Kind Care Senior Home

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 10:55AM. LPA was greeted by faciliy staff. Administrator was contacted via telephone and arrived shortly after the visit began. Entrance interview conducted. Beginning at 11:00AM, the LPA, along with facility staff Marilou Rojas, 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. The following was observed: BEDROOMS: The facility consists of four (4) total bedrooms, of which two (2) are single occupancy and two (2) are designated as shared rooms. LPA observed all resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. RESTROOMS: One (1) restroom is in the hallway, designated for shared resident use and 1 (one) is designated as a private restroom. Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. The sinks had sufficient liquid soap and paper towels. LPA tested the hot water temperature in the shared resident restroom, which measured within the required range. COMMON SPACES: Living room and dining room furniture was observed to be in good condition. The LPA observed the required postings upon entry. Medications and first aid are located in a locked cabinet in the living area. There is a working telephone on premises. The LPA observed additional clean linens and towels in the hallway closets. The fire extinguisher was observed to be fully charged and was purchased on 01/25/2026. Beginning at 01:08PM, separate carbon monoxide alarm was tested as well as two (2) individual and all hardwired smoke detectors. All systems were functional at the time of the visit. Report Continued on LIC 809-C GARAGE/OUTDOOR SPACE: The garage contains the laundry area, emergency food and water, as well as storage space. The backyard patio contains a shaded area and is equipped with furniture for resident use. There is a gate on the side of the house designated for an emergency exit. The LPA observed two (2) locked sheds in the backyard. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored a locked drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. RECORD REVIEW: Beginning at 11:15AM, the LPA conducted a file review for all five (5) residents and for four (4) staff and observed the following: Staff have current first aid and training completed. Resident records were reviewed for but not limited to current medical assessment, TB tests, appraisal needs and service plans, and consent forms. LPA also reviewed hospice care plan and home health plan for applicable residents. All records were in order. MEDICATION REVIEW: Starting at 12:42PM, the LPA conducted a review of medication and medication documentation with facility staff for two (2) out of five (5) residents and observed that medications were properly documented and appear to be self-administered as prescribed. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today's visit, LPA reviewed the facility's emergency disaster plan and infection control plan. Both documents were observed to be complete and updated annually as required. The facility's policies and procedures related to infection control are adequate. The facility staff are trained on emergency disaster plan and the last emergency drill was conducted on 07/07/2026. No citations issued. Exit interview conducted. A copy of today's report was provided.the state’s words, verbatim · CDSS document, Sep 1, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 11:35 a.m., the LPA met with staff and explained the reason for the visit. At 12:00 p.m., Administrator George Yazbek arrived at the facility. At 11:50 a.m., the LPA, along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards. The LPA observed the kitchen and dining area. Knives are stored a locked drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:50 a.m., hot water measured at 108.7-degree Fahrenheit. The facility is a single-story residential home with four (4) bedrooms and two (2) bathrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. Hot water measured within required range. The sinks had sufficient liquid soap, and paper towels. At 12:01 p.m., the LPA observed the back patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. The LPA observed a locked shed in the backyard. The garage is attached and remains inaccessible to residents. Laundry units are located inside the garage. Cleaning solutions are locked and located inside the garage. Additional food supplies and water are also stored in the garage. There are no bodies of water on the premises. The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and purchased on 02/14/2025. At 12:04 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Medications and first aid are located in a locked cabinet in the living area. There is a working telephone on premises. The LPA observed additional clean linens and towels in the hallway closets. Due to time constraints, the LPA will return at a later date to complete the annual. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Sep 23, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Emily Peraldi conducted a pre-licensing visit to the above noted facility. At 10:00 a.m., the LPA met with applicant, George Yazbek. This is a change of ownership application. A dementia program was included in the plan of operation. A Hospice Waiver for six (6) has been requested. At 10:19 a.m., a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for six (6) non-ambulatbory residents one (1) of which can be a bedridden resident. The facility is one story. The facility has four (4) resident bedrooms. Resident room #2 has a direct exit to the outside. Bedridden resident is allowed in resident bedroom #2. All resident rooms are set up with beds, nightstands, lamps, chairs, chest of drawers and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed). Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. There are no staff rooms – ‘awake night staff only’ - is required. There are two (2) bathrooms in the facility. The resident bathrooms have a shower with non-skid materials/ mats. The toilet and shower have grab bars. The hot water temperature was tested in the bathroom and the kitchen and was found to be within the range of 105*F and 120*F. Resident and staff records are stored in the living room area inside a locked cabinet. Medications are centrally stored in a locked cabinet inside the living room area. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. Continued on LIC 809-C. Kitchen knives are stored in a locked kitchen drawer. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of nonperishable and perishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area. Appliances in the kitchen were clean and all appeared functional. Laundry units and house cleaning supplies are stored inside the garage. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment, games and/or activity supplies in the living rooms. There was sufficient space to accommodate both indoor and outdoor activities. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included but not limited to flashlights. The facility had emergency food and water supplies. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have central air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. At 10:40 a.m., the smoke detector and carbon monoxide detectors were tested and functioned properly. The facility has a central entry point for symptom screening and temperature checks for staff and visitors. There are hand sanitizers available throughout the facility. The fire extinguisher was fully charged and last serviced on 02/13/2024. The supply of extra bed and bath linens is adequate. Personal hygiene items (shampoos, soaps) were adequate and are stored in one of the hallway closets. Extra incontinence supplies and other supplies are located outside in the locked storage sheds. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted throughout the facility. The emergency telephone numbers are posted near the entrance of the facility. Other required postings are also posted near the entrance of the facility. The exterior passageways were clean and clear of any obstructions. There is a covered patio area at the back of the house with tables and chairs where residents can sit. One side of the house is designated for an emergency exit. There are two (2) locked storage sheds in the back yard. There are no bodies of water on the premises at the present time. Continued on LIC 809-C. Component III was conducted in conjunction with this pre-licensing visit. No corrections required. Exit interview conducted. A copy of the report was issued. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license.the state’s words, verbatim · CDSS document, Sep 10, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 6 Census : 5 Method: Telephone call with CAB COMP II Participants: George Yazbek (Administrator/Licensee) & Tammy Edwards (Analyst). Administrator/Licensee participated in COMP II via telephone call with CAB analyst. Identification of the Administrator/Licensee was verified by confirming driver’s license number. During COMP II, Administrator/Licensee confirmed the understanding of Title 22. Component II was successfully completed. Administrator/Licensee was advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Administrator/Licensee's understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Aug 27, 2024