Alphalife Homecare

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Head Caregiver, Yanira Saldivar, and Administrator Marlon Borja discussed the purpose of the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a licensed capacity of (12) and a current census (1). LPA conduct an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient space and furniture for resident activities and facility is maintained at a temperature of 75 degrees F. Resident bedrooms audited were furnished with mattresses, night stands, chairs and sufficient lighting. Resident bathroom equipment and were maintained in operating condition. The hot water temperatures in the bathrooms measured at 111 degrees F. The facility is equipped with operating smoke/carbon monoxide alarms, fire extinguishers, laundry equipment, and telephone service. Posters such as personal rights, Community Care Licensing complaint poster, Ombudsman poster, facility license and emergency telephone numbers were posted in a common area. Cleaning supplies, toxins, and sharps were kept inaccessible to residents in care. There was a designated storage space for resident files. Health Related Services:Facility maintains resident medication records and medications are centrally stored in a locked cabinet. A first aid kit with manual is maintained at the facility. Food Service: The facility has a sufficient supply of non-perishable and perishable food for number of residents in care. A menu is posted in the kitchen area. Record Review: Resident files were reviewed for admission agreements, updated physician reports, reappraisals and needs and services plans. Staff files were reviewed for criminal records clearances, personnel history, health screenings, first aid and annual job related training. No deficiencies were cited during today's visit. An exit interview was conducted where the report was discussed. Copies of the report was provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Nov 21, 2025

The state marks this report as 8 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conduct a health and safety check. LPA was granted entry and met with staff, Yanira Saldivar. The facility has a current census of two (2) resident in care. No residents are currently receiving hospice services. The health and safety check consisted of facility tour, observation of resident medications, telephone service, food supply, physical plant, and residents. LPA observed resident #1 (R1) in their bedroom and resident #2 (R2) was observed walking around inside the facility before returning to their bedroom. No deficiencies were cited during today's visit. An exit interview was conducted where this report was discussed and a copy provided to staff Saldivar at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 21, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced health and safety visit at the facility. At 1:30 p.m. LPA knocked on the door, and no one answered. LPA called the facility telephone number and left a message for a return call. At approximately 1:45 p.m. LPA observed staff, Yanira Saldivar arriving at the facility. LPA informed staff Saldivar the purpose of the visit and was granted entry into the facility. LPA asked staff Saldivar if who was in the facility supervising the residents while she was out, Saldivar stated her son, who is 17 years of age. LPA conducted a tour of the facility and observed facility's food supply, personal hygiene supplies, telephone service, emergency telephone numbers, water and facility temperatures. LPA observed resident #1 (R1) was sleeping in their bedroom, resident #2 (R2) in their bedroom sitting in a recliner chair, and resident #3 (R3) in their bedroom sitting in a wheelchair. Based on LPA observations, deficiencies are being cited in accordance with Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report and correction plans were discussed. Report copies with appeal rights were provided to staff Saldivar at the conclusion of the visit.the state’s words, verbatim · CDSS document, Mar 14, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Mar 17, 2025

87411 Personnel requirements - General(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs..this requirement is not met as evidenced by: Based on LPA observations, LPA observed three (3) residents left without qualified staff supervision; which poses an immediate health, safety, and person rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 14, 2025

Plan of correction: The Licensee/Administrator shall submit a statement of understanding of the regulation cited by POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87411(b) · Plan of correction due date: Mar 17, 2025

87411 Personnel requirements - General (b) All persons...who supervise or care for residents shall be at least eighteen (18) years of age. This requirement is not met as evidenced by: Based on LPA observation, staff's son who is 17 years old was left to supervise residents in care; which poses an immediate health, safety, and personal right risks to persons in care.the state’s words, verbatim · CDSS document, Mar 14, 2025

Plan of correction: The Licensee/Administrator shall submit a statement of understanding of the regulation cited by POC due date.

