Calimesa Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) E. Conchas conducted an announced annual visit to the facility. LPA was greeted and granted entrance by Licensee David Corpin. The facility is a four (4) bedroom three (3) bath home. The capacity for the facility is four (4). That may be non-ambulatory and or four (4) bedridden residents. The facility has a Hospice and Dementia waiver. The facility currently has zero (0) staff and zero (0) residents. The facility has fire clearance approved and extinguishers service date due May 27, 2026. LPA observed that the client bedrooms were appropriately furnished with the required furniture, lighting and space. LPA observed the restrooms to be functional and with the required grab bars and nonslip mats. LPA measured water temperatures to be between 110.1 -114.8. LPA observed the required posters posted in the common area. LPA reviewed records and licensee is the administrator and has the required updated documents. LPA observed liability was not renewed, a deficiency was cited. LPA observed designated medication and sharps cabinet to be locked. LPA observed facility to have sufficient food supply. LPA was informed by licensee of a potential closure for the facility. Licensee stated will make their final decision by the end of May 2026. LPA informed licensee to update the Regional Office if they decide to close. At this time LPA did not observe additional staff and evidence of residents residing during the visit. An exit interview was conducted where this report was discussed and provided to the Licensee David Corpin.the state’s words, verbatim · CDSS document, Apr 21, 2026

Type of visit: Case Management - Other

Licensing Program Analysts (LPA) Edith Conchas and Renese Howell-Small conducted an announced visit to the facility for the purpose of increase in capacity. LPA was greeted and granted entrance by Licensee David Corpin. Per the LIC200, Licensee requested for the capacity increase from two (2) non-ambulatory and two (2) bedridden to four (4) non-ambulatory and or four (4) bedridden residents. The fire clearance request was approved on on 5/29/2025 four (4) non-ambulatory, for a total of four (4) bedridden clients. The facility is a four (4) bedroom three (3) bath home. The licensee was advised that the noted designated capacity for each room is to remain in compliance. LPA observed that the client bedrooms were appropriately furnished and had functional lighting. The physical plant is ready for an change in capacity. LPA will update the facility's file and issue a new license stating change in capacity. Licensee will be bringing in beds in two of the rooms and adding non-slip mats into the showers. An exit interview was conducted where this report LIC809 was discussed and provided to the Licensee David Corpin.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Licensee, David Corpin and introduced self and stated purpose of the visit. LPA was informed that there is currently 1 resident in care. The facility has 2 resident bedrooms, 2 staff bedrooms with 1 staff bathroom, 2 resident bathrooms, kitchen, dining area, living room, office area, laundry room, attached garage, and backyard with fruit trees. LPA completed a walk through of facility, review of records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 71 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 114 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman, CCL complaint poster and license were posted in a common area. LPA observed that the facility's phone was not working. Deficiency issued. LPA also observed cleaning supplies, toxins, sharps, and other dangerous items locked in cabinets made inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed secured and inaccessible to residents. There are no guns or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a wide variety of food available for residents. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the right side of the house that leads into the backyard. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed the resident's file for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed personnel and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed a missing first aid/CPR certification, health screening and training for one staff. Deficiency issued. Medications were audited at random and appeared to be dispensed appropriately by staff. LPA reviewed the facility's insurance coverage, emergency disaster plan, infection control plan and emergency drills. LPA observed through interview that the facility has conducted emergency drills without documentation. Deficiency issued. LPA observed that the facility did not have a copy of a reviewed/updated Infection Control Plan. Deficiency issued. LPA observed the Emergency Disaster Plan not reviewed/updated with no signatures and date. Technical violation issued. Four deficiencies and one technical violation were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102TV and appeal rights were discussed and copies were provided to the Licensee, David Corpin.the state’s words, verbatim · CDSS document, Apr 8, 2025

The state marks this report as 7 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator David Corpin and was granted entry to the facility. At the time of the visit there was one (1) staff present, and one (1) resident present. The facility is a five (4) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, with attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (2) current census (1). LPA was accompanied by Facility Administrator David, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 105.7 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside medication cabinet inaccessible to resident in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of resident in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed one (1) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator David Corpin.the state’s words, verbatim · CDSS document, Mar 15, 2024