El Camino Real Manor

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator, Martin Ureta, Continual Administrator's Certification expires 10/28/2027. There are currently 6 residents who reside at this home and there is 2 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 112 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible. LPA reviewed a sample of staff files, resident files, Emergency Disaster Plan, Plan of Operation, and Liability Insurance. LPA observed the facilities Emergency Disaster Plan needs to be more detailed. LPA observed the facilities Infection Control Plan needs more detail. Staff 1 does not have required first aid training. Resident 1's hospice binder is not complete (no care plan, no staff training). Resident 2 does not have completed hospice binder (no care plan, no staff training.) Resident 2 does not have required initial admission assessment's. The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Administrator, Martin Ureta and copy of report left at facilitythe state’s words, verbatim · CDSS document, Feb 13, 2026

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

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator Martin Ureta, Continual Administrator's Certification expires 10/28/2025. There are currently 5 residents who reside at this home and there is 1 resident on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 110 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible. LPA reviewed facility Infection Control Plan, and Emergency Disaster Plan. LPA reviewed 4 facility staff files, and 4 facility resident files. Resident 1's hospice care plan is not available for review in hospice care folder, and does not have updated Needs and Services plan. Resident 2 does not have annually updated needs and services plan. No facility residents have LIC627 Consent forms in files. LPA observed a manual chain lock on inside bottom of facility that was locked during visit. LPA observed several outside facility window screens to be in disrepair. Emergency Disaster Plan needs to be updated and more specific/updated. Infection Control Plan needs to be more specific/updated. Staff 1 has CPR training, no required first aid training. Facility does not have Plan of Operation available for review. The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Administrator Martin Ureta, and copy of report left at facilitythe state’s words, verbatim · CDSS document, Mar 6, 2025

Type of visit: Required - 1 Year

On 2/16/24, Licensing Program Analyst (LPA) B. Miranda conducted a required unannounced Annual Visit. LPA introduced self, stated purpose of visit, and was allowed entrance by Administrator Martin Ureta. LPA toured the facility inside and out to include entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPA observed the facility to be clean, free from clutter, and odor free. All fire exit routes were free and clear of obstructions. Medications are stored in a locked cabinet in the kitchen. Toxins, cleaning supplies, knives and sharp objects are secured. Facility has 6 bedrooms and 3 bathrooms. 5 room are occupied by residents and 1 of the rooms is shared. LPA observed the rooms to be properly furnished with adequate storage space. . Fire extinguishers have been services as of 8/16/23 and are in good standing. Smoke alarms are in working condition. Carbon monoxide detector was tested and is in working condition. Water temperature was checked in the resident's bathroom and read at 105.1 degree Fahrenheit. LPA reviewed a sample of employee files which were missing current training verification and only the Administrator is CPR certified. Facility was not able to provide current Certificate of Liability Insurance. LPA reviewed a sample of resident files. Deficiencies were cited. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Administrator Martin Ureta.the state’s words, verbatim · CDSS document, Feb 16, 2024