Divine & Gus Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced annual inspection at Divine & Gus Care Home. Upon arrival, LPA was greeted and granted entry by Administrator (AD) Divina Sablas. The facility is licensed to operate as a Residential Care Facility for the Elderly (RCFE) for up to six residents, age sixty and older. At the time of the inspection, five residents were present. During the inspection, LPA and AD tested smoke detectors and carbon monoxide detectors located in common areas and resident bedrooms; all devices were found to be operational. Resident bedrooms were observed to have the required furnishings, including beds with linens and adequate closet and drawer space for each resident. Fire extinguishers were observed mounted in the living room and kitchen areas, with the most recent inspection dated July 18, 2025. A review of the emergency drill log indicated that the last drill was also conducted on July 18, 2025. LPA observed all sharps and knives stored in a locked cabinet located in the dining room, along with residents’ centrally stored medications, which were properly secured and inaccessible to residents.Resident restrooms were inspected and found to be clean and in good repair. Water temperature measured at 118.6 and 116.9 degrees Fahrenheit, within the regulatory range. LPA and AD toured the backyard and observed a shaded seating area available for residents. Emergency exits were checked and found to be free of obstructions. A review of two resident files and two staff files showed all required documentation was complete and maintained in compliance with Title 22 regulations.Based on the observations made during today’s inspection, no deficiencies are being cited under Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 7, 2025

Type of visit: Required - 1 Year

On 12/07/2024 at 09:30 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Divine & Gus Care Home Facility. LPA Calderon was allowed entry into the facility by Administrator Divina Sablas. Administrator Sablas asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. Facility is to operate a Residential Care Facility for 6 Elderly residents 60 years or older. Currently, there are five (5) residents residing in the facility, 60 and older. LPA Calderon explained to Administrator Sablas, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Five (5) client service records, five (5) client medication records (MAR), two (2) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 10/04/2024. The one-story residential home consists of five (5) client bedrooms, three (3) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 115 degrees Fahrenheit, bathroom #2 hot water temperature properly measured at 113 degrees Fahrenheit, and bathroom #3 hot water temperature properly measured at 112 degrees Fahrenheit. Kitchen hot water temperature properly measured at 118 degrees Fahrenheit. Facility (9) Carbon Monoxide and (9) Smoke Detectors hard wired operated and connected were tested and are working properly. The facility two (2) Fire Extinguishers was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline telephone. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility 2 first aid kit is fully stocked with manuals was checked and in order. Outside grounds were toured and there is no water feature observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Five (5) client files were reviewed and found to be complete. LPA Calderon reviewed five (5) resident medications (MAR) and they were all found to be administered according to doctor's orders. Two (2) staff files were checked and have the required documents. LPA Calderon noted the Administrator Divina Sablas Certification # 7011045740 expiration date of 11/02/2025 was valid at time of inspection. The facility does not handle client's money/cash resources and no surety bond is needed. Commercial General Liability Policy #ALF10518202 policy period from 10/24/2024 to 10/24/2025 underwritten by PCH Mutual Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Sablas to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 12/20/2024. All the required documents are posted in the facility in a clearly visible area. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA observed staff and clients were NOT wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Administrator Sablas to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did observe deficiencies therefore citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Divina Sablas.the state’s words, verbatim · CDSS document, Dec 7, 2024