Annissa Gem Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry. LPA met with Staff Anthony “Tony” De Guzman and explained the purpose of the inspection. During the inspection, LPA and Staff De Guzman conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with five resident bedrooms, two staff bedrooms, three bathrooms, and attached two-car garage. LPA observed staff is currently residing in the garage; a Deficiency was cited on today’s date. All resident bedrooms had the required furnishings. LPA observed all residents’ beds had linens and blankets. The backyard has a shaded sitting area. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. The water temperature tested at 107.2 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag dated January 9, 2026. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication was observed to be centrally stored and locked. LPA reviewed five of five resident files and two staff files. LPA observed a staff file is not being maintained for one of three staff present; a Deficiency was cited on today’s date. Two of two staff files reviewed did not contain any documentation for initial medication staff training; Deficiencies were cited on today’s date. (Cont. LIC809-C) Two of two staff files also did not contain training conducted on dementia, hospice, postural supports, and restricted health conditions in the past year; a Deficiency was cited on today’s date. LPA interviewed residents and staff. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Jan 29, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Claudia Gutierrez and Hanna Gough made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs were greeted and granted entry by Staff Anthony “Tony” DeGuzman and explained the purpose of the inspection. During the inspection, LPAs and Staff DeGuzman conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with four resident bedrooms, three staff bedrooms, three bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. Resident beds were also observed to have half bed rails, however, a physician order for four of four residents could not be provided; a Deficiency was cited on today’s date. LPAs observed all windows were screened. The backyard has a shaded sitting area. LPAs observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 117.3-118.0 degrees Fahrenheit. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag dated January 9, 2025. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication cabinet was observed to be locked. LPAs reviewed four resident files and two staff files. Four of four resident files did not contain an appraisal dated or signed in the last twelve months; a Deficiency was cited on today’s date. One of four resident files was observed to be missing an admission agreement and staff was unable to provide LPAs with a copy; a Deficiency was cited on today’s date. (Cont. LIC 9099-C) Staff files did not contain any documentation for initial medication staff training or staff training conducted in the past year and staff was unable to provide LPAs with a copy of staff training conducted; a Deficiencies were cited on today’s date. LPAs interviewed residents and staff. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Feb 5, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Faith La and Dwayne Mason Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPAs explained the purpose of today’s visit and were greeted and granted entry by the house manager Anthony Deguzman. The house manager Anthony Deguzman notified facility administrator (AD) Karmian Calangi about the visit, and AD Karmian Calangi came to facility shortly after. For today’s visit, LPAs observed a total of 6 residents in care and 3 staff members on duty. LPAs observed the Administrator's Certificate which expires on 06/20/2025. LPAs observed the PUB475 “See Something Say Something” poster was located and posted at entrance. LPAs toured the interior and exterior portions of the facility with house manager Anthony Deguzman. The facility is a one level structure and is licensed for 6 non-ambulatory residents, of which 4 may be on hospice and 1 may be bedridden. For this visit, there are a total of 6 residents in care. There are a total of 7 bedrooms, of which 4 are private resident rooms, 1 is a shared resident room and 2 are private rooms for staff. LPAs toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 3 restrooms of which 1 is for staff and 2 are for residents. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in 2 restrooms were measured to be at 124.1 and 124 degrees Fahrenheit. A deficiency is being issued. Staff lowered the water heater and measured at 119.4 and 120 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies requirement. Sharp items and knives were located in cabinet in kitchen and were observed to be locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen, and the service date was March 05, 2020. A deficiency is being issued. LPAs observed the emergency disaster and evacuation plan, which is posted in the entrance. Facility had back-up emergency food and water supply, located in the hallway. LPAs observed that First Aid Kit had all the required components. LPAs observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPAs observed patio furniture under shading, and the grounds were free of any hazards. There is 1 gate in the backyard, which was self-closing and self-latching. No bodies of water were observed. For today's visit two deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Karmian Calangi. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, May 10, 2024