Type of visit: Office

On February 24, 2025, the Department held an informal office meeting to discuss the death of the Licensee and the status of the facility’s license. On 12/13/2024, the regional office was informed of the death of the licensee. In attendance was Licensing Program Manager (LPM) Karen Clemons, Licensing program Analyst (LPA), Magda Malcore and facility representatives Marlon Borja and Yanira Saldivar. During today's meeting the following was discussed: date of licensee’s passing was on September 13, 2024. The family expressed they wish to continue the operation of the facility. Yanira Saldivar is currently overseeing the facility. The facility has a current census of three (3) residents in care and there are no residents on Hospice. The new facility Administrator Marlon Borja has a pending administrator certification. Current staff working have criminal record clearances through the Department. The facility representatives agreed to provide the following to the regional office: proof of death documentation, client/resident registry, and personnel report (LIC500) by February 25, 2025. The facility representatives have also agreed not to accept new residents until new license has been issued. The facility representatives will submit an application for licensure by February 26, 2025, to Centralized Application Bureau (CAB), 744 P Street, MS 9-14-8201, Sacramento, CA 95814. Upon receipt of all requested documents and application submittal, the Department will review for Emergency Approval to Operate form. An exit interview was conducted with the facility representatives and a copy provided at the conclusion of the meeting.the state’s words, verbatim · CDSS document, Feb 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Head Caregiver, Yanira Saldivar, was granted entry into the facility and discussed the purpose of the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a licensed capacity of (12) and a current census (3). LPA conduct a overall inspection, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient space for resident activities and maintained at a temperature of 72 degrees F. LPA observed the covered fireplace in the living room near the kitchen area was covered in cobwebs. LPA inspected (4) resident bedrooms which were furnished with beds, bed linen, night stands, chairs and sufficient lighting. LPA observed resident #1 (R1) was utilizing a bed with half bed rails. Staff stated the R1 is no longer on Hospice and staff was not able to provide medical documentation for the use of half bedrails. LPA observed R1's ceiling fan was covered with dust. LPA inspected (3) resident bathrooms. The hot water temperatures in the bathrooms measured at 105 degrees F. LPA observed the bathroom floor and toilet in the bathroom located in near the kitchen area was not maintained clean. LPA observed bathroom sink and shower in resident #3's (R3) bathroom was not maintained cleaned. LPA observed a strong odor inside R3's bedroom. The facility is equipped with operating smoke/carbon monoxide alarms, laundry equipment, and telephone service. Posters such as personal rights, Community Care Licensing complaint poster, Ombudsman poster, facility license and emergency telephone numbers were posted in a common area. Cleaning supplies, toxins, and sharps were kept inaccessible to residents in care. There was a designated storage space for resident files. Health Related Services: Medications were labeled and centrally stored in a locked cabinet, inaccessible to residents in care. LPA observed Resident #2 (R2) was out of their prescribed daily medication. Staff stated that R2 was not given their AM medication as they are waiting for their refill; which will arrive this afternoon. Food Service: The facility has a sufficient supply of non-perishable and perishable food for number of residents in care. A weekly menu posted in the kitchen area. LPA observed kitchen counters were cluttered with dishes and pots. Kitchen stove, kitchen refrigerator (inside), compact freezer (located near dining area) were not maintained clean. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA record reveals all three residents did not have a current annual physician's assessment. Staff was unable to find staff files which contain first Aid/CPR certifications, job training, employee record (LIC501) and health screenings with tuberculosis results for LPA to review. During today's visit, deficiencies and technical advisories were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where reports (LIC809, LIC809-D, LIC9102) and correction plans were discussed. Copies with appeal rights provided to Lead Staff at the conclusion of the visit.the state’s words, verbatim · CDSS document, Dec 13, 2024

The state marks this report as 20 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Bryant Saldivar and was granted entry to the facility. At the time of the visit there was two (2) staff present, and three (3) residents present. The facility is an eight (8) bedroom, six (6), bathroom home, with a kitchen/dining area, living room, with open driveway. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (12) current census (3). LPA was accompanied by Facility Administrator Bryant Saldivar, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 110.6 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside staff office inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator Bryant Saldivar.the state’s words, verbatim · CDSS document, Dec 5, 2023