Desert Horizon Residential Care II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Ajanae Clark and introduced self and stated purpose of the visit. Ajanae phone called Licensee, Angela Breedlove and informed her about the visit and responded that she would arrive shortly. LPA was informed that there are currently 6 residents in care who are in the facility. The facility has (5) resident bedrooms, (3) resident bathrooms, living room, dining area, kitchen, pantry, laundry room, backyard, attached garage and side casita with bedroom and bathroom for storage. LPA completed a walk through of facility, review of records and medication audit. 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 of 75 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 112 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman and emergency disaster plans were posted in a common area. There was a designated storage space for resident/staff files. Medications, sharps and chemicals were observed secured and inaccessible to residents. There are no guns, ammunition, swimming pool or bodies of water in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard, and a casita with a bedroom and bath for storage. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were audited at random and appeared to be managed appropriately by staff. LPA reviewed the facility's files for emergency disaster plan, infection control plan, liability insurance and emergency drills. No deficiencies were cited during this visit. An exit interview was conducted where this report LIC809 and LIC809C were discussed and copies were provided to the Licensee, Angela Breedlove who arrived later.the state’s words, verbatim · CDSS document, Sep 14, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced visit to this facility to discuss a death report that was received by the Department on 06/17/25. LPA met with Staff, Bria Sheriff. During today's visit, LPA performed a health and safety check, and reviewed records. No deficiencies were cited during today's visit. An exit interview was conducted where a copy of this report was provided to Licensee, Angela Breedlove who later arrived.the state’s words, verbatim · CDSS document, Oct 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Bria Sheriff and introduced self and stated purpose of the visit. LPA was informed that there are currently 3 residents in care who are in the facility and 1 resident in rehabilitation. The facility has (5) resident bedrooms, (3) resident bathrooms, living room, dining area, kitchen, pantry, laundry room, backyard, attached garage and side casita with bedroom and bathroom for staff. LPA completed a walk through of facility, review of records and medication audit. 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 of 74 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 107 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman and emergency disaster plans were posted in a common area. There was a designated storage space for resident/staff files. Medications, sharps and chemicals were observed secured and inaccessible to residents. There are no guns, ammunition, swimming pool or bodies of water in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard, and a casita with a bedroom and bath for staff. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were audited at random and appeared to not be managed appropriately by staff. LPA observed staff not assisting with medications as needed by transferring medication from its original container, missing initials on MARS after administering, and not obtaining refills on time. Deficiency issued. LPA reviewed the facility's files for emergency disaster plan, infection control plan, liability insurance and emergency drills. LPA observed that the facility did not have emergency kits for the residents in care. Deficiency issued. Deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, and appeal rights were discussed and copies were provided to the Licensee, Angela Breedlove who arrived later.the state’s words, verbatim · CDSS document, Oct 10, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced visit to this facility to initiate an investigation of complaint number: 56-AS-20250317111028. LPA met with Caregiver, Bria Sheriff. During today's visit, LPA attempted to review and collect documents and was not able to since Administrator was out of town and staff present did not have access. Deficiency issued. This poses a potential health and safety risk to residents in care. Refer to LIC 809D for deficiency cited. An exit interview was conducted where this report, LIC809, LIC809D, and appeal rights were discussed with and provided to Caregiver, Bria Sheriff.the state’s words, verbatim · CDSS document, Mar 20, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87755(c) · Plan of correction due date: Mar 24, 2025

87755(c) Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours....and 87508(b) This requirement is not met as evidenced by: Based on observation and interview, the administrator did not comply with the section cited above by not having records available for the LPA to audit and collect which poses a potential health, safety and personnal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 20, 2025

Plan of correction: Administrator stated that she will submit the requested records to the LPA via email by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Bria Sheriff and introduced self and stated purpose of the visit. LPA was informed that there are currently 5 residents in care who are in the facility. The facility has (5) resident bedrooms, (3) resident bathrooms, living room, dining area, kitchen, pantry, laundry room, backyard, attached garage and side casita with bedroom and bathroom for staff. LPA completed a walk through of facility, review of records and medication audit. 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 of 77 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 112.3 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman and emergency disaster plans were posted in a common area. LPA observed a knife left in sink, 2 scissors in kitchen drawers, medication delivered on 9/18 inside the desk drawer, stool softener on top of desk, razors inside hallway cabinet, and detergent in cabinets all made accessible. Deficiency issued. There was a designated storage space for resident/staff files. Medications were observed secured and inaccessible to residents. There are no guns, ammunition, swimming pool or bodies of water in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a wide variety of food available for residents. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard, and a casita with a bedroom and bath for staff. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed staff and administrator's file for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff. The facility last conducted a drill on 7/14/24 . One deficiency and one technical violation were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102TV and appeal rights were discussed and copies were provided to the Licensee, Angela Breedlove who arrived later.the state’s words, verbatim · CDSS document, Oct 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.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michelle Echeverria , arrived at Desert Horizon Residential Care II , to conduct an announced Pre-Licensing visit for licensure. LPA was greeted by Licensee, Angela Breedlove. LPA introduced self and stated purpose of the visit. LIC200 application was submitted on 09/25/23 for (5) non-ambulatory residents and (1) bedridden resident. Fire Safety Inspection clearance was granted for (5) non-ambulatory residents and (1) bedridden resident on 06/05/23. LPA toured the facility inside and outside and observed the following: Structure: Facility is a one story house with (5) resident bedrooms, (3) resident bathrooms, living room, dining area, kitchen, pantry, laundry room, backyard, attached garage and side casita with bedroom and bathroom for staff. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house. Bedrooms: Each resident bedroom accommodates one non-ambulatory resident except for bedroom #5 which accommodates one bedridden and one non-ambulatory residents. Bathrooms: The resident bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives, sharps, detergent and chemicals are stored in a locked cabinets. There was a pantry stocked with non-perishable food and perishable food found in the refrigerator. LPA observed the stove to be operational. Refrigerator/freezer were in working condition. Water tested in the kitchen faucet measured at 106.6 degrees fahrenheit. Laundry room has a functional washer and dryer. Living/Family room: There was a furnished living and family room with one enclosed fireplace, board games and tv observed. Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies stored in a cabinet. Yards/Outside: A self-latching handle gate on the left and right side of the house that leads into the backyard. There are no firearms, ammunition, swimming pool or bodies of water observed. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch, CCL complaint poster, house rules, personal rights and Emergency and Disaster Plan were observed posted in the living room. General items: The smoke and carbon monoxide detectors were tested and are operable. There was fully charged fire extinguishers observed. Resident/Staff records stored in a locked cabinet. First Aid kit with required components, and locked area for medication storage was observed. LPA observed a facility phone and was operational as evidenced by LPA dialing the number. The phone number designated for the facility is 760-596-0704. Pre-Licensing and Component III are complete and facility is ready for licensure. An exit interview was conducted, and this report was discussed and provided to Licensee, Angela Breedlove.the state’s words, verbatim · CDSS document, Oct 18, 2023