Grandparents Garden

Type of visit: Required - 1 Year

On 1/21/2026 at 2:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Marly Muertegui and explained the purpose of the visit. Administrator, Ramandeep Sidhu was unable to be at the facility and authorized caregiver to sign licensing reports. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 115.8 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned. Indoor and outdoor passageways were free of obstruction. First Aid kit is complete. Last fire drill was conducted on 1/1/2026. LPA reviewed 5 residents and 3 staff files starting at 3:15PM. Staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications. At 4:00PM, LPA observed R1 and R3 does not have current appraisal needs and service plans on file. At 4:30PM, LPA observed S2 does not have current first aid training. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights was provided.the state’s words, verbatim · CDSS document, Jan 21, 2026

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 01/22/205 at 11:15AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Care Staff, Jose Eden De la Cruz and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non ambulatory and one (1) ambulatory residents. LPA toured the facility with Jose De la Cruz, Care staff including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of six (6) bedrooms and three and half (3 1/2) bathrooms. four (4 bedrooms for residents, two (2) staff bedroom. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106.0 degrees Fahrenheit. Residents’ bathrooms are equipped nonskid mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last service on 11/11/2024. Emergency Disaster Plan was last posted on 01/22/2025. First aid kit was observed to be complete. Fire drill conducted on 12/12/2024. Continue LIC809C. Continued from LIC809. Three (3) staff records were reviewed S2 and S3 were missing health screenings and S3 was not fingerprint cleared and associated to facility. LPA reviewed all three (3) resident records which were complete. The following deficiencies observed during visit. At 11:32AM, LPA observed R1, R2 and R3 had half bed rails. At 11:37AM, LPA observed no grab bars installed in shower of residents’ shared bathroom. At 11:43AM, LPA observed pledge multi surface spray, gorilla spray adhesive heavy duty, BAR spray and foam hardwood floor cleaner, Lysol sanitizer spray, The pink stuff- miracle cleaning paste, and maintex all-in-one multi surface cleaner in an unlocked cabinet under the kitchen sink. At 11:47AM, LPA observed R2 is in an ambulatory room, R2 is non ambulatory. At 11:51AM, LPA observed five (5) one (1) gallon BAHR paint and primer buckets and DAP pre-mixed stucco repair in garage with a turn lock. At 1:45PM, LPA observed during record review S2 and S3 were missing Health Screenings and S3 wasn’t associated or fingerprint cleared. LPA asked S3 to leave facility. The following forms to be updated and submitted to CCLD by 01/29/2025: LIC 308 Designation of Administrative Responsibility LIC 500 (updated) LIC 610D Emergency Disaster Plan Updated facility sketch Continued from LIC809C. Continued from LIC809C. *The total amount of civil penalties assessed on today's date $500.00 for staff (S3) not being fingerprint cleared. The following deficiencies was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted. A copy the appeal rights, LIC421FC and this report provided.the state’s words, verbatim · CDSS document, Jan 22, 2025

Type of visit: Prelicensing

On 1/16/2024 at 10:00 AM, Licensing Program Analysts (LPAs) J. Sampair and T. Syess-Gibson arrived announced to conduct a prelicensing inspection of the facility with Aileen Poquiz and Ramandeep Sidhu. Upon arrival, the LPAs identified themselves and verified the purpose of the meeting with the Applicants. The LPAs and Applicants completed the prelicensing inspection of the facility inside and outside and the COMP III training. Pre-Licensing is complete. Exit interview conducted and a copy of this report was provided via email to Applicants.the state’s words, verbatim · CDSS document, Jan 16, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Name, Title: Aileen Poquiz, Administrator/Licensee Interview Method: Virtual interview MS Teams On 12/28/2023, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: Facility operation: License type, client/resident populations, and program Admission Policies Staffing requirements & Training Restrictive/Prohibited Health Conditions General provisions Emergency Preparedness Complaints & Reporting Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 28, 2023