Casa Naomi-Cathedral Oaks Home

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. Upon arrival, there were five residents in care and three staff on duty. Two residents were present in the facility, and three residents were out in the community attending day programs. House Manager Henry Miranda and staff arrived shortly after LPA’s arrival. Administrator Rhonna Buyco arrived shortly thereafter. LPA explained the purpose of the visit. Entrance interview conducted. LPA conducted a physical tour of the facility. This is a one-level home licensed as a Residential Care Facility for the Elderly (RCFE). The facility is home to residents who are non-ambulatory and has a hospice waiver for 2 residents. There are currently six residents residing in the facility. There is one resident currently on hospice. All residents currently receive services from Tri-Counties Regional Center (TCRC). A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. Fire inspection was conducted on 7/22/2026. The dual carbon monoxide/smoke alarms are hard wired and in good working order. The backyard has a gazebo with outdoor furniture, and flower beds with paved walkways. There are no bodies of water. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. First aid kit was observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The living room and dining area are neat and clean. Please continue to 809-C, Pg 2. The facility maintains a comfortable temperature with centralized heating and air conditioning. Hallways, doors and walls are in good repair. The facility has 3 shared bedrooms for 6 residents. Each resident’s room is furnished with overhead lights to provide sufficient lighting, nightstands, and a bed. There are two bathrooms available to all residents in care. Bathroom #1 is a full bathroom located off the hallway near the residents’ shared rooms. Grab bars are secure. Bathroom #2 is a half-bath with secured grab bars. LPA observed a sufficient amount of perishables for two (2) days and non-perishables for seven (7) days. Residents participate at will in individualized activities such as art activities, karaoke, outdoor barbeques, special holiday celebrations, individual recognitions, walks around the neighborhood, as well as excursions to local eateries and day trips to other communities. Residents’ records were reviewed including Emergency Face Sheet, Admission Agreement, Appraisals, Functional Capabilities, Needs and Services Plan, Individualized Program Plan, and health screenings. All residents’ records are current. Medications are administered as prescribed. Personnel records were reviewed including orientation training, OSHA training, and Medication Administration training for employees who have been employed for less than one year. Trainings conducted for employees who have been employed for one or more years include Dementia (8.0 hours), Medication Administration (4.0 hours), Assistance with Daily Living Needs (ADLs) (4.0 hours), Abuse and reporting requirements (physical, emotional, financial, neglect/supervision and mandated reporting) (1.0 hours), Hospice and End-of-Life (1.0 hours), Emergency and Disaster Preparedness (flood, power outage, fire, earthquake, unwelcomed intruder) (1.0 hours). Emergency and Disaster Preparedness trainings are conducted quarterly and varied amongst different shifts on different days. All persons associated with the facility have criminal record clearances and have been properly associated to the facility. Emergency and Disaster Preparedness Plan was reviewed to include evacuation procedures, assembly points, shelter locations, modes of transportation, designated assignments, emergency back-up equipment, supplies, and necessities, and utility shut off location and procedure instructions. Assembly points include specific designated areas within close proximity to the facility. The facility has two mini-vans and one large van with a wheelchair lift. The facility vehicles have capability to carry ambulatory and non-ambulatory residents and their personal items including wheelchairs, walkers, medications, and required residents’ records. Please continue to 809-C, Pg 2. Designated assignments include personnel who are responsible for emergency equipment and supplies, transporting residents, and person(s) responsible for notifying family members and outside agencies. Emergency names and telephone numbers are listed in the Emergency and Disaster Preparedness Plan as required. The Certificate of Liability Insurance is current and meets Community Care Licensing Division (CCLD) requirements. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Aug 28, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. Upon arrival, there were six residents in care and one staff on duty. Three residents were present in the facility and three were out in the community attending day programs. House Manager Henry Miranda and staff arrived shortly after LPA’s arrival. Administrator Rhonna Buyco arrived at approximately 1:00 pm. LPA explained the purpose of the visit. Entrance interview conducted. LPA conducted a physical tour of the facility. This is a one-level home licensed as a Residential Care Facility for the Elderly (RCFE). The facility is home to residents who are non-ambulatory and has a hospice waiver for 2 residents. There are currently six residents residing in the facility. There is one resident currently on hospice. All residents currently receive services from Tri-Counties Regional Center (TCRC). A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. Fire inspection was conducted on 8/5/2025. The dual carbon monoxide/smoke alarms are hard wired and in good working order. The backyard has a gazebo with outdoor furniture, and flower beds with paved walkways. There are no bodies of water. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. First aid kit was observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The living room and dining area are neat and clean. Please continue to 809-C, Pg 2. The facility maintains a comfortable temperature with centralized heating and air conditioning. Hallways, bedroom doors and walls are in good repair. The facility has 3 shared bedrooms for 6 residents. Each resident’s room is furnished with overhead lights to provide sufficient lighting, nightstand, and a bed. There are two bathrooms available to all residents in care. Bathroom #1 is a full bathroom located off the hallway near the residents’ shared rooms. Grab bars are secure. Bathroom #2 is a half-bath with secured grab bars. Residents participate at will in individualized activities such as art activities, karaoke, outdoor barbeques, special holiday celebrations, individual recognitions, as well as excursions to local eateries and day trips to other communities. Residents’ records were reviewed and all records are up to date. Medications are administered as prescribed. Personnel records were reviewed and records and trainings are up to date. All persons associated with the facility have criminal record clearances and have been properly associated to the facility. Exit interview conducted. No deficiencies noted. No citations issued. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Sep 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. Upon arrival, there were two residents in care and two staff on duty. Four residents were out in the community attending day programs. Administrator Rhonna Buyco arrived within 10 minutes after LPA’s arrival. LPA explained the purpose of the visit. Entrance interview conducted. LPA conducted a physical tour of the facility. This is a one-level home licensed as a Residential Care Facility for the Elderly (RCFE). The facility is home to residents who are non-ambulatory and has a hospice waiver for 2 residents. There are currently six residents residing in the facility. There is one resident currently on hospice. All residents currently receive services from Tri-Counties Regional Center (TCRC). A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. First aid kit was observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The living room and dining area are neat and clean. Fire inspection was conducted on August 7, 2024. The dual carbon monoxide/smoke alarms are hard wired and in good working order. The backyard has a gazebo with outdoor furniture, and flower beds with paved walkways. There are no bodies of water. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. The facility maintains a comfortable temperature at 74 degrees Fahrenheit (F) with centralized heating and air conditioning. Hallways, bedroom doors and walls are in good repair. Please continue to 809-C, Pg 2. The facility has 3 shared bedrooms for 6 residents. Each resident’s room is furnished with overhead lights to provide sufficient lighting, nightstand, and a bed. There are two bathrooms available to all residents in care. Bathroom #1 is a full bathroom located off the hallway near the residents’ shared rooms. Grab bars are secure. Bathroom #2 is a half-bath with secured grab bars. Residents participate at will in individualized activities such as art activities, karaoke, outdoor barbeques, special holiday celebrations, individual recognitions, as well as excursions to local eateries and day trips to other communities. Residents’ records were reviewed and all records are up-to-date. Personnel records were reviewed and records and trainings are up-to-date. All persons associated with the facility have a criminal record clearance and have been properly associated to the facility. Exit interview conducted. No deficiencies noted. No citations issued. Copy of report issued at the time of the visit.the state’s words, verbatim · CDSS document, Aug 7, 2024