Garner's Home Care

Type of visit: Case Management - Other

At 9:30 a.m., Licensing Program Analyst (LPA) conducted a Case Management visit to confirm the closure of the facility. LPA met with the Administrator Designee and explained the purpose of the visit. During the visit, LPA toured the facility and confirmed that there were no residents residing in the home and that operations had ceased. The Designee stated that the closure was licensee-initiated due to no longer being interested in maintaining the license. The Designee reported that prior to the closure, the facility had not had any residents since April 30th, 2026. The Licensee voluntarily surrendered the facility license to LPA during the visit. LPA informed the Designee that she may not admit or retain any residents who require care and supervision, as the license is no longer active. LPA will submit the file for closure upon returning to the Woodland Hills South Regional Office. An exit interview was conducted, and a copy of this report was reviewed, signed, and provided to the Designee.the state’s words, verbatim · CDSS document, May 19, 2026

Allegation investigated: Licensee does not ensure that staff have fingerprint clearance.

At 10:00 am, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced 10-day complaint visit at this facility to investigate the above allegation. LPA met with the Administrator Designee who granted access to the facility. LPA diclosed the purpose of the visit. During course of the investigation, interviews and record review were conducted. At 10:05 AM, LPA requested resident and staff roster. At 10:10 AM, LPA requested copies of pertinent information which include, but not limited to Physician Report, Admission Agreement, Appraisal Needs and Service Plan, Staff Training, Facility Staff Records, etc., relevant to the investigation. At approximately 10:12 AM, LPA conducted a physical plant tour. Between 10:15 AM – 1:45 PM, LPA conducted an interview with the Administrator Designee, Staff #1 (S2), an Operation Manager (OM), and four (4) out of five (5) residents who were available. Continue on LIC 9099C Substantiated Allegation: Staff hit resident. It was alleged that a staff member hit Resident #1 (R1) with a chair on 03/16/2026. Interview with the Administrator Designee at 10:15 a.m. revealed that no staff member hit R1 with a chair and reported that on 03/15/2026, a care meeting took place with R1, management, and caregivers regarding R1’s behavior. The Administrator Designee reported that R1 has demonstrated flirtatious behavior toward staff and that previous incidents related to resident behavior had been addressed and reported to Community Care Licensing Division (CCLD). Interview with Staff #1 (S1) at 11:17 a.m. revealed S1 was working on 03/16/2026 and provided care to R1; however, S1 denied any incident involving a chair and denied hitting or touching R1 in an aggressive manner. Interview with the Operation Manager (OM) at 12:10 p.m. revealed that the OM visited the facility regarding a report received from the Administrator Designee and a placement agency concerning resident behavior. The OM reported speaking with residents and staff and did not observe any staff acting aggressively toward residents. The OM also reported that R1 has displayed flirtatious behavior toward staff and that a meeting was conducted to address appropriate boundaries. Interview with four (4) out of four (4) residents revealed that three (3) residents reported not observing staff hit any residents and stated staff do not engage in such behavior. One (1) out of four (4) residents interviewed stated being hit many times but declined to provide further details, did not identify the staff involved, and declined to describe the incident. Based on interviews conducted and lack of corroborating information, there is insufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated at this time. Allegation: Staff yell at residents. It was alleged that staff yell at residents in the facility. Interview with the Administrator Designee at 10:15 a.m. revealed staff maintain supervision and appropriate communication with residents. Interview with Staff #1 (S1) at 11:17 a.m. denied ever yelling at any of the residents and further stated that staff do not raise their voices at residents. Interview with the Operation Manager at 12:10 p.m. revealed no observation of staff yelling at residents and reported that staff interactions with residents are professional. Interview with four (4) out of four (4) residents revealed that residents reported staff do not yell at residents and residents reported feeling safe in the facility. LPA observations during the visit did not reveal staff yelling at residents. Based on interviews and observations, there is insufficient evidence to support the allegation that staff yell at residents. Therefore, the allegation is Unsubstantiated at this time. Continue on LIC 9099C Allegation: Staff speak inappropriately to residents. It was alleged that staff speak inappropriately to residents. Interview with the Administrator Designee at 10:15 a.m. revealed staff are expected to maintain professional interactions with residents and address resident behavior as needed. Interview with Staff #1 (S1) at 11:17 a.m. revealed staff communicate respectfully with residents. Interview with the OM at 12:10 p.m. revealed no observation of staff using inappropriate language toward residents and reported staff interactions with residents are professional. Interview with four (4) out of four (4) residents revealed that residents reported staff are respectful and do not use inappropriate language toward residents. Based on interviews conducted and available information, there is insufficient evidence to determine that staff speak inappropriately to residents. Therefore, the allegation is Unsubstantiated at this time. Appeal rights explained and exit interview conducted. Copy of this report signed and delivered. Allegation: Licensee does not ensure that staff have fingerprint clearance. It was alleged that staff working at the facility do not have proper criminal record clearances. Interview with the Administrator Designee at 10:15 a.m. revealed that all staff currently employed at the facility are fingerprint cleared and associated to the facility. The Administrator Designee confirmed that current staff are employed and working at the facility. LPA conducted a review of staff records during the visit and reviewed association and criminal record clearance information. Record review revealed that Staff #2 (S2) began working at the facility effective 11/28/2025 and submitted paperwork to the Community Care Licensing Division (CCLD); however, the documentation submitted was incomplete and S2 was not fingerprint cleared and associated to the facility at the time of the visit. Further review determined that the facility did not contact CCLD to verify the status of the association or fingerprint clearance for S2 prior to allowing S2 to work in the facility. Based on interviews and record review, the facility allowed S2 to work without obtaining a criminal record clearance and association as required. Therefore, the allegation is Substantiated at this time. A deficiency is issued on the corresponding LIC 9099-D page. No immediate health or safety hazards were observed during today’s visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 23, 2026 · control 31-AS-20260317113750

