Ctr Home Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Sarina Ramirez and Rima Corona made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with Administrator Apolinario Perez, 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 (5). LPA 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 does not have a swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) resident bathrooms measured between 108 and 113 degrees F. Four (4) resident’s bedrooms had beds, bed linen, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, administrator certificate, facility sketch, menu, resident rights, emergency disaster plan with emergency telephone numbers, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care, LPA observed expired canned foods; deficiency issued. Sharps were kept locked, however chemicals were not, deficiency issued. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. S5 did not have a fingerprint clearance from CCLD, deficiency issued. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. Staff are providing ointment to R3 without a prescription from physician, deficiency issued. Record Review: Four (4) Staff files reviewed were observed to be complete. Five (5) Resident files reviewed were observed to be complete. Based on observations and record review deficiencies was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along with LIC 809D, LIC421BG and appeal rights were discussed and copies provided to Administrator Apolinario Perez.the state’s words, verbatim · CDSS document, Jan 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Apolinario Perez, 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 (5). LPA 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 does not have a swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) resident bathrooms measured between 106 and 107 degrees F. Four (4) resident’s bedrooms had beds, bed linen, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, administrator certificate, facility sketch, activity schedule, menu, resident rights, emergency telephone numbers, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: 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. Record Review: Four (4) Staff files reviewed were observed to be incomplete, Staff #1 and #2 do not have health screenings; deficiency will be issued. Three (3) Resident files reviewed were observed to be complete. Based on observations and record review deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along with LIC 809D and appeal rights were discussed and copies provided to Administrator Apolinario Perez.the state’s words, verbatim · CDSS document, Jan 7, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Apolinario Perez, Licensee, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6) and a current census of (4) residents in care. The facility has a hospice waiver for (3) residents. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways are free of obstruction. The facility has no bodies of water accessible to residents in care. The facility is maintained at a comfortable temperature and has sufficient lighting, and indoor space for resident activities. The facility backyard is fenced and sufficient for resident activities. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured between 106- and 111-degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms and telephone service. 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, resident's personal rights, disaster evacuation plan and emergency telephone numbers. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Sharps, pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision: Facility has 24-hour, 7 days a week care support staff. Record Review: Licensees' Administrator’s certification expires on 3/17/2024. (4) staff files were reviewed. Staff record review reveals, the facility did not maintain records of First Aid/CPR training and completed health screening for staff #1 (S1) and staff #2 (S2). Resident record reviews reveals, the facility did not maintain completed preplacement appraisals for resident #1 (R1) and resident #2 (R2). Medical Related Services: Facility has complete First Aid kits with manual. All medication is centrally stored and kept in a locked cabinet. Based on LPA observations and record review, deficiencies are being cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where reports LIC809, LIC809-C, LIC809D, and LIC9102 were discussed. Copies of the reports with Appeal Rights were provided to the Licensee at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 5, 2024

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.