Amador Residential Care Facility

Type of visit: Required - 1 Year

On 8/19/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their annual inspection visit. LPA met with Executive Director/Administrator, Karly Sturgeon (S1), and stated the purpose of the visit. Overview: Facility is licensed to serve up to 49 elderly residents, 24 are ambulatory and 22 are non-ambulatory. Facility has bedridden clearance for 3 residents. Facility has a hospice waiver for 10 residents. Physical Inspection: Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, common areas and outdoor areas. LPA inspected 3 resident bedrooms and 3 resident bathrooms. LPA measured the hot water temperature in the 1 of 3 bathrooms to be at 111 degrees Fahrenheit. Fire extinguisher were observed throughout in the hallways and were inspected on 6/24/2025. Smoke and carbon monoxide detectors were also observed throughout. Medication room was observed to be inaccessible to residents in care. Kitchen area was observed and is also inaccessible to residents in care. Outdoor area was inspected including fence, gates, ramps and emergency walkways. Record Reviews: Review of 3 of 3 resident files include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Review of 5 staff files include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. LPAs also reviewed fire drill/disaster drill records; facility conducts quarterly drills. Last drill was on 6/24/25. LPAs was requested a copy of current Liability Insurance Certificate, LIC500 and LIC308 to be submitted to the Department. {con't on 809-C} Case Management: LPA also followed up on multiple death reports received between the period of 1/15/25 and 6/4/25. Report dated 1/12/25, LPA reviewed files for resident (R1). Per review, R1 was on hospice due to Alzheimer's Disease. Report dated 2/8/25, LPA reviewed files for resident (R2). Per review, R2 was on hospice for end-of-life treatment. Report dated 6/4/25, LPA reviewed files for resident (R3). Per review, R3 was on hospice due to Parkinson's Disease and was receiving end of life treatment. No deficiencies were observed. The reporting appears to be compliant. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 19, 2025

Type of visit: Required - 1 Year

On 8/26/24, at 10:50am, Licensing Program Analyst (LPA) Arvin Villanueva arrived to the facility unannounced to conduct an annual required visit. LPA met with Karly Sturgeon, Administrator (ADM), and explained the purpose of the visit. During this visit, present were 26 residents in care, in Assisted Living (AL) and Memory Care (MC) and 10 total staff on duty. The facility, a single-story building with a capacity for up to 49 residents, is situated in a residential neighborhood. LPA and ADM conducted a physical inspection of the facility to ensure compliance with Title 22 regulations. During the inspection, LPA examined 2 AL and 2 MC resident bedrooms. Each room was furnished with essential items: a bed, chair, lamp, dresser, and closet space. Emergency exits were unobstructed. Resident bathrooms were found to be clean and well-equipped. Medications, sharps, and cleaning supplies were securely locked away from residents. Common areas were tidy and free from obstructions. Fences and gates were in good repair, with delayed egress and secure gates in the MC area. There were no fireplaces or bodies of water present. The hot water temperature in one resident's bedroom was recorded at 115°F, and the room temperature was 68°F. Carbon monoxide and smoke detectors, pull alarms, and a sprinkler system were all present and functioning. The kitchen was inspected, and food supplies were appropriately stored. The facility maintains a 2-day supply of perishable and a 7-day supply of nonperishable food. With 3 freezers and 2 refrigerators, all were found to be operating within regulatory temperature ranges. Currently, no residents are using oxygen. LPA reviewed 5 staff files, all of which were in compliance. Among 6 resident files reviewed, it was noted that 2 residents had become bedridden. The facility do not have evidence of fire clearance documentation for bedridden residents during this visit. Through interview and record review, facility has notified local fire department when these residents became bedridden status. Medication records for 2 of the 6 residents were found to be compliant. The facility conducts quarterly fire drills as part of its disaster procedure. {1 of 2} {2 of 2} LPA requested a copy of the following documents to be emailed by end of day on 8/27/24: updated LIC500, LIC308 and current Liability Insurance Certificate. Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, deficiencies were observed. An immediate civil penalty is being assessed during today's visit. Note that failure to correct deficiencies will result in additional civil penalties. An exit interview was held, and a copy of the report and appeal rights were providedthe state’s words, verbatim · CDSS document, Aug 26, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.