Helping Hands

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with Rosana Mead, Administrator. Caregiver Rowena Tirasol, and maintenance staff, Thaddeus Tirasol, were also present. LPA observed (1) hospice personnel present and a second hospice staff arrive during the inspection. LPA observed (1) resident eating breakfast in the common area. The facility is licensed for (5) non-ambulatory residents (1) of whom may be bedridden, (1) ambulatory and has a hospice waiver for (3). Currently, there is (1) resident on hospice. LPA and Administrator toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms, (1) shared resident bedroom, (2) resident bathrooms, (1) staff room, kitchen and laundry/office area. LPA observed the facility to be clean, in good repair and odor-free. Bathrooms have the necessary grab bars, skid-resistant flooring and hygiene supplies. There is sufficient 2+ day perishable, including fresh produce, and 7+ day non-perishable supply of food. Sharps, medications and toxins are locked in the kitchen/laundry area. The inside temperature measured 71*F, and hot water measured 115.5*F in a resident bathroom. Smoke/monoxide alarms are working and the extinguisher was last serviced 5/13/2025. Administrator to ensure all exit doors have functioning auditory alerts, including vacant resident rooms. There are (2) unlocked gates and there are no blockages to exit doors. First aid kit is complete. LPA reviewed (2) resident files and (3) staff files. Files were organized and contained current documentation. Administrator certificate is pending renewal- exp 3/18/26. Staff are completing required continuing training. All staff have current 1st Aid/CPR and are cleared/associated. Required postings in the common area. An updated copy of the LIC308, LIC500 and current liability insurance were obtained. There are no deficiencies issued. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Feb 23, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection related to a recent incident report (LIC624) submitted to the Department on December 8, 2025. LPA met with Rowena Tirasol, Lead caregiver, and stated the reason for today's inspection. The Administrator, Rosana Mead, arrived at 3:20 pm. There is currently (1) resident under hospice care. LPA observed (2) residents present in the common area and (1) resident resting in their room. LPA reviewed the LIC624 which states resident (R1) went to the emergency room on December 5, 2025 after vomiting and then passing out around 11:30 am. The hospital discharge paperwork shows (R1) was treated for syncope and an elevated white blood cell count, and returned to the care home on December 8, 2025. A new medication was prescribed for (Senna) and (2) medications, Chlorthalidone 25mg and Lisinopril 20 mg were discontinued. (R1) had a follow up phone call appointment with their physician on December 9, 2025, but the responsible per son was not able to attend, so it will be re-scheduled. The Administrator indicated that (R1) has been resting and doing well, without any further vomiting, since returning. LPA observed (R1) to be resting in their room. Also discussed was that resident (R2) passed on November 24, 2025, while under hospice care. The administrator and death report indicate (R2) had been declining and only took liquids for the last two weeks. The lead staff and administrator stated (R2) had been previously restless over the last (2), but was peaceful for the last (4) days prior to passing. Hospice staff was visiting times weekly, and then visited more when the facility contacted them. LPA and the administrator toured the interior of the facility and did not observe any health and/or safety risk to the residents in care. There is sufficient food. The facility took appropriate action in sending (R1) out for prompt medical attention. There are no deficiencies issued in the report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met with Rose Mead, Administrator. Caregivers Rowena Tirasol and Gina Willard were also present and maintenance staff, Thaddeus Tirasol. LPA observed (2) resident in the common areas, (1) resident in their rooms, and (1) resident was currently out of the facility with a family member. The facility is licensed for (5) non-ambulatory residents (1) of whom may be bedridden, (1) ambulatory and has a hospice waiver for (3). Currently, there are no residents on hospice. LPA and Administrator toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms, (1) shared resident bedroom, (2) resident bathrooms, (1) staff room, kitchen and laundry area, and office area. LPA observed the facility to be clean, in good repair and odor-free. Bathrooms have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+ day perishable and 7+ day non-perishable supply of food. Sharps, medications and toxins are locked in the kitchen/laundry area. The inside temperature measured 71*F. Hot water temperature measured 120*F in a resident bathroom. Smoke/monoxide alarms are working and the extinguisher was last serviced 3/28/24- to be serviced again by 3/28/25. There are sufficient linens/towels/blankets and PPE (gloves, masks and washable gowns). All exit doors have auditory devices. LPA observed (2) unlocked gates from the outside patio and covered patio seating. There are no pools. Discussed PIN 24-09 and updates to Adm Agreement. LPA reviewed (2) resident files - files were organized with current physician's reports and care plans. Medications were reviewed for (2) residents- orders matched medications being administered and documentation is maintained. (3) staff files were reviewed Staff have completed the required annual/initial training. All staff have current First Aid/CPR certifications and are cleared/associated or requested to be associated. RCFE Administrator certificate #7004149740- exp 3/18/26. LPA reviewed the updated Dementia Care Plan (dated 2/18/25). An updated copy of the LIC308, LIC500 and current liability insurance due by 3/21/25. There are no deficiencies issued. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual and met Rose Mead, Administrator. Caregiver, Rowena Tirasol, was also present. LPA observed (2) resident in the common areas and (2) residents to be in their rooms at the start of the inspection. The facility is licensed for (5) non-ambulatory residents, (1) ambulatory and has a hospice waiver for (3). Currently, there is (1) resident on hospice. LPA and Administrator toured the interior and exterior of the facility including the common areas, (4) private resident bedrooms (1) shared resident bedroom, (2) resident bathrooms, (1) staff room, kitchen and laundry area, and office area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+ day perishable and 7+ day non-perishable supply of food. Sharps, medications and toxins are locked in the kitchen/laundry area. The inside temperature measured 71*F, and the hot water temperature measured 108*F in the kitchen. Facility conducts quarterly fire drills. Smoke/monoxide alarms are working. LPA observed (2) unlocked gates from the outside patio and also covered patio seating. There are sufficient towels/linens/PPE/paper and incontinent products. All required postings are in the common area. Administrator to ensure the most updated copy of personal rights (LIC613C) is posted. First aid kit is complete. LPA reviewed/approved the Infection Control Plan and found it complete. LPA reviewed (3) resident files and found them to be complete with current physician's reports and care plans. Medications were reviewed for (2) residents and orders matched medications being administered. A Technical Advisory Note is being issued. Documentation is clear and current for medications. LPA reviewed (2) staff files. Files were organized and training is current with documentation, including First Aid/CPR. All staff are cleared and associated to the facility. RCFE Administrator certificate #6014576740 is pending renewal. LPA requested an updated copy of the LIC308, LIC500 and current liability insurance be provided by 4/2/24. There are no deficiencies issued during today's inspection. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 26, 2024