Ismaela's Home Care

Type of visit: Case Management - Other

On August 6, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced case management visit to confirm facility closure. LPA met with Licensee, Florinda Guinto and explained the purpose of the visit. On 5/6/25, CCL was notified by the Licensee of facility closure. During the visit today, LPA observed the kitchen, living room, dining room, resident rooms, and backyard. LPA observed that there are currently no residents at the facility. LPA did not observe any residents and did not observe evidence of care and supervision In the home. CCLD will be proceeding with the closure as the Licensee is no longer interested in maintaining a license. A forfeiture letter will be sent to licensee and the facility number 410600162 shall be closed. This report is reviewed, and discussed with the Licensee, and a copy is provided.the state’s words, verbatim · CDSS document, Aug 6, 2025

Allegation investigated: Staff member threatened resident in care Staff member yelled at resident in care

On July 1, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced visit to deliver the complaint investigation findings. Upon entry, LPA met with caregiver, Paul Medina and explained the purpose of today's visit. The Licensee, Florinda Gunito arrived shortly thereafter and LPA explained the purpose of the visit. Regarding to the allegation of- staff member threatened resident in care, the reporting party stated that after licensing's visit and told the licensee that resident's are not to be spoken to with a raised voice, nor retaliated against, a staff member told a resident, "if you are not happy here, we can just close this place down". As part of the investigation, LPA interviewed the licensee, and the residents. The Licensee stated she was not aware of any staff members threatened the residents but they have decided to close the facility and they have provided the 60-day facility closure notice to the residents, the responsible party, the case managers, the Ombudsman and CCL. The licensee also stated that they are working with the resident's case manager on discharging the residents. Substantiated LPA interviewed resident #1(R1) and resident #2 (R2) who stated that after a visit from the LPA and the Ombudsman, they were told by staff in a threatened manner, "Bye Bye". In addition, both of these residents related this information to a State Official. After the investigation, this allegation is deemed to be substantiated. Regarding to the allegation of- staff member yelled at resident in care- the reporting party stated that when resident #1 (R1) asked the staff about the medication, the staff telling R1 "I am busy" and yelled at R1. As part of the investigation, LPA interviewed staff #1 (S1), and R1 and another resident. According to S1, they never yelled at R1 and other residents. S1 stated that R1 was recently hospitalized and returned to the facility with a lot of new medication and changes with the current ones. R1 was persistent and asked about the changes of all the medications before S1 had a chance to review them with the hospital nurse so S1 told R1 to wait but never yelled at R1. . LPA interviewed R1 who stated that he/she was afraid of S1 and S1 yelled at R1 and other residents. LPA interviewed R2 who stated that S1 got angry one day during dinner and yelled at R1. Residents also reported to a State Official that S1 got angry and yelled at them. After the investigation, this allegation is deemed to be substantiated. Based on interviews, record reviews, and observations during the investigation, the preponderance of evidence standard has been met. Therefore, this allegation was determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the licensee; a copy is provided with Appeal Rights provided. LPA interviewed R1 who stated that S1 initially got angry and yelled at S1 when S1 asked about the medication changes (this was addressed on LIC 9099) but later S1 explained it to R1 after speaking to the hospital nurse. R1 also stated that S1 is very knowledgeable with R1's medication. Based on these observations, and interviews the above allegation is deemed to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated. The report is reviewed and discussed with the Licensee. A copy is provided.the state’s words, verbatim · CDSS document, Jul 1, 2025 · control 14-AS-20250502114652

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Jul 2, 2025

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature,... This requirement is not met as evidenced by based on observation and interviews.. R1 and R2 reported that they were being threatened and yelled at by facility staff which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jul 1, 2025

Plan of correction: The administrator/licensee will develop a plan to ensure all residents are being treated with dignity and respect. The plan shall include staff training. The administrator/licensee will provide a copy of the plan to CCL by 7/2/2025.

Allegation investigated: Staff not providing adequate laundry service. Staff not allowing resident to shower. Staff does not provide residents with nutritious meals, inadequate fruits, or vegetables.

