Eleonor's Place 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Jefferson Pinza after introducing self and stating the reason for the visit. Administrator (Admin) Mark Cruz arrived on premise shortly after to assist with the inspection. Admin has a valid certificate expiring on December 2, 2026, October 28, 2027 for Eleanor Avendano, and March 28, 2026 for Daryll Avendano. The following was observed during the inspection: This is a single story property located in a residential neighborhood comprised of five resident bedrooms, one private staff bedroom, and two resident bathrooms. Facility operates within the conditions and limitations specified on the license. There are six residents in care, none of which receiving hospice service. LPA along with Admin and Caregiver Pinza toured the interior portion of the facility. The facility is clean and in good repair. All common areas were inspected including the attached two car garage. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 112.2 and 109.0 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gate is operational, and there were sufficient seating and shading in the patio area. There are no bodies of water on premise. The fire extinguisher was mounted, charged, and serviced on March 5, 2025. Admin stated that the fire extinguisher will be serviced tomorrow. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Facility maintains emergency food and water in the medication closet. LPA reviewed six of six resident and three personnel files in which no discrepancies were found. Medications were audited for three out of six residents. No discrepancies were found with medication administration and documentation. Staff training is up-to-date including CPR/First Aid. Present staff are background cleared and associated to the facility. Disaster drills are conducted quarterly and documented as required, however facility did not conduct drills accounting various emergency scenarios. Based on the observations made during today's visit, no deficiencies are being cited. An advisory note is being issued. An exit interview was conducted with Administrator Mark Cruz, and a copy of this report was provided at exit.the state’s words, verbatim · CDSS document, Mar 4, 2026

The state marks this report as 4 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 Analysts (LPAs) Kevin Saborit-Guasch and Brandon Lopez made an unannounced visit to conduct the required 1-year inspection. LPAs were greeted and granted entry by caregiving staff. Administrators Daryll Avendano and Mark Ryan Cruz were notified via telephone and later arrived to assist with the inspection. There are currently five (5) residents in care, one (1) of which is receiving hospice care. LPAs observed residents participating in activities in the facility’s common areas and relaxing in their respective bedrooms. At approximately 9:30am, LPAs accompanied by Administrator toured the physical plant. The facility is a one-story house with an attached garage. The facility has five (5) resident bedrooms, one (1) of which is shared, one (1) staff bedroom, and two (2) bathrooms which are shared. The four (4) individual and one (1) shared bedroom appeared clean and spacious. LPAs observed one (1) of the five (5) resident bedrooms had a gap between the glass sliding door. LPAs observed all the resident bedrooms has the required furnishings. Resident bathrooms appear clean and sanitary. Bathrooms were equipped with grab bars and non-slip mats. Hot water temperature measured between 106.9 and 107.2 degrees Fahrenheit. LPAs observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. LPAs observed knives locked in a lock box inside a locked kitchen cabinet. A fire extinguisher is located inside the kitchen which was observed to be charged and serviced as of April, 2024. LPAs tested the dual smoke/carbon monoxide detector which tested operational. The centrally stored medication is located in a locked closet next to the entrance door. The attached garage is inaccessible to residents and is used for storage and for laundry. Cleaning supplies are located in the garage. LPAs observed the facility has an emergency food and water supply which is also stored in the garage. CONTINUED ON FORM LIC809-C CONTINUED FROM LIC809 LPAs and administrator toured the outside of the facility and observed it to be free of obstructions. LPAs observed a shaded outdoor seating area with furniture for resident use. The perimeter gate on the southside of the facility is self-latching and can easily be opened in an evacuation. There are no bodies of water on the premises. LPAs reviewed five (5) of five (5) resident records. No discrepancies were observed. LPAs reviewed five (5) of five (5) resident medication records. No discrepancies were observed. LPAs interviewed two (2) residents. LPAs reviewed three (3) staff records. No discrepancies were observed. All staff are background cleared and associated to the facility. Based on the observations made during today’s visit, there is 1 type B deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. A Technical Advisory is also being provided regarding a resident’s admission agreement. This report was reviewed with facility Administrator and a copy of this report was provided. Appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Nov 20, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff are using video surveillance without appropriate authorization Staff do not maintain facility in good repair

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the two allegations listed above. LPA was greeted and granted entry by caregiving staff after introducing himself and stating the purpose of the visit. Administrators Mark Cruz and Eleonor Avendano were notified of the visit by telephone and arrived later to assist. Administrators were provided with the allegations upon their arrival. LPA requested, obtained and reviewed resident records for the six individuals currently in care at the facility. LPA accompanied by administrators then conducted a tour of the physical plant. CONTINUED ON FORM LIC9099-C Unsubstantiated CONTINUED FROM LIC9099-C Regarding the allegation that Staff are using video surveillance without appropriate authorization, the following has been concluded: During the tour of the physical plant, two video cameras were observed to be affixed to the ceiling in the facility's living room. The cameras were however confirmed to be part of a built-in system that was historically present in the house when the licensee took occupation and that the system has never been in operation since the facility received its current license to operate. There are no other cameras observed to be present during the visit. Regarding the allegation that Staff do not maintain facility in good repair, the following has been concluded: Wear and tear of the building trim including sliding window frames leading to the backyard was observed. There are also multiple cracks observed to have been repaired or to be pending repairs at the time of the visit in the yard's walls. Signs of degradation or rot are also visible on two of the beams supporting the roof. However none of the noted items of attention are observed to show signs of structural damage that would compromise the residents health and safety at the time of the visit. Additionally, multiple statements attesting that the locations requiring maintenance have been present since prior to the current license being issued and were duly flagged to the property's landlord were provided to LPA and added to the investigation file. No evidence of other items of disrepair resulting from negligence from the licensee could be found during the facility visit. As a result, these two allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Mar 7, 2024 · control 22-AS-20240301105410