Genesis Elderly Care 8

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility for the required 1-year inspection. LPA explained the purpose of today’s visit and was greeted and granted entry by Caregiver Reynaldo Avancena. Administrator (AD) Josefina Robles arrived shortly thereafter. The facility is a single-level structure and is licensed for six non-ambulatory residents, of which four may be on hospice and one may be bedridden. There are a total of six bedrooms, of which five are designated for residents and one is designated for staff. During today’s visit, LPA toured the facility and inspected the physical plant, including, but not limited to, testing all smoke detectors, testing the hot water temperature in all three restrooms, and testing auditory devices on all exits. The hot water temperature measured between 108.6 and 112.4 degrees Fahrenheit, and all smoke detectors were operational. The fire extinguisher was charged and had a last inspection date of May 12, 2026. LPA inspected the exterior of the facility and observed a shaded seating area for residents. LPA observed the emergency disaster and evacuation plan, which was located by the dining room. The facility had a backup emergency food and water supply. The facility’s last emergency drill was conducted on April 30, 2026. LPA observed that the first aid kit contained all required components. LPA observed that medications were locked and inaccessible to residents in care. Medications were locked in a cabinet located by the kitchen. {CONTINUE 809C} For the exterior portion of the inspection, LPA observed a shaded area, patio furniture, and grounds that were free of hazards. There were two gates in the backyard, both of which were self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and observed that two out of five resident files did not have a pre-admission appraisal fully completed, as the form was missing residents’ information: Technical Assistance was provided. Staff files were up to date. LPA inspected the facility food supply and observed that the facility retained seven days of non-perishable food on hand and will have two days of perishable food items once there are residents in care. Knives and cleaning supplies were secured in a separate cabinet located in the kitchen. Based on observations and record review conducted during today’s inspection, no deficiencies were cited pursuant to Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 30, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Reynaldo Avancena. Administrator (AD) Josefina Robles arrived shortly after. For today’s visit, LPA observed a total of five residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility AD Josefina Robles which expires on October 21, 2025. LPA Ramirez toured the interior and exterior portions of the facility with AD Robles. The facility is a single level structure and is licensed for six non-ambulatory residents, of which four may be on hospice and one bedridden. There are a total of six bedrooms of which five are for residents and one for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of two restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 112.6-115.1 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. LPA observed that the fire extinguisher was charged and mounted by the dining room. The fire extinguisher was last service on December, 19, 2024. During the visit LPA observed that the residents were having cereal, oatmeal and/or coffee for breakfast. CONTINUED ON LIC809-C.. LPA Ramirez observed the emergency disaster and evacuation plan, which is located by the dining room. Facility had back-up emergency food and water supply. LPA observed that the First Aid Kit had all the required components. LPA observed that medications were locked and inaccessible to residents in care. Medications are locked in a cabinet by the kitchen. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and three staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility AD Robles. A copy of this report was provided at the time of exitthe state’s words, verbatim · CDSS document, Jul 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by facility representative. Administrator (AD) Josefina Robles arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. LPA Ramirez toured the interior and exterior portions of the facility with AD Robles. The facility is a single level structure and is licensed for six non-ambulatory residents, of which four may be on hospice and one bedridden. There are a total of six resident bedrooms of which five are for residents and one for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of two restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 107.1-110.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. LPA observed that the fire extinguisher was charged and mounted by the dining room. During the visit LPA observed that the residents were having oatmeal, cereal, bread, fruit and/or coffee for breakfast. CONTINUED ON LIC809-C.. LPA Ramirez observed the emergency disaster and evacuation plan, which is located by the dining room. Facility had back-up emergency food and water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard, which both are self-closing and self-latching. No bodies of water were observed. LPA reviewed five resident files and two staff files. LPA interviewed residents and staff present. For today's visit deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility representative. A copy of this report was provided at the time of exitthe state’s words, verbatim · CDSS document, Jul 10, 2024