Daniel Residential Care Home

Type of visit: Required - 1 Year

On 05/29/2026, Licensing Program Analyst (LPA) Pang Lee conducted an annual inspection at Daniel Residential Care Home, LLC. Upon arrival, LPA Lee met with care staff Helen Agbiriogu and requested that she notify the facility Administrator Joyce Diala that Community Care Licensing Division (CCLD), LPA Lee were present to conduct the inspection. Care staff Agbiriogu assisted with the inspection. Approximately two and 30 minutes later, Administrator Diala arrived at the facility. LPA Lee and care staff Agbiriogu toured the physical plant to assess the health and safety of residents in care. Areas inspected included, but were not limited to, the kitchen, resident bedrooms, resident bathrooms, living room, dining room, and outdoor areas. During the inspection, LPA Lee observed that the facility was free of odor; however, facility was not maintained in a clean and sanitary condition. Several dining room chairs were observed with incontinence pads covering the seats. The pads appeared soiled, dirty, and unsanitary, creating a potential health and sanitation concern for residents. LPA Lee also observed that the emergency exit gate was difficult to open and not maintained in good repair. LPA Lee observed that all resident bedrooms were equipped with the required furnishings and adequate lighting. The facility maintained a public telephone in the common area and had the required postings displayed. The thermostat measured 73 degrees Fahrenheit, which is within the required range of 68 to 85 degrees Fahrenheit. During the kitchen inspection, LPA Lee observed two kitchen knives stored in an unlocked dishwasher, making them accessible to residents. In the laundry room, which was unlocked and later observed standing open, LPA Lee observed toxin and a knife made accessible in the laundry room. Multiple paint cans were also observed in the garage. CONTINUED LIC 809-C Because both the laundry room and garage doors were unlocked, hazardous items, including sharp objects and toxic substances, were readily accessible to residents. LPA Lee advised Administrator Diala that all knives, toxins, and hazardous materials must be stored in a locked location and remain inaccessible to residents at all times. Medication storage was inspected and found to be locked and inaccessible to residents. The hot water temperature in the resident bathroom measured 106.3 degrees Fahrenheit, which is within the required range of 105 to 120 degrees Fahrenheit. The facility maintained the required seven-day supply of nonperishable food and two-day supply of perishable food. Fire extinguishers, smoke detectors, and carbon monoxide detectors were observed to be in compliance. The fire extinguisher was purchased on 12/10/2025, and proof of purchase was attached. Grab bars in the bathrooms were observed to be secure and in good repair. The resident shower contained a textured non-slip shower base; however, testing revealed that the surface had become slippery due to deterioration of the texture. LPA Lee advised the facility to have additional non-slip mats to reduce the risk of falls. While inspecting the courtyard, LPA Lee observed three garbage bags filled with recyclable water bottles, a television, an exercise machine, and two tables stored along the side of the facility. Although these items did not completely block the emergency exit gate, they partially obstructed the pathway and could impede emergency access if emergency medical services were needed. LPA Lee advised Administrator Diala that all emergency exits and pathways must remain clear and unobstructed at all times. Administrator Diala stated the items would be removed. During the inspection, LPA Lee learned that the facility is fire-cleared for non-ambulatory residents in bedrooms 1 and 3, while bedroom 2 is approved for ambulatory residents only. Based on records reviewed and interviews conducted with care staff Agbiriogu and Administrator Diala, Resident 1 (R1) resides in bedroom 2. According to R1’s LIC 602 Physician’s Report dated 05/15/2025, R1 is non-ambulatory and should not be in room 2 as room 2 is not fire cleared for non-ambulatory residents. Administrator Diala stated that R1 was previously sharing bedroom 3 with another resident; however, resident 2 (R2) complained about R1 was taking their belongings, resulting in R1 being moved to bedroom 2. As a result, the facility is operating outside of its approved fire clearance by housing a non-ambulatory resident in a room designated for ambulatory residents only. Per Adiministrator Diala, R1 will be moved back to room 3. LPA Lee conducted a medication audit for four of four residents by comparing medications on hand to the Medication Administration