Jc Home for Seniors-Care

Allegation investigated: Facility had missing and/or inoperable smoke alarms

On June 9, 2026, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility unannounced for an initial complaint investigation visit into the above allegation. LPA was greeted and granted entry after stating the purpose of the visit to staff. The License Jay Parungao and Administrator Maria Emeterio were present and assisted with the investigation. The following was determined: Regarding the allegation, Facility had missing and/or inoperable smoke alarms, it was alleged that two fire alarms were missing or nonoperational. During the visit, LPA conducted a tour of the interior and exterior physical plant with staff and reviewed the facility sketch. Fire alarms in all common areas and bedrooms were tested. LPA observed one nonoperational fire alarm in Resident Bedroom #4 and one missing fire alarm in the Family Room. A deficiency is being cited. CONTINUE TO LIC9099-C........ Substantiated Based on record review and observations made during the investigation, the preponderance of evidence standard has been met for allegation: Facility had missing and/or inoperable smoke alarms is deemed SUBSTANTIATED. A deficiency is being cited as per the California Code of Regulations, Title 22, Division 6, Chapter 8. Civil Penalty Assessed. An exit interview was conducted with License Jay Parungao and Administrator Maria Emeterio, and a copy of this report, LIC9099D, and appeal rights were provided at the end of the visit.the state’s words, verbatim · CDSS document, Jun 9, 2026 · control 22-AS-20260602081450

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Jun 10, 2026

87203 Fire Safety:All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidence by: Based on observation and record review, 2 out of 9 smoke alarms were missing/non-operational, which poses an immediate risk to the health and safety of residents in care. LPA observed a nonoperational fire alarm in resident Bedroom #4 and a missing fire alarm in the common Family Room.the state’s words, verbatim · CDSS document, Jun 9, 2026

Plan of correction: During the visit, Licensee replaced the fire alarm battery in Resident Bedroom #4 and installed a new fire alarm in the Resident Family Room. Both were observed operational before exit. Deficiency cleared during visit.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced required annual inspection. Upon arrival, LPA was greeted and granted entry by staff member Janet Benedicto, to whom the purpose of the visit was explained. LPA and staff toured the interior and exterior of the facility. During the visit, the air conditioning units were operating.At the time of the visit, the facility had six residents in care. Both resident bathrooms were clean and operational. Hot water measured between 116.2 and 117.6 degrees Fahrenheit. The kitchen was clean and organized, with at least a two-day supply of perishable foods and a seven-day supply of non-perishable foods available. Knives and cleaning supplies were locked in an exterior cabinet and were inaccessible to residents. The kitchen fire extinguisher was fully charged, and the four-burner gas stove lit without assistance.Residents’ bedrooms were inspected and observed to contain the required furnishings. The living room contained a couch, chairs, and a television for resident use. LPA and staff toured the backyard and observed a covered patio with seating. No bodies of water were present. The exit gate was operational. A shed with two rooms, used to store tools, furniture, and supplies, was locked. No obstacles or hazards were observed in the yard. The garage, used for storage of extra supplies, food, and water, was locked and inaccessible to residents.LPA reviewed residents’ files and associated medications, with no discrepancies observed. LPA also reviewed three staff files, and all were up to date. Smoke and carbon monoxide detectors were tested and found operational. The first aid kit contained all required items. The most recent fire drill was conducted on August 6, 2025.No deficiencies were observed during this visit. An exit interview was conducted, and a copy of the report was provided to the facility.the state’s words, verbatim · CDSS document, Nov 25, 2025

Allegation investigated: Lack of care and supervision resulted in resident's fall and injury

