Brookwood Terrace Home One

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with the house manager (HM/STAFF) Mary Grace Yongco and stated the purpose of the visit. Administrator Arielle Teodoro was not available at the time of inspection due to prior commitment. ADM authorized HM/STAFF to sign for the report on ADMs behalf. The facility is licensed for adults 60+; approved for 6 ambulatory only residents. LPA observed 3 out of 6 residents waiting for their ride to go to the day program 2 out of 6 have residents are have been picked-up and 1 out of 6 was in his room does not attend day program. 1 staff was present during the visit LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces. Indoor temperature was within acceptable range of 70°F. The kitchen was clean and organized; knives and chemicals were locked. Food supply met requirements (2 days perishable, 7 days non-perishable). Kitchen water temperature measured at 115.1°F. Bathroom water temperature ranged from 109.7°F to 113.5°F. Bathrooms had grab bars and non-skid mats; resident rooms had adequate storage. LPA inspected 5 resident bedroom 4 out of 5 were single occupancy and 1 out of 5 is shared. Medications were locked and inaccessible to residents; first aid kit was complete. Outdoor areas were free of hazards; laundry appliances were functional, and cleaning supplies were secured. Fire, smoke, and carbon monoxide systems were operational; hallways were clear and well-lit. Page 1 of 2 The facility has storage area at the back that is used to store unused items and files that are no longer in use. The facility has an aluminum ramp at the back of the property. 3 cars were observed parked on the driveway and a side exit door inside one of the resident bedroom was also observed. LPA reviewed 3 resident and 3 staff records, including medication logs, admission agreements, care plans, personal and incidentals, health screenings, and training. All staff have required clearances and certifications. The facility conducts fire and earthquake drill quarterly for each shift. Last drill practice training was on 01/07/26 with 2 staff and 6 resident participation. The facility is equipped with fire panel alarm system and 1 fire extinguisher that was inspected 01/16/25 and fire sprinkler. No deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22. An exit interview was conducted with HM/Staff Mary Grace Yongco and a copy of the report was provided. page 2 of 2 end of reportthe state’s words, verbatim · CDSS document, Jan 9, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with House Manager Mary Grace Yongco (HM). LPA observed 1 staff in the facility. All 5 residents went to day program. HM stated the facility is a level 4c RCFE facility. License, Personal Rights posters, and Administrator Certificate were observed in the facility. LPA observed the facility has emergency lighting system. LPA reviewed 3 resident files and 3 staff files. LPA toured the facility with HM inside and out. LPA inspected living room, kitchen, dining area, 4 residents rooms, 2 bath rooms, and 1 meeting room. Two days perishable foods and seven nonperishable foods were observed sufficient. The temperature of the refrigerator was observed at 37 degree F, and the temperature of the freezer was observed at 0 degree F. Room temperature was observed at 70 degree F. Hot water was observed at 112 degree F. Medication cabinet, and knife closet, were observed locked. Dish washing solution bottle was observed on the top of sink in the kitchen, HM locked the dish washing solution bottle in the closet in kitchen immediately. Fire extinguisher was serviced on 1/16/2025. The facility was equipped with fire alarm system and carbon monoxide detectors. Fire alarm and carbon monoxide detectors were tested, and were functional. First Aid box, flash lights, and night lights were observed in the facility. The facility's last time conducted the fire drill was on 1/13/2025. Front yard and back yard were inspected. There is a storage room in the backyard. No obstruction was observed to block the walkways. Exit interview was conducted with HM. This report was provided to HM for signature. A copy of this report was provided to HM.the state’s words, verbatim · CDSS document, Jan 30, 2025

Type of visit: Case Management - Other

On April 18, 2024, Licensing Program Analysts (LPAs) Manuel Monter and Simi Rai conducted an unannounced Case Management visit and met with Staff Member Romeo Tambua and explained that the purpose of the visit was to hand deliver a letter of exclusion for staff S1. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator (ADM) Arielle Teodoro, via phone call. ADM stated staff member Romeo Tambua could sign on her behalf. A copy of the report was provided.the state’s words, verbatim · CDSS document, Apr 18, 2024