A1 Magnificent Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced at the facility to conduct a required 1-year annual inspection utilizing the inspection tool. LPA met with Administrator Leondia Gaerlan and explained the purpose of the visit. LPA and Administrator conducted a tour of the facility to ensure the health and safety of residents in care. Areas toured include but not limited to bedrooms, bathrooms, kitchen, laundry room and the backyard. LPA observed sharps, toxins, and medications to be locked and secured. LPA observed facility to have two (2) days of perishables and seven(7) days of nonperishable foods at the facility. LPA observed nonskid mats present in showers. In areas toured no immediate health and safety violations was observed. Fire extinguisher was last inspected on 04/07/2026 LPA reviewed three (3) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, releases, and resident's rights. LPA reviewed two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of the report and LIC809G was left at the facility.the state’s words, verbatim · CDSS document, Jul 22, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required 1-year annual inspection utilizing the inspection tool. LPA met with Administrator and explained the purpose of the visit. LPA confirmed active Certificate via Community Care Licensing Division website Leonida Gaerlan #7033437740 effective April 22, 2024 to April 21, 2026. LPA and Administrator conducted a tour of the facility to ensure the health and safety of residents in care. LPA observed sharps, toxins, and medications to be locked and secured. LPA observed facility to have two days of perishables and seven days of nonperishable foods at the facility. LPA observed nonskid mats present in showers. In areas toured no immediate health and safety violations was observed. Additionally, LPA and Administrator discussed possible change of facility use. Administrator agreed to conduct meeting with assigned analyst when the time comes for change. File review was conducted for residents in care. LPA observed that R1's LIC 602 stated R1 was ambulatory when R1 is nonambulatory. Additionally R2's LIC 602 indicated R2 does not have mild cognitive impairment nor dementia, but based on Administrator's statement, R2 is often forgetful. LPA completed file review for two residents and two staff files. Deficiencies cited. Please see LIC 809-D. Technical Support Program was offered and accepted. LPA will submit referral. Exit interview and a copy of report and appeal rights was provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 6/4/24 and met with the Administrator, Leonida Gaerlan, to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are three (3) bedrooms and two (2) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 117.7 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke and carbon monoxide detectors are operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed two (2) resident files and also reviewed one (1) staff file. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.the state’s words, verbatim · CDSS document, Jun 4, 2024

Allegation investigated: -Staff is allowing resident to smoke where oxygen is in use.

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today, 10/11/23, and met with the caregiver to deliver findings into the allegation of staff are allowing resident to smoke where oxygen is in use. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. Interview with the Administrator and staff (S1) indicated that they do not encourage or allow resident (R1) to smoke while using oxygen. The Administrator indicated that they have put a sign on the door of R1's room as a reminder to not use oxygen when smoking outside. LPA observed the reminder sign and the oxygen in use signs in R1's room. Interview with R1 indicated that they do not use oxygen while smoking. R1 stated that they have forgotten a couple times but the Administrator and S1 always remind R1 to not use oxygen while smoking. ************************************************Continued on LIC9099-C*************************************************** Unsubstantiated Unusual Incident/Injury Report LIC624s submitted to CCL dated 9/2/22 and 3/23/23 indicated two incidents of R1 being found by staff using oxygen while smoking. The LIC624s indicated that staff will continue to closely monitor R1 to ensure they do not use oxygen while smoking. Staff will also continue to monitor R1's oxygen level. Eviction notice provided to LPA dated 8/1/23 indicated that R1 is being evicted due to noncompliance with house rules, which indicated smoking in room after constant reminders not to and smoking with oxygen on after constant reminders not to. Interviews with the Administrator, S1, and R1 indicated that R1 will be moving out of the care home to another facility soon. On 9/26/23, LPA did not observe R1 as they were at the hospital. On 10/11/23, LPA did not observe R1 using oxygen while smoking. Based on observation, interviews conducted, and documentation reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited during this visit. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 11, 2023 · control 59-AS-20230921152717