Comforts of Home Gavirate

Type of visit: Required - 1 Year

On 2/10/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced to conduct the annual inspection visit. LPA initially met with staff on duty (S1) and stated the purpose of the visit. The Administrator, Faith Paras (AD), arrived shortly after. Overview: Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents, up to 6 may be non-ambulatory. Initial Observation: Present were 4 residents with 2 staff on duty. One resident is currently out. LPA observed required posters and facility license. Room temperature was at 74 degrees Fahrenheit upon arrival. 2 of the residents were in the family room watching TV. Physical Inspection: Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 6 of 6 resident bedrooms and 2 bathrooms. The hot water temperature was measured at 118 degrees Fahrenheit. The bathroom by the dining table houses a closet where they store cleaning solutions. The closet door can be unlocked without a key which makes it accessible to residents in care. The laundry detergent was observed in a cabinet above the washer. This cabinet can be unlocked without a key by anyone. Fire extinguisher was observed and was last inspected on 1/23/25. Smoke detectors were observed throughout. LPA observed at least one carbon monoxide monitor. LPA observed at least seven-day non-perishable and two-day perishable food supplies. Kitchen refrigerator and freezer were maintained at regulatory temperature. LPA observed medication box in the kitchen refrigerator to be unlocked and accessible to residents in care. LPA also observed other medication next of the box. Per administrator, that medication belong to a former resident LPA also observed sharp objects to be accessible to residents including knife and scissors in the dishwasher, meat thermometer in one of the kitchen drawer, and scissors in Room #3. The garage is locked and cannot be access without a key. Outdoor area was inspected. The storage shed at the backyard was observed to be unlocked and accessible to resident. This shed stores sharp objects - gardening tools. The shut off valves - electric, water and gas - were located. Per AD, she does not know how to shut off the gas and no tools were available to be used to shut the gas off during this visit. Record Reviews: Review of 4 of 5 resident files was conducted, including but not limited to, review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Residents did not have PRN Authorization Letter on file. Per AD, she will obtain one for each residents. LPA did not find hospice care plan for those resident(s) receiving hospice services. Per AD, she will obtain one from the hospice agency. LPA conducted medication review for 2 residents. Per review, one resident has an order for Famotadine 20mg but the medication on hand is 40mg. Further review, a resident was given PRN but no proper recording of the PRNs including record of resident's reaction to the medication after being administered. Review of 4 staff files included but not limited to review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. Administrator has a current Administrator Certificates. LPA also reviewed fire drill/disaster drill records; facility conducts every quarter Documents Requested: LPA obtained a copy of updated Liability Insurance Certificate, LIC500, LIC610 and LIC308. Per the California Code of Regulations, Title 22, Division 6, Chapter1 & 6, deficiencies were cited. Exit interview was conducted. A copy of the report and appeal rights were provided upon exit.the state’s words, verbatim · CDSS document, Feb 11, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a case management visit. LPA Moleski met with facility administrator Faith Paras and explained the purpose of the visit. LPA Moleski previously visited this facility on 2/21/25 for an annual inspection. During that visit, LPA Moleski issued two citations which required immediate correction, pursuant to 22 CCR Sections 87468.2(a)(1) and 87465(a)(6). Paras had agreed to provide LPA Moleski written plans of correction by the end of the next day, 2/22/25, with additional plans of corrections to come at a later date. LPA Moleski provided his email address to Paras for the purposes of submitting her plans of correction. As of today, 2/26/25, LPA Moleski has received no written plans of correction related to these deficiencies. LPA Moleski is hereby assessing civil penalties for failure to correct for each of these deficiencies for the days of 2/23/25 through 2/26/25, in the amount of $100 per day per citation, for a total of $800. During this visit, Paras agreed to provide these plans of correction by end of day tomorrow, 2/27/25, and all subsequent plans of correction by 2/28/25. An exit interview was held with Paras. Appeal rights and a copy of this report were left with Paras.the state’s words, verbatim · CDSS document, Feb 26, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Faith Paras and explained the purpose of the visit. LPA Moleski reviewed four resident files (R1-R4) and three staff files (S1-S2 and Paras' file). S1 did not have a health screening or tuberculosis test on file. S2's health screening indicated that they required treatment after a positive tuberculosis test. S2 said they were prescribed antibiotics after the test. No documentation was available to show S2 was free of active, communicable tuberculosis after their antibiotic treatment. Paras' first aid/CPR certification, dated 2/20/23, was expired as of today, 2/21/25. R4 did not have a needs and services plan on file. While reviewing this facility's medication administration records, LPA Moleski observed many missing signatures for doses of several different medications for more than one resident in the month of February 2025. LPA Moleski reviewed two residents' centrally stored medication records and observed that medication start dates were not recorded, making an audit of dosages impossible. LPA Moleski photographed the record of missing dosages and start dates. LPA Moleski toured the facility with Paras and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 73 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 111 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. While touring this facility, LPA Moleski observed a surveillance camera present in a common area. LPA Moleski asked if the camera captured audio. Paras said it did. LPA Moleski asked Paras if the facility's approved plan of operation permitted the use of video surveillance. [continued on 809-C] After reviewing the plan of operation, Paras said it did not. Paras removed the camera during this visit. LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. LPA Moleski interviewed one staff member (S1) and one resident (R1). This facility is hereby cited per 22 CCR Sections 87468.2(a)(1), 87465(a)(6), 87411(f), and 87411(c)(1), and HSC Section 1569.695(e)(2). An exit interview was held with Paras. Appeal rights and a copy of this report were left with Paras.the state’s words, verbatim · CDSS document, Feb 21, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct an annual required inspection. LPA met with facility staff Violeta, and explained the purpose of today's visit. LPA was later met by Administrator Faith Paras. LPA Valerio and Facility Staff Violeta toured the facility to ensure compliance with Title 22 regulations. LPA measured the hot water temperatures in both bathrooms that are utilized by residents. Water temperature reads 118.2° F in the bathroom by the kitchen and 119.5 in the bathroom, within regulatory range of 105 *F and 120 *F. Room temperature reads 73° F. LPA observed the facility to have adequate food supply. The facility refrigerator is broken; however, they have a new one arriving next week. The facility has a separate freezer and smaller refrigerator to store items until the new refrigerator arrives. Resident rooms was sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguishers was up to date with last check on 01/27/2024. Medications cabinet was locked. The facility was observed to have a first aid kit. Chemical, toxins, and cleaning supplies were locked and inaccessible to residents in care. All emergency exits were from obstructions. LPA inspected the shed located in the exterior area, which was observed to used for storage. LPA reviewed 3 staff and 2 resident files. Technical Assistance was provided for 1 out of 3 staff files reviewed. Resident files were observed to be incomplete with missing appraisals and needs and service plans. Last emergency drill was conducted on 09/22/23. LPA requested the following annual documentation be sent to the Regional Office: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, Copy of Administrator Certificate, LIC 610 Emergency Disaster Plan, and Proof of Current Liability Insurance. Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, deficiencies were observed during today's visit. Appeal Rights Provided. Failure to correct deficiencies may result in civil penalties. An exit interview was held, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 2, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.