Cedarhill Manor II

Type of visit: Required - 1 Year

On August 27, 2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregiver, Roberto "John" Gozon and LPA explained the purpose of the visit. The Administrator Designee, Ninfa Gozon arrived shortly thereafter and assisted with the inspection. LPA toured the facility inside and outside including the bedrooms (2 shared bed rooms), 1 full- bathrooms, kitchen, common areas and 1 staff room and a storage room on the 2nd floor. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 105-112 degrees Fahrenheit. Central stored medication, toxins and sharps objects were locked and inaccessible to residents. A review of (4) resident files was conducted and noted on the LIC 858. A review of (1) staff files was conducted and noted on the LIC 859. Emergency drills were reviewed and to be adequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last serviced on 10/15/2025. No deficient is cited today. This report is reviewed and discussed with the administrator designee. A copy is provided.the state’s words, verbatim · CDSS document, Aug 27, 2026

Type of visit: Required - 1 Year

On August 20, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregivers, Roberto Gozon and Alain David and LPA explained the purpose of the visit. LPA toured the facility inside and outside including the bedrooms (2 shared bed rooms), 1 full- bathrooms, kitchen, common areas and 1 staff room and a storage room on the 2nd floor. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 105-106 degrees Fahrenheit.. Central stored medication, toxins and sharps objects were locked and inaccessible to residents. A review of (3) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. Emergency drills were reviewed and to be adequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last serviced on 10/23/2024. No deficient is cited today. This report is reviewed and discussed with the caregiver. A copy is provided.the state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: POC

On September 3, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced plan of correction visit. LPA met with caregiver, Norma Solis and explained the purpose of today's visit. During today's visit, LPA toured the facility and tested the hot water temperature in the kitchen and the bathroom and LPA observed the temperatures were measured at 108- 109 degrees Fahrenheit. The follow deficiency from the annual inspection on 8/27/2024 is cleared: 87303(e)(2) (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This report is reviewed and discussed with the caregiver and a copy is provided.the state’s words, verbatim · CDSS document, Sep 3, 2024

Type of visit: Required - 1 Year

On August 27, 2024, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregivers, Norma Solis and Ninfa Gozon. LPA explained the purpose of the visit. LPA toured the facility inside and outside including the bedrooms (2 shared rooms), 1 full- bathrooms, kitchen, common areas and 1 staff room and a storage room on the 2nd floor. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature measured at 141 degrees F in the kitchen and it was measured at 129- 139 degrees in the bathroom (the first time was measured at 139 F and about an hour later, it was measured at 129 F). Central stored medication, toxins and sharps objects were locked and inaccessible to residents. A review of (3) resident files was conducted and noted on the LIC 858. A review of (1) staff files was conducted and noted on the LIC 859. Emergency drills were reviewed and to be adequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last serviced on 11/7/2023. LPA reviewed the P & I record. Civil Penalty is being assess today for repeat violation. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the caregiver. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 27, 2024

Type of visit: Post Licensing

On 12/28/2023, Licensing Program Analyst(LPA) Murial Han conducted an unannounced post licensing inspection. LPA was greeted by caregiver, Norma Solis. LPA explained the purpose of the visit. After LPA toured the facility with the caregiver, administrator, Christopher Cayabyab arrived and assisted with the rest of the inspection. LPA toured the facility inside and outside including the bedrooms (2 shared rooms), 1 full- bathrooms, kitchen, and common areas. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 130-137 degrees F. During the tour of the facility, LPA did not observed adequate outdoor area/space for residents. This observation was shared with the administrator and possible plan of correction was discussed. Central stored medication, toxins and sharps objects were locked and inaccessible to residents. LPA reviewed 1 resident record and it contained admission agreement, medical assessment- LIC 602 (Physician Order), Appraisal Needs and Service Plan Resident Identification information, Pre-appraisal assessment, etc. LPA reviewed 1 staff file and it contained personnel records, Health Screening Report, Abuse Statement, First Aide/CPR, Criminal Record Statement, fingerprint cleared, etc. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last serviced on 11/7/2023. Disaster drills records were reviewed. LPA reviewed the P & I records and observed Record of Client's/ Resident's Safeguarded Case Resources (LIC 405) and receipts for 1 resident. During today's inspection, there are no resident present as the resident is attending the adult day program. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the administrator. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Dec 28, 2023

Type of visit: Case Management - Other

On October 4, 2023 Licensing Program Analysts (LPA), Murial Han and John Calandra conducted a case management visit to complete the post-licensing inspection. When LPAs arrived at the facility, there was no one answer the door bell, therefore, LPAs rang the door bell of Cedarhill Manor which was located next door and caregiver Arlene Olivar answered the door and LPAs explained the purpose of the visit. Caregiver stated that there was no residents at the other facility and the administrators were not present. Caregiver proceeded with opening the door to Cedarhill Manor II and also got in contact with the administrator on the phone. LPAs toured the facility and did not observe any residents and spoke with administrator and explained the purpose of the visit. Administrator stated that facility was recently vendorized by GGRC and is now ready to start admitting residents. LPAs reminded administrator to notify CCL when 1st resident is admitted for CCL to proceed with the post-licensing inspection. This report is reviewed and discussed with administrator over the phone. A copy will be provided to administrator via email who will sign and send it back to LPAs by the end of the day, 10/4/2023.the state’s words, verbatim · CDSS document, Oct 4, 2023