All About Seniors Elderly Care

Type of visit: Required - 1 Year

On 7/20/2026, LPA Grace Donato arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrator, Annabelle Esperanza and explained the purpose of the visit. LPA toured the facility including all resident bedrooms, kitchen, hallway and outdoor area. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked. The indoor temperature was at 75°F and water temperature was at 110°F. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for two (2) days and nonperishable staples for seven (7) days were observed. LPA inspected a locked utility room with a washer, a dryer, furnace, air conditioner, detergents, disinfectants, and cleaning supplies. Carbon monoxide/ smoke detectors, and fire extinguisher were present throughout the facility. LPA reviewed three resident records and two staff records. All were observed to be complete. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated. No deficiencies cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Jul 20, 2026

Type of visit: Required - 1 Year

On July 25, 2025, the Licensing Program Analyst (LPA) Kiran Jain arrived unannounced at the facility to conduct a Required 1-Year Annual inspection. The LPA met with the Administrators, Kendall Hall (ADM1) and Annabelle Esperanza (ADM2), and disclosed the purpose of the inspection. The ADM2 informed the LPA that the facility had five (5) residents in care and two (2) additional staff members present at the time. LPA initiated a walk-through of the facility, accompanied by ADM2. The indoor temperature reading of 74°F on a thermostat was observed in the hallway at the time of the visit. LPA inspected the kitchen and observed breakfast preparation and cooking in progress at the time. The appliances were checked and observed to be in working order. The LPA inspected a magnetic locked cabinet containing knives and sharp objects. The refrigerator and pantry cabinets were inspected, and sufficient supplies of fresh perishable food for two (2) days and nonperishable staples for seven (7) days were observed. No expired food or stored medications were noted. LPA inspected the dining area adjacent to the kitchen. The dining table and chairs were observed to accommodate the residents, and all the furniture was in good repair. Two (2) residents were observed sitting in the dining area eating breakfast. LPA inspected the living room and observed a sofa set, chairs, recliners, a fireplace, and a television in the living room. One (1) resident was observed sitting in the living room watching TV. LPA inspected the family room and observed a covered fire place, sofa, tables, lamps, and desk in the family room. LPA inspected a locked utility room with a washer, a dryer, furnace, air conditioner, detergents, disinfectants, and cleaning supplies. Continued on LIC809-C There were six (6) bedrooms, three (3) full bathrooms, and two (2) half bathrooms designated for residents' use. All (6) resident rooms were single occupancy. LPA inspected all (6) resident rooms and found them clean, well-lit, equipped with the required furniture, and had an exit door to outside deck/backyard. The bathrooms contained soap, grab bars, towels, a trash can, a shower chair, and non-slip mats/flooring. The hot water temperature at the sink faucet measured between 122.8°F to 123.6°F in all bathrooms. ADM1 adjusted the hot water setting on water heater to bring the hot water temperature below 120°F. LPA observed three (3) hallway closets: first was linen closet with bedsheets, blankets, and towels, second closet containing incontinent supplies, and the third closet with activity supplies, board games, puzzles, arts, coloring, gloves, and paper products. LPA inspected the fire extinguisher mounted on the wall in the hallway and found it fully charged, with the last service tag dated 08/01/2024. ADM2 tested the carbon monoxide detector located in the hallway in the LPA's presence, and it was found to be functional. Additional smoke detectors were observed in all bedrooms and common areas of the facility during the visit. LPA toured the backyard area and found ramps and passageways in good condition, clear of obstructions, with no blocking or tripping hazards. No accessible bodies of water were found. At 10:15 AM, LPA reviewed five (5) staff personnel records and five (5) resident records. The LPA observed that 5 of 5 residents had an Admission Agreement, Physician's Report, Appraisal Needs and Services Plan, and CSDMR. 2 of 5 residents (R1 and R4) didn’t have inventory for personal property/valuables. 1 of 5 residents (R1) didn’t receive Medical Assessment in the last 12 months. LPA observed that 3 of 5 staff members (S1-S3) First Aid Certificates were expired. LPA confirmed that 5 of 5 staff members were associated with the facility. LPA observed a magnetic locked centrally stored medication cabinet located inside in the family room. Medications were organized separately for each resident. All medication bottles were properly labeled. Centrally Stored Medication Records were reviewed and found to be complete. LPA inspected the first aid kit and found it fully stocked. LPA reviewed Emergency Drill Logs and observed Emergency Disaster Drills were conducted quarterly, with the most recent drill completed on 06/14/2025. Continued on LIC809-C The following updated forms are requested to be submitted to CCLD by 08/01/2025: LIC 500: Personnel Report LIC 308: Designation of Facility Responsibility Certificate of Liability Insurance Administrator Certificate(s) The deficiencies are being cited based on LPA observations, records reviewed, and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted, and Plans of Correction were reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and provided to the Administrator, Annabelle Esperanza, whose signature on this form confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jul 25, 2025

