Floresta Cottage

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 inspection. LPA was greeted and granted entry by Caregiver Rudy Susanto after stating the reason for the visit. Administrator (Admin) Marie Maniago arrived approximately 11:45am. Admin has a valid certificate expiring June 6, 2027. The following was observed during the inspection: This is a single story residential home. The facility is clean, sanitary, and in good repair. LPA observed six residents of which LPA verified two are receiving hospice services. LPA observed two caregivers on duty and verified fingerprint clearances and association statuses. The facility is operating within the conditions and limitations specified on the license. There are six private resident bedrooms, two shared resident bathrooms, and one private resident bathroom. All common areas were inspected including the attached two car garage. All residents' bedrooms have the required furnishings, and bathrooms are found to be in compliance equipped with grab bars and slip resistant mats. The hot water temperature measured at 111.7, 110.8, and 107.4 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. The fireplace is appropriately screened in the living room. LPA observed sufficient two day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway is free of obstruction. The exit gates are operational and there were sufficient seating and shading. The swimming pool is inaccessible and secured through a fencing. The fire extinguisher was purchased per receipt date of May 4, 2026. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational. LPA observed seven emergency backpacks which contains three days of food and water. There are additional emergency supplies also centrally stored in the garage. Emergency drills are conducted quarterly with the last date May 1, 2026 and July 22, 2026. The Emergency Disaster Plan (LIC610E) was reviewed and updated annually as required. LPA observed the required 'See Something, Say Something' (PUB475) poster posted in the correct size. LPA audited six residents' files and two personnel files in which no discrepancies were found. Medications were audited for two out of six residents. No discrepancies found. Based on the observations made during today's visit, no deficiency is being cited. An exit interview was conducted with Administrator Marie Maniago, and a copy of this report was provided at exit.the state’s words, verbatim · CDSS document, Jul 29, 2026

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 Marie Maniago was notified of the visit via telephone and arrived later to assist. There are currently six residents in care, one of which is receiving hospice care at this time. LPA observed residents relaxing in their respective bedrooms. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage. The facility has six private bedrooms and two bathrooms. Bedrooms appear clean and sanitary. There are no residents requiring the use of postural supports at the time of the visit. 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 111F and 114F in two separate bathrooms equipped with faucets used for personal grooming. 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 secured. Fire extinguisher present is charged with up-to-date purchase receipt. Smoke and carbon monoxide detectors were found to be operational. The garage is secured and used for laundry as well as additional storage of supplies. Emergency food and water supplies verified to be present. CONTINUED ON FORM LIC809-C CONTINUED FROM LIC809 LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with furniture for resident use. The identified route of egress is free of clutter and obstructions. There is an adequately fenced swimming pool on the premises. There are egress alarms on all exit doors, however facility does not utilize locked perimeters or delayed egress as notified to residents and responsible parties. LPA reviewed six resident records which included all necessary components. LPA reviewed resident medication records and prescription orders for all residents with no discrepancies observed. There are no residents currently assessed as being bedridden at the time of the visit. Resident interviews were conducted or attempted during the visit along with staff interviews. LPA reviewed staff records for three staff members present during the visit. CPR training, initial and annual training reviewed. Disaster drills are conducted quarterly and documented. Staff members are verified to be background cleared and associated to the licensed location. Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Jun 6, 2025

Type of visit: Required - 1 Year

On this day, Licensing Program Analysts (LPA) Kevin Saborit-Guasch and William Vanegas 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 inspection. Administrator Marie Maniago was notified of the visit by telephone and arriver later to assist. During the inspection, LPAs and facility staff conducted a tour of the physical plant and observed the following: The facility is a one-story home with six private bedrooms and two bathrooms in addition to the facility's common living areas. All resident bedrooms have the required furnishing, bathrooms are equipped with grab bars and slip mats. LPA observed all beds have linens and blankets. The backyard has a shaded area and the routes of egress are free of clutter and obstructions. There are currently five residents admitted to the facility with one resident pending admission onto hospice care at the time of the visit. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within slightly under acceptable range, technical advisory note issued. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Fire drills are conducted quarterly. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Smoke and carbon monoxide detectors tested operational. One fire extinguisher present is observed to be fully charged with proof of up-to-date maintenance. Sharp items, cleaning supplies and medications were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and was reviewed for accuracy during the visit. LPA reviewed five resident files along with four staff files. Two staff and two resident interviews were conducted. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report along with a technical assistance advisory note was left at the facility.the state’s words, verbatim · CDSS document, Jul 29, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.