Records (MARs). The medication review revealed discrepancies. CONTINUED LIC 809-C R2 had two PRN medications, Melatonin 3 mg and Equate Stool Softener 100 mg, stored in the resident's medication container. According to the MAR, both medications were administered from 05/01/2026 through 05/28/2026; however, the facility was unable to provide physician orders authorizing the use of these medications. LPA Lee reviewed four of four resident files and found them to be complete. Three staff files were also reviewed and found to be incomplete. Based on interviews with Administrator Diala, the facility was unable to provide documentation showing that 20 hours of continual staff training was completed during calendar year 2025. Additionally, a review of staff records revealed that two staff members had expired First Aid/CPR certifications. One certification expired on 07/17/2023 and the second expired on 04/21/2026. The following documents will be email to LPA by 06/5/2026 end of day 5:00 PM: (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (4) LIC 610 Current Emergency Disaster Plan (5) Proof of Current Liability Insurance (6) LIC 500 Current Personnel Report An immediate penalty was assessed today in the amount $500 due to 87204 Limitations - Capacity and Ambulatory Status. As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiency can be found on the LIC 809-D page. An exit interview was conducted with Administrator Diala and a copy of these LIC 809 reports, LIC 809-D page, LIC 421 IM and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, May 29, 2026

The state marks this report as 10 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 05/01/25 Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with care staff Helen Agbiriogu and Irene Iberi and explained the purpose of the visit. Care staff called the facility designated administrator (FDA) Joyce Diala to informed that CCLD was present in the facility. FDA arrived approximately an hour later. Care staff and administrator assisted with today’s visit. Administrator certificate # is 6035237740 and will expire on 08/05/25. The current census is 5 with 2 facility staff. The facility is a single-story building licensed to serve six (6) residents. Rooms 1 and 3 are approved for non-ambulatory residents, while room 2 is designated for ambulatory residents only. LPA Lee conducted an inspection of the physical plant, including but not limited to the common areas, kitchen, dining area, resident bedrooms and bathrooms, laundry room, garage and outdoor courtyards, to ensure compliance with Title 22 regulations. The facility was observed to be clean, odor-free, and in good repair. Resident bedrooms were properly furnished with appropriate bedding and adequate lighting. No bodies of water were observed on the premises. During the kitchen tour, LPA Lee observed a sufficient supply of food, including a seven-day supply of non-perishable and a two-day supply of perishable items. The hot water temperature in the resident bathroom sink measured 110.3°F, which falls within the regulatory range of 105°F to 120°F. Grab bars and non-slip mats in the bathrooms were secure and in good condition. Smoke and carbon monoxide detectors were found to be operational and in compliance with fire safety requirements. The facility's fire extinguisher, located in the hallway, was purchased on 10/27/24. Per administrator Diala, the last fire drill was conducted on in April 2025 and that it was not documented. LPA Lee advised that fire drill needs to be conducted every 3 month and should be documented. Continued LIC 809-C A public telephone is available in the common area, and all required documents and postings were visibly displayed; however, LPA Lee observed PUB 475 poster is not the correct sized and LPA Lee advised administrator that the poster needs to be in the size of 20” by 26”. The facility thermostat was set to 73°F at the time of the inspection. Toxic cleaning agents were stored in a locked hallway closet, inaccessible to residents. Sharp knives were observed secured in a locked cabinet. Medications were stored securely and were inaccessible to residents. LPA Lee reviewed medications for all six (5) residents and verified that the medication administration records (MARs) were complete and accurate. The first aid kit was inspected and contained all required supplies. Resident and staff files were requested and reviewed. All six (5) resident files were found to be complete. LPA Lee reviewed staff 1 (S1)’s file and it was not complete. S1 did not have current 20 hours of continual training, and first aid/CPR certificate had expired. LPA Lee requested to review the administrator’s file, and it was learned that the administrator’s file is not at the