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Mar 25, 2026

87355 Criminal Record Clearance (e) 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. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above in one (01) staff #2 (S2) not being associated or fingerprint cleared which posed an immediate risk to the Health, Safety, or Personal Rights to persons in care.the state’s words, verbatim · CDSS document, Mar 23, 2026

Plan of correction: Licensee to provide a written statement regarding the cited section and provide proof of correction by the POC due date.

Type of visit: Required - 1 Year

On 1/12/2026 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct the required Annual Inspection. Upon arrival, LPA was greeted by the Administrator designee Estelita Agpao, who granted access to the facility. LPA explained the reason for the visit. LPA Khurshudyan reviewed the required postings posted on the wall of dining and living room areas and requested staff and residents’ rosters for review. The inspection tool was used to complete the visit. At 12:10pm LPA, with the help of the Administrator designee, began a physical plant tour of the facility and the following was observed: This is a single-story building with six (6) bedrooms, of which five (5) rooms designated for residents’ use. There are three (3) bathrooms, a kitchen, common areas: living and dining rooms, and an outdoor area. Facility has an approved fire clearance for five (5) Non-ambulatory residents, bedridden resident for room #2, and a Hospice waiver for one (1) resident. Kitchen: LPA observed a seven-day supply of non-perishable food, and a two-day supply of perishable food properly stored and labeled. No expired food was observed. Facility stores knives and sharps inside the locked kitchen cabinet, however, at the time of the visit the knife/sharps cabinet was unlocked. Emergency supply of food / water was stored inside the pantry. Food storage and preparation areas are clean and inaccessible to pests. LPA observed two (2) fire extinguishers located in the kitchen and next to the entrance area. The fire extinguishers were last serviced on 5/16/2025. Dish soap and other chemicals observed to be stored under the sink, however, at the time of the visit LPA observed the cabinet to be unlocked and available to residents in care. Continue on LIC809-C Bedrooms: There are six (6) bedrooms in the facility, of which five (5) bedrooms are for residents’ use. LPA observed bedrooms to be properly furnished with beds, linens, night stands, chairs, drawers, closets, and adequate lighting. All bedrooms appeared organized and clean. Residents have enough personal hygiene products. Common Areas: These include living and dining areas. LPA observed dining, living areas clean and clear of clutter. Furniture is generally new and in a good repair. Dining and living room furniture sits at the capacity of the facility. Walls, floors, windows, screens, and blinds were clean and in good repair. At 12:35pm, LPA measured the room temperature to be 70 degrees Fahrenheit. There is a linen closet with an adequate supply of fresh linens ready to use. No obstructions and or tripping hazards found inside the facility. Facility has landline, LPA checked it was operational. Bathroom: There are three (3) bathrooms in the facility. The bathrooms contained hand soap, paper towels, toilet paper and trash bins with lids. The hot water temperature was measured at approximately 12:50pm to be 108.5 degrees Fahrenheit. The bathrooms were checked for cleanliness and proper operations. Towels and washcloths are not shared. LPA observed all bathrooms were missing non-skid mats and was informed by caregiver that facility uses towel in place of non-skid mat. Smoke and Carbon Monoxide Detectors: The smoke and carbon monoxide detectors were tested by staff at 2:30pm and were observed to be operational. Garage: There is no garage in the premises. Laundry Room: Functioning washer and dryer are in a separate laundry room located next to the kitchen area. Laundry detergents and other chemical supplies observed to be unlocked and accessible to residents in care. Backyard/Front yard: LPA observed sufficient yard space and fenced backyard. The front yard has appropriately covered shaded area available for clients to rest. There is outdoor furniture under the shaded area. LPA discussed the importance of maintaining care and supervision to meet the needs of clients. During the physical walk through LPA observed exit area to be cluttered with old/broken furniture and other items, and the obstructions were present around the emergency exit area. There is no body of water in the property. Staff/Client File review: Facility records are kept in the office area next to the living room. Files observed unlocked inside the built-in shelf. Between 12:55pm -2:25pm LPA conducted records review of four (4) staff files and five (5) residents’ records. Files were complete and updated. Continue On LIC809D Medications: At approximately 2:15pm. LPA reviewed Centrally Stored Medication Destruction Records for proper documentation. The facility also maintains Medical Administration Records (MAR). LPA observed centrally stored medications locked inside the medication closet and inaccessible to residents in care. Complete First-aid kit is also available and placed in the common area. No potentially dangerous items were found in the facility. The facility operates with two (2) shifts and has two (2) staff members for each shift. LPA conducted an interview with an Administrator designee, two (2) caregivers and three (3) out of five (5) residents who agreed to communicate. Facility plan/sketch is posted on the wall along with other posting requirements. LPA was unable to collect LIC500, LIC9020, and was unable to verify the coverage of Liability Insurance at the time of the visit. LPA was informed that copies will be forwarded the following day via email. The Administrator's certificate - Exp date is 6/22/2026. Deficiencies issued during today’s visit, see LIC809D. Exit interview conducted, Appeal rights provided, a copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jan 12, 2026

