Casa Cielo

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to caregiver Leticia Delatorre & Administrator Ana Hurtado. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, all of which may be bedridden. Additionally, the facility is approved for three (3) hospice waivers. During today’s inspection there were six (6) residents in care, with one (1) receiving hospice care services. LPA and Administrator Hurtado 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. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: one common bathroom sink was 116F. 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. LPA observed a variety of activity items/equipment available for resident use. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were kept in a locked drawer, inaccessible to residents in care. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients, LPA observed they were stored in locked cabinets. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Hurtado, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Documentation of required quarterly staff emergency drills past 2024 were unable to be provided by staff. One (1) Type B deficiency was cited for not conducting quarterly staff drills as required. Fire extinguisher was serviced within the last 12 months, dated for May 2025. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed two (2) staff and one (1) client, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records and confidential records were stored in locked areas. While reviewing resident files, LPA noted that resident appraisals/needs & services plans were outdated (over 1 year old). LPA issued one Type B citation for not conducting updated appraisals as required per regulation 87463. LPA also noted that one resident's copy of resident rights retained in their file was not signed, though all others were, and a Technical Violation (TV) was issued. LPA observed staff assisting residents with attentiveness and respect. LPA observed that staff were knowledgeable of resident needs and routines. Two (2) deficiencies were cited during the inspection. An exit interview was conducted with Administrator Hurtado 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, Mar 26, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to care staff Tina Figueroa. The facility's license is approved for six (6) non-ambulatory residents, all of which may be bedridden. The facility also has a hospice waiver for three (3). During today’s inspection there were six (6) residents in care. LPA and Administrator Hurtado 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. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: Bathroom sink 1 was 108F and bathroom sink 2 read at 113F. 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 two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives and sharp objects were locked and inaccessible to residents. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Hurtado, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed two (2) staff and two (2) clients, and interviews did not reveal any licensing or regulatory concerns. LPA 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 Administrator Hurtado to whom a copy of this report was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Mar 4, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and discussed the purpose of the visit with Administrator Ana Hurtado. The facility was licensed for a capacity of six (6), of which six (6) could be bedridden, and an approved hospice waiver for three (3). During the annual visits, the LPA 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. 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. 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 clients. Medications were labeled, and stored in locked areas. No pools, nor bodies of water were observed on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Carbon monoxide detectors, facility telephone, fire extinguisher, and a first aid kit wee readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed multiple staff and client records/files. Technical assistance was provided to the administrator. During the annual inspection, the LPA discovered a staff member, who was witnessed providing care and supervision, was not background cleared. A review of the Departments Guardian system did not reveal a clearance for Staff #1 (S1). This deficiency was cited in an LIC 809D, a civil penalty was assessed, and a Plan of Correction was jointly formulated with Administrator Hurtado. (See LIC 809C for continuation of report.) An exit interview was conducted with Administrator Hurtado, to whom a copy of this report, LIC 811, and the Licensee/Appeal Rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Mar 8, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Cristina Figueroa. Administrator Ana Hurtado arrived during the visit and assisted the LPA. The LPA toured the facility, interviewed, and reviewed resident records. No deficiencies were cited during today’s visit. Due to time constraints, a return visit on a subsequent day is needed to complete the annual inspection. An exit interview was conducted with the Administrator Hurtado, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Feb 27, 2024