Alma Care Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:25 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The facility designee, Martha Heredia arrived shortly after and the reason for the visit was explained. Entrance interview. The facility is a double story residence located in a residential neighborhood. The facility is fire cleared for two non-ambulatory rooms (one shared and one private room) located on the first floor of the facility (total capacity of three (3) non-ambulatory residents). The LPA and Staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. INTERVIEWS: Starting at 9:33 a.m. and throughput the visit one (1) staff and one (1) resident interview were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. COMMON AREAS: This includes the living room, and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 2:37 p.m., hardwire combination of smoke, carbon monoxide detectors and fire door were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 07/15/2026. The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted in the common hallway. The LPA observed required postings throughout the common space. Activities were observed in the common areas. There is a functioning telephone on the premises. Auditory alarms at the entrances and exits were tested and observed to be functional at the time of the visit. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... BEDROOMS: There are three (3) total bedrooms in the facility; two (2) bedrooms on the first floor (designated for residents) and one (1) bedroom upstairs for the operators/staff. Of the two (2) resident bedrooms one (1) is designated as private, single occupancy, resident room and one (1) is designated as a shared double occupancy resident room. At the time of the visit both rooms were set up as private single occupancy resident rooms. The upstairs staff room and area is kept locked at all times. The stairway leading to the staff area and staff room is locked with a gate. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are two (2) total restrooms in the facility of which one (1), on the first floor is designated as a shared / common resident restroom, and one (1), on the second floor is designated as a staff restroom. Resident restroom was observed to be equipped with a slip resistant mat. Grab bars were observed in the restroom. The restroom was sufficiently stocked with supplies and paper towels. The hot water temperature was measured in the resident restroom and measured 117.1 degrees Fahrenheit, within the required range. LPA observed storage space closets in hallway containing extra clean linens and towels for resident use. KITCHEN: The LPA inspected the kitchen/food service area. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 118.1 degrees Fahrenheit. Cleaning supplies and other chemicals are kept under the sink and garage locked and inaccessible to residents in care. BACKYARD: The entire property is fenced. The backyard has a patio area with an umbrella for shade, patio furniture including a table and chairs for resident use. LPA observed the backyard of the facility to contain a pool that was completely fenced and locked at the time of the visit. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There are two (2) locked storage sheds in the back yard inaccessible to residents. Only 1 (one) pathway is used as an emergency exit which was free of obstructions at the time of the visit. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... GARAGE: The garage is detached to the house and remains locked at all times. The laundry room containing a washer and dryer are inside the garage. Detergents, disinfectants, and cleaning supplies observed locked and inaccessible in the garage. LPA observed an adequate amount of emergency food and water. RECORDS: Resident Records Two (2) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, Pre- admission appraisal, LIC627(c) Consent for Treatment form, Home Health records, Hospice records, PRN authorization letters, and current needs and services plan. All records were in order. Personnel Records Five (5) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. During the review LPA discovered that two (2) of five (5) staff were missing proof of their initial 40 hour training and their 6 hours of hands on medication training which poses a potential health and safety rights risk to persons in care. At the time of the visit LPA conducted a business search to ensure the Business / LLC is in good standing ; LLC is Active and in good standing. INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. Both documents were observed to be complete and updated annually as required. The facilities policies and procedures, as they pertain to infection control and emergency planning meet the regulatory standard. The last emergency disaster drill took place on 6/12/26 and are conducted quarterly. The emergency disaster plan was reviewed on 6/12/2026 and the infection control plan was reviewed on 6/25/26. MEDICATIONS: Medication review began at approximately 12:23 p.m. Medications are centrally stored and locked in a cabinet in the dining room adjacent to the living room. Medications for two (2) residents were reviewed. Medications are labeled and checked for expiration dates. During the review LPA discovered that one (1) out of two (2) residents medications were not properly documented on the centrally stored medications and destruction record(CSMDR). Six (6) out of seventeen (17) medications were not documented on the (CSMDR) which poses an immediate health and safety rights risk to residents in care. LPA observed the first aid supplies to be complete, including sterile first aid dressings, bandages, tweezer, a thermometer and a current version of a first aid manual. Report Continued on LIC 809-C PAGE 4... (PAGE 4) Report Continued from LIC 809-C PAGE 3... DOCUMENTS: Documents obtained during the visit include: LIC 500 facility roster, LIC 9020A Resident roster and copy of the Limited Liability insurance. At the time if the visit the LPA reviewed the facilities contact information on file including phone numbers, email and annual fees. Administrator confirmed that all information is accurate. