Edelweiss Guest Home

Type of visit: Case Management - Other

At approximately 11:00 AM, Licensing Program Analyst, (LPA) Julie Florio arrived unannounced for the purpose of conducting a facility closure inspection and met with Ermelinda Mahlman, Licensee. Facility operated as a Residential Care Facility for the Elderly (RCFE). Licensee informed LPA that they wish to close the facility due to personal reasons. The purpose of this inspection is to confirm the licensed services have been discontinued and verify that there are no residents in care. There were three (3) residents living in the facility at the time the facility announced it's closure. Licensee states that all residents were assisted with placement elsewhere. Licensee states the last resident moved out on 08/26/2026 which was facility's last day of operation. There were no residents present in the facility during today's inspection. Licensee and family live in the facility and were present in the facility during inspection. The facility is currently listed for sale. At approximately 11:20 AM, LPA conducted a walk-through of the facility with Licensee and inspected all rooms and the exterior of the building. LPA observed the facility approximately twenty-five percent (25%) cleared out of furnishings, household items, and care equipment. In June 2026, Licensee emailed the Department a statement of the intent to close facility. During today's inspection, Licensee provided LPA a copy of the eviction letters that were sent to residents and their responsible parties dated June 14, 2026. Closure inspection of this facility is complete. Licensee surrendered their license to LPA during today's inspection. The Department will move forward with the closure process. LPA to finalize paperwork for closure. No deficiencies cited during today's visit. Exit interview conducted with Licensee whose signature on form confirms receipt of document.the state’s words, verbatim · CDSS document, Sep 1, 2026

Type of visit: Required - 1 Year

At approximately 11:30 AM, Licensing Program Analysts (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with Linda Mahlman, Licensee. Facility is a Residential Care Facility for the Elderly (RCFE) with four (4) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for one (1), is approved for fifteen (15 residents, five (5) of whom can be non-ambulatory. At approximately 12:00 PM, LPA initiated a tour of the facility with Licensee and observed the following: Facility is a two story home, was a comfortable temperature, and passageways were free from obstructions. Only facility staff live on the second floor of facility and residents do not have access to the stairs. LPA observed the following required postings missing from the facility communal area: CCLD reporting poster, emergency disaster plan, current administrator certificate, and resident's personal rights. Licensee agreed to post them immediately in order to operate in compliance with regulation. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, and hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable and one week of non-perishable foods, as well as an emergency water supply. Licensee agreed to ensure all staff and miscellaneous medications are are securely stored and maintained inaccessible to residents in care in order to operate in compliance with regulation. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed five gallon paint buckets stored in the back yard. Licensee agreed to move them into secured storage or dispose of them immediately in order to bring the facility into compliance with regulation. Continued on LIC809-C... Continued from LIC809... LPA observed the residents eating, resting in their rooms or watching TV. Facility has a piano, books, puzzles, and games available for residents in care. Facility has internet access and Administrator agrees to ensure an internet access device is designated for resident use. Facility telephone was tested an operational during inspection. Facility's fire extinguishers were observed charged and were last serviced 06/2025. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Facility conducts three disaster drills per year with the last one completed on 10/2025. Licensee agrees to ensure drills are conducted no less than quarterly in order to operate in compliance with regulation. LPA observed the facility's infection control plan, first aid kit, PPE, flashlights, and emergency supplies. LPA observed a generator for emergency preparedness. LPA reviewed facility's emergency disaster plan which was last updated 01/2026. Licensee agrees to complete all sections of the emergency disaster plan and submit to the Department. At approximately 2:00 PM, LPA conducted file review. LPA reviewed four (4) staff and three (3) resident files and observed the following: Two (2) of four (4) staff files reviewed were missing some of the required annual training hours and annual medication training hours, (see LIC809Ds). All staff files were observed to contain all of the remaining required documentation, including proof of current CPR and first aid certifications. Three (3) of three (3) resident files reviewed were observed missing the consent for emergency treatment, which Licensee agrees to obtain immediately in order to bring the facility into compliance with regulation. LPA observed a fourth person in care who licensee was unable to provide the required documentation for, (see LIC809D). All resident files reviewed contained the remaining required paperwork per regulation. At approximately 3:30 PM, LPA reviewed medications and medication records which stored in compliance with regulation. However, LPA observed that the records did not accurately reflect the start dates and administration of the medications. LPA and Licensee reviewed proper documentation and practices and Licensee acknowledged understanding and agreed to operate in compliance moving forward. Administrator states that the residents families coordinate residents' medical and dental appointments and transportation to and from visits. However, facility will assist with coordinating these appointments and transportation for residents upon request. Facility does not manage P&I. continued on LIC809C... Continued from LIC809C... Updated copies of the following documents are to be submitted to CCL within 30 days of this visit: -LIC610E - Emergency Disaster Plan (updated) Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12 month period, may result in a civil penalty assessment. Exit interview conducted with Licensee whose signature on form confirms receipt of documents. Appeal rights provided.the state’s words, verbatim · CDSS document, Feb 3, 2026