facility; therefore, LPA Lee was not to review the administrator’s file. A review of staff records confirmed that all individuals requiring background checks were fingerprint cleared and associated with the facility. The following documents will be email to LPA by 05/08/25 end of day 5:00 PM: (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (4) LIC 610 Current Emergency Disaster Plan (5) Proof of Current Liability Insurance (6) LIC 500 Current Personnel Report As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiency can be found on the LIC 809-D page. An exit interview was conducted with administrator Diala and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, May 1, 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 05/21/2024 at 12:48 PM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with direct care giver, Helen Agbiriogu and Irene Iberi who then called administrator Joyce Diala to informed that CCLD is present. Administrator stated that she won’t be able to join the visit. LPA Lee explained the purpose of today’s visit. Administrator Certificate # 6035237740 expires on 08/05/2025. The current census is 6 with 2 facility staff. This facility is a single story building licensed to served six (6) residents. Room 1 and 3 are cleared for non-ambulatory residents and room 2 are cleared for ambulatory residents. LPA Lee inspected the physical plant including but not limited to the common area, kitchen, dining area, residents’ bedrooms, residents’ bathrooms, laundry room, staff room, garage, and outside courtyards of the facility to ensure compliance with Title 22 regulations. It was observed the facility was free of odor and clean. LPA Lee observed in resident bedroom # 3 the sliding screen door was not in good repair. LPA Lee observed care staff Helen tried to put the screen back on the rail and was not able to put the sliding screen back on. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA Lee toured the kitchen and observed the facility had sufficient seven-day non-perishable food supplies. It was observed that two-day perishable food supplies were not sufficient for 6 residents in care. Hot water temperature was measured at 1110.2 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Grab bars and non-slip mat were observed to be stable and in good repair at this time. Continued LIC 809-C Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located in the hallway and was last serviced on 07/17/2024. LPA Lee observed the facility has a has a public telephone in the common area and the facility has the required posters posted. Facility thermostat observed at 73 degrees Fahrenheit. LPA Lee observed toxins located in the hallway closet and kept locked and inaccessible to residents. LPA Lee observed sharp knives kept locked and inaccessible to residents. LPA Lee checked medication storage and found medication to be locked away and inaccessible to residents. LPA Lee reviewed and compared 3 out 6 medication administration record (MAR) along with residents’ medications. Records reviewed indicated that resident 1 (R1) Quetiapine 25 MG medication not stored in its originally received container. The instruction for the medication is to take one-half tablet by mouth. It was learned that care staff pre-cut the tablet and stored the half tablets in an extra container and created a label for the Quetiapine medication. LPA Lee asked to inspect the facility’s first aid kit and care staff were not able to provide LPA Lee the first aid kit other than bandages. LPA Lee requested resident and staff files for review. LPA Lee reviewed 5 out of 6 resident files and based on record review (R2) and (R3) diagnosed with dementia does not have a current LIC 602 Physician Report in their files. LPA Lee reviewed 2 staff files and they were complete. LPA Lee also requested to review administrator Joyce Diala’s file, and it was learned that facility staff was not able to be located administrator's file. A brief interview was conducted with administrator Diala, who stated that she is not sure why her file is not at the facility and will follow-up on her file. LPA Lee reviewed staff criminal record clearances and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. The following documents will be email to LPA Lee (pang.lee@dss.ca.gov) by 05/31/2024 by 5:00 PM by end of day: (1) LIC 308 Designation of Administrative Responsibility (2) LIC 500 Personnel Report (3) Copy of Administrator Certificate (4) LIC 610 Emergency Disaster Plan (5) Proof of Current Liability Insurance As a result of this annual visit, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809 D page. An exit interview was conducted, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.the state’s words, verbatim · CDSS document, May 21, 2024