America's Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian conduct a required annual visit today. Upon arrival, there were two (2) staff and six (6) residents present. LPA met with the Administrator, Maria Calles and explained the reason for the visit. Entrance interview conducted. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: Furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. LPA observed required postings throughout the common space. Activities were observed in the common areas. BEDROOMS: There are six (6) total bedrooms in the facility; one (1) is designated as a shared room; four (4) are designated as private resident rooms; and one (1) is a staff room. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. LPA observed a closet with additional clean linens, blankets, and towels for resident use. There is a locked closet with resident’s personal hygiene items inaccessible to residents in care. RESTROOMS: The two (2) resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The water temperature was measured in both bathrooms, and they measured between 113.2 - 115.5 degrees Fahrenheit. KITCHEN: Knives and sharps were locked and inaccessible under the kitchen sink. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. (Continue to LIC809C) GARAGE/BACKYARD: The garage was inaccessible to residents at the time of the visit. Washer and dryer were observed inside the garage. Laundry detergent was observed locked and inaccessible. LPA observed an adequate amount of emergency food and water. The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear of obstructions. LPA observed two (2) self-latching gates. There were no bodies of water noted at the time of the visit. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency disaster drills are conducted quarterly, with the last drill conducted on 07/03/2026. RECORDS: LPA reviewed Resident Records at approximately 11:00 a.m. and Personnel Records at 12:30 p.m. Six (6) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, and current needs and services plan. All records were in order. Three (3) personnel files and the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Staff files were complete. The Administrator’s certificate is active and expires on 10/21/2024. MEDICATIONS: Medications review began at approximately 2:00 p.m. for three (3) residents. Medications are locked in a filing cabinet in the dining room. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications appeared to be given as prescribed at the time of the visit. LPA discussed with Administrator on ensuring all residents medication are logged on the centrally stored record once medications are received rather than once a month. Technical violation issued. Administrator acknowledged understanding. Smoke and carbon monoxide detectors were tested at approximately 3:15 p.m., and all were functional at the time of the visit. Fire extinguisher was observed fully charged (purchase date 04/26/2026). Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 23, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, LPA met with staff and explained the reason for the visit. Administrator Maria Calles arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. At approx 09:45 a.m. The LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and to be in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food properly stored. Food labels were inspected and checked for dates and expiration dates. The knives and sharp objects were observed locked and inaccessible underneath the sink. Medication cabinet was located in the kitchen area. LPA observed cabinet to be locked and inaccessible to residents in care. There are six (6) total bedrooms in the facility; one (1) is designated as a shared room; four (4) are designated as private resident rooms; and one (1) is a staff room. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. LPA observed a closet with additional clean linens, blankets, and towels for resident use. The resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in a hallway closet. There is a cabinet adjacent to the living room with resident’s personal hygiene items locked at the time of the visit. LPA observed staff rooms to be empty as well as locked and inaccessible to residents in care. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. There is an office area located next to the kitchen. Facility files were observed stored inaccessible to residents in care. LPA observed board games, books and other activities stored in dining area. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage observed inaccessible to residents in care. There is a washer and dryer inside the garage. Cleaning supplies, detergents, and toxins were observed in a locked cabinet inaccessible to residents in care. Facility has an adequate amount of emergency food and water. LPA observed a thirty (30) day supply of Personal Protection Equipment (PPE). The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed two (2) self-latching gate with clear passageways clear of obstruction. There were no bodies of water observed during the visit. Records review, five (5) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Records were observed to be in order at this time. Four (4) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. At approx 11:15 a.m. LPA observed Staff #1 (S1) has criminal record clearance, but was not associated to the facility. Medications review: medications are centrally stored and locked inside a cabinet in the medication room. All medications including PRNs were labeled, stored and locked inaccessible to individuals. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during medications review. During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Fire extinguisher was observed fully charged and last serviced 03/06/2025. Carbon monoxide detectors are wired and operational at the time of the visit. Continued from 809-C Emergency disaster drills conducted quarterly as per regulation; the last one conducted was a fire drill in August. LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster, and facility’s liability insurance Interviews were conducted during the visit. The following deficiency was observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. An immediate $500 civil penalty issued today for facility staff not having fingerprint clearance. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Sep 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, there were two (2) staff and four (4) residents present. LPA met with the Administrator, Maria Calles and explained the reason for the visit. Entrance interview conducted. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA inspected the kitchen/food service area at 8:57 a.m. Knives and sharps were observed locked and inaccessible under the kitchen sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 113.5 degrees Fahrenheit at 9:00 a.m. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. Smoke and carbon monoxide detectors were tested, and all were functional at the time of the visit. Fire extinguisher was observed and fully charged on 05/17/2024. No fire clearance concerns were observed. The LPA observed required postings throughout the common space. Activities were observed in the common areas. There is a working telephone on premises. RESTROOMS: The two (2) resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. Report Continued on LIC 809C... Report Continued from LIC 809... The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 8:49 a.m., the water temperature was measured in both bathrooms, and they measured between 105.3- and 113.5-degrees Fahrenheit. BEDROOMS: There are six (6) total bedrooms in the facility; one (1) is designated as a shared room; four (4) are designated as private resident rooms; and one (1) is a staff room. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. LPA observed a closet with additional clean linens, blankets, and towels for resident use. There is a locked closet with resident’s personal hygiene items inaccessible to residents in care. GARAGE/BACKYARD: The garage was inaccessible to residents at the time of the visit. Washer and dryer were observed inside the garage. Laundry detergent was observed locked and inaccessible. LPA observed an adequate amount of emergency food and water. The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear of obstructions. LPA observed two (2) self-latching gates. There were no bodies of water noted at the time of the visit. RECORDS: LPA reviewed Resident Records at 9:11 a.m. and Personnel Records at 9:59 a.m. Four (4) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All records were in order. Three (3) personnel files and the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Staff files were complete. The Administrator’s certificate is active and expires on 10/21/2024. Report Continued on LIC 809C... Report Continued from LIC 809C... INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency disaster drills are conducted quarterly, with the last drill conducted on 07/25/2024. MEDICATIONS: Medications review began at approximately 11:25 a.m. for four (4) residents. Medications are locked in a filing cabinet in the dining room. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications appeared to be given as prescribed at the time of the visit. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 27, 2024