Anamarie Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Audrey Jeung toured facility and grounds, consisting of three shared client bedrooms, two staff rooms--one with a large bed for 2 staff and the other with no bed--two full bathrooms, dining area, TV room, kitchen and living room. A comfortable temperature is maintained and lighting is sufficient for comfort and safety. This is a single story facility with one car garage, where washer and dryer are located. Water temperature is tested in main bathroom. Medications, sharps, and chemicals are observed locked and inaccessible to residents. Food supplies of perishables for 2 days and non-perishables for 7 days are maintained. First aid kit is observed to be complete. Carbon monoxide detector is tested and operable. There are 4 residents present, and 3 staff. Client records and staff records are reviewed. Ana Marie Avevalo and Jocelyn Maniva are certified RCFE administrators (x 7/26 and x 3/27) that oversee facility operations. Centrally Stored Medication Records will be reviewed at a later date, due to time constraints. Emergency drills are documented as conducted quarterly. The following information/forms are requested to be submitted to CCLD BY 7/7/26: - Administrative Organization (LIC309) - Personnel Report (LIC500) - Medication training requirements for staff, as per Health and Safety Code 1569.60 - updated Facility Sketch, showing room designations Deficiencies of the California Code of Regulations, Title 22, are observed. See Technical Advisory Notes --4 pages. Report is reviewed with administrator and a copy is provided.the state’s words, verbatim · CDSS document, Jun 23, 2026

Type of visit: Required - 1 Year

On June 12, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Ana Marie Arevalo and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are three resident rooms; one single private room and two that are shared rooms. Resident rooms were observed to be clean with all required furniture. Two full bathrooms were observed to be clean, odor-free and in good repair. LPA observed two staff rooms. Water temperature throughout the facility measured between 107-117 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete. Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Extra food supply was observed to be present. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of August 2024. Emergency drills are logged and done every three month. LPA reviewed 5 resident records and 3 staff records. Resident records reviewed were complete, updated and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.the state’s words, verbatim · CDSS document, Jun 12, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 5/20/2024, Licensing Program Analyst (LPA) Jaime Vado to conduct an unannounced Required -1 Year visit. LPA met with administrator Ana Marie Arevalo and explained the purpose of this visit. LPA was allowed entry into the facility that is licensed to serve Age Range 60 and over of which 6 may be non -ambulatory. Hospice waiver for 2. Currently there is only 1 resident on hospice. Annual Fees are current. This is a one level facility. The physical plant was toured inside and outside to ensure the safety of the residents. The last documented emergency drill was conducted and recorded to be conducted in 03/08/24. LPA observed the medications area to locked in the kitchen in a cabinet adjacent to the sink. Sharps are also locked with the medications. Facility is equipped fire extinguishers, smoke and carbon monoxide detectors, central heating and air in the facility. The facilities fire detectors/carbon monoxide detectors are hardwired through out the facility according to Ana Marie. Fire extinguishers are observed with an inspection date of 08/30/2023. Water temperature tested in kitchen sink at 112F. Resident rooms are checked to contain operable lighting and all required furniture in accordance with regulations. Both 7 day and 2 day food supplies are observed to be in place. Laundry machine and dryer are in good working order located in the garage. PPE is observed as in place LPA observed 3 staff and 2 resident files during this visit. The first aid kit was found in compliance containing the required items outlined in regulations. P&I monies are not handled by the facility. Administrator certificate expires as observed on The following updated forms are requested to be submitted to CCLD by 05/27/2024: • Updated Administrator Certificate • Updated surety bond with expiration date • LIC 308 Designation of Administrative Responsibility • LIC500 Personnel Report • LIC610E Emergency Disaster Plan • Copy of current control property Per the California Code of Regulations, Title 22, Division 6, Chapter 6, no deficiencies observed or cited. Report is reviewed with the administrator and a copy of the report is provided.the state’s words, verbatim · CDSS document, May 20, 2024