Family Care - Pepita Home

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Russell Venanzi was notified of the visit via telephone and arrived later along with assistant administrator Tommy Tran to assist. There are currently six residents in care, two of which are receiving hospice care at this time. LPA observed residents relaxing in their respective bedrooms or in the facility's common living areas. Three resident interviews conducted during the visit. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage, with three private bedrooms and two shared rooms. There are two shared bathrooms used by residents. Bedrooms appear clean and sanitary. Two residents are observed to be using half rails for postural support, with one order from hospice reviewed during the visit. Consultation provided. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are equipped with grab bars and slip mats. Hot water temperature measured at 107 and 109F in both shared bathrooms. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secure. The wall-mounted fire extinguisher present is verified to be charged with up-to-date maintenance tag. Carbon monoxide and smoke detectors were found to be present and operational. Emergency water supplies are observed to be stored in the garage. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with outdoor furniture for resident use. The identified route of egress is free of clutter and obstructions. There is one self-latching gate on one side of the premises. There are no bodies of water present. The facility does not utilize locked perimeters or delayed egress. LPA reviewed six resident records which included all necessary components. No bedridden residents are present. LPA reviewed resident medication records and prescription orders with no discrepancies observed. LPA reviewed staff records for four staff members during the visit. Proof of current CPR training reviewed. Initial and annual training is documented. Disaster drills are conducted only once annually. Type B deficiency issued. Staff members are verified to be background cleared and associated to the licensed location. The administrator certificates are current. Based on the observation conducted during the present visit, one type B deficiency is being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Sep 15, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. 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 William Vanegas made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs were greeted and granted entry by facility caregiver. LPAs met with Administrators (AD) Tommy Tran and Russell Venanzi and explained the purpose of the inspection. LPA reviewed list of Guardian roster for facility. Facility association for one caregiver had been submitted to the Department on September 4, 2024 and had not been processed. LPAs proceeded to update the staff member’s association in Guardian during the visit. During the inspection, LPAs and AD conducted a tour of the inside and outside of the facility, common living areas, resident rooms, kitchen, garage and observed the following: This is a one-story home with four resident bedrooms, two shared resident rooms, and two single resident rooms, and one staff bedroom, two bathrooms, and attached two-car garage. All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. LPAs observed all windows were screened. The backyard has a shaded sitting area. LPAs observed residents watching television in the living room, and a volunteer playing the piano for residents. Residents were also observed resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 105.0 degrees Fahrenheit. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents in the bathroom and laundry area. Medication cabinet was observed to be locked and inaccessible to residents. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPAs reviewed six resident files and four staff files. Staff files contained documentation for initial staff training and staff training conducted in the past year, criminal background clearance, health screening, and personnel files for all staff members. Residents files contained a physician’s report, admission agreement, needs assessment, I.D, property and valuables documentation, and consent forms for all residents. LPAs interviewed three residents and three staff. During the visit, LPAs provided a Technical Assistance Advisory Note for the reappraisal requirements for residents with dementia as well as a Technical Assistance Advisory Note for the documentation requirements for fire drills. Based on the observations made during the visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 19, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.