Amena Love Board and Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with Administrator Mercer Jones and explained the reason for the visit. At approximately 10:40 am, with the assistance of the Administrator, LPA took a tour of the physical plant, facility temp at 77 degrees. Required postings were observed in the entry area. The smoke alarms and carbon monoxide detectors are properly functioning. The fire extinguisher is located in the kitchen with the date of purchase 02/18/26. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility, properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: The facility has five (5) bedrooms total. There were four(4) bedrooms designated for residents' use. Currently, Room#1 is vacant. One(1) bedroom is designated for staff. All bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are five (5) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Water temperature in the bathrooms measured between 105 and 110 degrees F. No cleaning supplies were observed in the bathrooms during inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The gates at both sides of the home were checked to ensure no locks were installed, and that exits and passageways were clear for emergency evacuation. (Continue on 809C) Garage/ Laundry Area: The garage is attached to the building. The garage is used as storage. There is also a freezer for additional perishable food items. Entry to the garage from inside the home is located by the kitchen. LPA observed the washer and dryer to be in good repair. No cleaning supplies or toxins were stored in the garage at the time of the visit. Resident Files: LPA conducted a file review of resident records to ensure compliance with licensing forms. LPA observed that three out of three residents don't have an updated Physician Report (LIC 602). Staff Workstation/Office: There is a staff office located in the living room, where staff records are kept and locked in a filing cabinet. Staff Files: LPA also conducted a file review of staff records to ensure forms comply. During the records review, LPA observed that staff files did not document annual training as specified in Health and Safety Code sections 1569.625 Administrator stated that all required documents will be emailed to LPA Agban promptly. Medications: Medications and Medication Records were reviewed for proper documentation. Exit interview conducted, citations issued, appeal rights given, and a copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Mar 25, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff Carlo Magcalas and explained the reason for the visit. Shortly after, LPA met with Administrator Mercer Jones. At approximately 10:40 am, with the assistance of staff, LPA took a tour of the physical plant, facility temp at 75 degrees. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are properly functional. The fire extinguisher is located in the kitchen with date of purchase 08/22/2024. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: The facility has five (5) bedrooms total. There were four(4) bedrooms designated for residents' use. One(1) bedroom is designated for staff. All bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are five (5) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Water temperature in the bathrooms measured between 105-109 degrees F. No cleaning supplies were observed in the bathrooms during inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards.The gates at both sides of the home were checked to ensure no locks were installed, and that exits and passageways were clear for emergency evacuation. (Continue on 809C) Garage/ Laundry Area: The garage is attached to the building. The garage is used as storage. There is also a freezer for additional perishable food items. Entry to the garage from inside the home is located by the kitchen. LPA observed the washer and dryer to be in good repairs. No cleaning supplies or toxin stored in the garage at the time of the visit. Resident Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Workstation/Office: There is a staff office located in the living room, where staff records are kept and locked in a filing cabinet. Staff Files: LPA also conducted a file review of staff records to ensure forms are in compliance. During records review LPA observed S3 has no physical file at the facility. In addition LPA observed that S2 has expired First Aid/CPR certificate. Administrator stated that all required documents will emailed to LPA Agban promptly. Medications: Medication and Medication Records were review for proper documentation. Exit interview conducted, citations issued, appeal rights given and copy of this report signed and delivered. .the state’s words, verbatim · CDSS document, Apr 14, 2025

Allegation investigated: Staff conduct poses a risk to residents in care

At 9:30 a.m. on 11/27/24 Licensing Program Analysts (LPAs) Nicholas Reed and Nadia Shahbazian conducted an unannounced complaint visit. LPAs met with the administrator and disclosed the reason for the visit. To investigate the allegations above, LPA Reed conducted an initial visit on 11/14/24 and interviewed staff and residents between 11:30 a.m. and 12:45 p.m., toured the facility inside and out at 12:00 p.m., and conducted a record review of pertinent records, including but not limited to a medical assessments, care plans, and staff and client rosters at at 3:00 p.m. Today, LPAs toured the facility inside and out at 10:10 a.m., interviewed Staff #1 (S1) at 10:15 a.m., and tested facility call systems at 10:30 a.m. Regarding the allegation "Staff conduct poses a risk to residents in care" it was alleged S1 made lengthy and loud phone calls at night which distracted them from caring for residents. Interview with Resident #1 (R1) at 12:30 p.m. on 11/14/24 revealed that they use the bathroom about four (04) times each night. Unsubstantiated R1 is able to do so on their own and prefer to do so independently. Interview with Resident #2 (R2) at 12:15 p.m. on 11/14/24 revealed that all residents have pendants which they can use if they need staff assistance. R2 stated they have seen staff in the hallways at night supervising residents. Interviews with three (03) out of three (03) residents revealed all of their needs throughout the days and nights have been met. No residents have heard loud conversations or swearing. No residents have been bothered at night. Record review revealed that two (02) out of three (03) residents require assistance transferring in and out of bed. All residents are able to communicate their needs, and no residents have dementia. Tests of the facility call systems today deemed all pendants functioning and operational. Interview with S1 revealed they are always available to assist residents. S1 responds to call system calls within two (02) minutes. S1 helps R2 often at night, and R1 and Resident #3 (R3) are in bed for most of the might. S1 confirmed there was a misunderstanding from a phone call they had, but the phone call did not distract them from their duties. Based on observations, interviews, and record review, staff adequately provide care and supervision to all residents during the day and night. Staff conduct does not pose a risk to residents in care. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Nov 27, 2024 · control 31-AS-20241106092013

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff Carlo Magcalas and explained the reason for the visit. Shortly after, LPA met with Administrator Mercer Jones. At approximately 9:40 am, with the assistance of staff, LPA took a tour of the physical plant, facility temp at 77 degrees. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are properly functional. The fire extinguisher is located in the kitchen with date of purchase 08/22/2024. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: The facility has five (5) bedrooms total. There were four(4) bedrooms designated for residents' use. One(1) bedroom is designated for staff. All bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are five (5) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 110.2 degrees Fahrenheit. Common Areas: These included the living room and dining area. The common areas were properly furnished. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. Laundry Area: is located in the garage which is inaccessible to residents. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medication and Medication Records were review for proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Aug 22, 2024

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Mariana Agban and Christopher Alemoh conducted an Annual Required visit and inspection of the facility. LPAs met with staff Carlo Magcalas and explained the reason for the visit. LPAs observed staff #1 (S1) cleaning the kitchen. Shortly after, LPAs met with Administrator Mercer Jones. At approximately 10:10 am, with the assistance of staff, LPAs took a tour of the physical plant, facility temp at 77 degrees. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are properly functional. The fire extinguisher is located in the kitchen with date of purchase 3/3/2023. Kitchen: The kitchen appliances and fixtures were functional. LPAs found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: The facility has five (5) bedrooms total. There were four(4) bedrooms designated for residents' use. One(1) bedroom is designated for staff. All bedrooms, in use by residents, were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are five (5) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 108, 109.102.7.111.3 degrees Fahrenheit. LPAs observed cleaning supplies under the sink cabinet not locked in the main restroom. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. Laundry Area: is located in the garage which is inaccessible to residents. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. LPA observed that Staff#1 (S1) is not background cleared to work in the facility. Medications: LPAs observed that centrally stored medication records are missing required information. Deficiencies and civil penalty issued. Appeal rights given. Exit interview conducted and copy of this report delivered.the state’s words, verbatim · CDSS document, Oct 25, 2023