Brenda's Place

Type of visit: Required - 1 Year

On 08/19/2026, Licensing Program Analysts (LPA) Melina Oropeza arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by staff, Daisy Flores and administrator, Brenda McCarthy. LPA explained the purpose of the visit to Administrator and staff. Administrator certificate # 7004968740 expired on 07/18/2026. Administrator provide proof of check and training certificates for 40 hours that was submitted to CCL on 07/12/26. Application is shown as received on ACB Pending Renewal Applications List. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 6 bed facility with a current census of 2. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Laundry room was toured at this time. Chemicals were noted to be locked and made inaccessible to the residents at this time. Medication cabinet, located in the laundry room cabinets, was observed to be locked and made inaccessible to the residents at this time. LPA also conducted the infection care domain tool. No bodies of water were observed at the facility. Hot water temperature was measured at 107 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, 3 fire extinguishers inspected on 08/12/2026 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. A tour of the garage area was conducted, which contained an additional freezer with food and non-perishable food storage area. The garage has been converted to include an activity room and spa area for residents. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted and in good repair. LPA reviewed six (6) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed two (2) resident facility files. All necessary documents were in place. There were no deficiencies observed or cited during today's annual visit. Exit interview held with staff and copies of reports left at conclusion of visit with designated representative Daisy Flores.the state’s words, verbatim · CDSS document, Aug 19, 2026

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 02/04/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated representative Daisy Flores. A brief interview was conducted with the facility designated representative at this time. Current census was 5 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior complaint visit conducted on 01/21/2026. This visit was to follow up on the Plan of Correction that was due. The following deficiency was observed and cited on 01/21/2026: Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building. Plan of Correction clearance letter was printed and a copy was provided to the facility designated representative at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Feb 4, 2026

Allegation investigated: Staff are not following the plan of operation for the facility

Unannounced complaint visit made out to this facility on 01/21/2026 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility house manager Daisy Flores. A brief interview was conducted with the facility house manager at this time. This LPA requested that she also go ahead and contact the facility designated Administrator, Brenda McCarthy, to inform her that CCL was present at this time for a complaint visit. Current census was 6 residents. The purpose of this visit was to inform this facility, and it's representative, that a complaint had been filed with the following above allegation. Based on observation, it was learned that resident, R1, had been moved to the living room of this facility. It was observed that R1 was in R1's own bed and utilized this area as R1's own quarters at this time. It was observed that R1 was positioned in R1's bed facing out towards the dining area of this facility at this time. Based on interviews conducted during the course of this investigation, it was learned that R1 was admitted and originally occupied a bedroom designated for resident use located at the east end of this facility. Substantiated This agency has investigated the complaint allegation(s). This agency has found that the complaint was UNFOUNDED, meaning that the allegation(s) were false, could not have happened and/or was without a reasonable basis. This agency has therefore dismissed the complaint. There were no deficiencies observed or cited during today’s complaint visit. Exit Interview It was learned that R1 was eventually moved out of R1's room so that R1 could be present amongst the other residents and facility staff since R1 was unable to independently move around freely without any assistance from R1's bedroom. It was learned that this was conducted so that R1 would not be isolated due to the physical limitations for R1 at this time. Based on interviews, it was learned that R1 had been occupying this living room area as R1's bedroom for about a month now. It was learned that care and supervision was provided to R1, in terms of ADLs, within this living room area. It was learned that facility staff would put up dividers to shield R1 for privacy when this was being performed. This living room has never been cleared to be able to have a resident occupy it as a resident bedroom at any point in time. As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. A civil penalty in the amount of $500 was assessed for this violation on the following LIC 421 IM. Appeal rights were printed and a copy was left with the facility designated House Manager at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Jan 21, 2026 · control 27-AS-20260115122805

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87307(a)(2)(B) · Plan of correction due date: Jan 22, 2026

Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. No room commonly used for other purposes shall be used as a sleeping room for any resident. This includes any hall, stairway, unfinished attic, garage storage area, shed or similar detached building. This facility was found to be deficient as observed by the placement of a resident into the living room to serve as their bedroom. This posed an immediate risk to the Health, Safety, and Personal Rights of all residents in care.the state’s words, verbatim · CDSS document, Jan 21, 2026

Plan of correction: The facility representative stated that the resident currently residing in the living room will immediately be moved back into their assigned bedroom. A statement of correction, along with photos of the cleared living room area where the resident used to occupy, will be completed and submitted into CCL by the due date.

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 08/06/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person, Maria Hernandez, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Administrator, Brenda McCarthy, to inform her that CCL was present at this time for an annual visit. Current census was 6 residents. It was learned that there were (2) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (2) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there were (3) residents diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Additional food storage units located in the garage area were observed to be present and functional at this time. Laundry room was toured at this time. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, # 6017049740, for Brenda McCarthy was observed to have an expiration date of 07/18/2026 and in compliance at this time. Forms and documents were being updated in order to renew this Administrator certificate at this time. Medication cabinet, located in the facility kitchen cabinets, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the kitchen area, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers (3) were located throughout this facility and observed to have been annually inspected by the local fire extinguisher company, Jorgensen Fire Company, on 08/06/2025 and found to be in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (5) facility personnel records was conducted and noted on the following LIC 859. A review of (6) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's annual visit. Exit Interviewthe state’s words, verbatim · CDSS document, Aug 6, 2025

Type of visit: Required - 1 Year

Unannounced annual visit made out to this facility on 08/09/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person, Jennifer Dietzel, who went ahead and got the facility designated Administrator at this time. The facility designated Administrator, Brenda McCarthy, was present in the facility at this time for today's annual visit. Current census was 5 residents. It was learned that there were (2) residents under the care of hospice at this time. It was learned that there was (1) resident receiving services through home health at this time. It was learned that there were (2) residents diagnosed with dementia at this time. Facility staff files were supplied by the facility designated Administrator for review at this time. This LPA also requested for the facility resident files at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Additional food storage units were observed to be present and functional at this time. Laundry area, located in the walkway leading to the garage area, was toured. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, # 6017049740 for Brenda McCarthy, was observed to have an expiration date of 07/18/2024 at this time. It was learned that all required forms and documents have been submitted into the responsible entity for renewal at this time. These documents were submitted prior to the expiration date. Medication cabinet, located in the facility entry way drawers, were observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the medication area, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers (3), located throughout this facility, were observed to have been annually inspected by the local fire extinguisher company, Jorgensen Co., and found to be in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (5) facility resident files was conducted and noted on the following LIC 858. A review of (5) facility staff file was conducted and noted on the following LIC 859. The following forms and documents were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's annual visit. Exit Interviewthe state’s words, verbatim · CDSS document, Aug 9, 2024