Jm's Residential Care Home

Allegation investigated: Staff do not respond to resident's calls for assistance in a timely manner Staff do not ensure resident's toileting needs are met

Licensing Program Analyst (LPA) Martha Arroyo conducted a subsequent complaint visit to the above facility. The purpose of the visit is to deliver findings for the above allegations. The initial complaint visit was conducted on 07/30/2026 by LPA M. Arroyo. On today's visit, the LPA met with Administrator, Elizabeth Galang. Entrance interview. During the initial visit on 07/30/2026, between 09:35 a.m. and 11:15 a.m., the LPA along with the Administrator toured the facility, conducted interviews with one staff member and four residents, conducted a resident file review and obtained copies of pertinent documents relevant to the investigation. Report Continued on LIC 9099C... Unsubstantiated Report Continued from LIC 9099... It was alleged that staff do not respond to resident's calls for assistance in a timely manner. It was reported that Resident #1 (R1) does not get attended on a regular basis and staff takes a long time to assist them. Information gathered during the course of the investigation revealed that all residents have access to a call button to request assistance when needed. However, some residents prefer to call out to staff rather than use their call button. During interviews, staff reported that they respond to residents' requests for assistance as soon as possible, although sometimes they may be delayed when both staff members are assisting other residents. Interviews conducted with residents confirmed that staff respond whenever assistance is requested. Residents stated that although staff may sometimes be busy assisting other residents, staff generally arrive shortly after they press their call button. Residents further reported that they have never waited longer than ten (10) minutes for assistance while residing at the facility. Additionally, during interviews, R1 stated that staff check on them whenever they call for assistance and residents did not express any concerns regarding staff while living at the facility. Furthermore, the information obtained during the investigation did not include sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time. It was also alleged that staff do not ensure resident's toileting needs are met. It was reported that R1 uses a diaper instead of being assisted to the restroom by staff. Record review of R1's Physician's Report, dated 01/13/2026, revealed that R1 requires assistance with bathing, dressing, and grooming; however, they are able to manage their own toileting needs. The report also indicates that R1 has bladder incontinence and motor impairments/paralysis due to neuropathy and weakness. Additionally, the report states that R1 is able to communicate effectively and follow instructions and directions. Interviews conducted with staff revealed that all residents are alert, conscious, and able to notify staff when they need their diapers changed. Staff reported that residents typically request assistance by either pressing their call button or calling out to staff. Interviews with residents revealed that when they need assistance using the restroom, staff escort them to the bathroom. Report Continued on LIC 9099C... Report Continued from LIC 9099C... Residents further stated that staff change their diapers whenever requested and expressed no concerns regarding staff not meeting their toileting needs. Additionally, during an interview, R1 stated that although they would prefer to use the restroom instead of a diaper, they are unable to bear weight on their legs and are therefore unable to stand and use the toilet. R1 also stated that staff check and change their diaper whenever requested and reported that they have never been left in a soiled diaper due to staff neglect. Furthermore, the information obtained during the investigation did not provide sufficient evidence to corroborate the allegation. Although the alleged incident may have occurred or may be valid, there is insufficient evidence to determine whether the alleged violation did or did not occur. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview. A copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 18, 2026 · control 29-AS-20260727122539

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Martha Arroyo conducted a Case Management - Deficiencies visit in conjunction with a complaint visit (Complaint Control # 29-AS-20260727122539). The purpose of the visit is to issue a citation for deficiencies observed during the initial complaint investigations unrelated to the complaint. During today’s visit, LPA met with Administrator Elizabeth Galang and the reason for the visit was explained. During today's visit, it was determined that Resident #1 (R1) is bedridden. According to R1's Physician's Report, dated 12/19/2025, R1 is unable to independently transfer to and from bed and is considered bedridden. A review of the facility's license revealed that the facility has fire clearance for six non-ambulatory residents only and is not approved for any bedridden residents. The Administrator contacted R1's family to arrange for R1 to be relocated from the facility. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809-D.) Exit interview conducted, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 30, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(2) · Plan of correction due date: Jul 31, 2026

All facilities shall maintain a fire clearance approved by the city and county fire department… prior to accepting or retaining any of the following types of persons and notify licensing and obtain fire clearance approved by the city and county fire department: Bedridden This requirement was not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as R1 is bedridden and facility does not have an approved fire clearance for bedridden residents, which poses an immediate health, safety, and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 30, 2026

