Baron's Loving Care - Alpine

Type of visit: Annual/Random

Licensing Program Analyst (LPA) David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee, Agnieszka Norton. According to the facility’s license, the facility has a maximum capacity of 12 clients, of whom 10 may be non-ambulatory and hospice waiver for 10. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. LPA informed Licensee of 1 wall puncture observed behind a recliner, cables exposed along door passage way. Licensee, reported that the maintenance will work on covering wall and cables. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. Water temperature was measured at 115 degrees F. LPA observed 1 pool/body of water on the premises surrounded by a 6ft fence and locked. Per Licensee, Agnieszka Norton no firearms or ammunition are kept at the facility. Smoke/carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present. First aid kits were complete and readily accessible. Resident records reviewed had required documentation. Staff records reviewed contained required documentation, CPR/First Aid certificates are up to date. An exit interview was conducted with Licensee, Agnieszka Norton to whom a copy of this report and the Licensee/Appeal Rights were provided during the visit.the state’s words, verbatim · CDSS document, Sep 10, 2026

Allegation investigated: Facility is malodorous Staff interfered with resident's visitation rights

Licensing Program Analyst (LPA) conducted an unannounced visit to the facility to investigate the above allegations. During the visit, LPA toured the facility and did not detect any malodorous smells of urine or feces. The facility appeared to be clean and maintained at the time of the visit. LPA interviewed Resident 1 (R1), who, per LIC 602 documentation, does not have any cognitive impairments. R1 was alert and oriented during the interview and stated they were aware of the allegations made against the facility. R1 reported that they no longer wish to receive visits from the individual who made the allegations, as that person caused a disturbance and made false claims about the facility’s cleanliness. R1 expressed satisfaction with the care they are receiving, stating they are happy at the facility and that it is clean with no issues to report. No Based on the information obtained, there is no evidence to support the allegations that the facility is malodorous or that staff interfered with R1’s visitation rights. A finding that is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. An exit interview was conducted with Angie Norton, Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Licensee, and her signature on this report confirms receipt of the Licensee Rights.the state’s words, verbatim · CDSS document, May 22, 2025 · control 08-AS-20250515094245

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and Health & Safety Code. LPA was greeted by, identified herself to, and explained the purpose of the visit to applicant Applicant Agnieszka “Angie” Norton . The facility fire clearance was granted on 10/22/2024 and reflects that the facility was approved for 10 (10) non-ambulatory residents and two (2) ambulatory. During today’s visit, LPA, accompanied by the applicant, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Bedrooms contained the required furnishings. The facility has enough linens, hygiene supplies and dining supplies for future client use. The facility has locked areas for storage of medication and confidential client and staff records. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Per the applicant, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. Fire extinguishers and first aid kits were present. Required licensing postings were observed in visible areas of the facility. The items reviewed were complaint with Title 22, Division 6 of California Code of Regulations and Health & Safety Code. The applicant passed the pre-licensing inspection. LPA also provided the Component III Training during today’s visit. Applicant was advised that the facility’s application is pending management final review and approval. An exit interview was conducted with the applicant, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jan 2, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Change of Ownership Capacity: 12 Census (if any clients in care): 9 COMP II Participants: AGNIESZKA NORTON Interview Method: Telephone interview On November 21, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Nov 21, 2024