The state marks this report as 15 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At approximately 09:45AM, Licensing Program Analyst (LPA) Ali Deniz made an unannounced annual inspection of this licensed senior care facility. LPA met with facility Licensee/Administrator, Ermelinda Mahlman. There is a total of six residents at facility, two with dementia, and 1 resident on hospice. Facility is a 1 story building with 9 Resident bedrooms, 1 staff bedroom, 4 bathrooms, and common spaces. At approximately 10:00AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted except the Complaint Poster PUB 475 was not posted in the facility (Technical Advice given). LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Staff were in the process of cleaning up after breakfast at the time of this inspection. During walk-though LPA/Administrator observed knifes were unlocked and administrator stated that they only clock the knife drawer and cleaning supply cabinets during the nighttime. Toxins are stored in a secure room of the kitchen. Although sharps and toxins in kitchen cabinets were unlocked (See LIC809-D page). Water temperature measured within regulation between 105- and 120- degrees F at faucets accessible to residents. Fire extinguishers inspected were charged and last inspection on 06/14/2024. Smoke detectors are hardwired into the fire system. Facility has fire sprinklers throughout. Fire suppression system was last inspected January 2024. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 12:10PM, LPA reviewed 5 of 6 resident records and found 1 out of 5 resident R1 did not have current physician's reports or care plans. R1’s last medical assessment has done in Feb 2024 (Technical Advice given). Continued on LIC809-C... Continued from LIC809... At approximately 1:05PM, LPA reviewed 4 of 7 staff records. Based on file review, 3 out of 4 staff did not complete the required 20 hrs initial every year training (See LIC809-D page). At approximately 1:30AM, LPA reviewed the facility emergency disaster plan with Administrator. Licensee/Administrator was not able to find documentation or proof about when the facility conducted their last disaster drill (Technical Violation given). Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has the required evacuation stair chairs in place. Facility has supplies enough to operate for more than 72 hours in an emergency. LPA was presented with proof of current CPR & 1st Aid certification for 6 out of 7 staff. Later Administrator was able to provide proof of first aid certificate for S1. Administrator Certificate is for Ermelinda Mahlman #6022851740 expired 12/6/2024. However, administrator was able show the proof of renewal application records that she submitted on Oct 17th, 2024. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC 308 Designated LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan LIC 9020 Register of Facility Resident’s Copy of Updated Certificate of Liability Insurance Current Administrator Certificate Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Mar 14, 2025

The state marks this report as 7 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

On 1/9/2024 at 9:00 AM License Program Analyst (LPA) Hansen arrived unannounced to conduct an annual visit of the facility. LPA was welcomed by Administrator Linda Mahlman. There is a total of 6 residents at facility, two with dementia, and no residents on hospice. At approximately 9:10 AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a visible area. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a secure room off of the kitchen. Although sharps and toxins in kitchen were observed by LPA & Licensee unlocked on 1/9/2024 at 9:15am (see LIC809-D). Hot water temperature measured between 105.6 degrees F and 117.6 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 1 of 3 resident’s bathroom faucets. Facility has 8 fire extinguishers throughout, all charged on 5/4/2023. Smoke detectors and Carbon Monoxide detectors were checked and in working order. Facility has fire sprinklers throughout. Fire suppression system was last inspected January 3, 2024. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure in locked cabinets in room area behind kitchen/office. At approximately 10:00 AM, LPA reviewed 6 of 6 resident records and found 6 of 6 residents records contained current appraisals and signed admission agreements. Although 1 of 6 residents records did not contain current physician reports (LIC602) (see LIC809-D). Medication records are thorough and contained physician's orders for each resident. At approximately 11:00 AM, LPA reviewed 3 of 3 staff records. 3 of 3 records contained documentation of completed training as required. Evidence of current CPR training provided, although 3 of 3 staff could not provide current 1st Aid Certification (see LIC 809-D). LPA interviewed 2 staff during this inspection. Continue on LIC 809-C At approximately 11:45 PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a commercial generator to supply power during an outage for entire facility for over a week. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility has conducted and documented quarterly disaster drills with the last being 10/12/2023. LPA reviewed Licensing Information System (LIS) with Lisignee who stated that is correct and updated at this time; no need to change any of the information. Administrator Certificate is for Ermelinda Mahlman #6022851740 expires 12/6/2024. Appeal of Rights Given. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided. LPA Hansen is requesting facility to submit the following documents to CCL by 1/25/2024: LIC 308 Designated LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan LIC 9020 Register of Facility Resident’s Copy of Certificate of Liability Insurancethe state’s words, verbatim · CDSS document, Jan 9, 2024