Bradford Residential Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection visit. LPA was greeted by staff and the purpose of the visit was explained. Administrator Humberto Santamaria was out of town, designee Clemencia Bushirre and Manger Carmen Santamaria arrived shortly after to assist with tour. The facility is licensed to serve residents age range 60 and over with an approved fire clearance for six (6) non-ambulatory. Hospice waiver granted for six (6). The facility is a single story home located in a residential area of Glendora. The home consists of a kitchen, dining area, office, living room, six (6) resident bedrooms, two (2) bathrooms, attached garage with laundry, front and backyards. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environmental Safety: The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstruction. continued on LIC 809C page 2 The water temperature was tested in bathroom #1 in the hallway and measured 110.3°F, which is within the required 105° F – 120° F. Bathroom #2 water temperature measured 109.7°F. LPA observed grab bars and non-skid mats in both the bathrooms. Residents’ bedrooms all have required furniture which includes, for each resident, a bed, a chair, nightstand, lights sufficient for reading. Resident beds have the required linen and the linen is in good repair. There is closet storage space for clothing and other belongings. Hallway cabinet contained extra, clean linens. Smoke detectors were observed throughout the facility and in every bedroom, were tested and are operable. There is a carbon monoxide detector located in the hallway of the home, was tested and is operable. There is a fire extinguisher located near the kitchen, last serviced 08/25/25. Emergency drills are conducted quarterly, last drill 10/01/25. All kitchen areas observed clean and free of litter, rodents, vermin and insects. Kitchen appliances such as stove and microwave are clean and were operating at the time of the visit. Sharps are locked in a kitchen drawer and are inaccessible to residents. Cleaning supplies and disinfectants are locked in the garage and are inaccessible to the residents and separate from food supply. Sufficient supply of 2 days perishable and 7 days non-perishable foods were observed. Containers storing waste in good repair, free of leaks. Telephone service on the premises. Fireplace located in the office has a covered screen. Dining room and living room are clean and free of obstructions and have sufficient seating for residents in care. Attached garage has laundry area. Washing machine and dryer wear clean and operable at the time of visit. There is a cabinet with laundry supplies and cleaning supplies. There is also a refrigerator and freezer with overflow of food supply. Staffing: Sufficient and competent staff to meet resident needs. continued on LIC 809C page 3 Personnel Records- training: LPA reviewed three (3) staff files. Personnel record maintained for administrator and each employee contained the following: criminal record clearance, first aid/CPR, fingerprint clearance, personnel record, health screening, TB test clearance. Residents Rights: Personal Rights are posted and observed in client files. Planned Activities: Activities calendar observed posted. Resident Records/Incident Reports: LPA reviewed six (6) resident files and contained admission agreement, medical assessment, TB clearance, ambulatory status, medical consent form, identification/face sheet, appraisal needs and service plan, personal rights. Medications are centrally stored in a locked hall closet. Medications are documented properly and given as prescribed. Disaster Preparedness: Facility has a current Emergency Disaster Plan LIC 610 in place. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies were cited during today’s visit. Exit interview held and a copy of this report was provide to Manager Carmen Santamaria.the state’s words, verbatim · CDSS document, Nov 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced required annual inspection visit on 10/13/2024 and was greeted by Caregiver Alicia Sanchez. Administrator Humberto Santamaria arrived shortly after to assist with tour. LPA Ramirez explained the purpose of the visit. The facility is located on a main street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected six (6) resident rooms. All resident bedrooms contained required furniture, linens and lighting. LPA Ramirez observed a manual Hoyer lift in bedroom#3. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside showers. LPA Ramirez observed a commode shower wheelchair in bathroom#1. Showers were observed to be wheelchair accessible. Bathroom#2 is for staff and visitors only. Facility has video surveillance inside common areas and outside perimeter of the facility. Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 04/18/2024. LPA Ramirez will issue Type B violation based on this record review. LPA Ramirez observed facility sketches with exits and emergency exits routes throughout various locations of the facility. LPA Ramirez observed emergency food supply located in kitchen pantry. See 809-C Residents with Special Needs: No large bodies of water were observed LPA Ramirez observed signs posted indicating “No smoking - Oxygen in Use” in various locations of the facility. LPA Ramirez observed several oxygen tanks in resident rooms secured in stands. Knives, sharps or other items that could pose a danger to residents with dementia, were observed to be inaccessible. Auditory devices were observed to be in working order. LPA Ramirez observed a wheelchair ramp with rails in backyard area. Health Related Services/Incidental Medical Services: The medications are centrally stored and in bubble packs and/or original containers. The facility uses the Medication Administration Record (MAR) log to document medications given. The facility provides incidental medical services. Staffing: Administrator Certificate for Humberto Santamaria expires on 12/21/2025. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed required annual training, CPR and First Aid for three (3) out of the three (3) personnel records reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for three (3) out of the three (3) personnel records reviewed. LPA Ramirez observed staff training on use of Hoyer lift. Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for six (6) non-ambulatory. This facility may retain no more than six (6) hospice residents. There were three (3) residents under hospice care during inspection. Resident Records/Incident Reports: LPA reviewed Resident files for six (6) residents in care. Resident files are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. One (1) violation was observed during visit. Exit interview conducted. A copy of this report, 809-D and appeals rights was provided via email.the state’s words, verbatim · CDSS document, Oct 13, 2024

