Christina's Care Home

Type of visit: Required - 1 Year

On 11/14/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) John Trinos. LPA was granted entry. 6 clients were present during inspection. Administrator Shannon Steele (A1) arrived shortly after LPA’s arrival. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at 0 degrees F and refrigerator temperature was maintained at 32 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 7/28/24. Fire drill last completed on 9/13/25. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at at a range of 111.7 to 115.3 in 3 bathrooms. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Upon observation one resident’s medications were not labeled or initialed for the evening. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have been reviewed. Samples of staff files were reviewed and observed. All required documents were reviewed and complete. Deficiencies are being cited on the attached 809D in accordance with California Code of Regulations, Title 22,Division 6. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 11/28/25: Lic 308, Lic 500, Lic 610D, Lic 9020 and a copy of current Administrator certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Nov 14, 2025

Type of visit: Required - 1 Year

On 11/21/24 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) John Trinos. LPA was granted entry. 6 clients were present during inspection. Administrator Shannon Steele (A1) arrived shortly after LPA’s arrival. LPA toured facility with A1. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Freezer temperature was maintained at 0 degrees F and refrigerator temperature was maintained at 35 degrees F. Cleaning chemicals was observed stored and locked under kitchen sink. Fire extinguisher was observed with a service date of: 3/8/24. Fire drill last completed on 10/25/24. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. All bathrooms are toured and observed to be operational. Hot water temperature was tested at 110.3 degrees in bathroom 1, 109.4 degrees in bathroom 2, and 107.3 degrees in bathroom 3. Outside of facility toured. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seatings available for clients. Medications were checked and observed kept locked in medication cart. Clients’ MARS was reviewed. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have all the required documents. Samples of staff files were reviewed and observed. First aide is expired for 2 staff in facility. No deficiencies issued during this inspection. A technical violation was issued for staff to complete First Aide training. Exit Interview conducted. The following documents requested to be updated and submitted to Fresno CCL by 12/5/24: Lic 308, Lic 500, Lic 610D, Lic 9020 and a copy of current Administrator certificate. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Nov 21, 2024

Type of visit: Required - 1 Year

On 1/09/2024, Licensing Program Analyst (LPA) K. Kaur arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was granted entry to the facility by staff John Trinos. Licensee /Administrator was unavailable. Care Coordinator Luijean De Castro Abragan arrived a short while later. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions were observed inside or outside. Common areas were properly furnished and well-lit throughout. LPA toured the facility with the staff. Residents' bedrooms were observed to be adequately furnished with bed, dresser, and adequate lighting. Mattresses and linen were in good condition. Extra linen and towels are available in hallway closet. Hot water temperature measured at 113.5 degrees F. LPA observed grab bars installed by toilet and non-skid mats in place. At 10:45 AM LPA observed no Carbon monoxide detector at the facility. Smoke alarm detectors installed and operational. The dining room is equipped with a table and chairs, the living room is equipped with adequate sofas and recliners for seating. At 11:13 PM LPA observed insufficient non-perishable foods. LPA observed a 2-day supply of perishable foods observed. Knives were locked in the kitchen cabinet. Cleaning supplies observed locked in the cabinet under the kitchen sink. Medications observed locked in the upper kitchen cabinets. The fire extinguisher in kitchen was serviced 1/20/2023. Adequate outside space for rest and recreational seating observed under covered patio. The backyard gate is self-closing and self-latching. At 12:10 PM LPA observed current Resident’s Cash resources form to be unavailable as well as the funds. LPA observed one resident's (R1) file to be missing a TB Test. LPA observed all other resident documents on file. LPA reviewed residents’ medication, MARS and Centrally Stored Medication list (CSMDR) and observed Continued on LIC809C... one of resident’s medication was not logged. Staff files were reviewed for good health and first aid/CPR. It was verified that there are at least one staff on duty who is CPR certified. Staff files reviewed and complete. Deficiencies are being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. LPA is requesting the following documents be submitted to the Fresno CCL office by 1/16/2023: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with staff. Report signed on-site; a copy of this report, 809D with appeal rights was provided.the state’s words, verbatim · CDSS document, Jan 9, 2024