Casa Abuela's

Type of visit: Collateral

Licensing Program Analyst (LPA), Ramon Serrano, conducted an unannounced collateral visit regarding a complaint investigation for another facility. LPA met with Caregiver Natalie Palma and discussed the purpose of the visit. Administrator Mary Ann Gutierrez arrived shortly after. During the visit, LPA conducted staff and resident interviews and obtained facility records. An exit interview was conducted with Mary Ann Gutierrez. A copy of this report along with Licensee Rights was provided to Mary Ann Gutierrez whose signature below verifies receipt of these rights.the state’s words, verbatim · CDSS document, Aug 5, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management Visit. LPA was greeted by and met with Licensee Mary Ann Gutierrez, to discuss the purpose of the visit. Today's visit is in response to the self reported death report involving Resident 1 (R1- see LIC811 Confidential Names List) who passed away on 12/25/25. LPA interacted with staff and obtained facility records. No deficiencies were cited or observed on this date. An exit interview was conducted with Mary Ann Gutierrez who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Mar 5, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a 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 Licensee Mary Ann Gutierrez. The facility's license shows a maximum capacity of six (6) residents, ages 60 and over, five might be non-ambulatory and one bedridden, and hospice waiver approved for five (5) residents. LPA and Licensee toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and were personalized and decorated for each resident. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. No pools or bodies of water exist on the premises. Per Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. [CONTINUED ON LIC809-C] [CONTINUED FROM LIC809] Around 12:50 pm, LPA and licensee checked the medications storage. Medications were labeled, as required, and stored in locked areas. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Licensee Mary Ann Gutierrez to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Feb 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified himself and discussed the purpose of the visit with Administrator Mary Ann Gutierrez. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of whom five (5) can be non-ambulatory. One (1) may be bedridden in bedroom#4 and a hospice waiver approved for five(5) residents. LPA, accompanied by Administrator toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. The facility’s ambient internal temperature was compliant, at 74 degrees F. Hot water temperature was compliant at 117 degrees F. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water on the premises. Per Administrator, 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 multiple staff and resident records/files. LPA file review did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator Mary Ann Gutierrez to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Feb 3, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management visit to inspect the facility for an increase in bedridden capacity from zero (0) to one (1). LPA was greeted at the front door by Administrator Mary Ann Gutierrez and granted entry after identifying himself and disclosing the purpose of his visit. On May 1, 2024 the Fire Department approved one (1) bedridden resident in bedroom #4. During today's visit, LPA briefly toured the facility to include bedridden bedroom #4. No deficiencies were observed today. This portion of the application process is complete, and will be forwarded to management for final review and approval. The Administrator will then be notified of management approval by phone or email and the new license will be mailed to the Licensee. An exit interview was conducted with Mary Ann Gutierrez and a copy of this report along with licensee rights was provided. Signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, May 7, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the applicant’s representative, Mary Ann Gutierrez. The facility fire clearance was granted on 12/28/2023 and reflected that the facility was approved for six (6) residents in total, of which five (5) may be non-ambulatory and none may be bedridden. The facility's fire clearance did not include delayed-egress door or secured perimeter endorsements, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility. During today’s visit, LPA, accompanied by the applicant’s representative, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order. The facility’s ambient internal temperature was compliant at 68 degrees F. Hot water temperature at taps accessible to residents were also compliant: Kitchen sink was 114.5 F, Dining Room sink was 119.7 F, Bathroom #1 sink was 110 F, Bathroom #2 sink was 111.8 F, and Bathroom #3 sink was 119 F. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for future resident use. All kitchen appliances were in working order. Refrigerator temperature was 39.5 F, and freezer temperature was -3 F. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per the applicant’s representative, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detector, emergency lighting, and facility telephone were all operational. All fire extinguishers were serviced within the last twelve months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection. LPA also provided the Component III Training during today’s visit. Gutierrez was advised that the facility’s application is pending management final review and approval. An exit interview was conducted with the applicant’s representative, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Feb 7, 2024