Cuddle Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Administrator (AD) Nellie Mae Caudle. For today’s visit, LPA observed a total of one resident in care and two staff members on duty. LPA observed that the Administrator Certification Bureau (ACB) has received the AD Certificate renewal for AD Nellie Mae Caudle. LPA observed that the PUB475 "See Something, Say Something" poster was posted by the entryway. LPA Ramirez toured the interior and exterior portions of the facility with AD Caudle. The facility is a one story home and is licensed for five non-ambulatory residents, of which three may be on hospice. There are a total of four resident bedrooms and one staff bedroom. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and were kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of two restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested at 188.0 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged and located by the bedrooms' hallway. The fire extinguisher was last serviced on December 8, 2025. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan. Licensee was advised to use the updated Emergency Distaste Plan (LIC610E) dated December 2025. Facility had back-up emergency food and water supply. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. The medications are locked in a kitchen cabinet. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There is one gate in the backyard, which is both self-closing and self-latching. LPA observed a pool which fenced by a 5 feet height metal fence. During today's visit LPA observed the resident relaxing in their bedroom watching television and walking throughout the facility. LPA reviewed one resident file and two staff files. LPA interviewed residents and staff present. LPA observed that the Resident Appraisal for Resident 1 (R1) was last updated on January 16, 2024; a deficiency was issued today. For today's visit one deficiency was issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Caudle. A copy of this report and Appeal Rights were provided at the time of exit.the state’s words, verbatim · CDSS document, Aug 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) William Vanegas conducted an unannounced inspection for the purposes of completing an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Administrator (AD) Nellie Mai Caudle. LPA Vanegas explained the purpose of the inspection and being a tour of the facility LPA Vanegas observed the following. This is a one storied house with four bedrooms, and two bathrooms. There is an attached two car garage, and a large backyard in the facility. LPA Vanegas observed the kitchen area to be clean and free of any debris. LPA Vanegas observed a seven day supply of non-perishable foods, and a two day supply of perishable foods LPA Vanegas also observed a sufficient amount of emergency water. LPA Vanegas observed an electric stove, refrigerator, microwave, dishwasher, washer, and dryer that all appeared in good repair, and tested operational. LPA Vanegas observed all fire extinguishers to be fully charge and up to date. LPA Vanegas observed smoke and carbon monoxide detectors to be in good repair and operational. LPA Vanegas observed all resident rooms to be clean and free of any debris. LPA Vanegas observed all resident rooms to have required furnishings such as chest drawers, a bed, clean linens in good repair; meaning no strains or tears, enough storage space to store personal belongings, and a reading lamp. LPA Vanegas observed resident bathrooms to have all required furnishings such as a shower chair, slip resistant floor matts, and grab bars. Water faucets and toilets tested operational. Water temperature tested between 112.8 and 113.0 degrees. CONTINUED ON LIC809C LPA Vanegas observed the out side of the facility to have a large back yard, and a pool that is fully fenced. The fence measured to be 4ft and 9in. The gaps in between the fence measured to be 5in apart. The pool gate was locked and when open the door swings into the pool area. LPA Vanegas observed some items that are to be discarded in the backyard, and along the exit routes. An advisory note was issued to discard of these items as soon as possible. Side doors are self latching and unlocked LPA Vanegas observed first aid kit to have all required items. LPA Vanegas observed one staff files, and two resident files all resident files consisted of all required forms. However staff on duty was unable to present their first aid and cpr training, and the annual training was not provided for review.LPA Vanegas observed medications with AD and per LPA Vanegas review all medications are being documented correctly and being administered per physicians orders. Based on observations made during today's inspection no deficiencies will be issued per title 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with AD Nellie Mai Caudle, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jun 13, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility administrator Nellie Mae Caudle after introducing himself and stating the reason of the visit. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a one story home with four private bedrooms and one staff room in addition to the facility's common living areas and two bathrooms, one of which is en-suite. All resident bedrooms have the required furnishings. LPA observed all beds have linens and blankets. Postural supports observed in one room and physician orders verified to be on file. There are currently two residents admitted to the facility with one receiving hospice care. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Fire drills are conducted quarterly. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Smoke and carbon monoxide detectors tested operational. Fire extinguishers present are observed to be fully charged with up-to-date maintenance. Medication, sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed two resident files and two staff files. One resident and one staff interview were conducted during the visit. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Based on staff records reviewed and interview with the administrator, it was confirmed that the cardio-pulmonary resuscitation training for both employees had lapsed and will need to be renewed. The facility's professional liability insurance is also stated to have lapsed and will need to be renewed. One admission agreement reviewed was found to be missing the resident's signature and was signed during the present visit. Based on the observations made during today’s inspection, two type B deficiencies and one technical assistance advisory note are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Aug 9, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.