Marian Gardens Care Home - RCFE

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Raymond Dichoso. Administrator certificate #7005427740 expires 8/31/26. Facility currently has five [5] residents four [4] of which are on hospice. At approximately 9:30am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 112.6 degrees F in room #1/2, 112.9 degrees F in the back bathroom, and 113.5 in the kitchen which are all within the allowable range of 105 to 120 degrees F. Ramp on west side of house out of room #5 is in disrepair. The wood planks at the bottom third portion of ramp can still bear weight, but they bow and crack when LPA and Admin step on them. Wood planks have many cracks and the ground underneath can be seen through the cracked wood. The planks have worn and cracked off in many areas. The very top of the ramp was observed to be stable and not in disrepair. Fire extinguishers were last inspected 4/24/25. Smoke/Carbon Monoxide detectors located throughout the Continued on 809C... Continued from 809... facility were tested and operational, fire door closed properly once alarm activated. Facility’s last quarterly disaster drill was conducted 1/3/26. Facility has a backup generator for use during a power outage. At approximately 10:30am LPA conducted review of five [5] staff records. Last year, LPA and Admin discussed training and training materials. LPA observed Admin to have followed through with all discussion points from last year in entirety. Admin chose an approved vendor. All training completed, all required subject matters covered; training certificates present for all staff. All staff have current FirstAid/CPR. All required documentation present. At approximately 11:00am LPA conducted a review of five [5] resident records. All required documentation present. At approximately 12:30pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. LPA and Admin discussed all current physician's orders for medications should be listed on the Centrally Stored Medication Log (CSML). All medications should be listed on the CSML, including PRNs. LPA and Admin discussed hospice comfort medications and hospice medication orders. All medications on current doctor's orders must be present in the facility at time of resident's move in. LPA and Admin discussed ensuring all medications are present at time of move in, if a resident's family member can provide the medications at move in, that is allowed. But if they have not provided them by time of move in, Admin will purchase the medications to ensure that residents have all medications present that are listed on their current doctor's orders. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Liability Insurance No deficiencies cited. Exit interview conducted with Administrator and copy of this report given.the state’s words, verbatim · CDSS document, Feb 20, 2026

The state marks this report as 5 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 (LPAs) Christi Coppo and Ethel Contreras arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Raymond Dichoso. At approximately 1:00pm LPAs and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPAs observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 106.2 degrees F which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 4/22/24. Smoke/Carbon Monoxide detectors located throughout the facility were operational. Facility’s last quarterly disaster drills were conducted 1/13/25 and 1/25/25. Facility has a backup generator for use during a power outage. At approximately 1:20pm LPAs conducted a review of six [6] resident records. All required documentation present. 1/2 rails and crushed meds orders all on file for respective residents. At approximately 2:00pm LPAs conducted review of five [5] staff records. All required documentation present. LPAs and Admin discussed training and training materials. Some staff were slightly short on completed training hours required. Per Admin, Admin conducts training periodically throughout the year but Continued on 809C... Continued from 809... mainly conducts annual training in January. LPA explained that in order for training to be considered current it must be completed within the current year, so any training conducted after 3/14/24 would be considered current. Admin now understands the dates by which the training must be completed in order to be considered current. LPA reviewed training materials. LPA and Admin discussed using an approved vendor to complete training for staff as current materials are over 10 years old. LPA will email approved vendor list to Admin, If Admin does not choose to go with an approved vendor, Admin will update training materials and submit to CCL for approva once purchased. At approximately 2:30pm LPAs and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies. Raymond Dichoso Administrator Certificate 7005427740 expires 8/31/26. All fees are current as of this time. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Exit interview conducted with Administrator and a copy of this report was given. No deficiencies cited.the state’s words, verbatim · CDSS document, Mar 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Raymond Dichoso. Facility contact information was reviewed. At approximately 9:15am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 110.3 and 109.8 degrees F which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 4/24/2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drills were conducted with each staff member during their respective training days, LPA observed all training dates for respective staff were within the quarter. Facility has a backup generator for use during a power outage. At approximately 10:30am LPA conducted a review of 6 resident records. All required documentation present. 1/2 rails and crushed meds orders all on file for respective residents. At approximately 11:30am LPA conducted review of 5 staff records. All required documentation present. At approximately 12:00pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies. Continued from 809C... Continued from 809... Raymond Dichoso Administrator Certificate 6018339740 expired 8/31/2024. All fees are current as of this time. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Current Lease No deficiencies cited during this inspection.the state’s words, verbatim · CDSS document, Mar 19, 2024