Caring Companions Care Home II

Type of visit: Required - 1 Year

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Licensee Collen Rasmussen and Administrator Ohshinnah Savage and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for 2 residents. At approximately 8:40AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency food stores and water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. First aid kit was present. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months. At approximately 9:00AM, LPA reviewed 4 of 4 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present. Continued on LIC809-C... At approximately 10:00AM, LPA reviewed 4 staff files. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Aug 12, 2026

Type of visit: Case Management - Incident

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a case management visit in regards to a report of suspected abuse. LPA met with Licensee Colleen Rasmussen and reviewed records. On 01/12/2026, Licensee reported to Licensing that a resident, R1, informed them that staff, S1, kicked and verbally abused them the previous night. Licensee reported the information to Law Enforcement. LPA received copies of documents. No citations issued during this visit.the state’s words, verbatim · CDSS document, Jan 13, 2026

Type of visit: Required - 1 Year

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Ohshinnah Savage and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for 2 residents. At approximately 8:35AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency food stores and water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. First aid kit was present. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months. At approximately 10:30AM, LPA reviewed 4 of 4 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present. Medication records were organized and contained orders for each medication. Medications were secured in a locked cabinet. Continued on LIC809-C… At approximately 11:15AM, LPA reviewed 4 staff files. Staff files reviewed contained evidence of completed annual training. First Aid/CPR certification was current. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Sep 10, 2025

Type of visit: Prelicensing

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived announced to conduct a Pre-licensing Facility Inspection. LPA met with Applicant Colleen Rasmussen. Facility has received fire clearance for six residents, four of which may be Non-Ambulatory and one may be bedridden. Facility has included Dementia Care in the Plan of Operation but will not be advertising for dementia. Facility is a single-story, four bedroom, two bath home. Night lights were present in the hallways. Grab bars and nonskid mat were present in each bathroom. Beds were made with appropriate linens. Resident rooms contained the required furniture in 4 of 4 rooms. Hot water temperature was within regulation. Medications will be centrally stored and locked. Kitchen appliances, utensils, and food preparation areas are in good condition. There is secure storage for knives. Stove knobs have locking devices when not in use. Toxins and cleansers are secured. Fire extinguishers were charged. All exits have functional auditory alarms. Smoke detectors were tested and in working order. Carbon Monoxide detector was present and operational. Applicant has quotes for Liability insurance and will secure a policy when the License is granted. Component III orientation was conducted at facility. Applicant conveyed a good knowledge of Title 22 regulations. The pre-licensing evaluation has been completed. LPA will submit the application packet for a final review and approval from the Licensing Program Manager. This report was reviewed with applicant and a copy was provided.the state’s words, verbatim · CDSS document, Sep 16, 2024

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility For The Elderly (RCFE) Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Colleen Rasmussen, Applicant/Administrator Interview Method: Telephone interview On August 29, 2024, applicant/administrator participated in COMP II. Identification of the applicant/ administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/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. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of 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 Readiness Exit interview conducted with applicant/administrator. Report sent via email and request to return sign copy to CAB by end of business day today.the state’s words, verbatim · CDSS document, Aug 29, 2024