Hill Terrace

Type of visit: Case Management - Licensee Initiated

Licensing Program Analyst (LPA) Hansen arrived announced at the home and met with Kevin Castaneda, Licensee to complete a final walk through for Licensee-initiated Facility closure. LPA arrived and was granted access by Licensee. LPA/Licensee toured the facility. LPA inspected all rooms and the exterior of the building today and found no evidence that would suggest that any residents are residing on the premises. All clothing and personal items belonging to residents have also been removed. Licensee turned over copy of License during today’s inspection. The license is closed and no longer valid, effective today, 8/26/2025. LPA will send out a forfeiture letter to Licensee and complete closure process.the state’s words, verbatim · CDSS document, Aug 26, 2025

Type of visit: Required - 1 Year

License Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct an annual required – 1 yr. visit of the facility. LPA was welcomed by Licensee Kevin Castaneda & Administrator Ramiro Castaneda. Facility is a single story four-bedroom residence with 2 bathrooms and a fire clearance for 5 non-ambulatory residence. There is a total of one resident in care, without a diagnosis of dementia. There are no residents currently on Hospice. LPA toured the facility on 3/17/2025 at 1:40 PM with Licensee; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Exits were equipped with auditory devices; all auditory devices were working properly. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Hot water temperature measured between 119.5 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 2 of 2 resident’s bathrooms while touring facility on 3/17/2025. The facility serves residents with dementia and has a plan of operation for special care and programming. There was a sufficient supply of both perishable and nonperishable food as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the laundry room/garage. Dangerous items were found stored inaccessible to residents with dementia There was a supply of cleaners, hygiene products and paper products available for residents. The bathrooms designated for residents at the facility were supplied with individual towels and hand soap dispensers. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom shower. All bedrooms have lighting & appropriate furnishings. Resident’s beds were outfitted with mattress pads as required by Title 22 Regulations # 87307 on 3/17/2025 at 2:00 PM. Continue LIC 809-C A review of resident & two staff records was conducted. LPA reviewed resident file at 2:05 PM on 3/17/2025 and learned that resident has an updated re-appraisals/needs & care plans and physician’s assessments (LIC 602A) are updated as required by Title 22 Regulations on file. Facility to ensure that approved Admissions Agreements are always posted and/or accessible to public view in the facility as per Title 22 Regulations # 87507 (e)(2) Admissions Agreement “The licensee shall conspicuously post in a location accessible to public view in the facility a complete copy of the approved admission agreement, modifications and attachments, or notice of their availability from the facility.” Medications were centrally stored in locked cabinet in facility kitchen. The Medications of one resident were found to be given according to physicians’ directions on 3/17/2025 at 2:30 PM. Continue LIC 809-C LPA reviewed a sample of staff records at 1:20 PM on 3/17/2025 and learned that all facility staff present and a sample of other individuals who require caregiver background checks have received criminal record clearances or exemptions. LPA was presented with proof of CPR & 1st Aid certification for staff that files were reviewed. Ramiro Castaneda Administrator Certificate # 7035606740 expires on 4/21/2026. Licensee Kevin Castaneda Administrator Certificate #7035607740 expires 10/8/2026. Disaster drills are conducted quarterly, in different shifts with the last being conducted 12/9/2024. LPA suggested review facility emergency plan to ensure accuracy according to the needs of facility residents. No citations/deficiencies given at today's inspection LPA Hansen is requesting Licensee to update the following documents by 4/7/2025: LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (if changes) LIC 9020 Register of Facility Client’s/Resident’s Copy of Administrator Certificate Copy of Certificate of Liability Insurancethe state’s words, verbatim · CDSS document, Mar 17, 2025

Type of visit: Required - 1 Year

License Program Analyst (LPA) Shannan Hansen arrived unannounced to conduct an annual required visit of the facility. LPA was welcomed by and met with Licensee Kevin Castaneda. There is a total of 1 resident, no dementia residents. LPA toured the facility on 2/6/2024 at 10:00 AM with Licensee Kevin Castaneda; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Exits were equipped with auditory devices; all auditory devices were working properly. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Hot water temperature measured 116.7 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in resident’s bathroom while touring facility on 2/6/2024. The facility serves residents with dementia and has a plan of operation for special care and programming. There was a sufficient supply of both perishable and nonperishable food as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the laundry room/garage. Dangerous items were found stored inaccessible to residents. There was a supply of cleaners, hygiene products and paper products available for resident. The bathroom designated for residents at the facility were supplied with paper towels and hand soap dispensers. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom shower. All bedrooms have lighting & appropriate furnishings. Resident’s bed was outfitted with mattress pad as required by Title 22 Regulations # 87307 on 2/6/2024 at 10:30 AM. A review of one resident & two staff records was conducted. LPA reviewed resident’s files at 11:45 AM on 2/6/2024 and learned that 1 of 1 residents have an updated re-appraisals/needs & care plans and physician’s assessments (LIC 602A) are updated as required by Title 22 Regulations on file. Continue LIC 809-C Facility to ensure that approved Admissions Agreements are always posted and/or accessible to public view in the facility as per Title 22 Regulations # 87507 (e)(2) Admissions Agreement “The licensee shall conspicuously post in a location accessible to public view in the facility a complete copy of the approved admission agreement, modifications and attachments, or notice of their availability from the facility.” Medications were centrally stored in locked cabinet in the facility kitchen. The Medications of 1 out of 1 residents were found to be given according to physicians’ directions on 2/6/2024. Centrally Stored Medication Record (CSMR) of 1 out of 1 residents were found to be complete and accurate. LPA reviewed a sample of staff records on 2/6/2024 and learned that all facility staff present and a sample of other individuals who require caregiver background checks have received criminal record clearances or exemptions. LPA observed during staff file review that facility has required trainings. LPA was presented with proof of CPR & 1st Aid certification for staff that files were reviewed. Ramiro Castaneda Administrator Certificate # 6015597740 expires on 4/21/2024. Disaster Drills have been conducted quarterly with the last one being conducted 10/2023. LPA reviewed Licensing Information System (LIS) with licensee who stated that is corrected and updated at this time; no need to change any of the information. In addition, LPA advised facility to check with the County regarding what is the County Emergency Plan; ensure that disaster drills are conducted in different shifts, and review facility emergency plan to ensure accuracy according to the needs of facility residents. There were no deficiencies cited at this time. LPA Hansen is requesting Licensee to update the following documents by 2/20/2024: LIC 308 Designated LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan LIC 9020 Register of Facility Client’s/Resident’s Copy of Administrator Certificate Copy of Certificate of Liability Insurancethe state’s words, verbatim · CDSS document, Feb 6, 2024