Crown Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Mary Rico and Matthew Aguilar made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with staff Melchora Galo and was granted entry to the facility. The facility is a (4) bedroom, (2), bathroom home, with a kitchen/dining area, living room, and attached garage. Licensed capacity is (6) current census (3). LPA was accompanied by Administrator Francis Mae Galo 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 (CCL). There are no obstructions to indoor and outdoor 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. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as 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. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents . Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (3) resident file for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal records, and staff training. Medication Audit : During medication audit, LPA observed all residents medication log was pre documented for the month of July 2026. LPA advised that medication should not be logged until the medication has been given. All medications shall be maintained in compliance with state and federal laws. Based on the observations made during today’s visit, one (1) deficiency were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809)(LIC809D) was discussed and provided to Administrator Francis Mae Galo. Along with a copy of Appeal Rights.the state’s words, verbatim · CDSS document, Jul 3, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Administrator Francis Mae Galo and was granted entry to the facility. The facility is a (4) bedroom, (2), bathroom home, with a kitchen/dining area, living room, and attached garage. Licensed capacity is (6) current census (4). LPA was accompanied by Administrator Francis Mae Galo 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 (CCL). There are no obstructions to indoor and outdoor 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. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as 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. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents . Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (2) resident file for admission agreements, updated physician reports, and needs and services plans. LPA also verified (2) resident's medications. LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screening. 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 Francis Mae Galo. .the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Sarina Ramirez and Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with Administrator Mae Galo, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6), a current census of (3) residents in care and a hospice waiver for (3). LPAs conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pools or similar bodies of water. Outdoor shaded area is sufficient for resident activities and is enclosed with a self-latching gates. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has operating smoke detectors and carbon monoxide alarms and telephone service. Resident’s showers, toilets, and hand washing areas were operating in a safe and sanitary conditions. The hot water temperature in resident bathrooms measured at 108.4 and 108.8 degrees F. Four (4) resident’s bedrooms had beds, bed linen, chairs, storage space and sufficient lighting. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, facility license, facility sketch, disaster evacuation plan, emergency telephone numbers, activity calendar, and weekly menu. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps, disinfectants, and cleaning solutions were kept locked and inaccessible to residents in care. Continuation LIC809-C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. The facility has sufficient first aid supplies. Record Review: The Licensees' Administrator's certification is current. The facility’s last fire drill was conducted in July 2024. Three (3) Staff files reviewed were observed to be complete. LPAs review of (3) resident files observed to be complete. Based on observations and record review, no technical violations or deficiencies were cited per Title 22, of The California Code of Regulations. An exit interview was conducted where this report was discussed and copies were provided to Administrator Galo at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 19, 2024