Garden of Eden

Type of visit: Required - 1 Year

At approximately 1:00PM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a required 1-year annual inspection and met with Administrator/Licensee Sheryl Milton and Licensee Steven Milton. Facility is a Residential Care Facility for the Elderly (RCFE) with four (4) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with zero (0) Hospice residents currently in care, and is approved for all non-ambulatory residents. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 1:15PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguisher was observed charged and last serviced 5/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 105.4 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. Facility has an internet access device and internet available to residents in care, and the phone was observed operational during today's inspection. Continued LIC809C... Continued from LIC809... Facility conducts disaster drills every other month, LPA informed Administrator of the importance of maintaining updated drill log. LPA reviewed emergency disaster plan which was last updated 5/25. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. At approximately 1:45 PM LPA conducted a review of four (4) resident records. Four (4) of four (4) residents did not have an updated Appraisal Needs and Service Plan (deficiency cited). At approximately 2:10 PM LPA conducted review of two (2) staff records. No deficiency cited. At approximately 2:40 PM LPA and Licensees conducted a spot check of medication and medication records. Medication is centrally stored and locked. Sheryl Milton Administrator Certificate 7010836740 expires 03/15/2027. Updated copies of the following documents shall be submitted to CCL by 5/29/2026: Liability Insurance LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC610E - Emergency Disaster Plan Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. See LIC809D. Exit interview conducted with Administrator, whose signature on form confirms receipt.the state’s words, verbatim · CDSS document, Apr 30, 2026

The state marks this report as 5 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

At approximately 9:30 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Steven Milton, Licensee. Facility is a Residential Care Facility for the Elderly (RCFE) with four (4) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with zero (0) Hospice residents currently in care, and is approved for all non-ambulatory residents. At approximately 9:45 AM, LPA initiated a tour of the facility with Licensee and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 5/24. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 119.6 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered, as well as an emergency water supply. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed board games, bingo, and an arcade Pac-Man station. LPA was informed that facility takes residents to church on Sundays and out to dinner, other outings are at the discretion of the residents. Facility telephone was tested and operational during inspection. Continued 809C... Continued from 809... At approximately 10:30 AM LPA conducted a review of four (4) resident records. All required documentation present. At approximately 11:15 AM LPA conducted review of two (2) staff records. All required documentation present. At approximately 11:40 AM LPA and Licensee conducted a spot check of medication and medication records. Medication is centrally stored and locked. Sheryl Milton Administrator Certificate 7010836740 renewal submitted 3/13/2025. All fees are current as of this time. LPA and Administrator discussed facility's Emergency Disaster plan, last updated 5/2024. Facility’s last monthly disaster drill was conducted on 4/25. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Liability Insurance LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC400 - Affidavit Regarding Client Cash Resources LIC610D - Emergency Disaster Plan No deficiencies cited. Exit interview conducted with Licensee and a copy of this report was given.the state’s words, verbatim · CDSS document, Apr 28, 2025

Allegation investigated: Personal Rights

Licensing Program Analyst (LPA) A. Canela arrived unannounced for the purpose of getting additional information and delivering findings to the above allegation. LPA met with Steven Milton, co-licensee. LPA previously toured the facility, requested and reviewed records and took statements. It was alleged that a year & a half ago, staff violated resident R1s personal rights in that staff physically abused R1, would not let them use the restroom, financial abuse, and took their medication. Investigation revealed that R1 moved out of the home 2+ years ago. Facility staff deny the allegation. Residents interviewed stated they have not had any issue or concerns with staff S1 and that S1 is very helpful. Facility expressed R1 had different mood swings, moved out to live independent but expressed on several occasions they wanted to move back to the facility. LPA attempted to speak with R1 at three different numbers and R1 did not answer or return the calls. LPA did not get any corroborating statements. Based on the interviews, record review, and information obtained during the investigation the allegation for personal rights is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occurr. Nothe state’s words, verbatim · CDSS document, Jan 27, 2025 · control 21-AS-20250102165053

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Tobola and Jacqueline Macias conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Lead Staff, Octavia Phea. Licensee Steven Milton was contacted and arrived later in the visit. The facility is a single story home licensed for six non-ambulatory residents. The facility currently provides care for 2 residents none of which have a diagnosis of dementia or considered non-ambulatory. At approximately 10:30am, LPAs toured the facility with Lead staff; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was tested and found to be last charged on 05/8/2024 at the time of visit. Both smoke detectors and carbon monoxide detectors were found to be functioning. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the facility kitchen and garage. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Water was measured at faucets accessible to residents and measured at 117. degrees F which is within regulation. LPAs observed fireplace to have no screen and advised Licensee to place a screen (technical advisory issued). There are two emergency exits located in the backyard both of which were found to be unobstructed. All auditory alarms leading out of the facility send chime to the staff bedroom and were all in working order. LPAs advised Licensee to place an additional auditory alarm in the Living room. Licensee conducts disaster drills on a quarterly basis, however, records do not indicate completion on Feb 2024. During the visit, Licensee, staff, and residents completed disaster drill in compliance with quarterly requirements. Licensee agrees to complete quarterly disaster drills in a timely manner (technical violation issued) continued to 809C... Continued from 809C... At approximately 11:00am, LPAs conducted a sample file review for staff and found all staff to have annual staff training on file. LPAs also conducted a file review for all residents. Upon review, LPAs found that resident (R1) requires an updated Physicians Report to be completed (deficiency cited, see 809D). At approximately 12:00pm, LPAs conducted a spot check of medications and found all administering and records to be in order. Medications located in hallway were found to be secured. Facility receives medication deliveries from resident families and direct from pharmacy. Licensee, Steven Milton's Administrator Certification 7013067740 is valid through 12/14/2024. Sheryl Milton's Administrator Certification 7010836740 is valid through 3/15/2025 LPA requested the following documents be sent to CCL by COB 6/7/202: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan LIC 9020 Register of Facility Client’s/Resident’s Liability Insurance Deficiency cited from the California Health & Safety Code, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penaltiesthe state’s words, verbatim · CDSS document, May 23, 2024

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.