Type of visit: Case Management - Deficiencies

On 5/5/2025 at 12:00pm Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted an unannounced joint Case Management visit at the above facility in coordination with the Eleanor Chenier from Long Term Care Ombudsman (LTCO). Upon arrival LPA met with the Caregiver Jose Quipot, introduced herself with the department badge and explained the reason for the visit. The purpose of the visit is to follow up on an information received by the Community Care Licensing (CCL), indicating that the facility may have placed a lock on the refrigerator, potentially violating residents’ personal rights under Title 22 CA Code of Regulations. LPA and LTCO got informed that currently there are three (3) residents residing in the facility and given access to the kitchen area. It was observed that a physical lock had been installed on the main refrigerator used by the residents. Interview with staff confirmed that the lock was placed due to concerns about food safety, food storage, and for health reasons for one of the residents who eats frozen and raw meet. Staff also added that residents can request access to the refrigerator at any time they want. Interview with three (3) out of three residents stated that they never been declined a food and that usually staff locks the refrigerator during the nighttime, they do not believe their personal rights are being violated. Interview with the Administrator Mary Jane Garner confirmed, although, there is no individualized care plan documentation indicating the need to restrict fridge access for specific residents, a lock is placed on the refrigerator due to residents’ health concern. Based on observations, records review and interviews there is sufficient evidence to confirm that a general lock placed on the refrigerator without individualized assessment is violation of Personal Rights of those residents residing in the facility. Deficiency is cited and noted on LIC 809D. Exit interview conducted. Appeal rights explained. Copy of this report signed and delivered.the state’s words, verbatim · CDSS document, May 5, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: May 6, 2025

Personal Rights of Residents in All Facilities(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights(3)To be free from punishment... interfering with daily living functions such as eating, sleep...This requirement is not met as evidenced by: Based on observation and interviews, it was confirmed that the licensee did not comply with the section cited above by placing lock on the refrigerator limiting residnets access to food, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 5, 2025

Plan of correction: Although that lock was removed during today’s visit the remaining latch must be removed and picture copy must be submitted to LPA by the POC date. All staff in-service training must be conducted by May 6th and copy of training materials must be submitted to LPA by POC date.

