Care Jordan Senior Homes

Type of visit: Required - 1 Year

On August 25, 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 care giving staff after explaining the purpose for the visit. Licensee Gideon Limpiado was notified via telephone but was unable to assist with today's inspection. LPA observed that Gideon Limpiado has a valid Administrator certificate which expires on April 22, 2028. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one can be bedridden, and has an approved hospice waiver for three residents. The facility is a single story home with five resident bedrooms, one of which are shared, two resident bathrooms, two staff bedrooms, a family room, a living room, a dining room, a kitchen, a laundry room, and an attached two car garage. LPA, accompanied by a care giving staff, conducted a tour of the interior portions of the facility. On today's visit, LPA observed five resident and three care giving staff present. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected all five resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in cabinets located in the resident hallways. LPA inspected the two shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured 105.4 and 106.1 degrees Fahrenheit. LPA observed the staff bedrooms to be kept locked and inaccessible to residents in care. LPA observed the facility has a two day perishable and a seven day non-perishable food supply on hand. CONTINUED ON LIC809-C LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed fire extinguishers to be mounted on the wall in the kitchen and in the attached two car garage. Fire extinguishers were observed to be charged and serviced on March 11, 2026. LPA observed the centrally stored medication to be kept in a locked cabinet located in the family room. LPA observed the facility has a first aid kit stored inside the same cabinet and it had all the required components. LPA tested the individual smoke detectors and the individual carbon monoxide detectors which tested operational. LPA observed the facility conducted their most recent emergency disaster drill on June 15, 2026. LPA observed the laundry room to be kept free of any hazards. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA observed additional chemicals and toxins to be stored in the garage. LPA also observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by a care giving staff, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be free of any obstruction or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gate of the facility can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all six resident files. All the required documentation were present and current in the resident file reviewed. LPA reviewed the residents' medication and medication records. LPA reviewed five staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with an authorized facility representative and a copy of the report was provided at time of visit.the state’s words, verbatim · CDSS document, Aug 25, 2026

Allegation investigated: Staff mishandling resident’s medication. -Staff threatened resident. -Staff attempted to hit resident. Staff did not assist resident in a timely manner. -Staff yelled at resident. Staff stole money from resident. -Staff handles resident in a rough manner when bathing resident. Staff not keeping resident’s room free from odor. -Staff left resident on the floor for a long period of time. Staff made inappropriate comments to resident. Staff did not provide resident with a copy of the admissions agreement. Staff does not provide resident with clean linens. Staff does not properly clean resident Staff look through resident’s person belongings.

