Emerald Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Liensee Petronilla Echevarri. The facility's license shows a maximum capacity of 3 residents all of whom must be ambulatory, ages 60 and above. During today's visit there were 2 residents in care. LPA and Licensee toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment for dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. LPA did observe knives and cleaning supplies accessible to residents in care in the kitchen. No pools or bodies of water exist on the premises. Per Licensee, no firearms or ammunition are kept at the facility. First aid kit(s) were complete and readily accessible. (Continued on LIC809-C) (Continued from LIC809) LPA interviewed staff and residents, and reviewed facility records. The files reviewed by LPA did not contain the required documents. The Administrator Certificate expired in 2024 and there was no record of it being renewed. Resident #1 (R1) and Resident #2 (R2) did not have Admission Agreements on file. Three deficiencies are being cited per California Code of Regulations, Title 22 (refer to the LIC809-D page). A Plan of Correction was developed with the Licensee. An exit interview was conducted with Licensee Petronilla Echevarri, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Sep 29, 2026

Allegation investigated: Staff did not ensure that the facility was kept free of rodents

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to open an investigation and deliver findings regarding the above complaint allegation(s). LPA introduced themselves and disclosed the purpose of the visit to Licensee Petronila Echevarria. On 12/18/2025 it was alleged Staff did not ensure that the facility was kept free of rodents. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, and LPA direct observations. Regarding the allegation, "Staff did not ensure that the facility was kept free of rodents", it was alleged that there are rodents in the facility and that the facility refused pest control services due to cost. Substantiated Staff interviews revealed that Staff 1 (S1) Staff 2 (S2) were aware of the rodent infestation within the facility. S1 required help from S2 and an Outside Source 1 (OS1) to help set up pest control appointments. According to staff, there were independent contractors hired to come and set up rodent traps as well as fix and install patchwork to prevent access of rodents in the facility. Resident Interviews revealed that Resident 1 (R1) had witnessed several occurrences of rodents scurrying around; specifically near the bathroom and on the outside near the garage and patio. R1 also reported hearing rodents in the walls. Outside Source Interviews revealed that OS1 helped facility staff to set up appointments for a pest control company to come and set down rodent traps and patch holes in the attic. OS1 confirmed that the initial pest control company was too expensive for the services they offered and instead decided to hire independent contractors at a later date to take care of the rodent issues. LPA observations revealed that there were several spots inside of the garage and around the premises that had pockets of rodent droppings and a urine smell. LPA acquired photographic evidence of the observations. Coincidentally on the day of the visit from licensing, while the LPA was present, the aforementioned independent contractor visited the facility and provided assistance and advice on the pest control issue. Based on relevant interviews and records review, the preponderance of evidence has been met that alleged violation(s) occurred and are therefore substantiated. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Licensee, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. Staff interviews revealed that Staff 2 (S2) often provides meals to residents and ensures that there is always a side of fruit or vegetables available to residents. S2 also stated that residents can get fruit like bananas, apples, or oranges if they want a snack in-between meals. Resident interviews revealed that Resident 1 (R1) was able to provide many examples of recent meals that included a side of vegetables or fruit for breakfast, lunch, and dinner. R1 thought the portions should be bigger but acknowledged they have access to fruits and vegetables as snacks. Records review revealed menus in the facility are not up to date or contain any indicators of when they were last updated. The menus consisted of planned meals for one week. The menus that were provided did indicate an appropriate amount of variety of the foods offered and included fruits and vegetables. LPA observations revealed there were a large and diverse amount of fresh and frozen fruits and vegetables in the fridge/freezer. Fruits were accessible to residents and could be provided upon request. Leftover meals in the refrigerator included vegetables. LPA Observations corroborated resident and staff interviews. Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Licensee, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Dec 23, 2025 · control 08-AS-20251218090559

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Dec 23, 2025

87303 Maintenance and Operation“(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met, as evidenced by: Based on records review and interviews, licensee did not accord safe, healthful accommodations to 3 out of 3 residents. This posed a potential health and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 23, 2025