Type of visit: Post Licensing

Licensing Program Analyst (LPA) V. Maldonado made an unannounced visit at the facility for the purpose of conducting the required Post-Licensing inspection, using the Compliance and Regulatory Enforcement (CARE) Tool, to evaluate the facility. LPA Maldonado met with Licensee/Administrator, Humberto Santamaria, and explained the purpose for the visit. During today's visit, LPA Maldonado conducted a tour of the physical plant with Licensee, observed the facility food supplies, reviewed (3) resident medications, (3) resident files, (3) staff files, and conducted interviews with (2) staff, and attempted interviews with (3) residents. The facility is a single-story home, operating as a Residential Care Facility for the Elderly. It is licensed to serve (6) older adults, ages 60 and over. There is a fire clearance approved for (6) non-ambulatory residents. It has an approved Dementia Care Plan and a Hospice Waiver approved for (6) residents. There are currently no residents receiving hospice services. An Infection Control plan has been submitted to the department for review. The facility has an active and current liability insurance policy on file. Upon entry, LPA Maldonado observed a video screen on the kitchen counter with audio, projecting a live video feed of Resident#2's (R2) room with R2 and their visitors in the room. LPA inquired with Licensee on the surveillance camera, who stated that R2's family brought it and requested it be used to keep view of R2 due to R2 wandering at night. Licensee stated however, that they have not had any issues with R2 wandering or getting up at night since admission to the facility. LPA observed all resident bedrooms to have the required furniture, sufficient lighting, and closet/storage space. LPA observed full bed rails on Resident#1-2's beds, which have written orders from the use of them. The resident bathroom is equipped with required grab bars and non-skid mats. The hot water was tested and measured at 119*F, which is in compliance. Food supplies was observed and was sufficient as required. There are no bodies of water on the premises. Fire extinguishers were observed throughout, with current inspections and were fully charged. All sharps and cleaning supplies/toxins were observed to be locked and inaccessible to residents. (Report Continued on LIC809-D...) Smoke/carbon monoxide detectors were observed in each room- last fire drill conducted on 1/08/24. Auditory devices were observed at all entrances/exits of the home and operational. (3) resident files and (3) staff files were reviewed. (3) Resident files were observed to be missing signatures by residents or their responsible parties on Physician's Reports, Appraisal/Needs and Services Plans, Resident Inventory documents, and Consent for Emergency Medical Treatment forms were incomplete. (1) Resident file was missing a Pre-Placement Appraisal. (1) Staff file was observed to be missing a Health Screening, and (2) staff records were missing training records. At 3:00PM, LPA reviewed (3) resident medications, and discovered records for Centrally Stored Medications to be missing for several medications. LPA could not determine that all medications are given as prescribed. Per California Code of Regulations, Title 22, citations will be cited on the LIC809-D page. An exit interview was conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 29, 2024

Type of visit: Prelicensing

Licensing Program Analyst's (LPA's), Valeria Maldonado and Sanjay Vaid conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPA's met with applicants Humberto and Carmen Santamaria, and explained the purpose of the visit. The facility will be licensed to operate as a Residential Care Facility for the Elderly to serve older adults, ages 60 years and older. The requested capacity is for (6) residents, of which all are non-ambulatory. The facility has an approved dementia care plan and a Hospice Waiver approved for (6). The facility is a one-story home, located in a residential area. The home consists of (6) resident bedrooms, (1) resident bathroom, (1) visitor/staff bathroom, a kitchen, living room, dining room, office/visitor area, attached garage, and sufficient space indoor and outdoor space for activities. The home has a large kitchen with the necessary utensils and dishware for residents. Sharps were observed stored in a kitchen drawer, locked and inaccessible to residents in care. The food supplies was observed to be the required 2-day perishables and 7-day non-perishables. There is a laundry area where cleaning supplies and first aid kit will be stored separately and locked. The first aid kit had the required items and current first aid manual. All resident bedrooms were observed to have the required furniture, sufficient lighting, and adequate storage space. Bathrooms were inspected and equipped with a toilet, shower, and wash basing. The bathrooms have the required grab bars and non-skid mats. The hot water was tested and measured between 110*F-111*F, which is in compliance. There is a fire place in the office/visitor with a metal screen cover, and is inaccessible to residents. All passageways/walkways are free from obstructions and hazards. Adequate supply of linen, towels, and hygiene supplies were stored in the hallway cabinet. The facility has a working landline telephone system and laptop, available for resident use. All required signage is posted & readily available for review in common areas and at the entrance of the facility. Fire Extinguishers were observed in the kitchen and in the garage, fully charged and with current inspections. Smoke/carbon monoxide detectors were observed, tested, and properly operating. No bodies of water were observed on the premises. (Report continued on LIC809-C...) All entrances/exits and windows were equipped with auditory devices and were operational during the visit. Applicants Humberto & Carmen Santamaria have waived the Component III orientation, as they are currently licensed for another facility of the same category and have completed the orientation. During the Pre-Licensing inspection, LPA's did not observe items which do not comply with applicable laws and regulations. LPA's have cleared the physical plant. An exit interview was conducted and a copy of this report has been furnished to the applicants. Accordingly, LPA's will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Nov 15, 2023

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): COMP II Participants: Humberto & Carmen Santamaria Interview Method: Telephone interview On October 17, 2023, 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 that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained.the state’s words, verbatim · CDSS document, Oct 17, 2023