Casa De Castro II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Liliana Silveira 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 Caregiver Emelita Supnap. Administrator Cheryl Castro arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory. LPA toured the interior and exterior of the facility and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. All windows were checked and there was only one window screen that needed to be repaired. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. No pool or body of water is present. Per Administrators, no firearms or ammunition are kept at the facility. The smoke and carbon monoxide detectors, as well as the fire extinguisher, were inspected by the local Fire Department in February 2025. The facility telephone was tested and is working. Emergency lighting and first aid kits were observed and accessible to staff. Water temperatures for bathrooms accessible to residents were in compliance.. The facility’s ambient internal temperature was comfortable. Medications were labeled, as required, and stored in inaccessible areas. Resident records reviewed had required documentation. (CONTINUED ON LIC 809C, NEXT PAGE) (CONITNUED FROM FIRST PAGE, LIC 809) Resident and staff records reviewed had required documentation. The First Aid training cards for the Care Staff were expired and staff require completion of the training. Residents and staff were interviewed, there were no health and safety concerns from the interviews. All records were stored in a locked area. No citations were issued during this visit. A technical violation was issued. An exit interview was conducted with Cheryl, to whom a copy of this report, LIC 9099-D, LIC9102 and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to Cheryl. ***NOTE: LPA left the facility for a 1 hour lunch break and returned to complete the inspection.the state’s words, verbatim · CDSS document, Sep 26, 2025

Allegation investigated: Licensee did not give resident medication as prescribed

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced complaint visit to deliver investigative findings. LPA was greeted by Caregiver, Melanie Supnet to whom she explained the reason for the visit and delivered findings. The Department investigated the above-listed complaint allegations. The investigation consisted of observations, a review of relevant records, and interviews with facility staff and outside sources. On September 13, 2024, Community Care Licensing (CCL) received a complaint alleging that the licensee did not give resident (R1) medication as prescribed [a LIC811 Confidential Name List was provided to staff to identify R1]. It was specifically alleged that a “nurse” (Note: the facility did not employ nursing staff and the identity of the individual was not disclosed during the investigation) who worked at the facility administered the Seroquel medication four (4) times a day instead of the prescribed dose of 2x per day during August 2024. (Continue at LIC9099C) Unsubstantiated Continue from LIC 9099 The exact days, times or any other details of when this occurred were not provided. A detailed review of R1's relevant records indicated that R1 lived at the facility from April 30, 2024, to July 31, 2024. In addition, during a visit conducted on September 18, 2024, a detailed review of medications on hand for the residents in care did not disclose any violations of Title 22 regulations. During interviews, staff consistently indicated that all medications including the medication in question were administered to R1 as prescribed. In addition, R1 moved out on July 31, 2024, and the alleged violation occurred after R1 moved out. Despite numerous attempts, R1 and R1’s responsible party were not available for an interview. The Department has investigated the above-mentioned allegation and based on interviews conducted and records reviewed we were unable to confirm or deny if medications were given as prescribed. The information obtained during the investigation did not present a preponderance of evidence to support or corroborate the allegation. Therefore, this allegation is deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) was provided to Caregiver, Melanie Supnet at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 2, 2024 · control 08-AS-20240913084352

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Iby Strong and Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Caregiver Emelita Supnet. Administrator Cheryl Castro and Celeste Castro arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory. LPA toured the interior and exterior of the facility and inspected each room. The facility main shower floor and shower chair were not clean. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in inaccessible areas. No pool or body of water is present. Per Administrators, 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 were observes and readily accessible. Water temperature was measured at 107.1 degrees, ambient room temperature was 81 degrees. Resident records reviewed had required documentation. Staff records reviewed contained required documentation. One resident was present who requires oxygen, no oxygen sign was present. One dementia resident was present, no working auditory alarm was observed. One deficiency and two technical violations, are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D) An exit interview was conducted with Administrators, to whom a copy of this report,LIC 9099-D, LIC9102 and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to.the state’s words, verbatim · CDSS document, Sep 23, 2024

Allegation investigated: Resident's toileting needs are not being met

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to conduct follow up and deliver findings regarding the above mentioned allegation. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Emelita Supnet. Administrator Celeste Castro and Licensee Cheryl Castro arrived during the visit. During today’s visit, LPA briefly toured the facility, observed residents in care, reviewed and obtained copies of facility records, and interviewed staff. LPA was away from the facility for approximately one hour between 12:15pm and 1:15pm. The Department’s investigation consisted of interviews with staff and outside sources, records review, and a virtual and physical tour of the facility. It was alleged that in 2020, residents’ toileting needs were not being met. Continued on LIC9099-C page... Unsubstantiated Review of medical and assessment records dated 2020 for Resident 1 (R1) revealed that R1 had a diagnosis of mild cognitive impairment, was not confused or disoriented, was able to communicate needs, required staff assistance for transferring, showering, and toileting care and did not have a bowel or bladder impairment. Interviews with staff and outside sources revealed that R1 required the use of a walker and wheelchair and used incontinence briefs. Interviews with multiple staff revealed that staff would check on residents who used incontinence briefs and change the residents' incontinence briefs multiple times a day. Staff stated that staff would occasionally check on residents overnight if the staff member woke up during the night but would not awaken residents for brief changes if the residents were sleeping. Staff stated that staff would be able to hear if residents called for assistance overnight and that some residents would occasionally call for assistance during the night. Outside sources voiced concerns during interviews that R1 would be left seated on the toilet for long periods of time but did not provide the Department with any description of the length of time. Additionally, an outside source provided information during an interview that R1 required additional time to finish using the toilet. Interviews with staff and outside sources provided conflicting information regarding R1’s ability and tendency to notify staff when R1 needed staff assistance to use the restroom, get up from the toilet, or needed R1’s incontinence briefs to be changed. Staff could not recall any complaints from residents, including R1, regarding not receiving incontinence care, not receiving incontinence care overnight, or being left in soiled briefs or clothing. The Department was unable to interview R1 due to R1 passing away prior to being interviewed. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated. An exit interview was conducted with Licensee Cheryl Castro, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 19, 2024 · control 08-AS-20201203113659