Diamond Bar RCFE

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Bennette Pena conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPA met with the applicant, Lilyvi Santos and assisted with the visit. Shortly after, Shelly Yamashiro arrived to assist LPA. LPA used the Compliance and Regulatory Enforcement (CARE) tools for the visit today and the following was inspected during the evaluation. Infection Control: The Infection Control Plan has been submitted to CCL and the CAB Analyst. The facility has Infection Control Training Plan. Operational Requirements: The facility has a fire clearance granted by the City of Whittier Fire Department. Fire clearance granted for (5) non ambulatory residents and (1) bedridden in Room #4 only. Liability insurance is current and expires on 03/01/2027. Facility does not handle cash resources for the residents. Telephone is easily accessible and available for residents'' use. Physical Plant and Environment Safety: The facility is a single story house and located in a neighborhood area. The facility consists of living room, activity room, (6) resident bedrooms, (1) staff bedroom, (3 1/2) bathrooms, dining area, kitchen, backyard with swimming pool and laundry area in the attached garage. There are (3) fire extinguishers which were purchased on 12/15/2025. Knives, cleaning solutions, and disinfectants are locked and inaccessible to residents. Hot water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Each bedroom has a smoke detector with the required furniture and sufficient closet space. Bathrooms have hygiene items such as hand soap, toilet paper and non skid mats. Facility has manual pull alarm fire system and combo smoke alarms and carbon monoxide which were tested and operable. Sufficient supply of linens available to permit weekly changing are available. Sufficient personal hygiene supply available. Kitchen cabinets, refrigerator/freezer, oven, microwave, dishwasher, laundry machines are in working condition, clean and sanitary. Doors, exits, hallways, and passageways were clear and free of obstruction. Hated swimming pool was observed in the backyard and has a shaded area and sitting area. Equipment and supplies for indoor activities was observed and available for use. ***CONTINUED ON LIC 809-C***** Staffing: The administrator has a current administrator certificate, expiring on 10/05/2027. Personnel Records-Training: Staff files are maintained at the facility and stored in a locked cabinet. Residents Rights-Information: Residents personal rights are posted. Facility provides internet service and telephone to the residents. Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. Food Service: Meals are prepared in a safe manner, necessary to meet the needs of the residents. Food storage and preparation areas, which include pantries, cupboards, drawers and counters were observed to be clean and appropriate for food preparation. Appliances such as a microwave, refrigerator and stove were observed to be clean and operating properly. Incidental M & D: The medications are centrally stored in a locked cabinet and in their original containers. The facility uses the Medication Administration Record (MAR) log to document medications given. A complete first aid kit is maintained. Resident Records-Incident Reports: Resident files are maintained at the facility and stored in a locked cabinet. Disaster Preparedness: The home has a complete Emergency and Disaster Preparedness Plan that includes, EVAC Procedures, Transportation arrangements, Location of all utility shut-off valves and instructions for use. There is a contact information list of local emergency response personnel, residents authorized representative or local emergency contact name. Residents with SHN: (2) residents receive hospice care and (2) are bedridden. Component III was conducted at the Pre-Licensing visit, information provided about how to operate the facility within substantial compliance. Facility met the physical plant requirements/ inspection as required. An exit interview was conducted, and a copy of this report has been furnished to the Applicants, Lilyvi Santos and Shelly Yamashiro. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Jun 29, 2026