Diaz Residential Care Home

Type of visit: POC

On April 15, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced plan of correction visit (POC) visit. LPA met with Administrator, Maria Diaz and explained the purpose of the visit. On 3/27/26, LPA Curley conducted an unannounced annual inspection. LPA issued a deficiency for CCR 87608(a)(3) Postural Supports because all four residents at the facility had bed rails with no physician's order. The plan of correction was due on 3/28/26, however the Administrator failed to provide LPA the plan of correction. The Administrator did not ask LPA for an extension to submit the plan of correction. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. A civil penalty of $250.00 is being issued during the visit for a repeat citation within 12 months. Deficiency was cited on 3/27/26. This report is reviewed and discussed with the Administrator; a copy is provided.the state’s words, verbatim · CDSS document, Apr 15, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87608(a)(3) · Plan of correction due date: Apr 16, 2026

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record... This requirement is not met as evidenced by: Based on observations and record reviewed, all four residents at the facility had bed rails with no physician's order which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 15, 2026

Plan of correction: Licensee/administrator shall remove all bed rails by 4/16/26. Licensee/administrator shall submit copies of physician's orders for the half rails for residents if administrator wants to place bed-rails for residents. A civil penalty of $250.00 is being issued during the visit for a repeat citation within 12 months. Deficiency was cited on 3/27/26.

Type of visit: Required - 1 Year

On March 27, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual visit. LPA met with Administrator, Maria Diaz and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are 5 bedrooms; 3 resident rooms (currently one vacant room) all of which are shared rooms, and 2 staff rooms. Resident rooms were observed to be clean with all required furniture. LPA observed all 4 residents at the facility to have bed rails with no physician's order for it. Two full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 108-110 degrees F. Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Chemicals were observed to be locked. LPA observed insulin and sharps to be unlocked and accessible, however caregiver immediately locked it in LPAs presence. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of July 2025. Emergency drills are logged and done every 3 month. LPA reviewed 4 resident records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the Administrator; a copy is provided.the state’s words, verbatim · CDSS document, Mar 27, 2026

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

On October 23, 2025, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced case management health and safety visit in relation to a relocation of a resident from another facility due to facility closure. LPA met with Administrator, Maria Diaz and explained the purpose of the visit. On October 15, 2025, due to an emergency placement, Resident 1 (R1) was relocated to Jefferson Place on 10/14/25. R1 was relocated to Diaz Residential Care Home on 10/17/25 due to R1 requiring higher level of care. During the visit, LPA observed R1's room to be clean and equipped with all required furnishings. R1 is in a shared room. R1's personal belongings were present and in tact. Medications were all present and accounted for. According to administrator, she is still working on completing all of the documents for R1. LPA observed R1 watching tv and appeared comfortable. LPA requested an updated copy of the resident roster to be submitted by 10/24/25. No citations are issued during the visit. Report is reviewed with Administrator, Maria Diaz and a copy is provided.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Required - 1 Year

On March 26, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Maria Diaz and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are 5 bedrooms; 2 resident rooms which are shared rooms, 2 staff rooms, and 1 office room. Resident rooms were observed to be clean with all required furniture. Two full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 108-110 degrees F. Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Medications, sharps, and chemicals were observed locked an inaccessible to residents in care. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of June 2024. Emergency drills are logged and done every month. LPA reviewed 4 resident records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Extra linen was observed to be present. Laundry room was observed to be locked and inaccessible. Extra linen was observed to be present. First aid kit was observed to be complete. No citations are issued during the visit. Report is reviewed with Administrator and a copy is provided.the state’s words, verbatim · CDSS document, Mar 26, 2025

Type of visit: Required - 1 Year

On 03/20/2024 Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced 1 year annual inspection visit. LPA met with administrator Maria Diaz and explained the purpose of today's visit. LPA toured the facility inside and outside. Emergency exit routes are free and clear of obstructions. The facility's ambient temperature is comfortable and warm. Water is tested in laundry room as being 108F. Residents have an adequate amount of linens and incontinence supplies, incidental supplies, as well as PPE as needed. Multiple fire extinguishers are observed. Last inspected on 06/22/2023. Upon observation of the charge on the dial display it is within the green zone indicating it is charged and ready for use. Carbon monoxide detectors and smoke detectors are present through out the facility. Fire alarm pull box is located next to the front door and one also near the back near the exit that goes to the backyard. Four client bathrooms were observed to be in good repair. Client bathrooms are observed to be in working order with clean shower curtains and non-skid flooring is in place in client bathroom. Facility provides toiletries for client use. 7 day non-perishable food supply and 2 day fresh food supply is observed as in place. Kitchen is observed as operable and clean. Appliances are in good working order. Knives are stored and locked in kitchen cabinet. Insulin for client use is locked and stored in the main kitchen. There are no residents with dementia in the facility at this time. Continue on next page... Page 2 - LIC809C Medications are stored and inaccessible in a locked medication. Medications are stored and labeled in containers. Medications are reviewed to be in place. Medication administration record is observed as current for clients reviewed including centrally stored medication log. First aid kit is complete and stored in living room area. On site laundry is available and functioning per observations made. Cleaning supplies are observed as locked. 3 staff records are reviewed. All staff has criminal record clearance and are associated with the facility. Based on record reviews, TB tests, training, CPR/First Aid cards, and personnel files are current. 1 client record is checked and is complete and updated. Disaster drills are conducted monthly per records reviewed. According to administrator each drill is different and varies for each drill conducted. Administrator certificate is observed as expired as of 11/12/2022. Per Maria she has submitted items for renewal and is awaiting certificate. LPA reviewed current training hours for administrator certificate. LPA advised Maria to follow up with administrator certification. Per review with administrator client money is in place and accurate. The following updated items are requested to be sent to the Department by 03/27/2024: • LIC610E Emergency Disaster Plan • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • Updated administrator certificate • LIC9020 Client Roster • Certificate of Liability Insurance • Proof of control of property • Surety bond with expiration date Report is reviewed with administrator.the state’s words, verbatim · CDSS document, Mar 20, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Mar 27, 2024

87303(a) Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents,employees and visitors. This regulation has not been met as evidenced by: Per observations made LPA observed a disheveled desk in the living room with papers, tools, tissue boxes, and other items. The items can be knocked over and can pose a safety issue for staff and residents.the state’s words, verbatim · CDSS document, Mar 20, 2024

Plan of correction: Facility shall develop a plan to ensure the cleaning and removing of the items from the large table in the front of the facility as it may pose a safety risk for residents and staff. Photo eveidence to be received.