On May 1, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced complaint visit to deliver the investigation findings. LPA met with the Licensee, Florinda Guinto and explained the purpose of the visit. Regarding to the allegation of- staff not providing adequate laundry service, the reporting party stated that staff only does laundry once every 2 weeks and residents are running out of clean clothes. As part of the investigation, LPA interviewed the Licensee and the residents. According to the Licensee, laundry is done at the off-site Laundromat to save money on water bill and it was done every 2 weeks and on rainy days, it may be longer than 2 weeks. LPA interviewed Resident #1 (R1) who stated that upon admission, R1 was told by the Licensee to purchase more clothes at least to last for 2 weeks because laundry was done every 2-3 weeks. R1 stated that there were times that R1 did not have clean clothes to wear. Substantiated LPA interviewed Resident #2 (R2) who stated the laundry is done at the off-site Laundromat every 2-3 weeks and there were days that R2 ran out of clean clothes to wear as well. After the investigation, this allegation is deemed to be substantiated as the facility is not providing adequate laundry service to meet the needs of the residents. Regarding to the allegation of - staff not allowing resident to shower, the reporting party stated that the residents cannot shower daily. As part of the investigation, LPA interviewed the Licensee, and residents. LPA interviewed the Licensee who acknowledged that she has requested the residents to shower weekly to save money on water bill. According to R1 and R2, they were asked by the Licensee not to shower daily to save money but they preferred to take a shower everyday or whenever they wanted to. After the investigation, this allegation is substantiated. Regarding to the allegation of - staff does not provide residents with nutritious meals, inadequate fruit or vegetables, the reporting party stated that resident are served waffles or 1 slice of spam for dinner. In addition, the reporting party stated that the facility was not providing fresh fruits and vegetables. As part of the investigation, LPA conducted observation, interviewed the Licensee, and the residents. During the 10-day complaint visit on 4/1/2025, LPA inspected the refrigerators and LPA did not observed 2-days of perishable and 7-days of non-perishable foods. LPA observed 2 bundles of celery, a few boxes of chicken and rice that were donated by Good Samaritan, many bags of bagel and bread that were also donated by the Good Samaritan, a bag of salad, a few bag of meats in the freezer that were separated and pre-bagged from a bulk purchase. LPA did not observed any other fresh vegetables, fresh produce items, seasonal fruits, etc. According to the Licensee, the residents were served spam once a week for lunch and after reviewing the menu that was provided by the Licensee for breakfast, lunch and dinner, it was determined that the residents were served unbalanced meals for breakfast, lunch, and dinner. LPA interviewed R1 who stated that they had to use their own money to purchase foods because it was not provided at the facility. LPA interviewed R2 who stated the facility served vegetable and fruits but not enough varieties such as fresh season fruits, meats, and vegetables. The Licensee was not able to provide grocery receipts to proof that adequate food items were purchased to ensure residents are provided with nutritious meals. After the investigation, this allegation is substantiated. Based on interviews, record reviews, and observations during the investigation, the preponderance of evidence standard has been met. Therefore, this allegation was determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the licensee; a copy is provided with Appeal Rights provided.the state’s words, verbatim · CDSS document, May 1, 2025 · control 14-AS-20250326163441

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.2(c) · Plan of correction due date: May 9, 2025

Health and Safety Code section 1569.2(c) provides:.(c) "Care and supervision" means the facility assumes responsibility for,..Assistance includes assistance with taking medications, money management, or personal care. This requirement is not met based on interviews and observations, the Licensee provided laundry services every 2-3 weeks resulted residents not having enough clean clothes to wear which poses a potential health risk to residents in care.the state’s words, verbatim · CDSS document, May 1, 2025

Plan of correction: The Licensee will develop a plan to ensure resident laundry is completed according to resident's needs and will provide a copy of the plan of correction to CCL by 5/9/2025.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: May 2, 2025

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(2) To be accorded safe, healthful and comfortable accommodations,... The requirement is not met as evidenced by based on observation, and interviews, residents were requested by the Licensee not to shower as often as they desired to save money on water bill which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 1, 2025

Plan of correction: The Licensee will develop a plan in writing to ensure residents do not have any restrictions with their shower schedule. The Licensee will provide a copy of the plan to CCL by 5/2/2025.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(3) · Plan of correction due date: May 2, 2025

87464 Basic Services (f)Basic services shall at a minimum include:..(3) Three nutritionally well-balanced meals and snacks made available daily,... This requirement is not met as evidenced by based on observations and interviews, residents were not provided with fresh seasonal fruits, fresh vegetables, and different type of proteins to meet the resident's needs which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 1, 2025

Plan of correction: The Licensee will develop a plan to ensure all residents are served three nutritionally well-balanced meals and snacks on a daily basis. The Licensee will provide a copy of the plan to CCL by 5/2/2025 and a copy of the grocery receipts.

Type of visit: Required - 1 Year

On March 6, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with licensee, Florinda Guinto and explained the purpose of the visit. The administrator, Charito Rafael arrived at the end of the inspection. The Licensee provide a toured of the facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort. On the main floor, LPA observed total of 5 bedrooms (2 staff rooms and 3 shared resident rooms) and on the lower level, LPA observed a big bedroom with a bath/shower room inside. Hot water temperature in the kitchen, and bathroom was measured at 105-136 degree F. Extra linen was present. Medications were locked and inaccessible to residents. 2 days for perishables and & 7 days non-perishable were observed to be present. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. The following information/form is requested to be submitted to CCLD BY 3/7/2025: - Proof of current Liability Insurance Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with licensee and administrator. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 5, 2025

Type of visit: Required - 1 Year

On March 26, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with licensee, Florinda Guinto and explained the purpose of the visit. LPA toured facility and grounds. On the main level, 3 bedrooms are occupied by 5 residents--one has a private bathroom--and 2 rooms are occupied by staff with one bed in each--one has a private bathroom. There is a common bathroom for residents and another common bathroom for staff. In the backyard, there is a room used by staff and another room for the former administrator which is level with the backyard. No accessible bodies of water or fire safety hazards observed. Medications is stored appropriately and inaccessible to resident. Toxins and sharps are observed to be unlocked and accessible to residents. A comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. There are 5 residents present, and 2 staff. LPA reviewed 4 resident and 4 staff files. Hot water temperature is measured at 108- 115 degrees F. Fire extinguisher was last checked on 5/9/2023. Charito Rafael is a certified RCFE administrator for the facility. The following information/forms are requested to be submitted to CCLD BY 3/28/24: - A written letter from the Licensee appointing Charito Rafael as the administrator - Proof of the renewal Administrator Certification application submitted for Charito Rafael - Proof of current Liability Insurance - Designation of Facility Responsibility (LIC308) Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with licensee. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 26, 2024