Claremont Home for Elders

Type of visit: Required - 1 Year

At approximately 12:10 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit. Administrator Liza Biscocho arrived at 12:20 PM. Claremont Home for Elders is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for six (6) residents. Upon arrival, LPA was informed that there were three (3) residents in care and two (2) staff members on-site. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 12:35 PM, LPA toured the facility with Administrator Biscocho. Exits were clear and unobstructed. The facility's two (2) fire extinguishers were last serviced and tagged on 1/24/2025. The facility was sufficiently lighted. LPA inspected four (4) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 11/15/2025. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 At approximately 1:15 PM, LPA reviewed three (3) resident files. Three (3) of three (3) resident files were observed to be well organized and thorough with all required documentation. LPA reviewed four (4) staff files. Four (4) of four (4) staff files were observed to be well organized with all required documentation including First Aid and CPR certification and proper training documentation. LPA spot checked Medication for two (2) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Liza Biscocho’s Administrator Certification 70054266740 is current with an expiration date of 6/19/2026. LPA requested the following documents be submitted to Community Care Licensing by 12/20/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan LIC 308 Designation Facility Responsibility Proof of Liability Insurance Copy of Admission Agreement The facility is in compliance. No deficiencies cited during today's visit. Exit interview conducted. Copy of report discussed and provided to Administrator Biscocho. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Dec 11, 2025

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: Post Licensing

At approximately 9:00 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required Post Licensing Visit and was greeted by Caregiver (CG) Yvonne Sayan. Administrator Liza Biscocho was unavailable for today's inspection. The facility was licensed on 2/20/2025. Claremont Home for Elders is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for six (6) residents. Upon arrival, LPA was informed that there were three (3) residents in care and three (3) staff members on-site. At approximately 9:20 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 9:25 AM, LPA toured the facility with CG Sayan. Exits were clear and unobstructed. The facility's two (2) fire extinguishers were last serviced and tagged on 1/24/2025. Fire Department inspected and cleared the facility on 9/10/2024. The facility was sufficiently lighted. LPA inspected three (3) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Continued on 809-C... ...Continued from 809 Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. At approximately 10:10 AM, LPA reviewed three (3) resident files. Three (3) of three (3) resident files were found to be well organized and thorough with all required documentation. LPA reviewed three (3) staff files. All staff files were found to be well organized with all required documentation including First Aid and CPR certification and proper training documentation. LPA spot checked Medication for two (2) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Liza Biscocho’s Administrator Certification 70054266740 is current with an expiration date of 6/19/2026. LPA requested the following documents be submitted to Community Care Licensing by 6/27/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Copy of Admission Agreement The facility is in compliance. No deficiencies cited during today's visit. Exit interview conducted. LPA left a copy of the new 602A Medical Assessment for Administrator Biscocho. Copy of report and discussed and provided to CG Sayan. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, May 30, 2025

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: Prelicensing

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a pre-licensing inspection and was greeted by applicant. Administrator certification: Liza Biscocho Administrator Certificate 7005426740 expires 6/19/2026. At approximately 9:30am LPA toured the building and grounds. The facility was found to be clean and at a comfortable temperature. Facility does not currently have residents in care. LPA discussed with applicant once residents are in care, facility must have at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food must be stored in a safe manner with open items covered and labeled with date of opening. LPA observed, within regulation, emergency supply of non-perishable food. Cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives inaccessible to residents in care. Medication will be stored in a locked cabinet. Facility is a one story residence with six [6] bedrooms, two [2] full bathrooms, kitchen and dining and living room common areas. The 6th bedroom is actually split in to two [2] 9x8 rooms off of the kitchen dining room. Applicant advised LPA that these rooms did not receive non-ambulatory fire clearance and so will be used as staff rooms or for storage. All resident rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. LPA and applicant discussed providing chairs in bedrooms that are comfortable for relaxing or visitation, rather than metal folding chairs. Light-switch for room #1 is located in the kitchen, applicant to fix light-switch in room #1 so that the light-switch inside the room operates the light inside the room. Room #2 has a bed, but the bed is wobbly and slightly unstable; applicant agrees to repair or replace it. Room #5 is a shared room with a full bath. Applicant to add grab bar closer to toilet in room #5. One chest of drawers present in room #5; however, it is a shared room and each resident requires their own chest of drawers. Applicant to add chest of drawers to room #5 that provides at least a minimum of eight (8) cubic feet of drawer space. Rooms that have exit sliding doors have alarms present and functioning. Continued on 809C... Continued from 809... Facility has dryer in the garage and 2 washing machines inside the facility. All laundry soaps are stored underneath bathroom sink in locked space. All kitchen cleaning supplies locked underneath kitchen sink. Outside area available for recreation and visitation but does not have shaded area. LPA and applicant discussed adding a canopy/gazebo to backyard deck to provide shade. Fire extinguishers were last inspected 1/15/24. Smoke/Carbon Monoxide detectors located throughout the were tested and operational. Water temperatures read at: 107.1 degrees F in the kitchen and 108.9 degrees F in main bath which are within the allowable range of 105 to 120 degrees F. Facility has two [2] fire doors: the door of room #1 and the door that leads to the hallway and other facility bedrooms. Applicant advised LPA that they received conflicting instruction from the fire inspector as pertains to the fire door leading to the hallway and bedrooms. Applicant advised LPA that one fire inspector said that the door must remain closed at all times and the other told them it was okay to have the door propped open. LPA discussed concerns with applicant about the fire door remaining closed as it would be hard for residents to open, but a propped open door could present a safety hazard to residents should the stopper fail and the door start to move and/or close on a resident. The door is very heavy and takes some effort and strength to open and/or control. LPA and applicant discussed removing door all together. Applicant advised the fire door was a requirement for fire clearance. LPA will confirm with both fire inspectors and advise applicant of determination. The following items need to be corrected and/or added prior to LPA submission of facility's application for approval: outdoor canopy or gazebo for backyard deck to provide shaded area, repair or replace bed in room #2, add grab bar by toilet in room #5, add a chest of drawers to room #5, and fix light-switch for room #1. Once acceptable photographic or video proof is received by CCL, LPA will submit facility's application for approval. Comp III reviewed. Exit interview conducted with applicant and copy of report giventhe state’s words, verbatim · CDSS document, Jan 3, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Method: Telephone call with CAB COMP II Participants: Biscocho, Liza On 12/10/24, the applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 10, 2024