Cornerstone Senior Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Administrator Evelyn Cabales. The facility's license shows a maximum capacity of five (5) non-ambulatory residents. Hospice waiver for five. During today’s inspection there were four (4) residents in care. LPA with Administrator Cabales toured the interior and exterior of the facility and inspected each room. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Cabales, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed facility records. Review of resident records revealed that Resident #1 (R1) had a prohibited health condition, a gastrostomy tube. Furthermore, records reviewed revealed that Resident #2 (R2) did not have the results of a tuberculosis test on file. Confidential records were stored in locked areas. Two (2) deficiencies were cited per California Code of Regulation, Title 22. A plan of correction was jointly formulated, and an exit interview was conducted with Administrator Evelyn Cabales whom a copy of this report, LIC809-C, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Feb 2, 2026

Type of visit: Required - 1 Year

On 02/12/2025 at 11:45 AM, Licensing Program Analysts (LPAs) Melody Brown and Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs Brown and Serrano met with a Administrator Evelyn Cabales and was granted entry to the facility. At the time of the visit there were two (_2_) staff present, and three (_3_) residents present.LPAs Brown and Serrano explained the purpose of the visit to Administrator. The facility is a Five () bedroom, three (3) bathroom home with a kitchen/dining area, living room, activity room and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of five (5) residents of which five (5) can be non-ambulatory. The facility has five (5) Hospice Waiver. The current census is three (3) residents. LPAs Brown and Serrano was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPAs Brown and Serrano observed no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 78 degrees Fahrenheit. LPAs Brown and Serrano inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA Brown observed sufficient lightning. Moreover, LPAs Brown and Serrano observed that bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms. LPA observed that the loft on the second floor was converted into a bedroom. Deficiency will be issued. Also, LPAs Brown and Serrano observed Resident #1 (R1), Resident #2 (R2), Resident #3 (R3 have half bed rails. Administrator Cabales reported to LPAs Brown and Serrano that R1, R2, R3 does not have written order from their physician indicating the need for half bed rail for mobility. Deficiency will be issued. ***Continuation in LIC809C *** Moreover, during the tour of the facility, LPAs Brown and Serrano observed sufficient furniture and lighting throughout the facility. LPA Serrano measured and observed the water temperature in the bathroom to be at 111.3 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCLD complaint poster, Ombudsman Poster and the Emergency Disaster plan were posted in a common area. Furthermore, during the tour of the facility, LPAs Brown and Serrano observed the sharps and chemicals locked in kitchen cabinets, inaccessible to residents in care. There is a designated storage space for resident/staff files. The resident’s medications is locked in the medication drawer inaccessible to resident in care. Yards/Outside: One shaded patio, one (1) side gate with self-latching handle on the right side of the house that leads into the backyard, attached two (2) car garage observed. All outdoor pathways were free of obstructions. Food Service: Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. LPA observed that the facility do not have the 72 hour emergency food and supplies ready to go in case of a disaster. Deficiency will be issued. Care & Supervision: The facility has an administrator present during the visit. LPAs Brown and Serrano observed sufficient number of staff to provide care and supervision to the residents in care. No dementia residents observed at the facility. Record Review: LPAs reviewed resident #1 (R1) resident#3 (R3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed that the admission agreement for R1 was not signed and dated by the licensee/designee and R3 pre-placement appraisal was not signed and dated by the representative. LPAs observed during medication audit that R3 that one (1) medication was not given for 2 days. Deficiency will be issued. ***Continuation in LIC809C *** LPAs reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) test results. LPAs found that Staff #2 (S2) does not have an updated first aid certification and health screening. Deficiency will be issued. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and Appeal Rights were discussed and provided to Administrator Evelyn Cabales.the state’s words, verbatim · CDSS document, Feb 12, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Sandra Reeves and was granted entry to the facility. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of five (5) non-ambulatory residents. The current census is five (5) residents. LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to interior and exterior passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperature in the bathrooms to be at 110.3 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Postings such as the facility license, personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident files and staff files. Medications are kept inside a filing cabinet in the kitchen inaccessible to residents. Non-perishable and perishable food supply is sufficient for the residents in care. LPA reviewed four (4) residents files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed three (3) staff files for First Aid/CPR certifications, criminal record clearances, trainings, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Sandra Reeves.the state’s words, verbatim · CDSS document, Feb 6, 2024