Caring Hands for the Elderly

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 04/14/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Ana Guerrero. A brief interview was conducted with the facility designated representative at this time. Current census was 5 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 03/13/2026. This visit was to follow up on the Plan of Correction that was due. The following deficiencies were observed and cited on 03/13/2026: The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Plan of Correction clearance letter was printed and a copy was provided to the facility designated Administrator at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Apr 14, 2026

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 03/13/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregivers, Nicolett Groves and Isheika Newman, who were briefly interviewed at this time. This LPA requested that they go ahead and contact the facility designated Administrator, Ana Guerrero, to inform her that CCL was present at this time. The facility designated Administrator, Ana Guerrero, was present at this facility at this time. Current census was 6 residents. It was learned that there was (1) resident under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (4) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there was (1) resident diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. It was learned that this facility does not have a bedridden fire clearance to be able to accept or retain any residents deemed to be bedridden at any given time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway closet, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Garage area was toured. Laundry area, located next to the garage area, was toured and observed to be locked at this time. A review of the bleach, detergent, and all other cleaning supplies was conducted to make sure that they were locked and made inaccessible to the residents at this time. Administrator certificate # 7010978740 for Ana Guerrero which was observed to expire on 10/29/2027 and in compliance at this time. Medication cabinet, located in the facility kitchen cabinets, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the kitchen cabinet, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher located hanging on the wall adjacent to the kitchen was observed to have been annually inspected by the local fire extinguisher company, Assured Fire Extinguisher Services, with the inspection date of 08/22/2025 and in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees at all times. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (4) facility personnel records was conducted and noted on the following LIC 859. A review of (6) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a version was given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Mar 13, 2026

Type of visit: Required - 1 Year

On 04/04/2025, Licensing Program Analysts (LPAs) Arielle Pascua and Triel Lindstrom arrived unannounced to this facility to conduct an annual visit. LPAs met with Staff members (SM), Nicollete Groves and Sharion Lamison and explained the purpose of the visit. LPAs asked that SM Groves call the Facility Designated Administrator (FDA), Ana Guerrero that CCL was present at this time. Shortly after, LPAs met with FDA Guerrero. Current census was 6. A brief interview with FDA Guerrero was conducted. This facility is licensed to serve and retain 6 elderly residents whom of which all may be non-ambulatory. This facility also has a hospice waiver for 4 residents at this time. LPA Pascua toured the grounds and observed them to be well maintained. All paths were free of obstruction. LPA Pascua toured the physical plant. The facility is a single story building with 4 bedrooms. There are 2 double occupancy rooms and 2 single occupancy rooms. The facility was observed to be sanitary and free of odor. There was adequate furnishings and lighting throughout. The facility maintains an adequate supply of linens. All furniture was observed to be in good repair. LPA Pascua inspected the kitchen and observed all knives to be locked and inaccessible to residents in care. There was in excess of a 2 day supply of perishable food and a 7 day supply of non-perishable food. Food in the refrigerator was labeled with the date opened. There was no expired food product observed. Lunch service was provided during the course of this inspection and residents received different lunches according to each individual's preference. There was fresh fruit and vegetables available. The smoke detectors were also observed to be in good working order. The fire extinguisher was last serviced in on 08/23/2024 and is in compliance. The first aid kit was observed to be complete. LPA Pascua reviewed 3 resident files and 3 staff files all of which were complete and up to date. The administrator has a active administrator certificate #701097840 and expires on 10/29/2025. The medications were observed to be locked and inaccessible to residents in care. The facility monitors and logs the effectiveness of PRN's given. The Medication Administration Record was compared to medication on hand and was consistent. The facility does not handle any Personal and Incidental funds. The following forms to be submitted to department: -LIC 308 -LIC 400 -LIC 500 -LIC 610E The facility is in substantial compliance. No deficiencies were observed. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 4, 2025

Type of visit: Required - 1 Year

On 2/22/24 Licensing Program Analyst (LP) Maja Jensen arrived at facility unannounced to conduct a required one year annual visit. LPA Jensen met with Administrator Ana Guerrero and explained the purpose of today's visit. LPA Jensen toured the grounds and observed them to be well maintained. All paths were free of obstruction. There are no bodies of water on the premises. There is outdoor furniture for resident activities with shade available. LPA Jensen toured the physical plant. The facility is a single story building with 4 bedrooms. There are 2 double occupancy rooms and 2 single occupancy rooms. The facility was observed to be sanitary and free of odor. There was adequate furnishings and lighting throughout. The facility maintains an adequate supply of linens. All furniture was observed to be in good repair. LPA Jensen inspected the kitchen and observed all knives to be locked and inaccessible to residents in care. There was in excess of a 2 day supply of perishable food and a 7 day supply of non-perishable food. Food in the refrigerator was labeled with the date opened. There was no expired food product observed. Lunch service was provided during the course of this inspection and residents received different lunches according to each individual's preference. There was fresh fruit and vegetables available. LPA Jensen tested the carbon monoxide detector and observed it to be good working order. The smoke detectors were also observed to be in good working order. The fire extinguisher was last serviced in August of 2023 and is in compliance. The first aid kit was observed to be complete. Fire drills are conducted and logged in compliance with regulation. The Emergency disaster plan was posted and in compliance. All required postings were prominently displayed. The facility maintains an emergency supply of water and lighting. The infection control plan has been submitted and is in compliance. LPA Jensen conducted interviews with 2 residents, both who were satisfied with the care they receive and the accommodations. LPA Jensen interviewed 1 staff member who was able to respond to all questions appropriately. LPA Jensen reviewed 5 of 5 resident files. All files were observed to be complete. LPA Jensen reviewed 6 of 6 staff files and all staff files were observed to be complete and in compliance. LPA Jensen reviewed the facility advertising materials which were observed to be in compliance. The facility provides internet service and telephone service for clients in care. The medications were observed to be locked and inaccessible to residents in care. The facility monitors and logs the effectiveness of PRN's given. The Medication Administration Record was compared to medication on hand and was consistent. The facility does not handle any Personal and Incidental funds. LPA Jensen requested and received an updated LIC 500, a current copy of the liability insurance and an LIC 308. The inspection tool was used during the course of this visit. LPA Jensen inspected the grounds and interior then left the facility for lunch and returned to conduct file reviews. The facility currently has a hospice waiver for 4. LPA Jensen discussed requesting an increase in the hospice waiver and recommended that an increase be sought should the need arise so the Department can assess the situation on a case by case basis. The facility is in substantial compliance. No deficiencies were observed. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 22, 2024