Cherry & Pine Garden Home Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Magda Malcore and Rima Corona made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with Administrator Gloria Anne Mangangey and Staff Jovelyn Singson and discussed the purpose of the visit. The facility is a 3 bedroom, 3 bathroom, Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (4) residents in care. LPAs conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor shaded area is sufficient for resident activities and is enclosed with a self-latching gates. The facility has sufficient lighting, books, magazines, games, and activity space for residents. The facility is maintained at a comfortable temperature of 71 degrees Fahrenheit(F). Resident’s bathroom equipment were fully operational and bathrooms were equipped with grab rails and slip mats. The hot water temperature in residents' bathrooms measured 105 degrees F. Resident’s bedrooms audited had sufficient lighting, bed linen and furniture in good repair. The facility is equipped with fire/carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, two (2) covered fireplaces and telephone service. The facility has sufficient towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, Personal Rights, facility license, disaster evacuation plan and emergency telephone numbers. Sharp knives and scissors were kept lock. LPAs observed a disinfectant spray was stored unlocked in the bathroom located near the kitchen area. A deficiency cited. Food Service: Facility kitchen and dining areas were maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. The facility has sufficient clean cups, plates, and utensils for residents. Care & Supervision: Facility has 24-hour, 7 days a week care staff. Staff working have criminal records clearances through the Department. Record Review: The facility's Administrator certification and liability insurance is current. Four (4) resident files were observed to be complete. Review of four (4) staff reveals that Staff 1 (S1),Staff 2 (S2) and Staff 3 (S3) who assist with medication did not have annual medication training and annual dementia training on file. The Licensee also did not maintain record of current staff quarterly disaster drill training on file. Medical Related Services: Resident’s medications are centrally stored in a locked cabinet. The facility has a complete first aid kit with manual. Based on observations and record review, deficiencies are being cited and technical advisories were issued per Title 22, Division 6 of The California Code of Regulations (CCR) and Health & Safety Code (HSC). This report and correction plans were reviewed with Staff Singson and copies with Appeal Rights were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 9, 2026

The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Gloria Anne Mangangey and discussed the purpose of the visit. The facility is a 3 bedroom, 3 bathroom, Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (3) residents in care. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor shaded area is sufficient for resident activities and is enclosed with a self-latching gate. LPA observed saws and tools in an unlocked outdoor shed. The facility has sufficient lighting, books, magazines, games, and activity space for residents. The facility is maintained at 72 degrees F. Resident’s bathrooms equipment were fully operational and bathrooms were equipped with grab rails and slip mats. The hot water temperature in residents' bathrooms measured 105 degrees F. The facility maintains an operating night light in hallway leading to central bathroom. Resident’s bedrooms audited had sufficient lighting, bed linen and furniture in good repair. The facility is equipped with carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, signal system and telephone service. The facility has sufficient bed linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, Personal Rights, facility license, disaster evacuation plan and emergency telephone numbers. Sharp knives and scissors were kept lock. LPA observed disinfectant and insecticide sprays were stored unlocked in the bathroom located near the kitchen area. LPA observed disinfectant cleaning wipes on bathroom counter in bedroom #1, accessible to residents in care. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. The facility has sufficient clean cups, plates, and utensils for residents use. Care & Supervision: Facility has 24-hour, 7 days a week care staff. Staff working have criminal records clearances through the Department. Record Review: The facility's Administrator certification and liability insurance is current. Staff files reviewed were observed to be complete. Review of resident files reveals resident #1 (R1) and resident #2 (R2) did not have a reappraisal conducted within the last 12 months. Medical Related Services: Resident’s medications are centrally stored in a locked cabinet. The facility has a complete first aid kit with manual. LPA observed R1, R2, and resident#3 (R3)'s pm medication was missing from the bubble packet. Staff stated that the medication was removed from the packet and showed LPA the medication was stored in a small plastic container. LPA observed R3's insulin pin was kept in plastic bag separated from its original prescription packaging. Based on observations and record review, deficiencies are being cited and technical advisories were issued per Title 22, of The California Code of Regulations. This report and correction plans were reviewed with the Administrator and copies with Appeal Rights were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 13, 2025

The state marks this report as 12 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Joy Po and was granted entry to the facility. The facility is a (3) bedroom (3) bathroom home and, with a kitchen/dining area, living room, attach garage. Licensed capacity is (6) current census (6). LPA was accompanied by Joy Po and Gloria Anne Mangangey to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The hot water temperature tested within regulation at 113 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (6) client files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (6) client medications. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provide to Administrator Gloria Anne Mangangey.the state’s words, verbatim · CDSS document, Dec 6, 2023