Carewell at Pistachio

Type of visit: Required - 1 Year

On 03/17/2026, Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced 1 year required inspection and met with house manager Lucille Calimpon. Administrator Victoria Haller was unavailable at the time of inspection. There were 5 residents in care at the time of inspection: clean, well-groomed and dressed appropriately. There were two caregivers on duty. Facility was found to be clean, orderly, and at a comfortable temperature of 73F with all exits free from obstruction. Toxins are stored in locked cabinets and in the locked laundry room. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored in locked cabinets in the kitchen making them inaccessible to residents. Sharps were also locked and inaccessible to residents. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). There is an approved Fire Clearance and hospice waiver for six (6) residents. The (2) carbon monoxide detectors were tested and found to be operational. (1) Fire extinguisher was fully charged and last serviced on May 15, 2025. There was an adequate supply of perishable and non-perishable foods. Residents' rooms were furnished as required, clean and well-organized. There was an ample supply of linens. The last fire drill was on 03/05/26. There was an adequate supply of perishable and non-perishable foods as required per Title 22. Three (3) resident and (3) employee files were inspected and found to be complete. LPA discussed the Emergency Disaster Plan, weight records, and possible water damage in closet of one of the bedrooms close to bathroom. LPA observed staff engaged with residents, enjoying Karaoke together. No deficiencies found at the time of inspection. No citations issued.the state’s words, verbatim · CDSS document, Mar 17, 2026

Type of visit: Required - 1 Year

On 03/24/2025, Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced 1 year required inspection and met with house manager Ron-Mark Adriano. Administrator was unavailable at the time of inspection. There were 6 residents in care at the time of inspection: clean, well-groomed and dressed appropriately. There was two caregivers on duty Facility was found to be clean, orderly, and at a comfortable temperature of 72F with all exits free from obstruction. Toxins are stored in locked cabinets and in the locked laundry room. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored in locked cabinets in the kitchen making them inaccessible to residents. Sharps were also locked and inaccessible to residents. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). There is an approved Fire Clearance and hospice waiver for six (6) residents. Water temperature measured approximately 114.9 F in 2 out of 2 faucets tested, which is within regulation. The (2) carbon monoxide detectors were tested and found to be operational. (2) Fire extinguishers were fully charged and last serviced on May 20, 2024. There was an adequate supply of perishable and non-perishable foods. Residents' rooms were furnished as required, clean and well-organized. There was an ample supply of linens. The last fire drill was on 2/18/2025. LPA requested the following documents: *Proof of liability insurance *LIC 500 No deficiencies found at the time of inspection. No citations issued.the state’s words, verbatim · CDSS document, Mar 24, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analysts (LPAs) Stefanie Mutialu and Jill Nakagawa arrived unannounced to continue a 1-Year Annual Inspection. This visit focused on the review of the Personnel Files. Five out of five files were reviewed and found to be complete with adequate training documented. The facility was clean and a comfortable temperature. The interior of the facility had recently been painted. There were no paint fumes to impact residents. New lighting had been installed in the resident bedrooms, providing nice bright light and the comforts of ceiling fans. There were no deficiencies found at the time of inspection. No citations issued.the state’s words, verbatim · CDSS document, Mar 5, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced 1 year required inspection and met with Kirk Lisondra, Caregiver and Paulin Pantig, Administrator (via phone). There were 6 residents in care at the time of inspection, clean, well-groomed and dressed appropriately. There was one caregiver on duty. Facility was found to be clean, orderly, and at a comfortable temperature of 73F with all exits free from obstruction. Toxins are stored in locked cabinets and in the locked laundry room. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored in locked cabinets in the kitchen making them inaccessible to residents. Sharps were also locked and inaccessible to residents. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). There is an approved Fire Clearance and hospice waiver for six (6) residents. Water temperature measured approximately 107 F in 2 out of 2 faucets, which is within regulation. The carbon monoxide detector was tested and found to be operational. Fire extinguisher was fully charged and last serviced on May 3, 2023. There was an adequate supply of perishable and non-perishable foods. Residents' rooms were furnished as required, clean and well-organized. There was an ample supply of linens. Continued on 809-C LPA requested the following documents: Proof of liability insurance Updated Resident Roster Staff Roster LIC 500 Documentation of Fire Drills/Emergency Drills Staff Trainings LPA will return to complete Annual Inspection: LIC 859 No citations issued during today's inspection.the state’s words, verbatim · CDSS document, Feb 23, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Personal Rights Staff did not provide continence care

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to complete the complaint investigation and deliver findings for the allegations listed above. LPA met with lead care staff Kirk Lisondra. House Manager Paulin Pantig was contacted by phone. There were 6 residents and 3 care staff on site at the time of inspection. LPA conducted interviews, made observations, reviewed documents and made the following determinations: Continued on 9099-C.... Unsubstantiated .....Continued from 9099 A review of the ADL (Activities of Daily Living) records indicate that Resident (R1) was helped six times on June 14, 2023 to use the commode and have dignity brief changed by the staff on duty. ADL care notes state that R1 rang service bell multiple times for continence care and staff responded. S1 stated that they did not recall any concerns on that day other than R1 feeling constipated. ADL records for June 14, 2023 indicate R1 called 911 two times independently during the daytime hours but was not transported by emergency medical responders. A review of records from Davis Fire Department state that R1 was assessed, staff was questioned and R1 was released to facility’s care. R1 called 911 again at approximately 7 PM on June 14, 2023. R1 was transported and returned to the facility within a few hours. LPA attempted to interview R1 but R1 declined. After a review of records and interviews conducted, the allegations that staff kept R1 from using the commode and personal rights are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations areunsubstantiated.the state’s words, verbatim · CDSS document, Dec 15, 2023 · control 21-AS-20231011134607