2/26, LPA toured the facility and observed two fire doors installed involved in the capacity increase per fire department request. During today's visit, LPA had a conversation with Licensee to explain them that the updated fire clearance dated 6/15/26 indicates that the capacity increase was not approved. Licensee is expecting to get approved for capacity increase from five to six residents and made changes requested by the fire department to obtain their approval for their fire clearance reflecting the capacity increase. LPA observed that the two fire doors remained closed during LPA's visit, which it represent a concern about residents needing assistance with their care needs because doors prevent staff to get alerted if they remained closed at all times. LPA explained the concern to the Licensee, who stated that the doors have door stops to prevent them from closing, staff immediately placed door stops and open both doors. Licensee expressed that they will contact the fire department to request approval of capacity increase from five to six residents. No deficiencies found at the time of visit. Exit interview conducted with staff and copy of this report was given.the state’s words, verbatim · CDSS document, Jun 15, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of reviewing the physical plant for capacity increase requested from five to six residents. LPA were greeted by caregiver Gilbert Shivachi. Licensee, Emma Mutunga, was not able to come to the facility, but was available over the phone and gave authorization for caregiver to sign the report. LPA toured the facility and observed two fire doors installed involved in the capacity increase per fire department request. Licensee is requesting capacity increase from five to six residents. No new construction was done. Licensee already made changes requested by the fire department to approve their fire clearance reflecting the capacity increase and they are waiting on fire inspector to return to review changes made to the facility to approve their fire clearance. No deficiencies noted at the time of this visit in the areas toured by LPA. Exit interview conducted with staff and copy of this report was given.the state’s words, verbatim · CDSS document, Jun 2, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required – 1 yr. and met with Licensee Emma Mutunga. Annual fees are current. Required postings observed. LPA/Licensee toured the facility around 9:00am. The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms furnished per regulation. Fire Extinguishers were charged on 12/4/24, smoke detectors & carbon monoxide detectors were found to be operational during the visit. Last disaster drill was conducted on 9/16/25. Hot water temperature measured 110.3 and 110.1 degrees F which is within acceptable regulations of 105 to 120 degrees F. There was a supply of hygiene products and paper products. Toxins are stored in a cabinet in the garage that was locked. Medication is centrally stored and locked in a closet located in the kitchen. The facility has one week of perishable food and two days of nonperishable food observed stored and handled as stated per regulation. At approximate 9:30am LPA initiated a review of three staff and four resident files. All four residents care plans and medial assessments were updated. All staff files have active CPR/first aid certificates and required training hours. Administrator Certificate for Emma Mutunga, 7000702740, expires 4/18/2027. Medication and medication records were reviewed. Licensee agreed to provide updates of the following by 11/10/25: LIC500 - Personnel Report and LIC308 Designated Administrative Responsibility. No deficiencies found during today's visit. Exit interview was conducted with Licensee and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required – 1 yr. and met with Licensee Emma Mutunga. There were 4 residents present at the facility. Required postings observed. LPA/staff toured the facility around 12:45pm. The facility was 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 were found to be last charged on 12/4/23, smoke detectors & carbon monoxide detectors were found to be operational during the visit. Last disaster drill was conducted on 8/5/24. Hot water temperature; it measured 112.1 and 110.9 degrees F which is within acceptable regulations of 105 to 120 degrees F in 2 out of 2 resident’s bathroom faucets. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Toxins are stored in a cabinet in the garage that was locked at time of inspection. Medication is centrally stored and locked in a closet located in the kitchen. The facility has one week of perishable food and two days of nonperishable food observed stored and handled as stated per regulation. At approximate 1:00pm LPA initiated a review of three staff and four resident files. One out of four residents care plan was not updated (technical violation issued); all resident's files are current with their medical assessments. All staff files have active CPR/first aid certificates and required training hours. Administrator Certificate for Emma Mutunga, 6003067740, expires 4/18/2025. At approximate 2:00pm LPA/Licensee conducted spot check of medications and found resident's (R1) medications were two out of twenty medication were expired as follow: Advair Diskus 250/50mg inhale 1 puff into the lungs twice daily (expired as of November 2024) and Dulcolax 10mg (PRN expired June 2024). Licensee discarded expired medication. LPA provided updates of the following forms: LIC500 - Personnel Report, LIC308 Designated Administrative Responsibility, copy of control of property and Certificate of Liability Insurance. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Licensee and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 3, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a case management and met with Emma Mutunga (Licensee). On 6/17/24 the Department received an email from licensee notifying CCL that on the same date resident (R1) was sent to the emergency room due to vomiting and blood noted on their feces. The licensee was going to follow up with an incident report when they have any additional information. During today's visit, LPA was told by licensee that R1 was declining on their appetite since last week, which it was notified to their responsible party including their social worker. However, it was determined to transport R1 to the hospital after the blood was noticed by licensee. Currently, R1 is still in the hospital due to possible urinary tract infection, but they also had a blood transfusion. Based on records review, R1 did not have any history of bleeding prior to this episode. Licensee agreed to submit an incident report with updated information. No deficiencies cited during today's visit. Exit interview was conducted with licensee and copy of this report was given.the state’s words, verbatim · CDSS document, Jun 18, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra conducted an unannounced Annual Required – 1 yr. and met with Licensee Emma Mutunga. There were 3 residents present at the facility. LPA/staff toured the facility around 12:30pm. The facility was 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 were found to be last charged on December 2023. smoke detectors & carbon monoxide detectors were found to be operational during the visit. Last disaster drill was conducted on 10/01/2023. Hot water temperature; it measured 111.4 and 113.1 degrees F which is within acceptable regulations of 105 to 120 degrees F in 2 out of 2 resident’s bathroom faucets. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Toxins are stored in a cabinet in the garage that was locked at time of inspection. Medication is centrally stored and locked in a closet located in the kitchen. Fire extinguishers were last inspected December, 2019. Smoke/Carbon Monoxide detectors throughout the facility were tested and operational. Smoke alarms are hardwired. Auditory alarms were functional at time of inspection. Required postings observed. During today's visit, LPA discussed with Licensee about no activities been observed while LPA was visiting the facility. Per Licensee, residents do prefer not to participate in activities, they prefer to watch television or read the newspaper. At approximate 12:40pm LPA/staff observed four bananas and bag of tomatoes, which does not appear to be sufficient supply of perishable food as required by Title 22 Regulations. There was sufficient nonperishable food observed on premises. Continued on LIC809C... Continues from LIC809... At approximate 1:00pm LPA initiated a review of 3 staff and 4 resident files. All resident's files are current with their medical assessments and care plans. 3 out of 3 staff files have active CPR/first aid certificates and required training hours. Administrator Certificate for Emma Mutunga, 6003067740, expires 4/18/2025. At approximate 2:00pm LPA/Licensee conducted spot check of medications and found resident's (R1) medications were not current into the Centrally Stored Medication. Licensee agreed to review and update the Centrally Stored Medication Records. LPA requested updates of the following forms by 12/15/2023: LIC500 - Personnel Report, LIC308 Designated Administrative Responsibility, copy of control of property, LIC610E - Emergency Disaster Plan and Certificate of Liability Insurance. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Licensee and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 8, 2023