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. The Licensee was made aware that failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 12, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Licensee Representative / staff, Martha Heredia arrived shortly after and the reason for the visit was explained. Entrance interview. The facility is fire cleared for two non-ambulatory rooms (one shared and one private room) located on the first floor of the facility (total capacity of three (3) non-ambulatory residents). The Fire Clearance was approved on 05/01/2024.The LPA and Staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: This includes the living room and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 1:50 p.m., hardwire combination of smoke / carbon monoxide detectors and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 07/15/2025. The emergency exiting plans/sketch were not posted in every room, and LPA advised Staff / Licensee representative that they needed to be posted and Staff agreed to ensure they would get posted. The emergency telephone numbers were not posted, LPA advised Staff / Licensee representative that they needed to be posted and Staff agreed to ensure they would get posted. The LPA did not observed required postings such as emergency exit plan, Licensing Complaint Poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights. LPA advised Staff / Licensee representative that they needed to be posted and Staff agreed to ensure they would get posted. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... The last emergency disaster drill took place last year sometime the exact date is unknown. LPA advised the importance of staying in compliance by conducting quarterly drills and Staff agreed to conduct a drill today 07/31/2025. Activities were observed in the common areas. There is a functioning telephone on the premises. INTERVIEWS: Starting at 10:15 a.m. one (1) staff, one (1) volunteer and two (2) resident interviews were conducted. Staff and volunteer interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. BEDROOMS: There are three (3) total bedrooms in the facility; two (2) bedrooms on the first floor (designated for residents) and one (1) bedroom upstairs for the operators/staff. Of the two (2) resident bedrooms one (1) is designated as private, single occupancy, resident room and one (1) is designated as a shared double occupancy resident room. The upstairs staff room and area is kept locked at all times. The stairway leading to the staff area and staff room is locked with a gate. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are two (2) total restrooms in the facility of which one (1), on the first floor is designated as a shared / common resident restroom, and one (1), on the second floor is designated as a staff restroom. Resident restroom was observed to be equipped with a slip resistant mat. Grab bars were observed in the restroom. The restroom was sufficiently stocked with supplies and paper towels. The hot water temperature was measured in the resident restroom and measured 110.2 degrees Fahrenheit, within the required range. LPA observed storage space closets in hallway containing extra clean linens and towels for resident use. KITCHEN: The LPA inspected the kitchen/food service area at 10:56 a.m. The kitchen faucet was measured for hot water temperature, and it measured 109.2 degrees Fahrenheit at 10:58 a.m. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. At 11:05 a.m. LPA and staff observed an unlocked medication, on the door shelf which was accessible which poses/posed a potential health, safety or personal rights risk to persons in care. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... Staff informed LPA that the medication belonged to the Administrator. The label on the medication confirmed it belonged to Administrator, Victor Heredia and at the time of the visit was relocated to the staff refrigerator upstairs in the locked room. Cleaning supplies and other chemicals are kept locked under the sink inaccessible to residents in care. At 11:08 a.m. LPA and staff observed a lighter and matches in one of the drawers which were accessible which poses/posed a potential health, safety or personal rights risk to persons in care. BACKYARD: The entire property is fenced. The backyard has a patio area with an umbrella for shade, patio furniture including a table and chairs for resident use. LPA observed the backyard of the facility to contain a pool that was completely fenced. At 11:16 a.m. LPA observed the gate to the pool to be unlocked and accessible to residents in care at the time of the inspection. LPA informed the Licensee Representative that an accessible body of water is a zero-tolerance violation and an immediate civil penalty in the amount of $500 will be assessed on today’s date (07/31/2025).The Licensee Representative stated they must have put the lock on wrong and at the time of the visit locked the gate properly. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There are two (2) locked storage sheds in the back yard inaccessible to residents. Only 1 (one) pathway is used as an emergency exit which was free of obstructions at the time of the visit. GARAGE: The garage is detached to the house and remains locked at all times. The laundry room containing a washer and dryer are inside the garage. Detergents, disinfectants, and cleaning supplies observed locked and inaccessible in the garage. RECORDS: Record review began at approx. 11:35 a.m. Resident Records were reviewed beginning at 11:36 a.m. two (2) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. Record review revealed that R1 was missing LIC 613C, LIC 621, PRN Authorization Letter, R2 was missing LIC 601 and PRN Authorization Letter which poses/posed a potential health, safety or personal rights risk to persons in care. At the time of the visit R2's physician had a scheduled on site visit and completed the PRN Authorization Letter. Report Continued on LIC 809-C PAGE 4... (PAGE 4) Report Continued from LIC 809-C PAGE 3... Personnel Records were reviewed beginning at 1:32 p.m. two (2) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Record review revealed that S1 was missing finger print clearance letter, LIC 503 Health screening report with TB results. S2 was missing finger print clearance letter, LIC 503 Health screening report with TB results, initial training, annual training and medication training which poses/posed a potential health, safety or personal rights risk to persons in care. Licensee Representative stated they have all the required documentation however was unable to find it at the time of the visit. At 1:56 p.m. record review and interview revealed that Volunteer #1 (V1) has volunteered at the facility for about a year and has not been associated to the facility. The LPA reviewed the Guardian website and discovered that V1 was