Cherry Blossoms Eldercare

Type of visit: Case Management - Other

On 10/27/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced case management visit and met with the House Manager, Hillary B. Macute. The purpose of the visit was explained, and the LPA was allowed entry to the facility. The purpose of this visit is to update the facility sketch. The facility has added a detached staff bedroom. The facility garage has a laundry area, staff break room area, and a storage area. LPA will place updated facility sketch in facility folder. An exit interview was conducted, and a copy of this report was left with the House Manager, Hillary B. Macute.the state’s words, verbatim · CDSS document, Oct 27, 2025

Type of visit: Case Management - Annual Continuation

On 10/27/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced continuation Required – 1 Year Inspection to the above-named facility and met with the House Manager, Hillary B. Macute. The purpose of the visit was explained, and the LPA was allowed entry to the facility. There was a leak in the ceiling near the dining table, and two workers were observed fixing the issue. Facility records reviewed. The facility has current liability insurance. The annual fire inspection was conducted by the City of Torrance, Fire Department on 12/09/2024. The last fire drill was conducted on 10/01/2025. The facility did not have documentation of emergency quarterly drills. 5 staff records were reviewed, 3 out of 5 staff records had required documentation. 2 out 5 staff were not associated to the facility (there was a glitch in the system and the Administrator, Charesa Reyes is working on resolving this issue). 5 resident records were reviewed, 5 out of 5 resident records had required documentation. Technical Assistances were provided regarding hospice regulations, emergency quarterly drills, and associations. Technical Violations were provided regarding building and grounds (the detached staff bedroom is not on the facility sketch) and facility being in good repair. An exit interview was conducted, and a copy of this report was left with the House Manager, Hillary B. Macute.the state’s words, verbatim · CDSS document, Oct 27, 2025

Type of visit: Required - 1 Year

On 10/24/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Administrator, Charesa Reyes. The purpose of the visit was explained, and the LPA was allowed entry to the facility. This facility is licensed to serve 6 bedridden adults ages 60 and above, of which 6 may bed bedridden. A total of 6 residents are currently residing in this facility. The Annual Licensing Fees are current. Facility Layout: The facility is a one-story house located in a residential neighborhood. The home consists of 6 resident bedrooms; 3 bathrooms; 1 great room with a kitchen, dining table, and living room area; 1 attached garage; 1 detached staff room; 1 backyard patio area with shaded seating. Outside Grounds: were toured no bodies of water were observed, walkways around the home were clear of hazards, and there are no security bars or weapons on the premises. Kitchen Area/Facility Food: The facility has supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept inaccessible to clients in care. There is fire extinguisher near the kitchen area and it was last serviced on 12/09/2024. Great Room: There is a landline telephone, videoconferencing device, and games/activity work (i.e. board games, books, magazines, arts and crafts) for residents. Resident Bedrooms: 6 out of 6 resident bedrooms were toured. There is adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Bathrooms: Toilets, showers, and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries were accessible to residents. Medications: were inaccessible to residents in care. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. 5 out of 6 Medication Administration Records (MARs) were reviewed and they were current and up to date. Garage: is used as a storage area, has extra food supplies, and is used as a staff break room. Miscellaneous: Documents are posted as mandated. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. An exit interview was conducted, and a copy of this report was left with the Administrator, Charesa Reyes.the state’s words, verbatim · CDSS document, Oct 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Joanna Dometita, caregiver and the purpose of the visit was discussed. Administrator Charessa Reyes arrived during visit. Facility is licensed to serve 6 non- ambulatory residents ages 60 and over. Six (6) residents maybe bedridden and there is a hospice approved waiver for six (6) residents. Currently there are 5 residents in placement, One (1) of the residents are diagnosed with dementia. Four (4) residents are receiving home health and One (1) resident is receiving hospice care services. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (6) resident bedrooms, (2) Full bathroom, living room, kitchen with dining area, laundry room (located in the attached garage) and an outdoor shaded patio area. LPA toured the Resident bedrooms which had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 115.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. During todays visit LPA did not observe any deficiencies. Exit interview conducted with Administrator Charessa Reyes and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 26, 2024

