Care Achilles

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents of which 1 may be bedridden. Facility has an approved hospice waiver for 4 residents and the home currently has 5 residents, with 1 resident on hospice. Administrator (AD) Vehla Quizon arrived shortly to conduct facility tour. AD provided updated liability insurance that expires on 02/05/2026. LPA along with AD toured the facility at 1:55 PM. LPA toured the physical plant, checked food service, and facility documentation. The two story home consists of 6 resident bedrooms on the first floor, 1 staff room on the second floor, living room, dining room, and kitchen as well as 5 bathrooms. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured at 109.7 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. LPA toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 08/21/2025. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Exit gates are unlocked and operational. Continued on LIC809-C dated 09/05/2025 First aid kit contained all required items including tweezers, scissors and thermometer. LPA observed the emergency food and water supply. LPA reviewed five resident files and two staff files. All resident files contained required documentation including admission agreements, physician reports, and resident appraisals. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPA reviewed medication storage and administration. Medications are stored in a locked closet. Medications are being administered per physician order. Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided.the state’s words, verbatim · CDSS document, Sep 5, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jessica Cho conducted an announced subsequent Pre-Licensing visit to follow-up on the issues that were present during the initial visit on September 19, 2024. LPA Cho met with Applicant Jehla Rose Gabriel to follow up on the following corrections: Regarding liability coverage, it is pending approval upon licensure per notice dated September 23, 2024. Applicant will submit proof of coverage upon receipt to LPA via email. Stair flooring leading to the loft on the second floor (which was part of the initial plan of the applicant) was replaced. On today's visit the aforementioned item have been addressed and corrected. The item reviewed during this visit are in compliance. The Pre-Licensing is now complete. The licensee will be granted upon completion of a final review and approval from the Licensing Program Manager and the Central Applications Bureau. Component III is waived due to the applicant operating another Residential Care for the Elderly (RCFE) licensed facility and having completed Component III. This concludes the Pre-Licensing inspection. An exit interview was conducted with Applicant Jehla Rose Gabriel, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Sep 25, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jessica Cho arrived announced for the purpose of conducting a Pre-Licensing visit using the Care Inspection Tool. LPA conducted the visit with Applicant Jehla Rose Gabriel. An initial application to operate a Residential Care Facility for the Elderly (RCFE), age range 60 and over, for (0) ambulatory, (5) non-ambulatory, and (1) bedridden residents was received by the Department of Social Services on May 20, 2024. LPA toured the interior and exterior portion of the facility and observed the following accompanied by the Applicant Jehla Rose Gabriel. Structure: The facility is a two story property in a residential neighborhood. The first floor will be occupied by residents and is comprised of six resident bedrooms and four resident full bathrooms. There is a living room, dining area, kitchen, laundry room, an attached two car garage, and a backyard. The loft is on the second floor with a full bathroom which will be occupied by the staff. The backyard has one exit gate on one side of the property. There is a shaded seating area. LPA did not observe any obstacles or hazards in the backyard. Signal System: The facility utilizes a signal system where staff is alerted from a central location located in the kitchen. Bedrooms: The resident bedrooms had all required components, are spacious, and easily accommodates the residents’ furnishings. Bathrooms: Bathrooms were not clean and operational. Grab bars were secure and bath slip mats were in place. Linens and Hygiene Supplies: Clean linens and hygiene supplies were observed to be fully stocked. Appliances: Stove burners, microwaves, washer, and dryer were inspected and operating. Resident and Staff Files: Resident and staff records will be maintained on site. Reading Material, Games, Equipment, & Materials: The facility maintains reading material and games in the facility under the TV console. Emergency Phone Numbers/Exit Plan: Posted in the entry way area and available for review. Postings: The See Something, Say Something (PUB475) and the Ombudsman Posters were posted in the entry area of the facility. The Rights of the Resident Councils, Resident's Rights, Theft & Loss Policy, Activity Schedule, and Admission Agreement were posted and is accessible in a folder in the entry way. Food Service and Menu: Supply of seven day non-perishable and two day perishables were observed. The sample menu was available for review. The emergency food/water supply was available. Smoke and Carbon Monoxide Detectors: The dual functioning smoke detectors, carbon monoxide alert systems, and auditory devices were tested and found to be operational. Fire Extinguishers: Four fire extinguishers were mounted, fully charged, and serviced on June 3, 2024. Fire Clearance: Approved on July 2, 2024 for (5) non-ambulatory residents and (1) bedridden resident. Toxins and Sharps: Cleaning supplies, toxins, and sharps were secured and inaccessible in a locked closet in the garage. Water Temperature: The water temperature in the resident bathrooms measured at 119.1, 116.6, 119.8, and 116.7 degrees Fahrenheit in the resident bathrooms on the first floor. Medications, First Aid Kit & Manual: The First Aid Kit was checked and found to be in order including the First Aid Manual. Component III: Component III is waived due to the applicant currently operating a licensed facility and having completed Component III previously. The following items need correction prior to licensure: To obtain and provide proof of liability insurance coverage. To replace the flooring of the stairs leading to the loft on the second floor (which was part of the initial plan of the applicant) Facility does not appear ready for licensure. Any items noted above during today’s visit are to be corrected by September 25, 2024 at 7:00a.m. An exit interview was conducted with Applicant Jehla Rose Gabriel, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Sep 19, 2024