Casa Del Corazon Alegre

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Caregiver Melchora Naron and explained reason for visit. Administrator Rona Lomeda arrived shortly. Facility is licensed to serve age range 60 and over. Approved for six (6) non-ambulatory residents, of which six (6) may be bedridden. Waiver granted for hospice care for six (6). Facility has an approved Dementia Care Plan. The facility is a single-story home located in a residential area. The home consists of the following: 5 resident bedrooms, 1 resident bathroom, 1 staff/visitor restroom, living room, kitchen, dining area, nurse station/ laundry room, front yard, backyard, and de-attached garage. There is sufficient indoor and outdoor activity space for residents. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. Extra linen and towels were observed in laundry cabinet. The Smoke detectors and carbon monoxide detectors were observed throughout the facility and were working properly during inspection. The facility has one (1) fully charged fire extinguishers which is kept in kitchen. Cleaning supplies and toxic substances were observed to be inaccessible in laundry room. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed to have sufficient supply of 2 days perishable & 7 days non-perishable foods. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The resident bathrooms have the required grabs bars and non-skid mats. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents outside in backyard. Passageways and exits are free of obstruction. SEE LIC 809C Four (4) staff files were reviewed and included criminal clearance record, and health screening with TB. Three (3) resident files were reviewed. R1 was missing current physician reports and appraisal needs and service plan. Fire/earthquake drill was conducted June of 2026. The medications are centrally stored and locked in a cabinet in laundry/med room. LPA reviewed medications for three (3) residents. R2 was missing current medication list and DC paperwork. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Rona Lomeda.the state’s words, verbatim · CDSS document, Aug 18, 2026

Allegation investigated: Facility is in disrepair Staff left dangerous item accessible to residents in care

Licensing Program Analyst (LPA) Christian Gutierrez conducted a subsequent complain visit in regard to the allegations listed above. LPA met with Caregiver Melchora Naron and explained the reason for today’s visit. Administrator Rona Lomeda arrived shortly. The investigation consisted of the following: During the initial visit conducted on 12/04/2025 LPA Gutierrez requested and obtained copies of staff roster, resident roster, R1’s face sheet, physicians report, hospital records, special incident report and family statement. LPA toured the inside of home and backyard. On todays visit LPA Gutierrez interviewed Administrator, staff 1-staff 2 (S1-S2), residents 1 – residents 4 (R1-R4) and delivered findings. SEE 9099C Substantiated In regard to the allegation “Facility is in disrepair”, it is alleged that facility has a broken towel rack in resident’s restroom along with a shopping cart with trash bags in back yard. During interviews with Administrator and staff three (3) out of three (3) acknowledged that towel rack was broken and that there was a shopping cart in backyard. Administrator stated that the towel rack had just recently broke due to residents grabbing rack and it would be repaired. Administrator also stated that she has called someone to remove shopping cart. During interviews with residents Four (4) out of four (4) residents stated that the facility is clean and not in disrepair. During tour of facility LPA Gutierrez observed a broken towel rack in resident’s restroom along with a shopping cart in backyard. In regard to the allegation “Staff left dangerous item accessible to residents in care” it is alleged that there was a cleaver knife in the backyard. During interviews with Administrator and staff two (2) out of three (3) acknowledged there was a meat cleaver knife left in the backyard by staff. S2 stated that he/she was cutting branches from trees and vegetables from the garden and left it out accidentally. During interviews with residents three (3) out of four (4) residents stated that they have not seen any dangerous items accessible to residents. During tour of facility LPA observed a meat cleaver knife in backyard left on a bench accessible to residents. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted, and a copy of this report was given emailed to Rona Lomeda due to printer problems. In regard to the allegation “Staff left resident in soiled diapers for an extended period of time”, it is alleged that resident was left with extremely soiled diapers. During interviews with Administrator and staff three (3) out of three (3) stated that they have never left residents in soiled diapers. Staff stated that residents are checked every two hours or every time they go to the bathroom to ensure that they are clean. During interviews with residents three (3) out of four (4) residents stated that they have never been left in soiled diapers. R4 was confused about the question. LPA observed enough supply of incontinence care supplies for residents in care. In regard to the allegation “Staff handles resident roughly”, it is alleged that staff touched resident on shoulder and hit them with trash bags. During interviews with Administrator and staff three (3) out of three (3) stated that they have never been rough with residents and all denied ever hitting anyone with trash bags. During interviews with residents four (4) out of four (4) residents stated that staff is nice to them and have not handed them in a rough manner. In regard to the allegation” Staff do not ensure resident's bed was in good condition”, it is alleged that resident’s bedframe was extremely loose. During interviews with Administrator and staff three (3) out of three (3) staff stated that all beds are in good condition with no loose bolts. Administrator stated that all the beds are new, and facility even has extra beds if something were to happen to the ones residents have. During interviews with residents two (2) out of four (4) residents stated they have had no problems with their beds. LPA Gutierrez checked all residents’ bedrooms, and all beds were in good condition and were not loose. Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was sent to Rona Lomeda by email due to LPA printer problems.the state’s words, verbatim · CDSS document, Dec 9, 2025 · control 28-AS-20251201115102

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Dec 10, 2025

87309 Storage Space and Access (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. Based on observations and interviews facility left meat cleaver knife accessible to residents in care in backyard on bench which poses an immediate risk to the health, safety, and personal rights of the persons in care.the state’s words, verbatim · CDSS document, Dec 9, 2025

Plan of correction: Staff removed meat cleaver knife at time of visit. Administrator will conduct training with all staff on section 87309(a) and submit to LPA by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Dec 16, 2025

