Adriana's Senior Care Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with staff Kevin Mendoza and explained the reason for the visit. Facility is single story home with 6 bedrooms, 3 bathrooms, kitchen, great room with a screened fireplace and a two car garage. Facility is licensed for 6 non-ambulatory of which 6 can be bedridden. The Administrator's, Richard Mendoza Jr, certificate expires on June 12, 2028. LPA and staff toured the facility. LPA observed the See Something, Say Something poster (PUB 475) posted in the main entry way of the facility. LPA observed the kitchen is clean and organized. The 5 burner gas stove top did could not light unassisted. LPA observed a 2-day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed knives are kept locked in a kitchen cabinet. LPA and staff toured the garage. LPA observed a 3 day supply of emergency food and water stored in the garage. The garage is kept locked and used for storage. LPA observed extra food and supplies stored in the garage. LPA observed all resident rooms have the required furnishings and bed linens. Smoke detectors/carbon monoxide detectors tested operational. The fire extinguisher in the kitchen is fully charged. LPA observed medications are kept locked in the hall closet. Hot water measured 131.3 degrees Fahrenheit in the shared bathroom between bedroom 1 and bedroom 2. LPA and staff toured the backyard. No bodies of water observed. There is a shaded seating area with a table with an umbrella and chairs for residents to sit outside. Both exit gates are operational. No obstacles or hazards observed in the backyard. LPA reviewed 6 resident files and medications, no discrepancies observed. LPA reviewed 2 staff files, no discrepancies observed. LPA inspected the first aid kit. The first aid kit has all the required elements. The last emergency drill was conducted on June 1, 2026. Deficiencies are being cited per Title 22, division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Aug 7, 2026

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Kevin Mendoza and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 8:15AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 6-bedroom, 3-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA observed 3 staff and 6 residents present at the facility in addition to AD. Resident Bedrooms: the 6 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA there are no staff bedrooms. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested below 120 degrees F in the 3 bathrooms, after corrections. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. LPA discussed the facility’s licensing fees with AD. At about 9:30AM, LPA reviewed 6 resident files and 4 staff files, interviewed 2 residents and 2 staff, and inspected medications for 6 residents. Facility does not handle resident money. During the inspection, LPA and AD observed the following: based on observation, the water temperature tested at 128 degrees F in the private resident bathroom in the master bedroom and 140 degrees F in the private resident bathroom near the kitchen; based on observation, the licensee does not have nightlights in the common resident bathroom and the bathroom in the master bedroom and the overhead lights turn off automatically; based on observation and documents, the licensee did not ensure Staff #1 (S1) and Staff #1 (S2), who LPA confirmed are both background cleared, were associated to the facility as they have been working here for at least two years; based on documents, the licensee did not ensure Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), and Resident #4 (R4) were reassessed within the last year; and based on documents and admission, the facility has only conducted one emergency disaster drill in 2025. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Aug 25, 2025

The state marks this report as 7 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPAs) Ruth Martinez and Samer Haddadin are conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by caregiver and LPAs explained the nature of the visit. There are six residents at the facility and there is one resident receiving hospice services currently. Kevin Mendoza, Administrator arrived shortly after and met with LPAs. LPAs accompanied with Administrator began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage closet located in living room. LPAs reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPAs inspected the bathroom and LPAs measured the hot water temperature which measured 118.2 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a kitchen cabinet and locked storage cabinet in the garage. The facility has an available clean supply of linens. LPAs inspected residents’ bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPAs observed there are several shaded seating areas for residents’ enjoyment. LPAs observed a fire extinguisher with service date of March 13, 2024, in the kitchen. LPAs began review of records. LPAs reviewed three resident Continued on LIC809-C records. All the required documentation was present and current in the residents’ files reviewed. LPAs reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPAs observed records reviewed have a current First Aid certificate. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Aug 12, 2024