Park Plaza Rest Home

Type of visit: Required - 1 Year

On 05/22/2026 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with caregiver, Cheryl Johnson, and explained the purpose of the visit. Administrator Janice Joseph could not attend and gave authorization to Cheryl to sign any paperwork. The facility currently houses two (2) residents with a max capacity of six (6) residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 69.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 110.4 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 12/03/2025. At 9:45AM, LPA reviewed two (2) resident files and four (4) staff files, all found to be complete. The emergency disaster plan was last reviewed 05/22/2026. Quarterly emergency drills were last conducted 02/18/2026. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. No deficiencies cited during visit. Exit interview conducted and a copy of this report was provided to the administrator.the state’s words, verbatim · CDSS document, May 22, 2026

Type of visit: Required - 1 Year

On 05/13/25 around 12:00 PM, L. Holmes, Licensing Program Analyst (LPA) arrived unannounced for a required annual inspection. LPA met with Janice Joseph, Administrator (ADM) and Nicole Joseph, Co-Administrator, and explained the purpose of the visit. The facility’s fire clearance was approved for six (6) non-ambulatory residents; all six (6) may be non-ambulatory and one (1) may be hospice. Upon arrival LPA observed one (1) resident was lounging in the front yard and another watching television and having lunch. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) total bedrooms. All outdoor and indoor passageways were free of obstruction. The body of water is enclosed and secured. A comfortable temperature was maintained at 71 degrees Fahrenheit (F). LPA observed lighting in all rooms to be adequate for the comfort and safety of the residents. The hot water temperature was measured at 113.5 degrees (F). All toilets, hand washing, and bathing areas were safe, sanitary and in operating condition. All hand washing stations were stocked with hand-washing soap and hand drying supplies. Linen and hygiene products were available for all residents. PPE, sanitizer, and paper goods were sufficient. ...continued on LIC809C. ...continued from LIC809 Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last inspected on 12/20/24 and observed full. Emergency Disaster Plan is posted. First aid kit was complete and emergency kits for each resident are available. Fire drills are conducted quarterly. Three (3) Staff records were reviewed, and all staff have criminal record clearance. All three (3) residents' records reviewed were current and complete. The following forms are to be updated and submitted to CCLD by 05/27/25: -Resident roster (Reviewed) -LIC500 Personnel Report (Reviewed) -LIC308 Designation of Administrative Responsibility (Reviewed) -LIC610E Emergency Disaster Plan; change to LIC610D No deficiencies cited during visit. Exit interview conducted and a copy of this report provided to Nicole Joseph, Co-Administrator.the state’s words, verbatim · CDSS document, May 13, 2025

Allegation investigated: Uncleared adult is providing care and supervision to residents.

On this day, August 20, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to deliver the findings on the above allegation. LPA met with Janice Joseph, administrator, and informed the reason for visit. It was alleged that the administrator leaves the facility from Friday evening to Sunday night and sometimes Monday morning with uncleared person in the facility providing assistance to residents. If was further alleged that this person whom licensee was cited for this person for working in the facility without fingerprint clearance. On 10/26/21, LPA reviewed residents’ record and conducted interviews. LPA interviewed 4 residents and staff (S2 and administrator). LPA obtained copy of LIC500 Personnel Report which showed S1 was not on the schedule. ..continued on 9099C (page 2) Unsubstantiated Page 2 Two (2) of the residents interviewed were not able to provide the names of the caregivers while 1 of residents at first stated did not know the name of the caregivers then stated knew S1 but does not remember the dates and days S1 worked. The other resident stated S1 worked but this resident was not able to provide clear information when further asked. Review of records showed the facility was cited for a complaint for S1 who was not fingerprinted and cleared, and deficiency was cleared. The staff and administrator stated S1 worked before but no longer worked since S1 had a problem with fingerprint clearance. Based on all information gathered, there is not a preponderance of evidence to prove that the alleged violation occur, therefore the allegation is closed as unsubstantiated. No deficiency cited. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Aug 20, 2024 · control 15-AS-20211022153936

Type of visit: Required - 1 Year

On 04/25/24 around 10:45 AM, L. Holmes, Licensing Program Analyst (LPA) arrived unannounced for a required annual inspection. LPA met with Janice Joseph, Administrator (ADM), and explained the purpose of the visit. LPA toured the facility with ADM who currently holds a certificate (#6025466740) that expires 03/15/25; The facility’s fire clearance was approved for six (6) non-ambulatory residents; all six (6) may be non-ambulatory and one (1) may be hospice. Upon arrival LPA observed one (1) staff attending to one (1) resident that was watching television. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) total bedrooms. All outdoor and indoor passageways are free of obstruction. The body of water is enclosed. A comfortable temperature was maintained at 70 degrees Fahrenheit (F). LPA observed lighting in all rooms to be adequate for the comfort and safety of the residents. The hot water temperature was measured at 114.5 degrees (F). All toilets, hand washing, and bathing areas were safe, sanitary and in operating condition. All hand washing stations were stocked with hand-washing soap and hand drying supplies. Linen and hygiene products were available for all residents. PPE, sanitizer, and paper goods were sufficient. ...continued on LIC809C. ...continued from LIC809 Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last inspected on 05/12/2e and observed full. Emergency Disaster Plan is posted. First aid kit was complete and emergency kits for each resident are available. Fire drills remain conducted quarterly. Three (3) Staff records were reviewed, and all staff have criminal record clearance. All three (3) residents' records reviewed were current and complete. The following forms are to be updated and submitted to CCLD: -Resident roster -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility -LIC610D Emergency Disaster Plan -Update staffs files with first aid/CPR certification -Update staffs annual training records No deficiencies cited during visit. Exit interview conducted and a copy of this report provided to ADM.the state’s words, verbatim · CDSS document, Apr 25, 2024

The state marks this report as 10 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.