Avery Garden Senior Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, Linda Thomas and Erik Thomas who were informed of the purpose of the visit. At the time of the visit there was (3) staff and (8) residents present. The facility is a one story home with (6) bedrooms and (5) bathrooms. No pools or firearms are housed at the facility. The facility is approved for (8) non-ambulatory residents. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair and were present. The outdoor area had a shaded area and seating for client, and was free of hazards. LPA observed hygiene supplies for residents, PPE, clean linens. There are designated locked areas for sharps, dangerous objects, cleaning supplies, and medications. The carbon monoxide detectors and smoke detectors were operational, and the hot water temperature 109.4F. There are emergency supplies such as emergency lighting, complete first aid kit and emergency food and water. The emergency exits paths are clear and free of obstructions. LPA observed facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA reviewed the facility's emergency and disaster plan and infectious control plan. LPA reviewed documentation showing the facility's last fire drill 02/13/2026, which met the department requirements. Required postings were found in the facility. The listed administrator has a current administrator's certificate. The facility has a staff schedule with fingerprint cleared staff. LPA reviewed (4) staff files and training. All staff have criminal clearance and updated training along with CPR/First Aid Certification. Four (4) resident files were reviewed, and possessed all required paperwork. The facility does not handle any resident money. LPA observed resident medications which are locked, filled, and stored in their originally received containers. The medication was accounted for on Medication Administration Records for clients. No deficiencies were cited at the time of the visit. An exit interview was conducted where this report was reviewed and provided.the state’s words, verbatim · CDSS document, Mar 25, 2026

Type of visit: Required - 1 Year

On March 03, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with Linda Thomas, Administrator. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for (8) Elderly Adults and is currently operating at a capacity of (6) Elderly Adults (740), with one resident in the hospital currently. LPA Mixson toured the facility along with the Administrator, Linda Thomas and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways. Additionally, there were no bodies of water on the premises. The facility is a single-story home located 26600 Ironwood Ave Moreno Valley CA. 92555. Physical Plant: The facility phone number is (951) 924-3289 and it is operable. LPA Mixson observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The fire extinguisher was last serviced on March 2024. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the PUB 475. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility Heating system and other appliances were operable currently at the time of this visit. Administrator informed LPA there were safety lights for night throughout the facility. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision/Administration: Adequate staff are present for the supervision of residents in care. Floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator possesses a current administrator’s certificate with an expiration date of 08/08/2025. Records Reviewed and Resident/Staff Files: LPA reviewed staff and residents files, the facility's staff schedule, and previous Community Care Licensing forms. The files reviewed currently have required forms per Regulations. Files reviewed possessed required paperwork. Disaster preparedness: LPA Mixson reviewed the facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill met the department standards, and continuous training's were conducted and logged per Title 22 regulations. Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies for regular cleaning of the facility. LPA reviewed the facility's posted infection control plan and found all required infection control measures, along with the facility plan of operations required sections reviewed. There were no TA deficiencies observed or cited per Title 22, Division 6 of the California Code of Regulations at this time. An exit interview was conducted where a copy of this report was discussed and given to Linda Thomas, Administrator.the state’s words, verbatim · CDSS document, Mar 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Stephanie Martinez, conducted a required annual inspection to the facility. The LPA was allowed entrance into the facility and met with Administrator, Linda Thomas. The LPA informed the Administrator of the purpose for the visit. The facility currently has an approved Hospice Waiver for six (6) residents. The inspection included the following: Physical Plant: The facility consists of five (5) resident bedrooms, one storage space/room, two dinning areas, two living spaces, an open kitchen, a laundry room, a garage space, and a patio with sufficient seating and space for activities. There are no bodies of water located on the property. According to Administrator Thomas, no weapons are stored in the home. The facility is being maintained at a comfortable temperature. All outdoor and indoor passageways are kept free of obstruction and are free of debris and other trash. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats or strips present. The carbon monoxide device was tested by the Administrator and was observed to be in operating condition. The Administrator contacted the company that monitors the facility fire alarms; the company reported the alarms are operating in normal condition. The home was kept clean and free of any odors. Food Service: There is a minimum of 2 days of perishable foods and 1 week's supply of non-perishable foods available. Record Review: All staff were observed to have appropriate fingerprint clearances. LPA did not observe any excluded individuals on the premises at time of visit. Staff responsible for direct care and supervision have current first aid and CPR training. Dementia care training was observed to be available and complete. The facility was not operating beyond the conditions specified on the license. The LPA was informed by Administrator Thomas there are currently two residents in care who are receiving hospice services. Hospice Care Plans were observed on file at the facility. There is a disaster and mass casualty plan in place. Proof of emergency drills were observed on file. All services requiring specialized skill are being performed by personnel qualified as appropriately skilled professionals. Medication Review: The LPA reviewed medications for R1. The medications were observed to be well organized and inaccessible to unauthorized individuals. An exit interview was conducted with Administrator Thomas in which this report was reviewed and a copy was provided. No citations were issued during this visit.the state’s words, verbatim · CDSS document, Apr 2, 2024

Allegation investigated: Facility staff are not assisting resident with medical appointments.

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into the above allegations. The LPA met with Administrator, Linda Thomas, and informed her of the purpose of the visit. The Department received a report alleging facility staff are not assisting Resident One (R1) with obtaining further medical testing or with dental appointments. The LPA conducted staff/resident interviews, reviewed records, and obtained copies of relevant documentation.Staff interviews revealed the Licensee, Linda Thomas, and staff member, Erik Thomas, have been assisting R1 with medical appointments. It was reported R1 changes their mind from wanting staff assistance with scheduling medical and dental appointments to wanting to schedule the appointments on their own. Resident interviews report facility staff provide assistance with medical appointments by calling for appointments, providing transportation, and providing supervision during appointments. In addition, resident daily notes revealed R1, on 11/04/2023, was visited by a medical Unfounded professional at the facility, though, refused to meet with and began to yell at the individual. Text messages from R1 to staff revealed R1 cancelled their own dental appointment on 10/30/2023. Finally, when R1 was interviewed it was reported the resident did have dental appointments scheduled, however, they could not show up for a variety of reasons. Therefore, based on interviews and records, this allegation is deemed UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with Administrator Thomas; this report was reviewed and a copy was provide.the state’s words, verbatim · CDSS document, Nov 7, 2023 · control 18-AS-20231103101819

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into complaint #18-AS-20231103101819. The LPA met with Administrator, Linda Thomas, and informed her of the purpose for her visit. During the visit the LPA observed Staff Three (S3) to be in the facility and to be providing transportation to residents. The LPA did not observe S3 to be on the personnel roster. According to Administrator Linda, S3 is a family member who does provide some assistance with tasks in the facility. She reported she has not yet had S3 fingerprint cleared. No background check clearance was observed for S3. Therefore, a citation and civil penalty will be issued. An exit interview was conducted; this report was reviewed with Linda and a copy was provided, along with LIC 811 and instructions on appeal rights.the state’s words, verbatim · CDSS document, Nov 7, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Nov 7, 2023

CRIMINAL RECORD CLEARANCE: (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department This requirement was not met, as evidenced by: Based on observation and interviews, the Licensee did not ensure S3 obtained a California Clearance prior to working in the facility.the state’s words, verbatim · CDSS document, Nov 7, 2023

Plan of correction: S1 left the facility prior to the end of the LPA's visit.