Licensing Program Analyst (LPA), Jenifer Tirre, met with Administrators Cherry and Jay Paranguo for the purpose of delivering findings for the above allegations. The investigation consisted of medical records obtained, interviews conducted, and observations made. On September 15, 2023, the department received allegations that Lack of care and supervision resulted in resident’s fall. The investigation was completed by the department and revealed the following: On September 8, 2023, Resident 1 (R1) had an unwitnessed fall inside their bedroom after kicking the bed away from the wall. R1 rolled off bed, fell on floor between bed and wall. R1 sustained injuries to left shoulder and elbow. R1’s Physician’s Report dated June 29, 2023, notes R1 is non ambulatory, unable to transfer from bed without assistance and has foley catheter. R1 requires full assistance for transfers and toileting including frequent checks of catheter and emptying bag. R1 was transported to Orange County (OC) Huntington Beach Hospital on September 8, 2023, and hospital records dated September 8, 2023, revealed that R1’s main complaint was back pain. CONTINUED ON 9099C Substantiated R1’s attending physician ordered lab work for R1’s lumbar area. Hospital records dated September 8, 2023, revealed lab results showed R1 had a diagnosis of Diffuse Osseus Demineralization which according to Mayo Clinic is a process that causes mineral loss in bones making them more prone to fracture and moderate to severe stenosis, which is pain in the spine. Per Orange County Huntington Beach Hospital X-ray records dated September 8, 2023, shows no bone fractures and no joint dislocation. Attending physician reported no significant tenderness over both regions, leading physician to believe these were old fractures. R1’s evaluation was consistent with soft tissue injury and consistent with bony injury. R1’s left hand and shoulder were cleaned. Hospital discharge papers dated September 8, 2023, indicated R1 was discharged back to facility same day. Three of four staff interviewed stated that it is possible that the wheels on R1’s bed may have not been locked. Four of four staff confirmed that staff use left side of R1’s bed to assist with Activities of Daily Living (ADL’s) and during assistance the front wheels are taken off lock for staff members to have better access to R1. Interviews revealed that all four of four staff members confirmed that R1’s bed was pushed away from wall. Three of four staff interviews revealed that R1 is a restless sleeper. Interview with R1 confirms that staff forgot to lock the wheel of bed causing R1 to roll out of bed. It was observed that when wheels were locked, bed was hard to move out of place. However, if only one front wheel was unlocked, R1’s bed moved with ease in this position. Based upon Medical Records, interviews, and observations the allegation that Lack of care and supervision resulted in resident’s fall and soft tissue injury revealed that the preponderance of evidence has been met and was found to be SUBSTANTIATED. See LIC9099-D for cited deficiencies and immediate civil penalty as per Title 22 Division 6 of the California Code of Regulations. A Civil Penalty is pending determination by Community Care Licensing Division as per Health & Safety Code 1569.49. An exit interview was conducted with Cherry and Jay Paranguo. A copy of this report, along with LIC9099-D, Appeal Rights, Civil Penalty Assessment-LIC 421 IM and the LIC 811, identifying confidential names were provided and explained.the state’s words, verbatim · CDSS document, Jun 16, 2025 · control 22-AS-20230915143404

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1) · Plan of correction due date: Jun 17, 2025

Basic Services shall at a minimum include care and supervision as defined in section 87101(c)(3) and Health and safety code section 1569.2(c) Requirement was not met as evidenced by: interviews & observations made, confirmed resident's whhels to bed were left unlocked by staff causing bed to easily move in position resulting in resident rolling onto floor. This poses an immediate risk to resident's health and safety.the state’s words, verbatim · CDSS document, Jun 16, 2025

Plan of correction: Licensee to provide in service training to staff on fall preventions. Licensee to provide anti sliding furniture stopper for bed wheels. Licensee to provide proof by POC Close of Business due date 06/17/25.

Type of visit: Required - 1 Year

On 11/13/2024, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator (Admin) Cherry Parungao and Jay Parungao were present to assist with the facility inspection on today's date. The facility is licensed for six (6) non-ambulatory residents, 1 Bedridden with approved hospice waiver for two (2) residents. Currently, there are two (2) Hospice residents present during today’s visit. This is a single story with a two-car garage facility. The facility has six bedrooms (four private rooms, one shared room and one staff room), and three bathrooms. At around 12:52PM, LPA conducted a tour of the physical plant accompanied by Administrator, and the following was observed: All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 118.0 degrees F. A comfortable temperature of 74 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has supply of emergency food and water. A fire extinguisher was charged, facility has one fire extinguisher. A review of the Medication files was conducted. CONTINUE ON 809C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance on file effective 9/19/2024 - 9/19/2025. The facility is current on Community Care Licensing annual dues. A review of four residents (R1-R4) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Jay Parungao # 7000219740 - Expiration 11/10/25. No deficiencies during this inspection visit. An exit interview was conducted with Administrator, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Nov 13, 2024