Type of visit: Required - 1 Year

On 11/15/2024 at approximately 11:00am an unannounced annual visit was conducted by Licensing Program Analyst (LPA) Perchui Milena Khurshudyan. Upon arrival, LPA met with the caregiver Rose Hugal, who granted access to the facility. LPA explained the reason for the visit. Shortly after the Administrator, Mary Jane Garner arrived and helped with physical plant tour and staff/residents files. During today's visit, LPA conducted a physical plant walk through, at approximately 11:30am, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22. The following was observed: The facility is a single-story home and is licensed for capacity of six (6) residents, of which five (5) may be Non-Ambulatory and one (1) bedridden for bedroom #2. Facility also has a hospice waiver for one (1) resident. There are five (5) bedrooms in the facility of which four (4) are designated for residents’ use. All bedrooms observed to be appropriately furnished except bedroom #4 had broken furniture/chest. All bedrooms have appropriate lighting. There are three (3) bathrooms in the facility of which two (2) are designated for residents’ use. LPA observed bathrooms have soap, paper towels and hand washing signs. The hot water temperature measured at 11:45 to be 107°F. Extra towels and linens were readily available. There are grab bars for each toilet and shower, bathrooms have non-skid mats. All trash cans in bathrooms had fitted lids to protect from cross contamination. LPA observed facility alarms were off on all exit doors. SMOKE DETECTORS/CARBON MONOXIDE. The smoke detectors and carbon monoxide are hard wired, inter-connected and were located throughout the facility. At 1:00pm they were tested and observed to be operational. The facility has two (2) fire extinguishers that were last purchased on May 3rd, 2024. Continue on LIC809-C KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven, dish washer and sink. The kitchen appliances and fixtures were functional. LPA observed the kitchen area, there was sufficient stock of one week non-perishable foods and two days of perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed that sharp objects were stored in a locked drawer inaccessible to residents in care. Extra emergency food was properly stored inside the storage cabinet. The common areas which include dining and living room appeared clean and were properly furnished. Temperature was comfortable it was measured at 12:00pm to be 70°F. No obstructions and or tripping hazards throughout the facility found. MEDICATION: LPA observed centrally stored medication, facility staff/resident files, and First Aid kit locked in the kitchen cabinet and inaccessible to residents in care. LPA observed First-aid kit is complete and has new manual. Facility has Dementia Care Program. PRN medications have written orders from a physician. The facility serves residents with dementia and facility has trained staff to meet the needs of residents who are diagnosed with dementia. Potentially dangerous items are kept inaccessible to residents in care. Facility has 2 staff for AM shift and 1 awake caregiver for PM shift. COMMON AREAS: LPA observed two (2) living rooms and a dining room that appeared generally clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. Facility has land line, LPA checked its operational. LAUNDRY ROOM: Laundry machines are located in the separate closed door area next to the kitchen. LPA observed all chemicals and detergents are kept locked and inaccessible to residents in care. SURROUNDING GROUNDS: LPA observed sufficient yard space with fenced backyard. Appropriate outdoor furniture, with covered shaded area was available for residents at the front area of the house. LPA discussed the importance of maintaining the care and supervision to meet the needs of clients. Exit doors were unlocked and free of obstructions. The facility does not have a swimming pool or body of water. There is no garage in the property. FILE REVIEW: Between 12:00pm to 2:30pm, LPA reviewed records and files of three (3) residents and three (3)staff/caregivers. A review of staff and resident