Gentle Caring Home

Type of visit: Annual/Random

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 Maria Hernandez followed by Administrator Maria Lat after stating the reason for the visit. Administrator Lat has a valid certificate expiring July 15, 2027. The following was observed during the inspection: This is a single story residential home. Facility is approved for six non-ambulatory and four hospice residents. During today's visit, LPA observed one staff and administrator on duty and three residents. No residents are receiving hospice care as of today. Three residents were observed in the dining room finishing breakfast and taking their morning medications. LPA verified fingerprint clearance and association status of both staff. However, Staff # 2 (S2) was without a clearance transfer. The facility is clean, sanitary, and in good repair. LPA observed four private resident bedrooms, one private caregiver's room, three resident bathrooms, and one private staff bathroom. All residents' bedrooms have the required furnishings and ample lighting. The bathrooms are found to be in compliance equipped with grab bars and slip resistant mats. The hot water temperature in the resident bathrooms measured at 112.8, 116.7, and 115.3 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two day supply of perishables and seven-day supply of non-perishable food in the kitchen. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction and hazards. The exit gates are operational, and there are sufficient seating and shading. There are two outdoor sheds, one is the residence of the administrator and the other a locked storage. The fire extinguishers were purchased on today's date per receipt. The auditory devices and smoke/carbon monoxide detectors were tested and found operational. The Emergency Disaster Plan (LIC610E) was reviewed. LPA observed at least three days of emergency food and water. Disaster drills have not been conducted quarterly this year. LPA observed the required 'See Something, Say Something' (PUB475) poster posted in an incorrect size measuring at 16"x20." LPA audited four of four resident files. Discrepancies noted as reappraisals were incomplete for two residents. In review of two personnel files, discrepancies were found with staff records as the transfer request or association for S2 was incomplete, annual 20 hour training was not completed for S2, and for CPR/First Aid to be completed as best practice. Medications were audited for two of four residents. No discrepancies found with administration. LPA consulted on the following: to ensure S2 is associated to the facility, provide 20 hour training for S2 before the end of the year, encouraging CPR/First Aid training for S2, ensure the needs and services plan is completed annually, conduct quarterly disaster training of various emergency scenarios, and to enlarge the PUB475 to meet the required size of 20"x26." Based on the observations made during today's visit, deficiencies are being cited, and Advisory Notes are being issued. An immediate civil penalty is being assessed. An exit interview was conducted with Administrator Maria Lat, and a copy of this report including the appeal rights were provided at exit.the state’s words, verbatim · CDSS document, Aug 28, 2026

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

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 Maria Lat was notified of the visit via telephone and arrived later to assist. There are currently three residents in care, none 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 and conducted interviews with the residents. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage, with six private bedrooms, one of which is assigned to caregiving staff. There are two en-suite bathrooms used by residents and a locked bathroom used only by staff. Bedrooms appear clean and sanitary. No residents are observed to be using 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 119F in one of the bathrooms and at 122F in the other bathroom. Consultation provided and water temperature adjusted. 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. CONTINUED ON FORM LIC809-C CONTINUED FROM LIC809 Both mounted fire extinguishers present are verified to be charged. Carbon monoxide and smoke detectors were found to be present and operational. The garage is secured and used for the storage of supplies and food as swell as laundry. Emergency water supplies are observed. 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 are self-latching gates on both sides of the premises. There are no bodies of water present. Egress alarms are in use on exit doors, however facility does not utilize locked perimeters or delayed egress. LPA reviewed three resident records which included all necessary components. No bedridden residents are present. LPA reviewed resident medication records and prescription orders for all residents. Centrally stored medication lists need to be updated as some information is no longer valid. Consultation provided. Facility staff is stated to be preparing medication doses for the entire week ahead of time. Type B citation issued. LPA reviewed staff records for two staff members present during the visit. The only valid CPR training present is for administrator Maria Lat, therefore no trained staff is present on the premises overnight. Type B citation issued. No documentation for the initial and annual training for both staff members is present. Type B deficiency cited. The last disaster drill conducted and documented is dated September 8, 2024. Type B citation issued. Staff members are verified to be background cleared and associated to the licensed location. The administrator certificate is pending and has been submitted to the Department at this time. Consultation provided. Based on the observation conducted during the present visit, four type B deficiencies are 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 was provided.the state’s words, verbatim · CDSS document, Jul 14, 2025

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility administrator Maria Lat after introducing himself and stating the reason of the visit. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a one-story home with four private bedrooms, two of which have en-suite bathrooms and the other two sharing a Jack-and-Jill bathroom, in addition to the facility's common living areas. Bathrooms are observed to be equipped with grab bars and slip mats. All resident bedrooms have the required furnishings. LPA observed all beds have linens and blankets. There are currently four residents admitted to the facility, none of which are currently receiving hospice care. Bathrooms faucets and toilets are operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Fire and emergency drills have been conducted quarterly as confirmed by staff interview but not formally documented. LPs provided consultation on the information needed to be maintained on file. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food. Smoke and carbon monoxide detectors tested operational. Fire extinguishers present are observed to be fully charged. There is adequately shaded outside space with outdoor furniture present. There are self-latching gates on both sides of the house and routes of egress are free of obstructions. Medication and sharp items are confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure. A bleach bottle and health supplements are however observed to be present and not secure during the walk-through. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA reviewed four resident files and three staff files. Resident records include all necessary components. All staff members are confirmed to be cleared and associated with this particular licensed location. Per observation, interview and records reviewed, one resident was confirmed to have been assessed as bedridden and requiring a Hoyer lift to be transferred out of the bed. The current fire clearance for the facility does not include any provision for a bedridden resident. Based on the observations made during today’s inspection, two type B deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Three Technical Assistance advisory notes are provided as well with a consultation on the emergency and fire drills documentation, sufficient staffing requirements as well as the required Infection Control Plan. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Sep 6, 2024

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.