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 7/27/2024 at 2:00 p.m. Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced, required 1 year inspection at the facility and met with the designated administrator (DADM) Annabelle Esperanza. At the time of the visit, DADM stated that licensee/administrator (LIC/ADM) Debra Hall is currently unable to come to the facility due to physical injury requiring rest. The facility is a Residential Care Facility for the Elderly (RCFE) licensed to serve ages 60 and over. 6 may be non-ambulatory. The facility has a waiver for 3 hospice care. The facility's has 4 residents (R1 to R4) that have neurocognitive impairment. 3 staff were present at the time of the visit. 4 residents were present at the facility. 2 of 4 were in the dining area. 2 of 4 residents are in the bedroom and 2 of 4 are under hospice care. At 2:15 p.m.. LPA with DADM, toured the facility inside and outside, including but not limited to the kitchen, bathroom, dining room, living room, residents rooms, backyard and walkways. LPA observed the Personal Rights disclosure, Long Term Care Ombudsman (LTCO) and Centralized Complaint and Information Bureau (CCIB) of the CA Department of Social Services (CDSS) prominently posted on the wall, visible to visitors, resident and staff. The temperature inside the home was at 68 to 78 degrees F. LPA and DADM toured the 4 resident bedrooms and LPA observed the rooms to be organized and free from debris and has sufficient storage for resident's personal belongings. Residents uses an alarm system to alert staff if assistance is needed and a motion sensor alarm on the bed. ADM stated the facility has a night on call staff if a resident is awake, and staff stays with the resident. LPA observed that the facility has a wall pull fire alarm system connected to the fire department emergency line and a carbon monoxide alert system that is in good working condition. LPA observed night lights on the hallway. Hallways are free from obstruction. page 1 of 3 (SEE LIC 809C). LPA observed that each resident room has a door to access the backyard, doors and sliding doors open easily and free from obstruction. LPA observed the backyard area to be free from debris. However, LPA observed the following, screen doors were broken and needs to be replaced, for R1 to R3, the backyard storage shed door was broken. LPA observed that the sliding door base are not flushed to the floor reducing ease of access. LPA observed that 4 of 4 resident room have a half bath. LPA observed non-skid mats and grab bars and a raised toilet seats with handles. LPA with ADM tested the water temperature for kitchen and bathrooms, water temperature was measured at 107.9 degree F. LPA observed dining and kitchen area and living room area were observed to be sanitary and organized. However, the knives were not locked but hidden and obscured by paper shopping bags. DADM stated that the cabinets are currently being changed and locks will be installed once kitchen cabinets installation are completed. LPA observed that the stove was sanitary, however, the vent screen has accumulated residue from oil and dust. LPA observed that the cabinet door under the sink when opened comes off the hinge. The laundry room and cleaning supplies are locked securely inside the water heater cabinet. LPA observed an open electrical ground inside the cabinet utilized as the laundry room, water heater tank, and chemical storage. The facility has sufficient supply of perishable food for 2 days and non-perishable food for 7 days. The fire extinguisher located in the kitchen was last inspected and maintained on 8/18/2022. LPA observed that some of the medication are in a locked cabinet, however the other half are inside a cabinet that has broken door and lock does not work, therefore, R1 to R4s medications cannot be locked. The facility has a first aid kit that is complete and accessible to staff. LPA reviewed facility record and observed that the disaster training was last done on 2/20/2023. The LIC 500 needs to have specific time and date for each person even when on call, and the LIC 308, needs to be updated. LPA discussed the records with DADM regarding disaster training, LIC 500 and LIC 308. page 2 of 3 LPA with DADM, reviewed 2 of 2 staff record and 3 of 3 resident record and facility records. Staff training records were up to date. Staff records were reviewed with current first aid certifications, clearance and training. Residents files were reviewed to be complete. Residents' medications are labeled and current. Deficiencies are cited during today's visit based on California Code of Regulations (CCR) Title 22. See LIC 809D. An exit interview was conducted with DADM Annabelle Esperanza. A copy of the report and appeals rights were provided. page 3 of 3 end of reportthe state’s words, verbatim · CDSS document, Jul 27, 2024