Plan of correction: Licensee and staff will provide CCLD offices invoices of the requested services for pest control by 01/16/25. Licensee will continue to provide updates to CCLD Offices when outside pest control services are initiated.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Petronilla Echevarri, Licensee. The facility's license shows a maximum capacity of three (3) ambulatory residents, ages 60 and over. During today’s inspection there were 3 residents in care. LPA and Petronilla Echevarri, Licensee toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Petronilla Echevarri, Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. (Continued on Page 2, LIC809C) (Continued from page 1, LIC809) LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One (1) deficiency was cited per California Code of Regulations, Title 22, Health and Safety Code (refer to the LIC809-D page). Plan of Correction were jointly developed with the Licensee. LPA also provided Technical Assistance (TA) regarding cleaning standards (refer to the LIC9102-TA page).. An exit interview was conducted with Petronilla Echevarri, Licensee to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Sep 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Juliana Barfield, David Roman, and Licensing Program Manager (LPM) Lizzette Tellez conducted an unannounced visit to do a Required Annual Inspection. LPA were welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Petronila Echeverria. During today’s visit, LPAs briefly toured the facility, reviewed staff and client records, and interviewed residents. Due to time constraints, a return visit on a subsequent day is needed to complete the annual inspection. No deficiencies were cited during today’s visit. An exit interview was conducted with the Licensee Petronila Echeverria, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Oct 29, 2024

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Juliana Barfield and Licensing Program Manager (LPM) Lizzette Tellezconducted an unannounced Case Management visit. LPA and LPM introduced themselves and were granted entry into the facility by Licensee's friend, Maria Cisneros. Licensee Petronila Echevarria was contacted by phone and arrived during the visit. LPA and LPM disclosed the purpose of the visit. During today's visit, LPA and Echevarria discussed a letter of notification received in the San Diego CCL regional office on 10/01/24 that said she was closing her facility. Echevarria said today she would like to remain open and she provided a letter that rescinded the notification of closure of the facility. LPM and LPA observed that Licensee allowed Person #1 (P1) to be present in the facility without a criminal background record clearance for one (1) day, without supervision. P1 was alone in the facility while Resident #1 (R1) was present with no other staff to provide supervision. On 8/14/24, the Department conducted an unrelated visit and issued a citation for a violation regarding criminal background clearance. During today's visit, a repeat violation was thus cited per California Code of Regulations, Title 22. An immediate civil penalty of $250 was assessed for a Criminal Record Clearance violation. An exit interview was done with Licensee Petronila Echevarria to whom a copy of this report, the LIC 809-D, the LIC421, LIC 811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 16, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Oct 16, 2024

CRIMINAL RECORD CLEARANCE All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by: Based on interview and observation, the licensee did not comply with the section cited above which poses an immediate health and safety risk to R1.the state’s words, verbatim · CDSS document, Oct 16, 2024

Plan of correction: Licensee arrived after being contacted by phone and P1 left the facility. IMMEDIATE RISK REMOVED. A civil penalty for a repeat violation in the amount of $250 was issued during today's visit.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced Case Management visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee Petronila Echevarria. According to the facility’s license, there may be a maximum of three (3) clients at any given time at the facility, all of which must be ambulatory. During today’s inspection, there were three (3) clients present. The facility does not feature delayed egress doors. Licensee's interview showed: Licensee allowed S1 to work as an employee of the facility without a criminal background record clearance for more than five days. One (1) deficiency was thus cited per California Code of Regulations, Title 22. An immediate civil penalty of $500 was assessed today for a Criminal Record Clearance violation (see attached LIC 421-BG). An exit interview was done with Licensee Petronila Echevarria to whom a copy of this report, the LIC 809-D, the LIC421 IM, the LIC 811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Aug 12, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Aug 12, 2024

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility obtain a California clearance or a criminal record exemption as required by the Department. Based on interview, the licensee did not comply with the section cited in which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 12, 2024

Plan of correction: Licensee will obtain a California Clearance as required by the department for S1 immediately. Licensee will provide proof of the clearance by sending a copy of clearance for S1 to LPA by 08/23/2024.