Care Integration

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Imaculada Vasquez arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by Caregiver, Dania Rebolledo and granted entry. LPA began inspection with introduction and visit purpose. Administrator, Charles Nwapa arrived 30 minutes later. Resident record review began- Three (3) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility meets documentation requirements. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 105.1 degrees F. Laundry chemicals, cleaning chemicals, and sharped objects are observed in a locked closet. Medications are observed in another locked closet. LPA verified there is a telephone working at this location (951) 309-8015. Food Service- Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables food on hand. Foods are dated to assure safety. Food prep areas are clean and organized. (Continued on next page) (Continued from Page 1) LPA began review of employee records- Three (3) records were reviewed. LPA reviewed employee records for first aid, fingerprint clearance, personnel/job application, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is present and current, expires on 01/05/2028. Staff files did not have health screenings on file. Therefore, a citation was given with a plan of correction date of 07/31/2026. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. One (1) Fire extinguisher is tested or replaced annually and was last done on 05/01/2026. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 12/17/2025. Based on the information received during this visit today, there is one (1) deficiency being cited Title 22, Division 6 of The California Code of Regulations.the state’s words, verbatim · CDSS document, Jun 17, 2026

Type of visit: Case Management - Deficiencies

On 12/16/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit for complaint control number 18-AS-20251212154744. During the visit, LPA met with Administrator Charles Nwapa and Charles was advised of the purpose of the visit. During the tour of the facility, LPA observed surveillance camera’s mounted on the walls in the common areas of the facility. LPA requested the facilities plan of operation to verify that the use of cameras in the common areas was established in the departments approved plan of operation. Upon request, LPA was advised by the Administrator that the facility does not maintain a copy of its approved plan of operation and LPA was not provided the plan during the duration of LPA’s visit. Therefore, a citation will be issued in accordance with Title 22, Division 6. An exit interview was conducted, and a copy of this report was provided to Administrator, Thelma Nwapa.the state’s words, verbatim · CDSS document, Dec 16, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87208(a) · Plan of correction due date: Dec 30, 2025

(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. This requirement was not met with evidence by: Upon LPA's request, the facility was not able to provide LPA the facility's plan of operation for review purposes.the state’s words, verbatim · CDSS document, Dec 16, 2025

Plan of correction: Administrator agreed to print a hard copy of plan of operation to maintain at facility. Administrator further agreed to provide LPA a signed affidavit verifying that they have read section 87208. Signed affidavit will be emailed to LPA by close of business on 12/30/2025.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Janira Arreola, made an announced visit to the facility in order to conduct a prelicensing inspection. LPA met with applicant Charles Nwapa. The facility is seeking an initial license for a residential care facility for the elderly, with capacity of (6). Approved for for (6) non ambulatory residents on the first floor only. The facility does not have a pool or firearms. The home is a two story home with (4) bedrooms and (3) bathrooms down stairs.LPA conducted a walk through of the interior and exterior of the facility. The bedrooms have all the required furniture and linens. LPA observed the hallway lights and the carbon monoxide detectors were in good working condition. The outdoor area was free of any hazards and an emergency exit. The kitchen had the ability to prepared food is a clean and safe environment and possessed the required food items . LPA observed areas were the staff and resident files would be kept as well as locked areas designated for medication, sharp objects, and cleaning supplies. The hot water temp was measures at 122F in the resident shower and 129F in the resident sink. Applicant agreed to have the water heater adjusted to 105F to 120F. The facility has a land line at (951) 309-8015. The licensee agreed to obtain and send LPA proof of the following item: - Hygiene items, such as washing soap for (6) residents - 1-800-let us no posting - Shaded outdoor area for residents - Activity materials - Emergency food supply The applicant agreed to sent the LPA the above items by 6/14/2024 in order to proceed in the prelicensing process. An exit interview was conducted with the applicants, and copy of this report was reviewed and provided to them.the state’s words, verbatim · CDSS document, Jun 10, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Name - Charles Nwapa CEO/Administrator Interview Method: Telephone interview On November 21, 2023, Applicant/Administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-Licensing Readinessthe state’s words, verbatim · CDSS document, Nov 21, 2023