Jewel Homecare 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Francisco Gabriel. Administrator (AD) Jehla Gabriel was present during the visit. For today’s visit, LPA observed a total of five residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility AD Jehla Gabriel which expires on August 12, 2027. LPA Ramirez toured the interior and exterior portions of the facility with AD. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one may be bedridden, and has a hospice waiver for four. The facility is a two story home with four resident bedrooms, two of which are shared, two shared resident bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. There are two bedrooms and one bathroom for staff use on the second floor. There is a detached structure in the backyard that is not designated for sleeping quarters. That space will be used for storage only. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. One resident is currently using half-rails for postural support. Appropriate physician orders on file for the resident. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 107.2-108.6 degrees Fahrenheit. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the dining room. Licensee was advised to use the update Emergency Distaste Plan form (LIC610E) dated December 2025. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. Medications are locked in a cabinet in the kitchen. There are no bedridden residents present on the premises. For the exterior portion, LPA Ramirez observed a shaded patio area with furniture, and the grounds were free of any hazards. There is one gate in the backyard. No bodies of water were observed. LPA reviewed five resident files and three staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Gabriel. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, May 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Jehla Gabriel was present and assisted LPA with the inspection. LPA observed that Jehla Gabriel has a valid Administrator certificate which expires on August 12, 2025. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one may be bedridden, and has a hospice waiver for four. The facility is a two story home with four resident bedrooms, two of which are shared, two shared resident bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. LPA, accompanied by the AD conducted a tour of the interior portion of the facility. On today's visit, LPA observed three residents in care, two of which are on hospice, and two staff present. LPA observed residents relaxing in their respective bedrooms and in common areas. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the dining room. LPA inspected the four resident bedrooms and they were observed to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds had clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the two shared resident bathrooms. Resident bathrooms were clean. Resident bathrooms were equipped with grab bars and non-skid floors. Faucets and toilets were operational. Hot water temperature measured between 109.5 and 116.6 degrees Fahrenheit. LPA observed the second story of the home to have two staff bedrooms and one staff bathroom. LPA observed the second story of the home to be for staff use only and off limits to residents in care. CONTINUED ON 809-C LPA observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed a fire extinguishers to be mounted in the kitchen and it was observed to be charged and up to date on service. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the centrally stored medication to be kept in a locked kitchen cabinet. LPA observed the facility has a First Aid Kit stored in a locked hallway closet and it had all the required components. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage and laundry. LPA observed chemicals and toxins to be stored in the locked garage. LPA observed the facility has a three day emergency food and water supply to be stored in the garage. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gate on the north side of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all four resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents' medication and medication records. LPA reviewed three staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Jehla Gabriel and a copy of the report was provided.the state’s words, verbatim · CDSS document, May 19, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Staff do not ensure snacks are made available for residents in care Staff do not ensure residents are provided adequate size meal portions Staff do not ensure residents door handle is in good repair Licensee did not adequately safeguard residents personal belongings

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the four allegations listed above. LPA was greeted and granted entry by administrator Jehla Rose Gabriel after introducing himself and stating the purpose of the visit. Administrator was also provided with the allegations investigated. During the present visit, LPA accompanied by facility staff conducted a tour of the facility's physical plant. Three out of the four residents are present on the premises and were interviewed during the visit. One additional resident is hospitalized as reported to the Department by licensee on January 21, 2025. Resident records for all four current residents were requested, obtained and reviewed during the visit. Additional witness and staff interviews conducted by telephone ahead of the inspection. CONTINUED ON FORM LIC9099-C Unfounded CONTINUED FROM FORM LIC9099 Regarding the allegation that Staff do not ensure snacks are made available for residents in care, the following has been concluded: During the tour of the physical plant, LPA reviewed the ample food supply available for use by residents, as well as meal menus. Three resident interviewed confirmed the availability of snacks upon demand and the fact that such snacks are adequate to their preferences. Regarding the allegation that Staff do not ensure residents are provided adequate size meal portions, the following has been concluded: The quantity of perishable and non-perishable food items observed during the facility visit is consistent with adequate meal sizes being provided. Three residents interviewed confirmed that they were satisfied with the quantity, quality and variety of food available. Staff and residents interviews also confirmed that menus are modified to accommodate food preferences and specialized diets. Regarding the allegation that Staff do not ensure residents door handle is in good repair, the following has been concluded. Door knobs on each of the four bedrooms are verified to be operational and in good repair. One doorknob was reported to have been damaged as a result of a resident's behavioral expression prior to the visit, but is confirmed to have been replaced and repaired adequately during the facility visit. Regarding the allegation that Licensee did not adequately safeguard residents personal belongings, the following has been concluded: Two out of three residents interviewed denied having issues with theft and/or loss of personal items and valuables during their period of admission. A third resident indicated that they had no overall issues aside from instances of gathering "fruit and vegetables". Resident assessment indicates a Pika diagnosis and facility staff has been reporting to the Department via Special Incident Report forms removals of fermenting food items from the resident's bedroom prior to the visit being conducted. Resident was documented to be homeless prior to admission and did not put any belongings into safeguarding with the facility upon admission. Based on the evidence gathered during the present facility visit, the four allegations above are determined to be Unfounded, meaning that the allegations are false, could not have happened and/or are without a reasonable basis. The Department has investigated this complaint. An exit interview was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Jan 23, 2025 · control 22-AS-20250115161832

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Ramoncito Quizon. Administrator (AD) Jehla Gabriel arrived shortly after. For today’s visit, LPA observed a total of 3 residents in care and 2 staff members on duty. LPA observed the Administrator's Certificate for facility AD Jehla Gabriel which expires on 08/12/2025. LPA Ramirez toured the interior and exterior portions of the facility with AD Gabriel. The facility is a two-story structure and is licensed for 6 non-ambulatory residents, of which 4 may be on hospice and 1 bedridden. There are a total of 5 bedrooms, of which 4 are private resident bedrooms and 1 private bedroom for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of 3 restrooms of which 1 is for staff and 2 are for residents. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 110.3-112.2 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located by the kitchen CONTINUED ON LIC809-C.. LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by dining room. Facility had back-up emergency food and water supply. LPA observed that First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA Ramirez observed a shaded area, patio furniture, and the grounds were free of any hazards. There is one gate in the backyard, which both is self-closing and self-latching. No bodies of water were observed. LPA reviewed three resident files and two staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Gabriel. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, May 17, 2024