Careland Residential

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by administrator Clerr Ruiz. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for six residents. Facility currently has 5 residents residing. Upon arrival, LPA checked Guardian Roster and observed all three staff present in facility were not associated to facility roster. S3,S4 and S5 had fingerprint clearance but no association to roster (Deficiency cited, see 809D) An Immediate Civil Penalty in the total amount of $100 was assessed today for non-associated individuals S3, S4 and S5 providing care in this licensed facility. LPA and staff toured the building and grounds which was found to be clean and in good repair. Facility was clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. During walk through, LPA observed drawer in bathroom accessible to residents to have an unsecured drawer with medications including vitamins, ibuprofen, and nasal spray. In addition, LPA observed unsecured medication in unlocked kitchen cabinet (Deficiency Cited, see 809D). Resident bathroom had required bath mat and grab bar. Water temperature measured at faucets accessible to residents is within the allowable range of 105 to 120 degrees F. Fire extinguishers were charged and last inspected 3/31/2026. Disaster drills are conducted. Fire alarms and carbon monoxide detector were tested and operational. Outdoor emergency exit clear from obstruction. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Facility kitchen, refrigerators and freezers were clean, food in leftover plastic containers did not have expiration dates noted (Technical Violation given). Sharps and knives were locked in kitchen drawer. Emergency water and food supply observed. continued onto 809C... continued from 809..... Facility had an ample supply of linens, towels and extra hygiene products for residents. All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. LPA reviewed 5 resident records. R1, R2,R3 and R5 were missing Medical Assessment and TB Clearance(Deficiency Cited, See 809D). R1,R2, were missing Needs and Service Plans, Reappraisal. R4 was missing all required paperwork(Deficiency Cited, See 809D). LPA reviewed 3 staff records. Staff S1,S2 and S3 lacked required 20 hours annual training (Deficiency Cited, see 809D). No Personnel Records present at facility available for LPA to review including LIC503 Health Screening and LIC501 Personnel Record for all staff (Deficiency Cited, see 809D). LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies Administrator will be referred to TSP Services. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308-Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and report read with Administrator.the state’s words, verbatim · CDSS document, Aug 4, 2026

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a Post Licensing Inspection and was greeted by administrator (admin) Clerr Ruiz. Facility is an Adult Residential Facility for the Elderly that has an approved fire clearance approved for capacity of 6 ambulatory and non-ambulatory residents. There are currently 3 residents at facility. LPA and admin toured all buildings and grounds and were found to be clear from obstruction. Facility was found to be at a comfortable temperature. All required postings were visible. There was a sufficient supply of perishable and nonperishable foods as required by Title 22 Regulations with expiration dates noted. LPA observed medication to be pre-poured for one resident. LPA spoke with admin that medication cannot be pre-poured and must stay in its original containers (Technical Violation given). All resident rooms were observed to be clean and have the proper linens. Toxins were observed to be stored inaccessible to residents. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. Hot water temperature for one sink measured at 122 degrees and second sink at 109 degrees. LPA recommended admin to lower water heater to make sure both sinks are found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility's fire extinguisher was observed to be charged and last inspected on 09/2024( Fire Dept to come do inspection). Smoke and carbon monoxide detectors were tested and operational. Disaster drill last conducted on 07/05/2025. Continued to 809C..... continued from 809.... LPA conducted a file review check for 3 out of 3 residents. All documentation found to be in file. LPA discussed with admin having Admission Agreements under new license name. LPA conducted staff resident review for 2 staff. Staff currently in training and had conversation with admin to keep all certifications in file once completed. CPR for one staff expired as of 1/25 and another staff not able to provide certification (Technical Violation, given). CPR Certificates for all staff to be sent by 12/09/2025* Proof of fire extinguisher has been inspected for 2025* No deficiencies cited during todays visit. Exit interview conducted. Copy of report discussed and provided to Licensee. .the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: Prelicensing

At approximately 12:45 PM Licensing Program Analyst (LPA) Contreras arrived unannounced for a pre-licensing change of ownership visit and met with administrator (admin) Clerr Ruiz. This pre-licensing inspection is for a Residential Facility for the Elderly being conducted for a one story, 5 bedroom, 3 bathroom home with a fire clearance approved for capacity of 6 ambulatory and non-ambulatory residents. Currently 4 residents reside at facility. LPA toured the facility of the indoor and outdoor portions of the facility. Facility was found to be clean and at a comfortable temperature. Facility contained all required postings. Emergency exits clear and free from obstruction. Outdoor area has patio and chairs accessible for resident use. LPA discussed with admin providing a shaded area for residents. Admin stated they are currently in the process of building a pergola. 5 of 5 bedrooms found in clean and good repair. One shared room. All had required chair, chest drawer and beds were made with appropriate linens. Oxygen tanks were stored properly. Restrooms had grab bars and bath mats. LPA observed there to be no emergency food or emergency water supply. LPA also discussed with admin to have more food available to meet the regulation standard of 7 day non-perishable food and 3 day perishable food supply. LPA observed expiration dates on food items. Cleaning products, sharp items, other toxins and chemicals are locked and inaccessible to clients. Extra linens and towels are kept in storage closet. LPA observed fire extinguisher charged and last inspected 9/24/24. Fire alarm and carbon monoxide alarms were tested and operational. Signal system on all doors leading out of facility were tested and found operational. Water was measured at 112 degrees F in faucets used by clients which is within regulation between 105 & 120 degrees F. continued onto 809C... LPA observed there to be a bed along with dresser in the garage surrounded by folding accordion door. LPA had discussion that garage cannot be used as bedroom. Admin removed bed during inspection. Admin stated facility has obtained building permit for installation of 2 bedrooms in garage. Admin to submit new facility sketch along with permit to CCL. Component III orientation was conducted at facility with admin. No Deficiencies or Advisories given during visit. Pre-Licensing completed. Facility is ready to be Licensed as a Residential Facility for the Elderly. LPA will submit Pre-Licensing Application Report to the Application Unit Analyst in Sacramento. Application Unit Analyst will notify Applicants of Status. Copy of report discussed and provided to Applicants. Exit interview conducted.the state’s words, verbatim · CDSS document, Aug 7, 2025