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with House Manager (HM) Sarah Dela Cruz and discussed the purpose of the visit. HM informed Administrator Gideon Limpiado via phone of the purpose of the visit. The investigation into the above mentioned facility allegations revealed the following: LPA reviewed the file of Resident #1 (R1) and observed an Admission Agreement signed and dated by R1 and facility staff on August 9, 2022. LPA observed a physicians report dated June 26, 2023, stating that R1 had inappropriate behaviors, able to care for toileting needs with assistance and is nonambulatory due to their physical condition. LPA reviewed 11 incident reports for R1 stating acts of aggression by R1 to staff and residents in care in the year of 2023. Regarding the facility allegation of staff threatened resident, staff attempted to hit resident, staff yelled at resident, staff handles resident in a rough manner when bathing resident, Staff does not properly clean resident, Staff does not provide resident with clean linens and staff made inappropriate comments to resident revealed the following: Continue on 9099C Unsubstantiated it was alleged that staff threatened, yelled at and attempted to hit R1 while calling R1 derogatory names. It was also alleged that staff are rough with R1 when giving a shower, do not clean them properly and staff did not change R1s pillowcase for a month. LPA interviewed 2 of 2 staff and the allegations were all denied. 2 of 2 staff informed LPA that R1 would threaten and hit the staff as well as other residents in care. 2 of 2 staff informed LPA that R1 would call the staff and residents names, as well as make inappropriate comments. 1 of 2 staff informed LPA that incident reports were submitted to the Regional Office when the incidents took place regarding R1s behaviors. 2 of 2 staff informed LPA that the linens were changed for all residents in care at least once a week and changed more often if they were soiled. LPA interviewed 2 residents in care and 1 of 2 residents informed LPA that staff has never hit them, are not rough when providing care, and they assist with their needs such as showers and dressing. 1 of 2 residents did not confirm or deny the allegation but stated the staff are fine. Regarding the facility allegation of staff not keeping resident’s room free from odor revealed the following: it was alleged that R1 would use the commode in their room and staff would not empty it causing an odor. 2 of 2 staff informed LPA that the commode would be emptied and cleaned every time it was used. 2 of 2 staff informed LPA that sometimes R1 would be asked to wait until staff are done assisting another resident and R1 would become agitated that they did not come immediately. LPA did not smell an odor during the investigation in the facility. Regarding the facility allegation of staff left resident on the floor for a long period of time and staff did not assist resident in a timely manner revealed the following: it was alleged that R1 was left on the floor by staff for 8 hours. 2 of 2 staff informed LPA that they would never have left R1 on the floor for any length of time and was assisted immediately if they were observed on the ground or called for help. 1 of 2 residents informed LPA that the staff assist them with all their care needs. LPA did not review any incident reports regarding R1 being found on the floor by staff. Regarding the facility allegation of staff did not provide resident with a copy of the admission agreement revealed the following: LPA reviewed an admission agreement for R1 dated August 9, 2022, that was signed by R1 and facility staff. 1 of 2 staff informed LPA that they could not recall if they provided R1 with the admission agreement at the time of their admission, but provided the agreement when R1 requested a copy at a later time. Continue on LIC9099C 1 of 2 staff informed LPA that they do not have documentation of providing the admission agreement to R1 at either time. 1 of 2 staff informed LPA that R1 received their admission agreement at the time of admission and when requested again after residing at the facility for some time. Regarding the facility allegation of staff look through resident’s personal belongings and staff stole money from resident revealed the following: it was alleged that staff go into R1s room and looks through R1s personal belongings. LPA reviewed a physicians report dated June 26, 2023, that R1 was confused at times. 2 of 2 staff informed LPA that they do not go through R1s belongings but moved things around in order to clean and dust. 1 of 2 staff informed LPA that the facility did not handle or have access to R1s money and that R1 owed the facility money. 1 of 2 staff informed LPA that they would see the money in R1s room but they would not touch it. Regarding the facility allegation of staff mishandling resident’s medication revealed the following: It was alleged that staff did not administer R1s medication when prompted by R1. LPA reviewed a physicians report dated June 26, 2023, that states that R1 was not able to administer their own medications, but was able to communicate their needs. 2 of 2 staff informed LPA that R1 would take their pain medication and then demand another dose before the prescribed amount of time had elapsed. 2 of 2 staff informed LPA that staff would deny R1 a requested dose when it fell too close to the previously given dosage due to following doctors orders on the prescription label. LPA was unable to interview R1 regarding the mentioned above complaint allegations. LPA reviewed staff files and observed 2 of 2 staff have updated training on abuse and neglect in the elder care setting along with housekeeping, behavioral management, medication management resident rights and ADL management training. Based on information gathered and interviews conducted, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the allegations are deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, May 15, 2026 · control 22-AS-20231127153417

Allegation investigated: Staff hit resident.

Licesning Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to investigate the above mentioned complaint allegation. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Gideon Limpiado and discussed the purpose of the visit. The investigation into the allegation of Staff hit resident revealed the following: It was alleged that Resident #1( R1) was hit on the coccyx by Staff #1(S1). LPA observed a physicians report for R1 dated April 4, 2021, that states that R1 was able to communicate their needs and was non ambulatory due to their physical condition. The Department conducted interviews in March of 2021 with three residents in care. Three of three residents informed the Department that the staff take good care of them and assist with their needs. Two of three residents informed the Department that they have not been hit by facility staff, including R1. LPA was unable to interview R1 due to no longer residing at the facility. Continue on LIC9099C Unsubstantiated The Department interviewed S1 and it was revealed that they never had any issues with the residents and denied the allegation. Witness #1 (W1) informed the Department that they always saw S1 in a rush, but never rough with R1. Witness #2 (W2) informed the Department that S1 can be rough and always in a rush, but is good with R1. AD informed LPA that S1 has not worked at the facility since sometime in 2022. LPA interviewed current residents in care and one of six residents informed LPA that the staff are not rough with them and have not hit them. One of six residents did not confirm or deny the allegation and four of six residents were observed sleeping in their bedrooms or living room. LPA observed current staff training for two of two staff on the topic of abuse and neglect in the elder care setting was last conducted on August 14, 2025. Therefore, based on the interviews which were conducted and the records reviewed, the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the following allegation: Staff hit resident is deemed UNSUBSTANTIATED. An exit interview was conducted and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jan 29, 2026 · control 22-AS-20210302150320

