Escondido Retirement Garden

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Robert Campbell & Ahliah Sharp conducted an unannounced annual required visit. Upon entry, LPAs were greeted by Mercelita Williams/Administrator, and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff member and four (4) residents present. Facility Overview: The facility is a one-story home with five (5) bedrooms and two (2) bathrooms, including an attached garage. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 105°F. Fire extinguisher located at kitchen had current inspection tag 1/30/2026. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for two (2) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four (4) resident files were reviewed and contained all the required documents. LPAs observed all (4) four residents in hospice care. Health-Related Services/Incidental Medical Services: All resident medications were securely locked in hallway medication cart. LPA reviewed medications for four (4) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Personal & Incidental Funds: Monies for all residents are handled by private pay and not by the facility. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 1-10-2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided.the state’s words, verbatim · CDSS document, Feb 25, 2026

Type of visit: Required - 1 Year

On 02/19/25 at 10:50am Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA met with Administrator Mercilita Williams where LPA explained the purpose of the visit. At the time of the visit there was (2) staff and (3) residents present. The facility is licensed to serve age range 60 and over (3) ambulatory and (3) non ambulatory, of which (1) may be bedridden. The facility has an approved hospice waiver for (3), with (2) residents currently receiving hospice services. LPA conducted a tour of the interior and exterior areas of the facility. The no pools or bodies of water on the premises, or known guns and ammunition. The facility has (2) fully charged fire extinguishers that were just services 01/27/25. The facility was observed to utilize video surveillance on the exterior of the property and inside the kitchen and in the hallway facing the medication cart. The facility is conducting (2) emergency disaster drills on a quarterly basis. The last drills were conducted on 01/10/25-power failure and 01/17/25-fire drill. The sharps and chemicals were observed to be locked and inaccessible to residents in care. The smoke and carbon monoxide detectors were observed to be operable. The facility was observed to have valid liability insurance that expires 06/07/25. The facility does not utilize a Medication Authorization Record, but was observed to be utilizing the centrally stored form. The medication were observed to be locked inside a medication cart. File review the facility has (2) respite residents and (2) long term residents, both long term residents are receiving hospice services. The files were observed to have medical assessments, admissions agreements. The staff were observed to have obtained criminal record clearance and to be associated to the facility. In addition staff were observed to have valid CPR certification that expires 02/2026. The administrator Mercilita Williams was observed to have a valid administrator certificate that expires on 06/28/26. The facility was observed to have an adequate food supply of a 2 day supply of perishable and a 7 day supply of non perishable food items. Based on today's inspection there were no deficiencies issued. An exit interview was conducted and a copy of this report was provided to administrator Mercilita Williams.the state’s words, verbatim · CDSS document, Feb 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross arrived at the facility unannounced to conduct an annual inspection. LPA was greeted by Mercelita Williams, Administrator, and explained the purpose of the visit. The facility is licensed for age 60 and over, three (3) may be ambulatory and three (3) non-ambulatory, of which one (1) may be bedridden. Bedroom #5 is the only room approved for bedridden. Bedroom #3 and #4 are approved for non-ambulatory. There is a Hospice waiver for 3. The facility is five bedroom two bathroom one-story home. Four bedrooms designated for the residents and two of the bedrooms are shared occupancy. The licensee occupies one bedroom with her husband. There is a kitchen, dining area, and living room, with a 2 car garage. LPA conducted a tour of the home inside and out. During today's inspection, LPA observed the following: Indoor and outdoor passageways were observed to be free from obstruction. There are no pools or bodies of water. Per Administrator, there are no firearms or other dangerous weapons in the facility. Poisons and cleaning agents were observed to be secured and inaccessible to residents in care. Kitchen was observed to be fully operable and clean. LPA toured every room in the facility. Rooms designated as resident rooms had the required furnishings and sufficient lighting available. Licensee provided each resident with clean linen, in good repair, and sufficient hygiene products for personal use. During a tour of the bedrooms the following were observed: -Video cameras were mounted in each of the resident's bedrooms. LPA informed Administrator this is a violation of residents right to privacy. Deficiency Cited. The hot water temperature measured at 119 degrees F. The facility had a functioning carbon monoxide detector, multiple smoke detectors, and multiple operable fire extinguishers. The facility was stocked with a two-day supply of perishable food items and a seven-day supply of nonperishable food items. Staff records were reviewed and contained CPR/First Aid training, Health Screening Reports, and annual training. Resident records were reviewed and had a current Physician's Report, Resident Appraisal, Identification and Emergency Information, Admission Agreement, and Centrally Stored Medication and Destruction Records. However during review LPA noticed the following: -One resident's file was did not have Pre-Appraisal form filled out, only signed. Deficiency cited. Medications were stored in a locked cabinet and were labeled and maintained in compliance with label instructions. During review of medications LPA observed the following: -Medications were stored in a medication pill container and not in it's original container. Deficiency cited. The above deficiencies were cited during today's visit. This report was discussed with the Administrator. A copy of this report, LIC809D, along with Licensee/Appeal Rights, was provided to at the conclusion of the visit.the state’s words, verbatim · CDSS document, Feb 23, 2024