Divine Home Care

Type of visit: Case Management - Health Checks

On 08/07/2026, Licensing Program Analyst (LPA) Sarina Ramirez arrived at the facility unannounced to initiate an investigation for complaint #: 56-AS-20260803091226. During the visit, LPA toured the facility and observed Resident 1 (R1) washing dishes while one (1) pair of scissors were in the kitchen dish rack. Deficiency will be issued. Licensee immediately locked the scissor during the visit. Based on observation deficiencies were cited per Title 22, Division 6 of The California Code of Regulations. An exit interview was conducted where the Licensing reports were discussed and copies of the reports (LIC 809 and LIC 809D) with Appeal Rights was provided to Licensee Mary Swanson at the conclusion of the visit.the state’s words, verbatim · CDSS document, Aug 7, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Aug 8, 2026

87309 Storage Space and Access (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants... knives... sharp objects... could pose a danger to residents are in locked storage and are not left unattended... This requirement is not met as evidenced by. Based on observation , the licensee did not comply with the section cited above by having scissors in the kitchen dish rack accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 7, 2026

Plan of correction: Licensee immediately locked scissors. Licensee agreed to read the regulation and provide training to staff, provide proof with signatures understanding the regulation being cited to LPA by POC due date

Type of visit: Required - 1 Year

On 11/08/2025, Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with Licensee, Mary Swanson introduced self and stated the purpose of the visit. LPA was informed that there are currently six (6) residents in care. The facility has four (4) bedrooms, two (2) bathrooms, kitchen, dining area, living room, office, laundry, attached garage and backyard with 2 sheds. 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 Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 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 120 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarm, charged fire extinguishers and first aid kit. Postings: Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There is no swimming pool, firearms or ammunition 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 residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio and one side gate on the right side of the house that leads into the backyard was observed. Record Review: LPA reviewed staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed staff and resident files to be complete. Three Technical Violations were given during this visit. An exit interview was conducted where this report LIC809, LIC809C and LIC9102 were discussed and copies were provided to Licensee, Mary Swanson.the state’s words, verbatim · CDSS document, Nov 8, 2025

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Licensee Mary Swanson, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (6), a current census of (4). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility has no swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in two (2) resident bathrooms measured between 107.4 and 114 degrees F. Three (3) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, resident rights, facility sketch, emergency telephone numbers, emergency disaster plan, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining areas are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Continuation on LIC – 809C: Care & Supervision: Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services: Resident’s medications are labeled and centrally stored in a locked cabinet. Record Review: Three (3) Staff files reviewed were observed to be complete. Two (2) Resident files reviewed were observed to be complete. Based on observations and record review no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along was discussed and a copy was provided to Licensee Mary Swanson.the state’s words, verbatim · CDSS document, Dec 9, 2024

Allegation investigated: Staff verbally abusing resident in care Staff not providing nutritious food to resident in care Staff did not ensure medical services are provided to resident in care

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Administrator Mary Eileen Swanson and explained the purpose of the visit. The investigation consisted of interviews and review of records. First allegation, Staff verbally abusing resident in care. During the investigation and staff file review it was revealed that the alleged resident listed in the complaint was a staff member and not a resident in care. LPA conducted interviews with resident’s who stated that they are not being verbally abused by staff or have witnessed staff verbally abuse other residents in care. Second allegation, Staff not providing nutritious food to resident in care. During the investigation and staff file review it was revealed that the alleged resident listed in the complaint was a staff member and not a resident in care. LPA conducted interview with residents who stated that they have no concerns regarding the food and stated that the facility provides them with good and well balance meals. Unsubstantiated LPA conducted food inspection LPA observed adequate amount of perishable and nonperishable food supply that meets the number of residents in care. In addition, food supply appeared to be adequate to date. Third allegation, Staff did not ensure medical services are provided to resident in care. During the investigation and staff file review it was revealed that the alleged resident listed in the complaint was a staff member and not a resident in care. LPA conducted interviews with residents in care and residents indicated to LPA that facility provides medical services when medical assistance is needed or required. Residents stated to LPA that they have no concerns regarding medical services. Based on the evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Mary Eileen Swanson at the end of the visit.the state’s words, verbatim · CDSS document, Apr 4, 2024 · control 56-AS-20240327104326

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Mary Swanson, Administrator, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE). License capacity of (6) with a current census of (4). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant: Indoor passageways and outdoor passageways are free of obstruction. The facility has no bodies of water. The facility backyard is enclosed with self-latching gates. The facility has sufficient lighting and is maintained at a comfortable temperature. Resident’s bathrooms were operating in safe and sanitary conditions. The hot water temperature in residents' bathrooms measured between 105 and 113 degrees F. Resident’s bedrooms have sufficient lighting and furniture in good repair. Facility has operating carbon monoxide alarms and telephone service. The facility has sufficient linen, towels, and personal hygiene items for residents. The facility has posted in a common area, Community Care Licensing complaint poster, Ombudsman poster, disaster evacuation plan and emergency telephone numbers. Medical Related Services: All medication is centrally stored and kept locked, inaccessible to residents in care. Food Service: Facility has sufficient non-perishable and perishable food supply for residents in care. The refrigerator and freezer are operating in a healthful manner. Pesticides and other cleaning solutions were kept locked and stored away from food areas. Care & Supervision: Facility has 24-hour care staff. Staff working have California criminal record clearances or exemptions. Record Review: (2) staff files reviewed were observed to be complete. (3) resident files reviewed were observed to be complete. Based on observations and record review, no deficiencies were cited during today’s visit. An exit interview was conducted where this report was discussed and a copy provided to the Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Nov 13, 2023