Almond Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 10/15/25 to conduct the annual inspection. LPA met with Administrator, Angelina Romena who assisted LPA during today's inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). All residents files contained the required paperwork. Staff file contained the required paperwork. Staff have current first aid and CPR training. Facility was clean. All required postings were observed. LPA reviewed medications of 2 residents comparing with physician orders and find no errors. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. The administrator's certificate is current. There is a gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use and was last serviced on 07/24/25. Water temperature is within compliance (111 degree F) .Inside temperature was observed to be 72 degree F. In the areas toured, there were no health or safety violations were observed. LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by 10/31/25. No deficiencies were observed or cited during today's visit. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst ( LPA ) Talwinder Bains conducted a case management visit to this facility on 05/15/25. LPA met with Administrator Angelina Romena and explained the purpose of today's visit. The purpose of today's visit is to follow up Title 17 reviews conducted at this facility by Alta California Regional Center (ACRC) on 04/01/25. Facility Action Report (FAR) was generated by ACRC from the Title 17 reviews. Community Care Licensing Division (CCLD) received a copy of the FAR and it was noted in the FAR the facility was cited for violations that are in both Title 17 and Title 22. The visit today is to address the issues found in the FAR that apply to Title 22. Based on the FAR report, the facility violated the following Title 22 violations: For resident, R1; · Hydrocortisone, Mupirocin, and Acetaminophen has no PRN form. · Risperidone dosage does not match Rx prescription on CSMDR. For resident, R2; · Lorazepam PRN medication is missing from the facility. · Missing signature for Lorazepam for medication administration on 4/1/25. For resident, R3; · Senna 8.6 mg is missing from PRN authorization letter. · Melatonin 3 mg is the current Rx prescription but PRN authorization letter states 1 mg. Staff Qualification/ Training: · Staff, S1, First Aid was found expired on 04/01/25 · Staff, S2, has not completed 12 CE units within the 12 months from date of hire. Per Facility Plan of Operation, "the Administrator shall conduct monthly in-service training's in the home”. · S2 has missing certificates for monthly in-service training's. Based on the above, deficiencies are cited pursuant to California Code of Regulations, Title 22 and documented on the attached LIC809D. Exit interview conducted and copy of report ,LIC809G and appeal rights provided.the state’s words, verbatim · CDSS document, May 15, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80075(b)(4) · Plan of correction due date: Jun 5, 2025

80075-Health Related Services (b) Clients shall be assisted as needed with self-administration of prescription and nonprescription medications. (4) If the client's physician has stated in writing that the client is able to determine ...this requirement is not as evidenced by; Facility did not followed doctor's orders for medications managament for residents, R1,R2,R3 which poses potential health and safety risks to residents in care.the state’s words, verbatim · CDSS document, May 15, 2025

Plan of correction: Licensee/Administrator shall send letter of understanding of this regulation and shall conduct staff training for medications management. All POC documents are due by 06/05/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR80075(7) · Plan of correction due date: Jun 5, 2025

80075-Health Related Services (7) The licensee shall ensure the maintenance, for each client, of a record of centrally stored prescription medications .....this requirement is not met as evidenced by; Record review indicated record keeping errors for CSMR/MAR records for residents, R1,R2,R3 which poses potential health and safety risks to residents in care.the state’s words, verbatim · CDSS document, May 15, 2025

Plan of correction: Licensee/Administrator shall send letter of understanding of this regulation and shall conduct staff training for medications management for proper records keeping. All POC documents are due by 06/05/25.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 80075(b) · Plan of correction due date: May 16, 2025

80075-Health Related Services (b) Clients shall be assisted as needed with self-administration of prescription and nonprescription medications....this requirement is not as evidenced by; Based on record review from the facility, it was determined that facility did not administer the medication for residents, R2 and R3 as ordered by their physician. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 15, 2025

Plan of correction: Licensee/Administrator shall send letter of understanding of this regulation and shall conduct staff training for medications management. All POC documents are due by 05/16/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR80075(f) · Plan of correction due date: May 22, 2025

80075-Health Related Services (f) Staff responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross.....this requirement is not met as evidenced by; Record review on 04/01/25 indicated that staff, S1 has expired CPR/First Aid certificate which poses potential health and safety risks for residents in care.the state’s words, verbatim · CDSS document, May 15, 2025

Plan of correction: Licensee/Administrator shall send letter of understanding of this regulation. All staff should have active CPR/First Aid certificate. Staff, S1 has active CPR/First Aid certificate as of so this citation has been cleared during this visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80022(k) · Plan of correction due date: Jun 5, 2025

80022-Plan of Operation-(k)-The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so........this requirement is not as evidenced by; Record review on 04/01/25 indicated that facility did not comply with annual training requirements per facility's operational plan which poses potential health and safety risks to residents in care.the state’s words, verbatim · CDSS document, May 15, 2025

Plan of correction: Licensee/Administrator shall send letter of understanding of this regulation. Facility shall fulfill all requirements for staff training per facility's operational plan and submit proof to department. All POC documents are due by 06/05/25.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 10/10/24 to conduct the annual inspection. LPA met with Administrator, Angelina Romena who assisted LPA during today's inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). All residents files contained the required paperwork. Staff file contained the required paperwork. Staff have current first aid and CPR training. Facility was clean. All required postings were observed. LPA reviewed medications of 2 residents comparing with physician orders and find no errors. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. The administrator's certificate is current. There is a gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use and was last serviced on 06/21/24. Water temperature is within compliance (113 degree F) .Inside temperature was observed to be 74 degree F. In the areas toured, there were no health or safety violations were observed. LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by 10/31/24. No deficiencies were observed or cited during today's visit. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Oct 10, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Talwinder Bains arrived on 10/16/23 to conduct the annual inspection. LPA met with Administrator, Angelina Romena who assisted LPA during today's inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed residents (2) and staff files (2). All residents files contained the required paperwork. Staff file contained the required paperwork. Staff have current first aid and CPR training. Facility was clean. All required postings were observed. LPA reviewed medications of 2 residents comparing with physician orders and find no errors. LPA and Administrator toured the facility together to ensure the health and safety of residents in care. The areas toured included residents rooms, bathrooms, kitchen, common areas and outside area. The food supply is within compliance, 2 days of perishable and 7 days worth of non-perishable food items. All exits were unobstructed. The administrator's certificate is current. There is a gate for emergency access. LPA checked the kitchen area for the ability to prepare and store food. Knives and Sharp objects found to be locked . LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to residents. LPA observed smoke detectors and carbon monoxide detector at the care home are operational. Fire extinguisher is ready for emergency use and was last serviced on 06/16/23. Water temperature is within compliance (119 degree F) .Inside temperature was observed to be 75 degree F. In the areas toured, there were no health or safety violations were observed. LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department by 10/31/23. No deficiencies were observed or cited during today's visit. Exit interview conducted. A copy of this report was printed and given to Administrator.the state’s words, verbatim · CDSS document, Oct 16, 2023