records appeared to be complete. Resident’s files contain assigned admission agreements and a medical assessment, and all other required documentarians. Continue on LIC809-C A review of staff records indicates that all facility staff and who required caregiver background checks have received criminal record clearances. There are no residents with prohibited conditions residing at the facility. Facility also provides activities to the residents. An emergency exit plan/sketch along with other posting requirements are posted on the wall in the living room. The following deficiencies were observed (see LIC809D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. LPA collected LIC500, LIC9020, copy of Administrator's certificate and Infection Control / Mitigation Plan. The Administrator stated that the facility currently does not have a Liability Insurance. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Nov 15, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan, met with Administrator Mary Jane Garner for a One (1) year required visit for this facility. A tour of the physical plant was conducted at 12:30 PM and the following was noted: There is only one entrance being utilized at the facility and must pass through a gate before reaching the main door. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan. Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area at the front yard inside the gate. The facility has sufficient stock of PPE in the storage room. The facility has five (5) bedrooms and three (3) bathrooms currently occupying four (4) residents. One (1) bedroom and one (1) bathroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, one (1) of which maybe bedridden. Hospice waiver for one (1) resident. Physical environment was checked for cleanliness and condition. Walls, windows, ceilings, floors and floor coverings and doors were checked, the following was noted: Living and dining room furniture were also checked. The living room is neat and clean along with the dining room. The facility maintains a comfortable temperature at 75°F. Dual smoke and carbon monoxide detectors were tested and observed to be operational. There is a fire extinguisher located in the kitchen and was observed to be full and last inspected on 05/01/23. The front yard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. (continued on LIC 9099-C) (continued from LIC 809) There is no garage at the facility only car ports on the front. The front yard has locked storage cabinets for all equipment and tools and other supplies. Laundry room is located adjacent to the kitchen and was observed to be locked. All the laundry detergents, cleaning solutions, toxins and other chemicals are observed to be locked in a cabinet in the laundry room. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days of non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. All sharps and knives were also observed to be locked in the kitchen cabinet. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. The bathrooms were checked for cleanliness and proper operation. LPA observed the appropriate grab bars for each toilet, bathtub and shower. Sink in the bathrooms were removed and under construction. The hot water temperature measured at a range of 117.2°F to 119.1°F Towels and washcloths are not shared. There is enough clean linen available in stock at the cabinet. Medications: LPA observed medication in the kitchen cabinet to be locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record. There is a complete first aid kit located in the medication cabinet. Client records: Client records are reviewed. Resident #1 (R1) has a diagnosis of dementia and no current Medical assessment on file. Staff records: LPA conducted a complete file review of staff records. Staff records appear to be complete and updated. Disaster drill was last conducted on 02/01/24. Required posting are observed to be complete and current and displayed properly at the facility. Citation issued. Appeal rights discussed and given. Exit interview conducted and copy of this report issued.the state’s words, verbatim · CDSS document, Mar 3, 2024