observed to have fingerprint clearance but was not associated to the facility. LPA informed the Licensee Representative that volunteers must obtain a fingerprint clearance and be associated to the facility prior to working, residing or volunteering in a licensed facility. LPA informed the Administrator that a civil penalty in the amount of 500$ (1 Employee x 100$/day x 5 days [maximum of 5 days] = $500) will be assessed on today’s date (07/31/2025) for not having submitted a criminal record clearance transfer request for V1. At the time of the visit the volunteers file was unavailable, however staff stated that they have TB results, CPR/FA and background check and will submit proof once they find it. INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. The facilities policies and procedures, as they pertain to infection control and emergency planning, are satisfactory. MEDICATIONS: Medication review began at approximately 4:25 p.m. Medications are centrally stored and locked in a cabinet in the kitchen adjacent to the dining room. Medications for two (2) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. At 4:30 p.m. LPA and Licensee Representative observed R2's medication to not be documented correctly on the centrally stored medication and destruction record missing the prescription number which poses/posed a potential health, safety or personal rights risk to persons in care. Report Continued on LIC 809-C PAGE 5... (PAGE 5) Report Continued from LIC 809-C PAGE 4... DOCUMENTS: Documents obtained during the visit include: LIC 500 facility roster and LIC 9020A Resident roster and copy of the Limited Liability insurance. Pursuant to Title 22, CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Two (2) Civil penalties were issued in the amount of $500 each with a total of $1000. Administrator was informed that failure to correct deficiencies may result in additional civil penalties. Exit interview conducted, report issued, and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 31, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA), Zabel Chochian conducted a pre-licensing visit to this property on today and met with Victor and Martha Heredia, Owner/operators. Upon arrival LPA and applicant reviewed the application and discussed the plan of operation. Applicant acknowledged understanding the importance of operating according to the regulations and laws applicable for licensure. The applicants have obtained fire clearance for two non-ambulatory rooms (one shared and one private room) located on the first floor of the facility (total capacity of three(3) non-ambulatory residents). The Fire Clearance was approved on 05/01/2024. Component III Orientation was completed during today's visit. The property is a two-story home which consists of two bedrooms on the first floor; on the second floor there is one bedroom, bathroom and a private studio with a bathroom which operators are renting out. Private studio entrance is from the backyard. LPA informed operators that the individual renting the studio needs to be fingerprint cleared prior to issuance of the license. Operator acknowledged understanding. LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. At approximately 11am, all hard-wired smoke alarms and carbon monoxide detectors were tested and function properly. There are two bedrooms on the first floor (designated for residents) and one bedroom upstairs for the operators/staff. Each resident bedroom is equipped with clean mattresses, pillows, and bedding. There is sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. The facility has one (1) bathroom for resident use. Resident bathroom did not have appropriate non-skid mat and grab bars in the shower. Bathroom observed with sufficient paper products. Kitchen - Appliances and all equipment appear to be clean and in good repair. There were no locked drawers for the knives and cleaning supplies. Mr. Heredia agreed to install locks on the cabinet. The kitchen has a sufficient supply of food items, plates, cups, cook ware and utensils. The living/dining area observed clean, however not properly furnished for residents use. Mr. Heredia agreed to rearrange sufficient common living area/space for activities and lounging area for residents use. All window screens and coverings are in good repair. Enough seating for three (3) residents at the same time at the dining room table. (Cont. to LIC809C) There are activity supplies for future residents. Night-lights were present in the bathroom. Medications will be stored in a locked office cabinet. Facility records will also be stored and locked in the office cabinet. All exit doors need an alert system. Garage: The garage is attached to the house and will be locked at all times. The laundry room is inside the garage. Detergents, disinfectants, and cleaning supplies shall be stored and inaccessible. There will be no firearms/ammunition stored on the property. The exterior passageways and exits were clean and clear of any obstructions. Pool is gated and inaccessible. Backyard space for residents use which is furnished with patio chairs and umbrella for shade. Applicant was informed of the following corrections needed: 1) Proof of door alarm installation and confirm that it is working (submit photo and self certification letter). 2) Arrange living/dining/activity area for residents use (submit photo). 3) Install lock on kitchen cabinet and drawer (submit photo). 4) Tenant fingerprint clearance and copy of ID. 5) Complete first aid kit and fire extinguisher with purchase receipt (submit photo). 6) Install telephone (submit installation records and land line telephone number). 7) Install grab bar in resident shower; also obtain shower mat (submit photo). 8) Chairs and dresser for shared room (submit photo). 9) Review Plan of operation and submit self-certification letter when completed. 10) Required postings, including emergency exit plan, Licensing Complaint Poster, Long Term Care Ombudsman poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights. (Submit photo) This report will be sent to the Centralized Application Bureau (CAB). Once the corrections are cleared you will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. Copy of the report provided.the state’s words, verbatim · CDSS document, Jun 19, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: Initial Capacity: 3 Census (if any clients in care): 0 COMP II Participants: Victor Heredia Interview Method: Telephone interview On 5/14/24, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 14, 2024