Caringbridge

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Administrator (AD) Christiana Stan at 8am and explained the purpose of the visit. LPA explained to AD that this visit is for the 2026 calendar year and introduced self as their new assigned LPA. The facility is a two story residential home in which the first floor has five bedrooms and three bathrooms for residents. One of the Adminstrators resides on the second floor in which residents do not have access. The facility has a fire clearance for five non-ambulatory and one ambulatory in which one resident may be bedridden. The facility has an approved hospice waiver for two. Currently the facility has a census of five residents; in which three receive hospice services. A deficiency was given on April 29, 2026 and the facility has submitted a letter to the Department on April 29 2026 for an increase of the hospice waiver. Per Department communications on May 26, 2026, AD will be notified of a decision once it has been made. During the visit LPA toured the exterior of the property and there were no hazards or obstructions in pathways. There is a covered shaded seating area and there is ample space for outdoor activities. There are two exterior gates for the property and a garden. One exterior gate is locked overnight but is unlocked during the day. LPA tested the hot water temperature in three of three resident bathrooms. The hot water temperature was between 109.5 to 113.3 degrees Fahrenheit. Bathrooms had non-skid flooring and grab bars. The PUB 475 See Something, Say Something poster was observed in the office and the fire extinguisher was charged and inspected on June 8, 2026. The facility's last fire drill was on June 10, 2026. LPA tested and inspected (continued on LIC 809-C) (Continued from LIC 809) carbon monoxide and smoke alarms audio alerts. Both alarms were operational and in working order. Kitchen appliances were operational and hazardous chemicals and sharps and knives were secured in locked drawers. The facility had two days of perishable supplies and seven days of non-perishable supplies on hand; with additional supplies in the garage. LPA observed resident bedrooms had the required furnishings and four of five residents had half-bed rail orders on file. The facility was clean and there were no odors detected and three of five residents were having breakfast at time of entry. Two of five residents were sleeping. LPA reviewed the centrally stored medication lists and audited medications. Per review, medications are being given as prescribed. A First Aid Kit had all of the required elements and the facility has a First Aid Manual. LPA reviewed two of two staff files and conducted a complete review of resident records. A caregiver was in training but was not cleared on Guardian. A $100 civil penalty will be assessed since the employee just began training on July 21, 2026. A Live Scan appointment is scheduled for 11am and Administrator was advised the trainee cannot be on the premises until background check has cleared on Guardian. The Administrator's Certificate is current and will expire on June 10, 2028. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Christiana Stan and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D, LIC 421BG and Appeal Rights.the state’s words, verbatim · CDSS document, Jul 21, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Administrator Rodica Cristea after introducing self and stating the reason for the visit. Administrator Cristiana Stan arrived on site to assist with the inspection. Admin Stan has a valid certificate expiring on June 10, 2026. Admin Cristea has a certificate which expired on January 27, 2026 which has been renewed. The following was observed during the inspection: This is a two story property located in a residential neighborhood comprised of five resident bedrooms and three resident bathrooms on the first floor. The second floor is occupied by the administrator which the residents do not have access to. LPA observed six residents in care and two staff on duty. There are four residents under the care of hospice in which facility is not meeting the conditions and limitations specified on the license approved for a hospice of two. LPA toured the physical plant. The facility is clean and in good repair. All common areas were inspected including the attached two car garage. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 114.0, 116.0, and 116.4 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gates are operational, and there were sufficient seating and shading in the patio area. There are no bodies of water on premise. The first aid kit contains all necessary elements. The fire extinguisher was mounted, charged, and serviced on February 3, 2026. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational on both floors. Facility maintains emergency food and water in the garage. A working telephone (714-833-5589) was tested and remains available. Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size. LPA reviewed six resident and two personnel files in which no discrepancies were found. Medications were audited for three residents. No discrepancies were found with medication administration. However, staff were reminded to maintain an accurate record of medications. Present staff are background cleared and associated to the facility. Staff training is in process for this current year. Disaster drills are conducted quarterly as last known drill per log was conducted on March 12, 2026. LPA consulted on the following: to maintain an accurate record of medications at all times and to obtain a hospice waiver requesting an increase of four residents to provide continuous care for the hospice residents. Based on the observations made during today's visit, a deficiency is being cited and a Technical Violation is being issued. An exit interview was conducted with Administrators Cristiana Stan and Rodica Cristea, and a copy of this report including the appeals rights were provided at exit.the state’s words, verbatim · CDSS document, Apr 29, 2026

The state marks this report as 5 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

On December 18, 2024, at 8:30am, Licensing Program Analysts (LPAs) Eboni Bentley and Edward Kim accompanied by Licensing Program Manager (LPM) Lourdes Montoya, conducted an unannounced required 1-year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPAs Bentley and Kim were greeted and granted entry by Caregiver (CG) Rodica Cristea. Administrator (AD) Christina Stan arrived at the facility around 10:00am. The facility is licensed to operate for six (6) residents which can be one (1) ambulatory, (5) non-ambulatory, one (1) bedridden and have a hospice waiver for two (2) residents. This is a two-story structure located in a residential neighborhood and consists of the following: five (5) resident bedrooms, four (4) bathrooms, (1) staff bedroom, living room, dining area, kitchen, an outdoor area with covered seating, and an attached two car garage. LPAs Bentley and Kim toured inside and outside of the physical plant with AD Stan. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be clean and operational. The water temperature was measured at 112.8 degrees F to 117.3 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency safety drills was last conducted on September 30, 2024 and conducted quarterly. First aid kit is maintained and contains all the necessary elements. During the visit, LPA Bentley observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-833-5589) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency food, emergency water, and emergency supplies were stored in the garage. The facility has one (1) fire extinguisher that was charged, mounted in the kitchen, and serviced on June 25, 2024. Liability Insurance is effective 3/4/2024 through 3/4/2025. LPA Bentley conducted an audit of five (5) resident files (R1-R5), three (3) staff files (S1-S3), and medication administration record review. LPA Kim conducted three (3) staff interview and three (3) resident interviews. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator Christina Stan.the state’s words, verbatim · CDSS document, Dec 18, 2024