A Family Homecare

Type of visit: Required - 1 Year

On 09/25/2025 at 08:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the A Family Homecare Facility. LPA Calderon was allowed entry into the facility by Administrator Rhoda Mabutas. The facility is licensed for six (6) residents of which five (5) may be non-ambulatory and one (1) may be bedridden. Currently, there are five (5) residents residing in the facility. LPA Calderon explained to Administrator Rhoda Mabutas, the purpose of the one year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Five (5) client service records, five (5) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 09/13/2025. The one story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored or found on the premise grounds. The kitchen was inspected and observed to be clean and operational. A two day supply perishable and seven day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 105 degrees Fahrenheit; bathroom #2 hot water temperature properly measured at 106 degrees Fahrenheit. Kitchen hot water temperature properly measured at 110 degrees Fahrenheit. Facility one (1) Carbon Monoxide and five (5) Smoke Detectors hard wired and connected were tested and are working properly. Facility two (2) Fire Extinguisher was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline/ telephone. All toxins and knives are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility two (2) first aid kits are fully stocked with manual was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Five (5) client files were reviewed and found to be complete. LPA Calderon reviewed five (5) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked, and they have the required documents. LPA Calderon noted the Administrator Rhoda A Mabutas Certification # 7006798740 expiration date of 12/12/2026 was valid at time of inspection. Commercial General Liability Policy #PCI5572453202 policy period from 02/02/2025 to 02/02/2026 underwritten by Primary Care Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. All the required documents are posted in the facility in a clearly visible area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Rhoda Mabutas.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Required - 1 Year

On 10/31/2024 at 10:30 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the A Family Homecare Facility. LPA Calderon was allowed entry into the facility by Administrator Rhoda Mabutas. Administrator Rhoda Mabutas asked infection control questions and took LPA Calderon temperature prior to entering the facility. The facility is licensed for six (6) residents of which five (5) may be non-ambulatory and one (1) may be bedridden. Currently, there are six (6) residents residing in the facility. LPA Calderon explained to Administrator Rhoda Mabutas, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed six (6) clients and three (3) staff members for visit. The facilities’ last fire drill was conducted on 10/18/2024. The one-story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored or found on the premise grounds. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage area. During the visit, LPA Calderon observed the facility infection control practices. LPA Calderon observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA Calderon observed staff and clients were NOT wearing face coverings. LPA Calderon observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Administrator Rhoda Mabutas to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Rhoda Mabutas. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 120 degrees Fahrenheit; bathroom #2 hot water temperature properly measured at 120 degrees Fahrenheit. Kitchen hot water temperature properly measured at 120 degrees Fahrenheit. Facility one (1) Carbon Monoxide and five (5) Smoke Detectors hard wired and connected were tested and are working properly. The facility two (2) Fire Extinguisher was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline/ telephone. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility two (2) first aid kits is fully stocked with manual was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked and have the required documents. LPA Calderon noted the Administrator Rhoda A Mabutas Certification # 6022236740 expiration date of 12/12/2024 was valid at time of inspection. The facility does NOT handle client's money/cash resources and no Surety bond is needed. Commercial General Liability Policy #PCI5572453201 policy period from 02/02/2024 to 02/02/2025 underwritten by Primary Care Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Rhoda Mabutas to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 11/15/2024. All the required documents are posted in the facility in a clearly visible area.the state’s words, verbatim · CDSS document, Oct 31, 2024