Penngrove Gardens

Type of visit: Required - 1 Year

On 07/24/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility and met with Administrator, Chris Cardenas. Facility has an approved fire clearance for 8 non-ambulatory, and 3 bedridden, with a hospice waiver approved for 3. There are currently 8 residents in care and 1 resident on hospice. LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. Facility is a two story house with the second floor designated for staff. All resident rooms are located on the first floor. All rooms were furnished and in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured within the range of 105 to 120 degrees F. Fire extinguishers were last inspected May 2026. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Sharps and chemicals were located in a locked cabinet in the pantry room. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. LPA conducted a review of 4 resident records. All records had the required documentation. LPA conducted review of 4 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. continued on LIC809C No deficiencies cited during today's inspection. Updated copies of the following documents were requested and are to be submitted to CCL by 08/24/2026: LIC500- Personnel Report LIC308- Designation of Responsibility Updated Certification of Liability Insurance Exit interview conducted with Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 24, 2026

Type of visit: Required - 1 Year

On 08/26/2024, Licensing Program Analyst (LPA) Hansen conducted an unannounced Annual Required – 1 yr. inspection visit for this facility and met with Administrator, Chris Cardenas. Facility is 2 story with all 8 resident bedrooms on first floor. Facility approved/cleared for 8 non-ambulatory, and three (3) bedridden, with a hospice waiver approved for three (3). There are currently eight (8) residents in care, (7) seven with dementia diagnosis and two (2) on Hospice. At approximately 11:50am, LPA and Administrator toured the building and grounds. All door alarm systems were observed to be in functioning order. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. All rooms were equipped with lighting, nightstand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care measured between 108.1 degrees F and 113.9 degrees F in 8 sinks, within Title 22 range of 105 to 120 degrees F. All shower floors have slip-resistant mats as required by Title 22 regulations. Fire extinguishers were last inspected 4/1/2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Toxins, sharps and other items that could pose a threat if available to residents were located in the carport, laundry room and next to the kitchen sink and found to be secured. LPA conducted spot medication count and found all prescription medication to be centrally stored and inaccessible to residents in care. Continue on LIC809-C Continue from LIC809 At approximately 1:00 pm, LPA conducted a review of five (5) resident records. Reviewed files had the required documentation. At approximately 1:45 pm, LPA conducted review of five (5) staff records/training. Upon a review of staff records, LPA found all staff were background cleared by DOJ and associated to facility, as well, have required initial training & annual training as well have current 1st Aid & CPR certification on file. Administrator certificate for Crisante Cardenas # 7007975740 expires 3/24/2027. Facility conducts quarterly disaster drills, in different shifts, with the last conducted 6/11/2025. Facility has emergency lighting system in hallways connected to built in generator should power go out. Facility has weekly guitar and piano players entertain residents along with every other day activity director conducts exercises/stretch & flex’s & dancing. No deficiencies observed during today’s inspection; no citations given. Updated copies of the following documents were requested and submitted to LPA or CCL by 8/22/2025: LIC500- Personnel Report LIC308- Designation of Responsibility LIC309- Administrative Organization Liability Insurance Administrator Certification (emergency/disaster plan and infection control plain - if any changes have been made) Exit interview conducted with Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 5, 2025

Type of visit: Case Management - Incident

At approximately 1:55PM, Licensing Program Analysts (LPAs) Loera and Stevenson arrived unannounced to conduct a Case Management - Incident Visit and met with Administrator, Cris Cardenas. The purpose of the visit was to follow up on self-reported incident that was submitted to Community Care Licensing (CCL) on 01/30/2025. The incident report states that Resident 1 (R1) fell from their bed. Staff immediately called 911 and R1 was transported to the hospital and then transported to a rehab center. Per conversation with Administrator and document review, R1s responsible party discharged R1 against medical advice from the rehab center and was returned to facility on 02/01/2025. Per conversation with Administrator, facility has instituted a fall prevention plan with a motion detector in front R1s bed and has night time staff posted outside of R1s bedroom for supervision. LPAs requested for facility to send in writing of updated care plan. Per review of R1s diagnosis, R1 has a history of falls. No Deficiencies Cited during visit. Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Administrator. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Feb 19, 2025

Type of visit: Required - 1 Year

08/26/2024, Licensing Program Analyst (LPA) Loera and (LPM) Bertozzi conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently eight(8) residents in care. Facility approved/cleared for 8 non-ambulatory, and three(3) bedridden, and hospice waiver approved for three(3). At approximately 9:20am, LPA and LPM toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated. All rooms were equipped with lighting, night stand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured within the range of 105 to 120 degrees F. Fire extinguishers were last inspected July, 2024. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Toxins, sharps and other items that could pose threat if available to residents were located in the garage and laundry room and under the kitchen sink and found to be secured. LPA and LPM conducted spot medication count and found all prescription medication to be centrally stored and inaccessible to residents in care. At approximately 10:15 am, LPA and LPM conducted a review of five(5) resident records. Reviewed files had the required documentation. continued on LIC809-C At approximately 11:00 am/pm, LPA and LPM conducted review of five(5) staff records/training. Upon a review of staff records, LPA and LPM found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. 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 LIC309- Administrative Organization Liability Insurance (emergency/disaster plan and infection control plain - if any changes have been made) Exit interview conducted with Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 26, 2024