Type of visit: Required - 1 Year

On August 8, 2025, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility unannounced, for the purpose of conducting a required one-year annual visit using the CARE Inspection Tool. LPA Bentley was greeted, granted entry by staff, and explained the reason for the visit. Staff called the Administrator (AD) Gideon Limpiado via telephone who arrived a short time later and was present during the inspection. AD Limpiado has a current Administrator Certificate with an expiration date of April 22, 2026. Care Jordan Senior Homes is a one-story house with five (5) resident bedrooms, two (2) staff bedroom and two bathrooms. The facility is licensed for six (6) non-ambulatory residents of which one (1) may be bedridden with an approved hospice waiver for three (3) residents. Currently, there are four (4) residents on census, and all were present during today’s visit. Residents were observed in the living room, in the dining room eating lunch, and resting in their bedrooms. During the visit, LPA conducted a tour of the physical plant accompanied by staff and the following was observed: There were no bodies of water on the premises, all rooms were inspected, beds and bedding supplies were available, lighting was provided in all rooms, and storage for the residents’ personal belongings were observed in residents’ closets. Additional bed linens, comforters, and bath towels were available. Bathrooms were operational with water temperatures measured at 106.7 and 109.5 degrees F. in bathrooms. The kitchen was clean and organized. All knives and sharp objects were locked in a cabinet near the stove. A two-day supply of perishable food items and seven-day supply of nonperishable food items was observed. CONTINUE TO LIC809-C.... LPA Bentley observed a first aid kit with all the required elements. Two (2) fully charged fire extinguishers were observed mounted with a last service date of March 21, 2025. Smoke detectors were tested and operational. LPA observed records indicating the last fire and disaster drill was conducted on June 4, 2025 and administrator also conducted drill on date of inspection. The garage walkways were clear. There were two refrigerators with an amble number of perishable items observed. The facility has a sufficient amount of water and nonperishable food supply stored in garage. The backyard was clean and free of clutter and debris. The side exit gate was clear and accessible. There is a shaded patio area with tables and seating observed. The facility has an adequate amount of emergency food and water supply. LPA conducted an audit of four (4) resident files (R1-R4), four (4) staff/personnel files (S1-S4). A medication and medication administration record review was also conducted. Medications are stored locked in a cabinet near the living room. Medications are being administered by physician order. LPA interviewed two (2) residents regarding their quality of care and spoke with two (2) staff present regarding the care provided. Based on the observations made during today’s visit, deficiencies are being cited as per Title 22 Division 6 of the California Code of Regulations and two Technical Advisories were provided. An exit interview was conducted, and a copy of this report, LIC809D and appeal rights provided to Administrator Gideon Limpiado at the end of the visit.the state’s words, verbatim · CDSS document, Aug 8, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted at the facility by Sara Jane, House Manager. LPA met with Gideon Limpiado, Administrator via phone call and explained the purpose of the inspection. The facility is one-story building with five resident bedrooms, two resident bathrooms, living room, den, kitchen, dining room, laundry room, two caregiver rooms, attached 2-car garage and backyard. Facility appears clean, safe and sanitary. LPA observed the facility has the necessary postings posted on the walls. LPA noted residents were lounging in their rooms or the living room. All resident rooms had the required elements, including bed, chair, closet space and ample lighting. Facility has extra linens and hygiene supplies for residents in a a closet. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured between 105 and 120 degrees F. LPA observed facility has emergency food and water supply. LPA observed the fire extinguisher was last serviced on March 16, 2024. Smoke/Carbon Monoxide detectors were tested and noted as operational. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in the kitchen or garage. Knives are locked up separate from toxic chemicals. Medication for each resident is kept locked in a closet in the living room. The backyard has a shaded sitting/lounging areas. Exit gate is unlocked. LPA observed exit gate to be unobstructed. Based on record review, LPA observed facility staff present at the facility did not have current CPR certifications in their file. LPA observed facility does not have exception request for bed rails for two residents with bed rails longer than half. These residents are not on hospice. LPA observed facility does not have a physician's order for bed rails that are longer than half. Three citations are being issued. LPA issued Technical Violation advising facility to draft a dementia care plan and a hospice care plan. LPA reviewed three resident files and three staff files. LPA also reviewed medication for three residents. LPA interviewed one staff and one resident. Based on today's inspection, three deficiencies and two technical violations are being issued. An exit interview was conducted and a copy of this report and appeal rights were provided to the facility.the state’s words, verbatim · CDSS document, Sep 17, 2024