Compassionate Senior Care 247

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Assistant Administrator, Alexis Salvador Varela Lopez. According to the facility’s license, the facility has a maximum capacity of fourteen residents, of whom all may be non-ambulatory, waiver granted for hospice care for 8 residents, and dementia plan submitted. Along with facility staff, LPA D. Roman toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Resident beds were observed to have full bed rails, hospice care plans were not available to justify the need for full bed rails. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were toxic chemicals/poisons accessible to clients stored under the bathroom sink of one resident restroom. Medications were labeled, as required, and stored in locked areas. Water temperature of 130 degrees F, exceeded regulatory measures of 120 degrees F. No pools or bodies of water on the premises. Per Assistant Administrator, no firearms or ammunition are kept at the facility. Smoke/Carbon monoxide detectors tested at 3:30PM, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Resident records reviewed lacking required documentation. Resident records lacked admissions agreements, physician reports, needs & services appraisals. Staff records reviewed lacked training verification. (Cont. on LIC809-C) LPA D. Roman encouraged the Assistant Administrator to seek assistance through the Technical Support Program to assist the facility in improving their documentation of staff and resident files. An exit interview was conducted with Assistant Administrator, Alexis Salvador Varela Lopez, to whom a copy of this report and the Licensee/Appeal Rights were provided during the visit.the state’s words, verbatim · CDSS document, Aug 19, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst, David Roman (LPA D. Roman) conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA D. Roman was welcomed by, identified himself to, and discussed the purpose of the visit with Administrator, Dr. Carlos Ramirez. According to the facility’s license, the facility has a maximum capacity of 14 clients, of whom all may be non-ambulatory and waiver/clearance for 8 hospice care clients. LPA D. Roman toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. Water temperature was measured at 105 degrees F. No pools on the premises, the front yard has a small waterfall. Per Administrator, Dr. Carlos Ramirez, no firearms or ammunition are kept at the facility. Smoke alarms and carbon monoxide detectors were tested at 11:30 AM, emergency lighting, and facility telephone were all working. Fire extinguishers were present and serviced on 05/05/2025. First aid kits were complete and readily accessible. Resident records reviewed were complete, however need 12 month reappraisals or documentation of denial of services. Staff records reviewed were complete. An exit interview was conducted with Administrator, Dr. Carlos Ramirez, to whom a copy of this report and the Licensee/Appeal Rights were provided during the visit. Their signature on this form acknowledges the receipt of this report and their rights.the state’s words, verbatim · CDSS document, Aug 8, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Dang Nguyen conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified himself to, and explained the purpose of the visit to the applicant’s representative, Dr. Carlos Ramirez. The facility fire clearance was granted on 04-29-2024 and reflected that the facility was approved for fourteen (14) residents in total, of which all may be non-ambulatory, but none may be bedridden. The facility's fire clearance did not include delayed-egress door or secured perimeter endorsements, and neither were present during today's visit. The submitted facility sketch was consistent with the current layout of the facility. During today’s visit, LPA, accompanied by the applicant’s representative, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order. The facility’s ambient internal temperature was compliant at 72 degrees F. Hot water temperature at taps accessible to residents were also compliant: Kitchen sink was 107.4 F, Bathroom #1 sink was 110.8 F, Bathroom #2 sink was 112.6 F, and Bathroom #3 sink was 119 F. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for resident use. All kitchen appliances were in working order. Kitchen Refrigerator temperatures were 39 F and 40 F, respectively. Kitchen Freezer temperatures were 0 F, 0 F, and 0 F, respectively. Medication Refrigerator temperature was 40 F. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. No pools or bodies of water were observed on the premises. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per the applicant’s representative, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. All fire extinguisher were serviced within the last twelve (12) months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. The items reviewed were complaint with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection. LPA also provided the Component III Training during today’s visit. Dr. Ramirez was advised that the facility’s application is pending management final review and approval. An exit interview was conducted with the applicant’s representative, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jul 11, 2024

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 14 Census (if any clients in care): 10 COMP II Participants: Carlos Ramirez, Applicant Interview Method: Telephone interview On June 24, 2024 at 3:00 PM, applicant participated in COMP II. Identification of the applicant was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. During COMP II, CAB analyst confirmed Applicant’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 Readiness Exit interview conducted with Applicant. Copy of report sent to applicant and request to return sign copy by end of business day today.the state’s words, verbatim · CDSS document, Jun 24, 2024