H & M Homes Standish

Type of visit: Required - 1 Year

On this day, December 18, 2025, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Nancy Amistad, and informed the reason for visit. LPA called and spoke over the phone with Olive 'Lyn' Neri, administrator (ADM) who authorized Nancy Amistad to with LPA in touring the facility. LPA also met with other staff, Myriel Danilo Espiritu. ADM arrived at around 11:55 am with other John Louie Neri. LPA toured the facility inside out. LPA inspected the kitchen, dining area, living room, bedrooms, common and ensuite bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Smoke and carbon monoxide detectors were tested, and observed in operating condition during visit. Facility conducts disaster drills every quarter and records showed last conducted December 15, 2025. Fire extinguisher checked, observed fully charge with tag showed serviced July 26, 2025. Hot water temperature in the ensuite bathroom was tested and measured at 111. 6 degrees Fahrenheit. LPA reviewed 5 staff and 5 residents records. Medications inspected and compared with LIC622 Centrally Stored Medication and Destruction Records and doctor's orders. Residents' P&I checked and compared with last recorded balance. ......continued on 809C On this same day, LPA received the updated/current copies of the following documents: 1. LIC308 Designation of Facility Responsibility. 2. LIC500 Personnel Report 3. LIC610E Emegency Disaster Plan (9 pages) 4. $3M liability insurance certificate 5. Proof of Surety Bond coverage The following deficiencies were observed and cited from Title 22 California Code of Regulations and listed on 809Ds. -at 10:22 am, CA-Rezz incontinent wash in the kitchen cabinet without lock. -at 10:23 and 10:25 am, peeler and can opener in other kitchen cabinets without lock. -at 10:26 am, heavily scratched kitchen island, dusty and soiled upright kitchen cabinets, and greasy and rusty cooking range. -at 10:28 am, unlocked screw driver in the laundry area. -at 10:32 am, CA-Rezz incontinent wash and wound cleanser in residents' room. -at 10:43 am, CA-Rezz incontinent wash and wound cleanser in another resident's room. -a resident has Oxygen and there's no signs posted. -at 10:47 am, inside of the refrigerator in the storage dirty. -at 10:50 am, rotten dining bench in the backyard. -at 2:00 pm, staff (S5) does not have the required 4 hours postural support, restricted health condition and hospice care training. Deficiencies and plan and proof of corrections were discussed with the ADM. Failure to submit proof of corrections by plan and correction of due dates and any repeat violation may result in civil penalty. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Dec 18, 2025

Type of visit: Required - 1 Year

On 12/12/2024 at 12:20 pm, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. At 12:57 pm, LPA met with Administrator,Olive Lyn L Neri and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 76 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 07/15/2024. Emergency Disaster Plan was last posted on 3/5/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 11/19/2024. At 1:15 pm, LPA reviewed 6 residents records and 5 staff records; all were complete. At 1:45 pm, LPA also reviewed 6 residents medications. At 2:05 pm the following the documents were requested and reviewed:LIC 308 Designation of Administrative Responsibility,LIC 309 Administrative Organization ,LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance, and Current Administrator’s Certificate No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 12, 2024

Type of visit: POC

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct proof of correction (POC) visit. LPA rang the doorbell 3x; no answer. LPA called and left message on Olive 'Lyn' Lopez-Neri's (administrator) voice mail and requested for call back. LPA rang the doorbell again and after several minutes. staff, Liwayway Manansala, opened the door. Administrator returned LPA's call, and LPA informed the reason for visit. Administrator arrived at 1:55 p,m. On 12/08/23, LPA Delmundo conducted an annual required inspection and issued type A citations for the following deficiencies with POCs to be submitted by 12/09/23. Administrator requested extension for submission because 12/09/23 falls on Saturday and the physician is not available. LPA requested POCs be submitted by end of the day of 12/11/23. On 12/11/23, administrator submitted the LIC9098 Proof of Correction form, however, the POCs are missing. LPA responded to the administrator to inform. Administrator submitted the POC and it’s incomplete. LPA responded to administrator the second time, and administrator submitted an incomplete POCs on 12/12/23. Civil penalties are assessed on this day for failure to submit complete POCs. 1. Deficiency section # 87465(e)(2) Civil penalty = $100.00 x 4 days (12/12/23 to 12/15/23) = $400.00 2. Deficiency section # 87465(a)(4) Civil penalty = $100.00 x 4 days (12/12/23 to 12/15/23) = $400.00 Administrator provided the POCs to LPA on this day, 12/15/23. Exit interview conducted. Appeal Rights, LIC421FCs Civil Penalty Assessments, LIC9098 Proof of Correction forms, and copy of this report provided.the state’s words, verbatim · CDSS document, Dec 15, 2023

Type of visit: Required - 1 Year

On this day, December 8, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Olive 'Lyn' Lopez-Neri, administrator, and informed the reason for visit. LPA also met with other staff, John Louie Neri and Liwayway Manansala. Administrator submitted the facility's Infection Control Plan which LPA received on February 20, 2023. LPA toured the facility inside out with the administrator. LPA inspected the kitchen, dining area, living room, bedrooms, common and ensuite bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Facility conducts disaster drills every month, and records showed last conducted December 5, 2023. Fire extinguisher checked, observed fully charge with tag showed serviced July 26, 2023. Hot water temperature in the ensuite bathroom was tested and measured at 109.6 degrees Fahrenheit. LPA reviewed 4 staff and 5 residents files, and interviewed 2 staff and 2 residents. Medications inspected and compared with records and doctor's orders. Residents P&I checked and compared with records. LPA received the following updated/current documents: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) . .....continued on 809C Administrator to submit updated/current copies of the following documents by December 22, 2023: 1. $3M liability insurance certificate 2. Proof of Surety Bond coverage The following deficiencies were observed and cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. -at 1:45 pm, S1 does not have record of postural support training on file. -at 1:55 pm, S2 does not have record of postural support and restricted health condition training on file. -at 2:05pm, S3 does not have record of hospice care, postural support and restricted health condition training on file. -from 2:45 pm to 3:25 pm, R1, R3, R4 and R5's LIC602As are over a year old. -from 3:25 pm to 3:40 pm, LIC625 Appraisal/Needs and Services Plan for R1, R4 and R5 are over a year old. -from 3:41 to 3:55 pm, all 5 residents have no Pre-admission Appraisal on file. -at 4:30 pm, R1 has doctor's order for the following but the facility does have them: Acetaminophen; Cholecalciferol; Ferrous Sulfate; Folic Acid; Sennosides. Facility has the following medications on hand but no doctor's order on file: Baclofen; Dutasteride. Paroxetine on hand does not match the dosage on doctor's order on file. Deficiencies and plan and proof of corrections were discussed with the administrator. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Dec 8, 2023