Allegation investigated: Staff did not follow proper eviction procedures

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on February 09, 2024. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with staff Glenda Perez. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: LPA Bunker interviewed staff 1-5 (S1-S5) and residents (R2-R3). LPA Bunker was unable to interview R1. R1 no longer resides at the facility. LPA Bunker asked questions relevant to the nature of the complaint. LPA Bunker requested and reviewed R1's records. LPA Bunker requested copies of supporting documents. Staff 1-4 (S1-S4) were interviewed regarding the above allegation. The licensee, Administrator, and caregivers stated that R1 received a 60-day eviction notice because R1 failed to follow House Rules. S5 stated she wasn't working at the facility during that time and had limited knowledge of the eviction. S1-S4 stated on 12/01/2022, LPA Lourdes Montoya was contacted and made aware of the 60-day eviction notice for R1, who failed to comply with the facility's written House Rules. R2-R3 stated they were never served an unlawful eviction and were happy living at the facility. See continued LIC9099-C page 2 Unsubstantiated Continued LIC9099-C page 2 *** The original LIC9099-C dated 02/09/2024, is being amended. This revised LIC9099-C dated 02/22/2024, will supersede the original document.*** Investigation revealed the following: LPA Interviewed staff 1-5 (S1-S5), and residents 2-3 (R2-R3). S1-S4 stated that R1 was issued a 60-day eviction notice in December 2022, for non-compliance with facility house rules. R1 failed to comply with the health and safety of other residents at the property was verbally abusive and not following guidelines at the facility. S1-S4 admitted the facility reported the 60-day eviction to the Community Care Licensing (CCL) office. The licensee has confirmed adherence to Title 22 Regulations concerning the eviction process. Specifically, a 60-day eviction notice was issued to the resident in December 2022, and a detailed letter dated December 22, 2022, was dispatched to a family member of the resident, explaining the grounds for the eviction notice. The licensee stated additionally, communication with LPA Lourdes Montoya was established to ensure awareness of the eviction proceedings. Licensee noted that the correspondence received by the Ombudsman was intended to elucidate the reasons behind the eviction, rather than serve as the eviction notice itself. The licensee has emphasized that the resident voluntarily vacated the premises prior to the eviction date. S1-S4 stated the facility was in compliance with the required procedure, resident and the responsible party for the resident were provided with a written notice 60 days in advance of the proposed eviction date. This notice comprehensively included: - The specific reasons for eviction, detailed with dates, locations, witnesses, and the context of the circumstances. - A copy of the resident's current service plan. - An evaluation of relocation needs. - A directory of referral agencies. - Information regarding the legal rights of the resident's representative to request an investigation by the department into the eviction reasons, as stipulated in Section 1569.35. - Contact details for the local long-term care ombudsman, encompassing both address and phone number. The licensee assures that all steps taken are in full compliance with the established procedures. S1-S4 denied the allegation. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. Copies of the Complaint Investigation Report LIC9099, and LIC9099-C were provided to staff. Exit interview conductedthe state’s words, verbatim · CDSS document, Feb 9, 2024 · control 11-AS-20230405131608

Type of visit: Required - 1 Year

On 11/27/2023 at around 9:10 AM, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with the Administrator Cheresa Reyes. LPA explained the purpose of the visit and was accompanied by a caregiver inside and outside the facility during this inspection. This facility is licensed to serve 6 non-ambulatory adults ages 60 and above, of which 6 can be bedridden and/or in hospice care. A total of 6 residents are currently residing in this facility, of which 4 are ambulatory and 2 are non-ambulatory residents. The Annual Licensing Fees are current. The facility is a single-story structure located in a residential neighborhood. The home consists of the following: 6 resident bedrooms, 3 bathrooms, 1 living/dining/kitchen room area, 1 garage, 1 backyard patio area with shaded seating. Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. LPA observed an opened cable box with exposed wires on an exterior wall of the home. There are no security bars or weapons on the premises. LPA observed mildew on the garage walls. LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed unlocked cabinets with knives, cleaning solutions, and medicine. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. Last Disaster drill was conducted on 8/16/2023. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. The fire extinguisher was last serviced on 12/07/2022 and was observed near the kitchen area. 6 out of 6 resident’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. LPA tested hot water temperature and it measured between 105 and 120 degrees Fahrenheit. This facility provides residents with hygiene products such as feminine napkins, nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb. 5 staff records were reviewed, 5 out of 5 staff records had current First Aid Certificates, Criminal Record Clearances, Job Applications, Tuberculosis Test, Facility Trainings/Drills, and signed Employee Rights. 5 resident records were reviewed and, 5 out of 5 resident records had Admission Agreements, Medical Assessments, Consent Forms, Weight Record, Emergency Information, Appraisal & Needs Service Plan, Tuberculosis Test, Centrally Stored Medication Destruction Record, and Personal Rights. Deficiencies are being cited based on LPA observations in accordance with the California Code of Regulations, Title 22, see LIC809D. A violation regarding facility being in good repair and dangerous materials/solutions shall be inaccessible to residents with dementia. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator.the state’s words, verbatim · CDSS document, Nov 27, 2023