Gardenview of Marian Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Licensee Sheila Sumabat arrived later. At approximately 1:45pm LPA and caregiver 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 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 sinks accessible to residents in care measured at 112.7 degrees F in the kitchen, 112.9 degrees F in the bath which are both within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 9/8/25. Smoke/Carbon Monoxide detectors located throughout the facility were operational. Facility’s last quarterly disaster drill was conducted with each staff on 1/5/26. Facility has a backup generator for use during a power outage. At approximately 2:30pm LPA conducted a review of five [5] resident records. All required documentation present. 1/2 rail orders all on file for respective residents. At approximately 3:00pm LPA conducted review of five [5] staff records. All required documentation present. Continued on 809C... Continued from 809... At approximately 3:30pm LPA, licensee, and caregiver conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies. Sheila Sumabat Administrator Certificate 7006961740 expires 12/20/2026. LPA and licensee discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. No deficiencies cited. Exit interview conducted with licensee and a copy of this report given.the state’s words, verbatim · CDSS document, Jan 14, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Christi Coppo and Ali Deniz arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Sheila Sumabat. Facility contact information was reviewed. At approximately 9:30am 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 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 sinks accessible to residents in care measured at 111.9 degrees F in the main bath, 115.1 degrees F in the kitchen, and 114.7 degrees F in resident room #5 which are all within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 9/13/24. Smoke/Carbon Monoxide detectors located throughout the facility were operational per Admin. Facility’s last quarterly disaster drill was conducted with each staff on 1/7/25. 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 LPAs conducted a review of five [5] resident records. All required documentation present. 1/2 rail orders all on file for respective residents. Continued on 809C... Continued from 809... At approximately 11:00am LPAs conducted review of five [5] staff records. All required documentation present. At approximately 11:45am LPAs and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies Sheila Sumabat Administrator Certificate 7006961740 expires 12/20/2026. All fees are current as of this time. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. No deficiencies cited. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Jan 23, 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 Caregiver. LPA had computer issues upon trying to open FAS. Sheila Sumabat, Administrator arrived later. Facility currently has 1 resident on hospice which is allowable per the facility's Hospice Waiver. Facility contact information was reviewed. At approximately 9:00am 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 and labeled. Kitchen cabinet containing cleaning supplies was locked. Additional cleaning and laundry supplies located in staff room in locked cabinet. 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 bathrooms had required bath mats and grab bars. Water temperature in sink(s) accessible to residents in care measured at 108.7 and 106.2 degrees F, respectively, which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 9/29/2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have an auditory alert system that was functional at time of inspection. Facility’s last quarterly disaster drill was conducted on 1/3/2024. Facility has two backup generators for use during a power outage. At approximately 12:00pm LPA conducted a review of six [6] out of six [6] resident and five [5] staff records. Per LPA record review, resident (R1) is bedridden per most recent LIC602 and Admin verification. R1 was not bedridden when admitted to facility 9/2022. R1 was placed on hospice beginning 10/2022 and was considered bedridden 01/2023. LPA and Admin verified with Santa Rosa Fire Dept that the most current STD850 for the facility dated 2020. Report continued on LIC 809-C... Continued from 809... Current STD850 dated 2020 grants fire clearance for 6 non-ambulatory. Facility to submit updated facility sketch showing Room #6 as a bedridden bedroom to CCL within 5 business days of today, January 23, 2024. CCL to follow-up once updated facility sketch received. At approximately 2:00pm LPA, Admin, and Caregiver conducted a spot check of medication and medication records. Medication is centrally stored in a locked filing cabinet in the staff room. Medications stored in labeled bins, for each respective resident. Door from kitchen leading to staff room has keypad lock. Sheila Sumabat Administrator Certificate # 6022683740 expires 12/20/2024. All fees are current as of this time. LPA gave LIS printout showing PIN for online payment. LPA and Admin discussed facility's Infection Control Plan and Emergency disaster plan. Both are current, no updates needed. 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 Evidence of Liability Insurance No deficiencies cited during this inspection.the state’s words, verbatim · CDSS document, Jan 23, 2024

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.