Bubbe & Zayde's Place VII

Type of visit: Required - 1 Year

On January 6, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Shimon Cagan was present to assist on today's visit. LPA observed that Shimon Cagan has a valid Administrator certificate which expires on November 21, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for three. The facility is a single-story home with five resident bedrooms, three resident bathrooms, two of which are shared, a living room, a den, a dining room, a kitchen, and an attached two car garage. LPA accompanied by the AD conducted a tour of the physical plant. On today's visit, LPA observed four residents in care, one of which is receiving hospice care, and two caregiver staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on a wall by the entryway of the facility. LPA inspected all five resident bedrooms, and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. All resident beds had clean linens and blankets. LPA observed additional linens are stored in a hallway closet. LPA inspected the three resident bathrooms. Resident bathrooms are clean. Bathrooms are equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 108.5 and 111.5 degrees Fahrenheit. LPA observed the kitchen has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives and sharps are stored in a locked kitchen cabinet. CONTINUED ON LIC809-C Fire extinguishers are located in the dining room and in the hallway by the resident bedrooms. Fire extinguishers were observed to be charged and serviced as of May 9, 2025. LPA tested the wired smoke detector/carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on October 9, 2025. The centrally stored medication is kept in a locked closet by the dining room. LPA observed the first aid kit to be stored in the closet and it has all the required components. LPA observed a fireplace in the wall connecting from the dining room to the living room. The fire place is adequately screened and is not operational. The door leading to the attached two car garage is kept locked and inaccessible to residents in care. The garage is used for storage. LPA observed chemicals and toxins stored in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. LPA observed the exterior portion to be clear of obstructions and hazards. LPA observed a shaded outdoor seating area with furniture for resident use. The perimeter gates of the facility are self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed the four resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed the residents’ medication and medication administration records. LPA reviewed three staff files. All staff are background cleared and associated to the facility. Based on today's observations, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Seth Curkin and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jan 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by Administrator Seth Curkin after explaining the purpose for the visit. Administrator (AD) Shimon Cagan was notified and later arrived to assist with the inspection. LPA observed that Administrator Shimon Cagan has a valid Administrator certificate which expires on November 21, 2025. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents with a hospice waiver for three. The facility is a single-story home with five private resident bedrooms, three resident bathrooms, two of which are shared, a living room, a den, a dining room, a kitchen, and an attached two car garage. LPA accompanied by the AD conducted a tour of the physical plant. On today's visit, LPA observed five residents in care, none of which are receiving hospice care, and two caregiver staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on a wall by the entryway of the facility. LPA inspected all five resident bedrooms, and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. All resident beds had clean linens and blankets. LPA observed additional linens are stored in a hallway closet. LPA inspected the three resident bathrooms. Resident bathrooms are clean. Bathrooms are equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 105.1 and 108.5 degrees Fahrenheit. LPA observed the kitchen has a two-day perishable and seven-day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives are stored in a locked kitchen cabinet. LPA observed a fireplace in the wall connecting from the dining room to the living room. The fire place is adequately screened and is not operational. CONTINUED ON LIC809-C Fire extinguishers are located in the dining room and hallway by the resident rooms. Fire extinguishers were observed to be charged and serviced as of March 12, 2024. LPA tested the wired smoke detector/carbon monoxide detector which tested operational. LPA observed the facility conducted their last emergency disaster drill on September 9, 2024. The centrally stored medication is kept in a locked closet by the dining room. LPA observed the First Aid kit has all the required components. The door leading to the attached two car garage is kept locked and inaccessible to resident. The garage is used for storage. LPA observed chemicals and toxins stored in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA and AD conducted a tour of the exterior portion of the facility. LPA observed the exterior portion to be clear of obstructions and hazards. LPA observed a shaded outdoor seating area with furniture for resident use. The perimeter gates on the westside and eastside of the facility are self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed the five resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed five residents’ medication and medication records. LPA reviewed three staff files. All staff are background cleared and associated to the facility. Based on today's observations, one deficiency is being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Seth Curkin. A copy of the report and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Jan 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose to conduct the required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA met with Licensee/Administrator Shimon Cagan and stated the purpose of the visit. The facility is a single level structure located in a residential neighborhood and licensed to operate for six (6) non-ambulatory and maintains a hospice waiver of three (3). For this visit, there is one (1) resident under hospice care. LPA Cho toured the interior and exterior of the facility. All rooms were inspected including five resident bedrooms. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each residents' personal belongings were observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 114.0, 115.5, and 115.9 degrees Fahrenheit. LPAs observed the facility to be clean and sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and inaccessible to the residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available. The facility has two fire extinguishers that were charged and serviced on 03/12/2024, and the auditory devices, and smoke/carbon monoxide detectors were operational. The facility conducted a Emergency Disaster Drill on 03/14/24. A working facility telephone number, 714-543-5161, remains available. The First Aid Kit contains all the necessary elements. LPA observed the emergency disaster supplies including food/water in the garage. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size. LPA conducted an audit of four residents' files and two personnel files. No discrepancies noted with the file review. LPA conducted one interview with staff and attempted an interview with one resident. The remaining residents were participating in an activity at the time of inspection. Medications were audited for four residents. No discrepancies noted. Based on the observations made during the visit, no deficiency is being cited today. An exit interview was conducted with Licensee/Administrator Shimon Cagan, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Jun 7, 2024