A Casa Ranch

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melisa Rankin arrived at 12:19 p.m. to conduct a 1-year required annual visit. LPA met with Maria Solla Back-up Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: LPA toured resident rooms and observed that rooms were tidy and free of odor. The lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The showers have slip resistant mats/flooring. The pathways are clear of any obstructions. Disinfectant and cleaning solutions are locked inaccessible to residents in care in the garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The fire extinguisher was last charged and inspected on 10/28/25. The facility has smoke and carbon monoxide detectors that were tested and working at time of visit. Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 1/12/26. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory of which 2 may be bedridden. Hospice waiver approved for 4 residents. The facility currently has 6 residents in care, 2 on hospice. Continued 809C Personnel Records & Training: Files reviewed had 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator’s Certificate expires on 6/26/26. The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2025. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible. Food Service: The facility has 2-day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored, and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed a sampling of residents’ medications, all medication were documented appropriately. Disaster Preparedness: The current emergency disaster forms were posted. Facility conducts quarterly disaster drills. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility does not have delayed egress, locked doors or gates. Exit door alarms are working. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Dec 30, 2025

The state marks this report as 8 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erika Miller arrived at 3:30 p.m. to conduct a 1-year required annual visit. LPA met with Aprilyn Soriano, Administrator. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has at least a 30-day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). Physical Plant & Environment Safety: LPA toured resident rooms and observed that rooms were tidy and free of odor. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have slip resistant mats. The pathways are clear of any obstructions. Facility is well lit inside for safety. Disinfectant and cleaning solutions are inaccessible to residents in care and locked under the kitchen sink and in garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. The fire extinguisher was last charged and inspected on 10/28/24. The facility has smoke and carbon monoxide detectors that were tested and inspected. Continued 809C Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on 1/12/26. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-ambulatory of which 2 may be bedridden. Hospice waiver approved for 4 residents. The facility currently has 4 non-ambulatory and 1 one bedridden resident. Staffing: The facility currently employs 6 full time staff, 1 part time and 1 administrator. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements, and Fingerprint clearance/Associations/exemptions. Administrator Certificate expires on 2/27/26 Personnel Records & Training: The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2024. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 5 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible. Food Service:. The facility has 2-day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored, and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Continued 809-C Incidental Medical Services: Facility provides transportation or assists in providing transportation to medical and dental appointments when needed. The facility uses the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed residents’ medications, no labels were altered, no medications were expired, and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility has 2 self-latching gates on side of the home. The facility does not have delayed egress, locked doors or gates. Exit door alarms are working. Exit interview conducted and copy of report printed for Administrator.the state’s words, verbatim · CDSS document, Jan 10, 2025

Allegation investigated: Staff left resident unattended at facility

Licensing Program Analyst (LPA) Olson conducted a subsequent complaint visit to deliver final findings for the above allegation. LPA Olson interviewed Staff on 1/29/24 and 2/7/24, Residents and Administrator on1/29/24 and requested relevant documents. During today’s visit, LPA met with Caregiver and Administrator (over the phone) and explained the reason for the visit. On the allegation: Staff left resident unattended at facility. It was alleged that during the facility's Christmas party, a resident was left alone at the facility because all the staff left to go to the party. LPA interviewed all 4 residents on 1/29/24 who stated they have never been left alone at the facility. One resident interviewed stated they heard someone was left alone at the facility, they don’t remember who told them but they asked and staff said no one was left alone. Another resident stated Resident 1 (R1) was unable to go to the party and had to stay because they were too sick but Staff 1 (S1) was here and stayed with R1 the whole time. Continued on 9099-C Unsubstantiated LPA interviewed Administrator who stated the facility had a Christmas Party on 12/25/23 which started at 1pm. R1 was on Hospice and bedridden so they couldn’t go. Administrator stated R1 remained at the facility with S1 and S1 stayed with R1 the whole time. The administrator stated Staff 2 (S2) came from the other facility to help take residents to the party. Staff 3 (S3) stayed with the residents at the other facility, and Administrator and S2 took residents over one by one. Administrator also stated S2 brought food over for S1 and R1 and there were many witnesses that can prove S1 was not at the party, so never left. LPA interviewed S1 who stated they worked on 12/25/23 from 7am-5pm and could not go to the Christmas party because R1 was too sick. S1 stated they know the rules and stayed with R1 the whole time. LPA interviewed S2 who stated they came over to the facility to help take the residents one by one. S2 stated S1 stayed the whole time and never left R1. Based on the information obtained there is not enough evidence to substantiate, therefore the allegation is deemed Unsubstantiated at this time. Exit interview conducted, copy of report issued.the state’s words, verbatim · CDSS document, Feb 7, 2024 · control 29-AS-20240122160108

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jenny Olson arrived at the facility unannounced to conduct a required annual visit at 3:53 p.m. When LPA arrived, there were two staff and five residents present. LPA was greeted Administrator and informed them of the reason for the visit. 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. KITCHEN: Knives are stored in a locked drawer in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Common areas: Living and dining room furniture were observed to be in good condition. At 4:20 p.m., carbon monoxide detector were tested and operational at the time of the visit. There is a fireplace in the living room, which is screened and inaccessible. LPA observed required postings throughout the common space. The fire extinguisher was charged and serviced 11/2/2023. The backyard has a covered outdoor area equipped with furniture for resident use. No bodies of water noted. The washer and dryer are in the garage. The garage is unlocked. Restrooms: The three resident restrooms were clean and sanitary and in operating condition with non-skid mats. The bathrooms were sufficiently stocked with soap and paper towels. Bedrooms: There are five (5) resident rooms, which were furnished. A linen closet was located outside of the rooms, which stocked extra linens and towels. Records: LPA reviewed resident and staff records around 4:30 p.m. LPA reviewed five (5) resident files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and current needs and services plan. All files were complete. Continued on 809-C MEDICATIONS: Medications review began at 4:00 p.m. The medications are centrally stored and locked in a cabinet in the dining room. Medications are labeled and checked for expiration dates. LPA advised the Administrator to ensure that all the necessary information is properly documented on the CSMAR. INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. The facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate. At 5:10 p.m., LPA interviewed two (2) staff members and two (2) residents. During today’s visit, the LPA obtained copies of the following: staff roster and current liability insurance. Exit interview conducted and a copy of this report issued.the state’s words, verbatim · CDSS document, Dec 27, 2023

The state marks this report as 16 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.