Arlington Post Guest Home

Type of visit: Required - 1 Year

On 09/25/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Staff. The Area Manager/Administrator Irene Formentera arrived later. The facility is licensed to serve six (6) non-ambulatory residents, in which six (6) may be bedridden. It also has a hospice waiver for four (4) residents. The facility currently has four (4) residents receiving hospice care and one (1) resident receiving home health services. Annual fees are current. The facility is a single-story structure located in a residential neighborhood. The facility consists of a foyer, kitchen, dining area, living room, fireplace, office area, laundry room, six (6) resident bedrooms, four and a half (4.5) bathrooms, attached garage, and a covered front patio. The facility is clean, sanitary, and in good repair. The Area Manager accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Continue to LIC809-C. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew, and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept in locked storage cabinet. First Aid kit was available. Two fire extinguishers, last serviced August 22, 2025, was observed in the kitchen and near the garage door. Administrator tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional and inter-connected. Five (5) staff records were reviewed, 5 out of 5 staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. Six (6) resident records were reviewed and 6 out of 6 resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with Staff Eleazer Damaso.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Required - 1 Year

On 09/20/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Caregiver Leticia Dela Pena. The Administrator Irene Formentera arrived later. The facility is licensed to serve six (6) non-ambulatory residents which six (6) may be bedridden and a hospice waiver for four (4) residents. Annual Fees are current. The facility is a single-story structure located in a residential neighborhood. The facility consists of a foyer, kitchen, dining area, living room, fireplace, office area, laundry room, six (6) resident bedrooms, three and a half (3 1/2) bathrooms (located in resident bedrooms), one shared bathroom, two-car (2) garage and a covered front patio. The facility is clean, sanitary, and in good repair. The Administrator accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Continue to LIC809-C. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in locked storage cabinet. First Aid kit was available. One fire extinguisher, last serviced August 21, 2024, was observed in the kitchen area. Administrator tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional and inter-connected. Five staff records were reviewed, 5 out of 5 staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. Five resident records were reviewed and, 5 out of 5 resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with Administrator Irene Formentera.the state’s words, verbatim · CDSS document, Sep 20, 2024

Type of visit: Required - 1 Year

On 11/12/2023 at 8:00 am Licensing Program Analyst (LPA) David España conducted an unannounced Required-1-year annual visit. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection (No COVID-19 cases). LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. LPA met with Administrator Laureana Lacanilao and explained the purpose of today’s visit. The Residential Care Facilities for the Elderly (RCFE) is licensed for six (6) non-ambulatory residents which six (6) may be bedridden and a hospice waiver for two (2) residents; prefers to serve elderly age 60 and above. The facility is a single-story structure located in a residential neighborhood. The facility consists of a foyer, kitchen, dining area, living room, fireplace, office area, laundry room, five (5) resident bedrooms, one staff bedroom, three and a half (3 1/2) bathrooms (located in resident bedrooms), one shared bathroom, two-car (2) garage and a covered front patio. The facility does not handle residents cash resources. Facility annual fees are current during today’s visit. LPA toured and inside and outside grounds of the facility with Administrator Laureana Lacanilao. There were no bodies of water or obstructions on the premises. LPA confirmed that Residents #1, #2, #4, and #5 are all on hospice as of 11/12/2023. All rooms were inspected. First aid kit is fully stocked with manual; smoke detectors and carbon monoxide detectors were in compliance and operational. A reviewed of Medication Records Administration (MAR) was observed to be maintained in order and accurate. Medications are stored, locked and inaccessible to residents. Resident files along with medications are current. Staff files is current. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Evaluation Report Continues on LIC 809-C The water temperature measured 113.0 degrees F between rooms #2, room #1 and staff room. The water temperature measured 116.9 degrees F in room #4. There are two water heaters. Currently, water heater #1 controls kitchen, center bathroom, and room #1. LPA confirmed that heater #2 controls rooms #4, #5, and #6. A comfortable temperature of 75 degrees was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. The facility has (2) fire extinguishers that were charged, smoke detectors, and carbon monoxide were operable. The facility conducted a Fire/Safety Drill on 10/18/23. A working telephone remains 1-310-328-6086 available. During the visit, LPA observed the facility's infection control practices. The facility has an approved Mitigation Plan Report on file with CCLD. There were deficiencies issued in today’s visit 11/12/2023. Based on R#1, R#2, R#4 and R#5 record reviewed licensee failed to obtain a facility hospice care waiver from the Department before admitting new residents R#1 and R#2 into the facility which poses a potential health and personal rights risk to residents in care. Advisory Notes - Technical Assistance were issued, please see LIC9102-AN. 87468(c)(2)(A) The following deficiency were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted and appeal rights discussed. A copy of this report and appeal rights provided to Administrator Laureana Lacanilao.the state’s words, verbatim · CDSS document, Nov 12, 2023

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.