Cayco's Care Home

Type of visit: Required - 1 Year

On 10/28/2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced annual inspection. LPA met with staff member, Elizabeth Joyce and Administrator, Maribel Cayco, joined later during visit. LPA explained the purpose of the visit. The ground floor had one resident room with bathroom, staff room, and garage. The second floor had 3 resident bed rooms, living room, kitchen, 1 bathroom. Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has at least one completed first aid kit located in the kitchen. No deficiencies were cited. Four technical violations were noted for lack of documentation for the following: written order from a physician indicating the need for the postural support, re-appraisal once every 12 months, personnel records for new staffs. The report was reviewed and discussed with Administrator. A copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Oct 28, 2025

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 10/24/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Caregiver, Jude Torres. Licensee/Administrator, Maribel Cayco was contacted and informed of the visit but unable to attend due to being out of the country. The facility currently provides care for 5 residents, none of which are receiving hospice services and some of which with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located in kitchen and garage were found to be charged. Smoke and carbon monoxide detectors located throughout the facility were in working order. There was a sufficient supply of both perishable and nonperishable foods as required, with food stored in the kitchen, sufficient for residents in care. Food supply is replenished constantly throughout the week and stored properly. Facility provides a wide variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Sharps stored under the kitchen sink and cleaning supplies stored in the bathroom were found to be secured. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items.There is a single outdoor patio for resident use with shading. Exits are also equipped with motion sensors with auditory alarms signaling to the staff common area. Continued onto LIC809-C LPA conducted a sample file review for residents and found that one (1) resident (R1) with a primary diagnosis of dementia is in need of an updated physician's report. In addition, a technical violation was issued for a resident (R2) that was newly admitted on 9/3/2024, in need of a full medical assessment prior to admission. Upon a spot check of staff files, LPA found that caregiver staff have current 1st aid and CPR and onboard records on file. Lastly, A spot check of medications was conducted and found that all medication counts and records to be in order. Maribel Cayco's Administrator Certificate, 7011093740 is currently on the department pending list for renewal as of 7/17/2024. LPA requested the following documents be sent to CCL by COB 11/7/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan Liability Insurance Deficiency cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penaltiesthe state’s words, verbatim · CDSS document, Oct 24, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

On February 6, 2024, Licensing Program Analyst(LPA), John Calandra arrived at the facility at 9:52 AM to complete the Annual Inspection as FAS crashed and LPA Calandra lost his report and all other pages. LPA Calandra was greeted by Rodella Pasamonte, Caregiver at the door and explained to her the purpose of his visit. Jude Torres, Caregiver arrived later during the visit. Administrator, Maribel Cayco was unavailable as she was out of town when the LPA visited. No deficiencies were cited during today's visit. A copy of the report and the POC clearance letter were sent and receipt confirmed by the Licensee/Administrator.the state’s words, verbatim · CDSS document, Feb 6, 2024

The state marks this report as 9 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On January 5, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 9:06 AM to conduct an unannounced Annual 1-year required inspection. LPA Calandra met with Rodella Pasamonte and Jude Torres, Caregivers. Administrator, Maribel Cayco joined later in the visit. LPA Calandra toured the physical plant. This is a two story building that consists of 5 bedrooms(4 for residents and 1 staff bedroom) and 2 bathrooms. Water in all bathrooms was measured between the required 105-120 degrees Fahrenheit. Bathrooms were observed to have the required grab bars and anti-skid mats. Fire extinguisher in the facility was observed to be fully charged. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. The kitchen and garage refrigerators and freezers temperature were within the required range. All bedrooms were sufficiently lit and had the required furniture. The front and backyards were clear from obstructions. No accessible bodies of water or hazards were observed. The facility's first aid was observed to be complete. The facility does not handle any cash resources. There were 3 staff and 4 residents present during the inspection. All knives and sharp objects were observed to be locked and in-accessible to persons in care. All medications, soaps, and detergents were observed to be locked and in-accessible to persons in care. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. LPA Calandra reviewed 5 resident records. Four of the records did not contain a Needs and Services Plan and one did not have an LIC 602: Physician's Report. LPA also reviewed 3 resident records. All were observed to be complete. LPA interviewed 2 residents and 2 staff. Deficiencies of the California Code of Regulations, Title 22 are cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. A copy of the Report, Citation, and Technical Violation was reviewed with Administrator/Licensee, Mirabel Cayco and left at the facility. Appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 5, 2024

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.