All for Moms Homecare

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with staff Suhandra Suwitra. Shortly after Administrator Phuoc (Henry) Truong arrived and assisted with the visit. LPA explained the reason for the visit. The facility is licensed for residents age range 60 and over. Facility approved for 6 non-ambulatory, of which 1 may be bedridden. Facility approved for 6 hospice waiver. Currently 1 client on hospice. The facility is a single story structure located in a residential neighborhood. It consists of the following: (5) resident bedrooms, (1) staff bedroom, (2) resident bathrooms, kitchen, dining room, living room, laundry room, detached garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the residents located in the backyard. LPA toured the facility. All indoor and outdoor passageways were free of obstruction. The kitchen was inspected. LPA observed all kitchen equipment to be clean and in working condition. LPA observed sufficient supply of perishable and non-perishable foods. Sharps, cleaning supplies are locked and inaccessible to residents. Smoke / Carbon monoxide detectors were in compliance and operational. There are (2) fire extinguishers (one in the kitchen and 1 in the garage) which are fully charged. The common areas (dining room, living room) are clean and were properly furnished. Resident rooms were sanitary and had the required furniture and furnishings. Medications are centrally stored in a locked cabinet in the kitchen. LPA observed detached garage/ storage room. There is a second refrigerator in the garage. Garage/Storage door is locked. Auditory devices are operable. Continue 809C The resident bathrooms are clean and operational w/grab bars and non-skid surface/mats in place. The hot water temperature was tested and maintained within the required range of 105-120*F. The first aid kit was observed and found to be in compliance with the Title 22 Regulations. Last emergency/ fire drill was conducted on 08/09/25. LPA reviewed 3 residents and 3 staff files. Residents’ files were found to be complete and current. LPA observed staff maintained a criminal record clearance and are associated to the facility. LPA reviewed residents' medications. Medications are documented properly and stored appropriately. Based on California Code of Regulations, Title 22, there were no deficiencies observed during the visit. An exit interview was conducted with the Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met Phuoc (Henry) Truong, administrator. LPA explained the purpose of the visit. The facility has a capacity of six (6) including five (5) non-ambulatory and one (1) bedridden. The facility has approved of six (6) hospice waiver. Currently, five (5) residents are non-ambulatory and no bedridden residing at the facility. Annual licensing fees are current. Two live-in staff are residing in bedroom #6. The inspection consisted of using CARE tool, conducting physical plant, review of food supply, reviews of staff/residents records and medications. The facility is a single-story house located in a residential neighborhood in Covina consisted of six (6) resident bedrooms, two (2) bathrooms, living room, kitchen, backyard with shaded area, and laundry room. Residents' bedrooms have dresser, chairs and closet spaces available. Bathrooms, kitchen, common areas were inspected and in compliance. Dual combo of smoke and carbon monoxide detectors are operable. Fire extinguishers are fully charged. Auditory devices are operable. Medication is centrally stored. Resident records are stored in a locked storage room and inaccessible to residents. Two (2) days perishable and seven (7) days non-perishable were observed. Hot water temperature was in a range of 114.2 degrees Fahrenheit which was within Title 22 Regulation guidelines. Annual fees are current. No deficiency is cited per California Code of Regulations, Title 22. An exit interview was conducted and this report was provided to Henry, administrator.the state’s words, verbatim · CDSS document, Oct 15, 2024

Allegation investigated: Staff did not provide records to resident's authorized person

Licensing Program Analyst (LPA) Elizabeth Irra conducted an initial visit to investigate the above allegation. LPA was allowed entry by Henry Bautista. LPA spoke to Phuoc "Henry" Truong (Administrator) via telephone and discussed the purpose of today's visit. During this investigation, LPA obtained a copy of the resident and staff rosters and interviewed Phuoc "Henry" Truong (Administrator) via telephone. Allegation: Staff did not provide records to resident's authorized person. It is alleged that multiple requests for R-1's records have been sent to this facility and that R-1's records have not been provided. Per Administrator's interview, Administrator recalls receiving a request "a long time ago" for R-1's records and that R-1's hospice records were the only documents provided. Per Administrator's interview, no other records have been provided. Administrator interview corrborates this allegation. **Refer to LIC 9099C for the continuation of this report**. Substantiated Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiency is being cited according to Title 22, Division 6 Health and Safety Code, Chapter 3.2 Residential Care Facilities for the Elderly Article 02.5 Resident's Bill of Rights. Refer to LIC 9099D. An exit interview was held. A copy of this report along with appeal rights were provided to Henry Bautista.the state’s words, verbatim · CDSS document, Dec 21, 2023 · control 28-AS-20231218142407

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(c)(1) · Plan of correction due date: Dec 28, 2023

Resident Records. (c) All information and records obtained from or regarding residents shall be confidential. (1) The licensee shall be responsible for storing active and inactive records and for safeguarding the confidentiality of their contents. The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative. This standard is not met as evidence by: Per Administrator, hospice records for R-1 were the only documents provided to R-1's representative.the state’s words, verbatim · CDSS document, Dec 21, 2023

Plan of correction: Administrator to provide R-1's records to the authorized/designated representative and provide proof of delivery to LPA Irra by POC due date.