Eleonor's Place 1

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced required visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez explained reason for visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted facility administrator (AD) Mark Ryan Cruz about visit. For this visit, there are 3 staff members on duty, of which are background cleared and associated. The PUB475 "See Something, Say Something" poster was observed to be located at the entrance of the facility. LPA observed the Administrator's Certificate for Mark Ryan Cruz which expires on 12/2/26, and Daryll Avendano which expires on 3/28/26. LPA toured the interior and exterior portions of the facility with staff on duty (S1). The facility is a two-level structure and is licensed for 6 non-ambulatory residents, of which 0 may be bedridden and 6 may be on hospice. For this visit, there are a total of 6 residents in care, of which 4 are on hospice and 0 are bedridden. On the first floor, there are a total of 6 private resident bedrooms. LPA toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. On the first floor, there are a total of 3 restrooms of which were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature was measured to be at 117.7 degrees Fahrenheit. On the second floor, there are 2 bedrooms, designated for staff use only, and 1 bathroom, also only designated for staff. LPA toured the second floor and observed no residents or resident belongings residing on the second floor. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the hallway. Fire extinguishers were dated and tagged for the date of 2025. LPA observed the emergency disaster and evacuation plan, which is located in the facility binder. Facility had back-up emergency food and water supply, located in the kitchen and garage. LPA observed that First Aid Kit had all the required components. Medications and toxins were also observed to be locked and inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, which were self-closing and self-latching. No bodies of water were observed. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with AD Cruz. A copy of this report was explained and provided.the state’s words, verbatim · CDSS document, Oct 29, 2025

Type of visit: Required - 1 Year

On this day, Licensing Program Analysts (LPAs) Kevin Saborit-Guasch and Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPAs were greeted and granted entry by facility caregiving staff after introducing themselves and stating the purpose of the visit. Administrator Darryl Avendano and house manager Justin Cruz were notified of the visit via telephone and arrived later to assist. LPAs accompanied by facility staff conducted a tour of the physical plant and observed the following: the facility is a two-story home with an attached garage accessed from the side of the yard. The upper level is only for use by licensee and staff and is kept inaccessible to residents as verified during the visit. The second level consists of two rooms for use by male and female staff along with an additional bathroom used by staff. The facility has six private bedrooms and three shared bathrooms. All bathrooms are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. Bathrooms faucets and toilets are operational. Water temperature was measured at 113.5F and 114F in two bathrooms used for personal hygiene. LPAs observed all beds have linen and blankets. There are half rails used for postural supports in two of the bedrooms and full rails in a third. Physician orders for all three residents reviewed along with hospice plan of care. There are currently six residents admitted to the facility, four of which are receiving hospice care out of a waiver capacity of six possible hospice residents. LPAs observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Drills are conducted quarterly, however only the most recent drill from September 2024 is observed to be documented. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke and carbon monoxide detectors tested operational. Fire extinguishers present are fully charged and have been maintained in 2024. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 There is adequately shaded outside space with outdoor furniture present. There are self-latching gates on each side of the property. The routes of egress are free of obstructions. Most cleaning products are observed to be secure throughout the physical plant, however three bottle of cleaning product and one bottle of bleach are observed to not be secured in the backyard. One type B citation provided on an attached LIC809-D form. The box used to store sharp items also does not lock anymore. Type A citation issued. The medication central storage was also observed to be secure and reviewed to be accurate and up to date with the resident's prescription orders with the exception of one medication for one resident which is not being logged for the month of November 2024. Type B citation issued. LPAs reviewed six resident files along with two staff files. Resident records include all necessary components. All staff members on the facility's roster are confirmed to be cleared and associated with this particular licensed location. Training and CPR training verified to be up to date. Health screenings are on file for both staff members. Based on the observations made during today’s inspection, three deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations and one Technical Violation Advisory Note issued. An exit interview was conducted and a copy of this report along with appeal rights was provided to a facility representative.the state’s words, verbatim · CDSS document, Nov 7, 2024

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.

Allegation investigated: Facility is in disrepair

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPA De Perio explained the purpose of today's visit, was greeted, and granted entry by facility administrator (AD) Mark Cruz. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that the facility is in disrepair. 4 out of 4 resident interviews conducted did not corroborate with the allegation by stating that there are no health and safety concerns, nor ever observed the facility being in disrepair. 2 out of the 2 interviews conducted with staff stated that the cameras placed in the common areas of the facility, are not operational, were placed prior to selling the business in 2020, and that no one has access to any footage because the cameras are not functional. LPA De Perio also observed that there were no cameras located in the residents rooms. Unsubstantiated During the physical plant of the facility, LPA De Perio observed that the kitchen stove was clean, observed no rust, and that all five burners are functional. LPA De Perio observed that the kitchen counter is patched with a pasted seal in the tiles that were chipped and observed no sharp or broken edges. LPA De Perio also observed that there is a hole in the ceiling, but is covered with a dry wall patch and is inaccessible to residents. 2 out of the 2 interviews conducted with staff also stated that prior to making any repairs throughout the facility, it needs to be approved by the landlord. Per documentation review, facility staff contacted the landlord on 12/11/23 inquiring if the hole in the ceiling (referred to as the "sky dome") could be fixed, however, received no response as of 3/19/24. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with AD Cruz. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Mar 19, 2024 · control 22-AS-20240311133610