Carmona's Residential Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee Leonor Carmona. The facility file was reviewed prior to the visit. According to the facility’s license, the facility serves six(6) non-ambulatory residents ages 60 years old and above, and has an approved hospice waiver for three(3) residents. During today’s inspection, there were a total of six(6) residents in care. LPA, accompanied by Licensee toured the interior and exterior of the facility and inspected each room. The facility was sanitary and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked areas. No pool or bodies of water were present. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced in the last year. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed staff and resident records/files. All staff CPR/first aid certificates were expired as of this year and need to be renewed. A technical violation (TV) was issued. Confidential records were stored in locked areas. (Cont. on LIC 809-C) (Cont. from LIC 809( One technical violation (TV) was issued and discussed with the licensee during todays visit. No other deficiencies were cited. An exit interview was conducted with Licensee Leonor Carmona, to whom a copy of this report, the LIC 9102 (TV form), and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, May 4, 2026

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Janet Ngallo conducted a health and safety visit to the temporary facility location, 10983 Parkdale Ave, San Diego, CA 92126. The facility's permanent location is temporarily closed due to scheduled water damage treatment. Four residents were relocated to this residence and two were relocated to Carpel Board and Care Facility located at 2073 Hanford Drive, San Diego, CA. LPA was welcomed by, and identified themselves to caregiver Conni Lopez and discussed the purpose of the visit. LPA Ngallo conducted a tour of the facility and spoke with residents and staff. All medications for residents were locked and safely stored. No records were collected during the visit. LPA did not observe any health or safety concerns. No deficiencies were cited during the inspection. An exit interview was conducted with caregiver Conni Lopez to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Apr 9, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced health and safety visit in response to an incident report received by the department on 04/02/2026. LPA was greeted and allowed entry into the facility by Licensee Leonor Carmona. The incident report stated that due to water damage and a positive test for asbestos, the facility needed to be vacated for treatment. The treatment will begin on 04/06/2026 and end on 04/10/2026. The facility stated they were in the process of searching for temporary housing. LPA discussed the facility’s emergency evacuation and temporary relocation plan with the licensee. The licensee stated that the current temporary relocation addresses on file were incompatible and would not be used. LPA and the licensee reviewed the emergency evacuation plan together, and the licensee updated the plan during the visit and provided a revised copy to LPA for review. The licensee reported that two(2) residents will be relocated to Carpel Board and Care Facility located at 2073 Hanford Drive, San Diego, CA. The remaining four(4) residents will be relocated to a temporary rental home at 10983 Parkdale Ave, San Diego, CA 92126 from Sunday afternoon, April 5th, 2026 through Friday, April 10th, 2026. During the visit, LPA observed several fans positioned throughout the facility drying the floors. LPA conducted a tour of the interior and exterior areas of the facility and did not observe any health or safety concerns. No deficiencies were cited during the inspection. An exit interview was conducted with Licensee Leonor Carmona to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Apr 3, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee Leonor Carmona. According to the facility’s license, the facility has a maximum capacity of six (6) residents, all of whom may be non-ambulatory. LPA, accompanied by Licensee toured the interior and exterior of the facility and inspected each room. The facility was sanitary and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked areas. (Continued on LIC809-C) (Continued from LIC809) No pool or bodies of water are present. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed staff and resident records/files. Per records reviewed and interview with staff two (2) residents in care are receiving hospice care services. The facility does not have an approved hospice waiver on record with the Department. One (1) out of six (6) residents did not contain completed required documents. Confidential records were stored in locked areas. Two (2) deficiencies were cited during todays visit per California Code of Regulations, Title 22 (Refer to LIC809-D). Plan of Corrections for each deficiency were jointly developed with the licensee. An exit interview was conducted with Licensee Leonor Carmona, to whom a copy of this report and Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Oct 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Constancia Monar, Caregiver. Licensee/Administrator, Leonor Carmona later joined LPA. According to the facility’s license, the facility has a maximum capacity of six (6) residents, all of whom may be non-ambulatory. On the day of the visit, six (6) residents, two (2) caregivers and one (1) independent tenant were present. LPA verified that staff and independent person received background clearances. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and stored in locked areas. No pool or bodies of water are present. Per Ms. Carmona, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. The staff and reviewed files which LPA reviewed contained required documents. Confidential records were stored in locked areas. Deficiencies were cited per California Code of Regulations, Title 22 (See LIC809-D), which resulted in assessment of an immediate Civil Penalty of $500.00 and thus charged and noted on the attached LIC421-IM. An exit interview was conducted with Ms. Carmona, to whom a copy of this report, the LIC809-D page, LIC421-IM, and Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, May 29, 2024