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on observation facility had broken towel rack and shopping cart in backyard which posed a potential Health, Safety or Personal Rights risk to residents in care,.the state’s words, verbatim · CDSS document, Dec 9, 2025

Plan of correction: LPA observed broken towel rack fixed at time of visit. Administrator has scheduled a pick up for shopping cart and will send LPA pictures once removed by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Caregiver Melchora Naron and explained reason for visit. Administrator Rona Lomeda arrived shortly. Facility is licensed to serve age range 60 and over. Approved for six (6) non-ambulatory residents, of which six (6) may be bedridden. Waiver granted for hospice care for six (6). Facility has an approved Dementia Care Plan. The facility is a single-story home located in a residential area. The home consists of the following: 5 resident bedrooms, 1 resident bathroom, 1 staff/visitor restroom, living room, kitchen, dining area, nurse station/ laundry room, front yard, backyard, and de-attached garage. There is sufficient indoor and outdoor activity space for residents. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. Extra linen and towels were observed in laundry cabinet. The Smoke detectors and carbon monoxide detectors were observed throughout the facility bedrooms #1 and #5 were not working properly during inspection. The facility has one (1) fully charged fire extinguishers which is kept in kitchen. Cleaning supplies and toxic substances were observed to be accessible in entry way closet and bathroom sink. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed to have sufficient supply of 2 days perishable & 7 days non-perishable foods. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The resident bathrooms have the required grabs bars and non-skid mats. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents outside in backyard. Passageways and exits are free of obstruction. SEE LIC 809C SEE LIC 809C Four (4) staff files were reviewed and included criminal clearance record, and health screening with TB. Five (5) resident files were reviewed and included physician’s reports and appraisal needs and service plan. Fire/earthquake drill was conducted September 3, 2025. The medications are centrally stored and locked in a cabinet in laundry/med room. LPA reviewed medications for four (4) residents, and after record review found that R4 was not given AM medication. No deficiency was observed during today’s visit. Exit interview was conducted with Rona Lomeda and a copy of report was provided.the state’s words, verbatim · CDSS document, Sep 4, 2025

Allegation investigated: Uncleared adult present in the facility.

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation above. LPA arrived unannounced and met with Staff, Melchora Naron. The purpose of the visit was explained. LPA obtained a copy of the staff and resident rosters. Interviews were held with the administrator, backup administrator, 3 Staff, and 4 Residents. For the allegation of uncleared adult present in the facility, it is alleged that Staff #1 (S1) has been working at the facility and did not have their background checked. Per the administrators, S1 had worked at the facility for a day to cover and is not a full-time employee of the facility. S1 works at a sister facility as a full-time employee. Substantiated Staff interviewed indicated they had been fingerprint cleared prior to working at the facility. 2 of the staff acknowledged S1 had worked at the facility in the past to cover a shift. Residents interviewed could not recall S1 working at the facility. Based on the Licensing roster, S1 has background clearance but not associated to the facility. Based on record review and interviews, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. A deficiency is issued on the LIC9099D and a civil penalty is also issued. An exit interview was conducted. A copy of this report and appeal rights were provided to Staff.the state’s words, verbatim · CDSS document, Jan 10, 2025 · control 28-AS-20250107111049

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Jan 11, 2025

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working... (2) Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on interviews and record review, Staff #1 was not associated to the facility which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 10, 2025

Plan of correction: The licensee shall ensure all the employees are associated to the facility prior to working at the facility. Licensee shall submit proof of association to LPA by 1/11/25.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility using the Care Tool. LPA Mora met with Rona Lomeda (Administrator) and explained the reason for the visit. The facility is licensed to serve 6 non-ambulatory residents ages 60 and over, of which 6 may be bedridden. Facility has a hospice waiver for 6 residents. The facility is operating within the scope of its license. A tour of the single-story facility included: 5 resident bedrooms, 1 resident bathroom, 1 staff/visitor restroom, living room, kitchen, dining area, nurse station, laundry room, front yard, backyard, and de-attached garage. LPA and Rona toured the facility, and the following was observed: sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Auditory devices were seen on all exit doors which are required for dementia residents and were operating at the time of the visit. The water temperature was tested in the resident bathroom and measured at 116.2 degrees F which is within the required 105 - 120 degrees F. The bathroom is clean and have the required grab bars in the shower and near the toilet for non-ambulatory residents. The shower has non-skid materials. Resident bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have enough closet space. Resident beds have the required linen, and the linen is in good condition. There is extra clean linen and towels in the laundry room. The living room has a fireplace with a glass cover, making it inaccessible to residents in care. Smoke detectors were observed in each room and throughout the facility and are properly operating. Two carbon monoxide combined with smoke detectors were observed in the hallway and dining area and are properly operating. Fire extinguisher was observed in the living room which is fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps and cleaning supplies are kept locked under the kitchen sink. First Aid kit was fully stocked with current manual, and it is kept in the medication cabinet. The front and backyard are well maintained. There is a shaded seating area for the residents located in the backyard. There are no bodies of water at the facility. Passageways and exits are free of obstruction. Residents’ medications are centrally stored in a locked laundry cabinet. Residents and staff files are centrally stored in the nurse station. LPA reviewed medication for 5 residents and observed that medications are documented properly and given as prescribed. LPA reviewed files for all 5 residents and 2 staff. No deficiencies were observed with the files. LPA observed administrator certificate for Rona Lomeda – 6051556740 with an expiration date of 10/06/2025. LPA interviewed 2 staff and 2 residents. Per California Code of Regulations, Title 22, and California Health and Safety Code, there was no deficiencies observed during the visit. Exit interview held and a copy of the report was provided.the state’s words, verbatim · CDSS document, Sep 3, 2024