Diana's Marian Res. Care Facility 1

Type of visit: Required - 1 Year

On 12/17/2025 at 9:20 am Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility to conduct an unannounced one (1) year inspection. LPA was greeted by Administrator Diana Soriano, LPA explained the reason for the visit and an entrance interview was conducted. INFECTION CONTROL and EMERGENCY PREPAREDNESS PLAN: LPA reviewed facility Infection Control Plan and Emergency Preparedness Plan to make sure facility is following protocols. A tour of the physical plant was conducted with the Administrator at 09:45 am. The facility has four (4) bedrooms and two (2) bathrooms. It is currently occupied by three (3) clients. One (1) bedroom and one (1) bathroom are designated for staff use only. Kitchen: LPA conducted a tour of the kitchen at 09:45 am and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. Medication and knives are stored in locked cabinets. First aid kit furnished and fully equipped. Common Areas: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 72°F. LPA observed staff and client files locked in the filing cabinet. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 10:00 am. There are three (3) fire extinguishers located in the kitchen, hallway, and garage. The fire extinguishers were observed to be full and last serviced on 04/11/2025. Continued on LIC809-C Bedrooms: LPA observed rooms to have the appropriate bedding. There is a nightstand and sufficient lighting for each resident. LPA observed sufficient linens and towels in the hallway closet. All windows had adequate screens and egress was functioning in all the rooms. Bathrooms: LPA observed bathroom to have the appropriated wash your hands signs posted. The bathroom was clean, with soap and paper towels for residents. Hot water was tested in the resident bathroom and measured 116.4˚F. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. The gate was unlocked and easily accessible. The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility has a patio and backyard furniture. The facility backyard has sufficient yard space to accommodate outdoor activities. There are no bodies of water. Garage: Garage entrance was locked and secure. Garage contains PPE equipment, laundry area and a freezer that has plenty of frozen food that was wrapped and stored appropriately. There is a storage area with additional canned items along with emergency food. Chemicals and household supplies were locked and stored in a locked cabinet in the garage. Administrative: LPA collected LIC500, liability insurance, administrator certificate and resident roster. Annual fees are not due yet, however LPA provided PIN to Administrator. Medications: At 10:30 am LPA and Administrator reviewed medication and records for proper documentation. Staff and Resident Files: LPA conducted a file review of resident records at 10:45 am. Staff and Resident Interviews: LPA interviewed staff and residents at 11:45 am. No deficiencies cited. Exit interview conducted, and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Dec 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility at 09:15 am. LPA was greeted by staff who called Administrator Diana Soriano to advise that LPA was present. Administrator arrived shortly after. A tour of the physical plant was conducted with the Administrator at 09:45 am. The facility has four (4) bedrooms and two (2) bathrooms. It is currently occupied by four (4) clients. One (1) bedroom and one (1) bathroom are designated for staff use only. Infection control: LPA reviewed facility infection control plan (approved on 06/08/2022) to make sure licensee was following current infection control recommendations. Kitchen: LPA conducted a tour of the kitchen at 10:00 am and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. Medication and knives are stored in locked cabinets. First aid kit furnished and fully equipped. Common Areas: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 71°F. LPA observed staff and client files locked in the filing cabinet in the office. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 10:10 am. There are three (3) fire extinguishers located in the kitchen, hallway, and garage. The fire extinguishers were observed to be full and last serviced on 04/03/2024. Continued on LIC809-C Bedrooms: LPA observed rooms to have the appropriate bedding. There is a nightstand and sufficient lighting for each client. LPA observed sufficient linens and towels in the hallway closet. All windows had adequate screens and egress was functioning in all the rooms. Bathrooms: LPA observed bathroom to have the appropriated wash your hands signs posted. The bathroom was clean, with soap and paper towels for clients. Hot water was tested in the client bathroom and measured 119.4 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. The gate was unlocked and easily accessible. There is a covered patio. Garage entrance was locked and secure. Garage contains PPE equipment, laundry area and a freezer that has plenty of frozen food that was wrapped and stored appropriately. There is a storage area with additional canned items along with emergency food. Chemicals and household supplies were locked and stored in a locked cabinet in the garage. Administrative: LPA collected LIC500, Liability insurance, Administrator certificate and resident roster. Annual fees are not current. LPA provided PIN to Administrator and the fees were paid during the visit. Staff and Resident Interviews: LPA interviewed residents at 11:00 am. LPA interviewed staff at 11:30 am. Staff Files: LPA conducted a file review of resident records at 12:05 pm. Resident Files: LPA conducted a file review of staff records at 12:30 pm. Medications: At 01:05 pm LPA and staff reviewed medication and medication records for proper documentation. No deficiencies were observed, an exit interview was conducted, and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Dec 11, 2024

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Lorena Casillas and Melissa Spaeth arrived at the facility at 10:00 am. LPAs were greeted by Administrator Diana Soriano. A tour of the physical plant was conducted with the Administrator at 10:30 am. The facility has four (4) bedrooms and two (2) bathrooms. It is currently occupied by five (5) clients. One (1) bedroom and one (1) bathroom are designated for staff use only. Infection control: LPAs reviewed facility infection control plan (approved on 03/20/2021) to make sure licensee was following current infection control recommendations. Kitchen: LPAs conducted a tour of the kitchen around 10:35 am and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Medication and knives stored in locked cabinets. First aid kit furnished and fully equipped. Living/dining/family: LPAs observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 69°F. LPAs observed staff and client files locked in the filing cabinet. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 10:50 am. There is one (1) fire extinguisher located in the kitchen. The Fire extinguisher was observed to be full and last serviced on 04/04/2023. Bedrooms: LPAs observed rooms to have the appropriate bedding. There is a nightstand and sufficient lighting for each client. LPAs observed sufficient linens and towels in the hallway closet. Continued.... Bathrooms: LPAs observed bathroom to have the appropriated wash your hands signs posted. The bathroom was clean, with soap and paper towels for clients. Hot water was tested at 10:54 am in the client bathroom 119.2 degrees Fahrenheit. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. The gate was unlocked and easily accessible. There is a covered patio and furniture for clients. Garage entrance was locked and secure. Garage contains PPE equipment, laundry area and a freezer that has plenty of frozen food that was wrapped and stored appropriately. There is a storage area with additional canned items along with emergency food and water. Chemicals and household supplies locked and stored in locked cabinet in the garage. Administrative: LPAs collected the LIC.500 and resident roster. Annual fees are current. Resident Files: LPAs conducted a file review of resident records to ensure compliance of licensing forms at 10:50 am. Staff Files: LPAs conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms at 11:15 am. Medications: At 11:30 am LPAs and staff reviewed medication and medication records for proper documentation. No deficiencies were observed, an exit interview was conducted, and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Nov 22, 2023