Plan of correction: The Administrator contacted resident’s family and will have resident relocated from the facility. The Administrator has agreed to review regulation cited and submit a statement of understanding to CCL no later than POC due date.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:35 a.m., the LPA met with staff and explained the reason for it visit. At 9:55 a.m., the Licensee, Rodolfo Ohide arrived at the facility. RECORD REVIEW: Between 10:04 a.m. and 12:00 p.m., the LPA conducted a file review for all four (4) residents and staff regularly scheduled and observed the following: Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. Two (2) out of four (4) residents did not have a physician’s report/ medical assessments. One (1) out of four (4) residents require updated appraisals/needs and service plan, a technical violation was issued. Three (3) out of four (4) residents require a preadmission appraisal, a technical violation was issued. Administrator’s Certificate is pending for renewal. The LPA could not identify staff records, including training records, a technical violation was issued. The LPA had several conversations with the Licensee with the goal of providing education in regard to maintaining current resident and staff records. At 1:14 p.m., the LPA, along with the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored in a locked kitchen cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:17 p.m., hot water measured at 107.4-degree Fahrenheit. Continued on LIC-809-C. BEDROOMS: The facility is a single-story residential home with four (4) bedrooms and two (2) bathrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 1:22 p.m., the hot water temperature was measured at 133.0-degree F. The Licensee adjusted the water temperature during the time of the visit. The sinks had sufficient liquid soap, and paper towels. OUTDOOR SPACE: At 1:14 p.m., the LPA observed the back patio which has a covered outdoor area for resident use. There is a gate on each side of the house designated for an emergency exits. The garage is attached and remains inaccessible to residents. Laundry units are located inside the garage. Cleaning solutions are located inside the garage. Additional food supplies and water are also stored in the garage. There are no bodies of water on the premises. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last serviced on 05/14/2025. At 1:27 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Night lights were present throughout the facility. All exits have functioning auditory devices and were operational at the time of the visit. Medications are located in a locked cabinet near the living area. There is a working telephone on premises. The LPA observed additional clean linens and towels in the hallway closets. Due to time constraints the LPA will return at a later date to complete the annual. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted and copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Dec 4, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA), Martha Arroyo conducted a pre-licensing visit to this property at 1:30pm and met with Applicant Representative, Rodolfo Ohide. This application is for a Change of Location (CHOL). The applicant has obtained fire clearance for a total capacity of six (6) non-ambulatory residents. The facility is a one-story home which will be licensed as a Residential Care Facility for the Elderly (RCFE). Currently, there are no residents residing in the facility. Starting at 1:32pm, the LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. At 1:55pm, all hard-wired smoke alarms and carbon monoxide detector were tested and function properly. The LPA observed a fire extinguisher last serviced on 01/22/2024. There are four (4) bedrooms for resident use; two (2) bedrooms are designated for single occupancy and two (2) bedrooms are designated for double occupancy. There is a staff bedroom for live in staff. Each bedroom is equipped with clean mattresses, pillows, and bedding. There is sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. The facility has two (2) bathrooms for resident use. Resident bathrooms contained appropriate non-skid surfaces and grab bars. Bathrooms have sufficient paper products. Hot water temperature was measured in both bathrooms and measured within the range of 105 and 120 degrees Fahrenheit. The LPA toured the kitchen area at 1:35pm. The facility has at least seven (7) day supply of non-perishable food. Appliances and all equipment appear to be clean and in good repair. Kitchen knives are stored in a locked cabinet. The kitchen has a sufficient supply of plates, cups, cookware and utensils. Report Continued on LIC 809C... Report Continued from LIC 809... The living areas and dining areas are clean and properly furnished. All window screens and coverings are in good repair. Enough seating for six (6) residents at the same time in the dining room table. A working telephone is present. There are activity supplies for future residents. There is a fireplace present with a fireplace screen for safety at the time of visit. Night-lights were present in the main hallway and common areas. Functioning auditory alarms observed at the time of the visit. Medications will be stored and locked in a cabinet adjacent to the kitchen. Facility records will be stored and locked in a cabinet adjacent to the dining room. First aid kit was observed to have bandages, thermometer, scissors, tweezers and a current first aid manual. Garage: The garage is attached to the house and will be locked at all times. The laundry room is inside the garage. Detergents, disinfectants, and cleaning supplies are stored in a locked cabinet inaccessible at the time of the visit. There will be no firearms/ammunition stored on the property. The facility has required postings, including emergency exit plan, Licensing Complaint Poster, Resident Personal Rights, Theft and Loss Policy, and Resident Council Rights. The exterior passageways were clean and clear of any obstructions. There are two (2) self-latching gates for emergency use. There are no bodies of water on the premises at the time of the visit. The LPA observed the backyard, which has a covered outdoor area with a table and chairs for resident use. Physical plant is consistent with the submitted facility sketch/floor plan. The physical plant of this facility location is in compliance with Title 22 regulations at this time. During today's visit, the Applicant Representative completed component III with the LPA. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. A copy of the report was reviewed and provided to Applicant Representative Rodolfo Ohide.the state’s words, verbatim · CDSS document, Dec 30, 2024