Jocelyn's Loving Care

Type of visit: Required - 1 Year

On 1/31/26, 8:00 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual visit to this facility. LPA met with Facility Administrator, and reason for the visit was discussed. Facility is licensed as a single-story residence. Fire clearance approved for six (6) Non-ambulatory residents, and one (1) bedridden. Hospice waiver for six (6). Facility has six (6) total bedrooms, (four private bedrooms, one shared bedroom, and one staff bedroom) with four (4) total bathrooms. At 8:20 am, LPA conducted a tour of physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Room temperature is comfortable; wall thermostat displays a setting of 72.0°F., within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted on 1/02/26. Fire Detection/Protection system is present in the facility. Dual Smoke and Carbon Monoxide detectors were tested and function properly. LPA observed two (2) fire extinguishers located in the dining room, and in the hallway. Extinguishers display service date: 12/25/25. [LIC 809-C Continued] Kitchen: At 09:00 am, LPA observed kitchen as clean, equipped with a functional stove, refrigerator, a second refrigerator, (located in hallway near bedroom #05), multiple appliances, with adequate supply of perishables and non-perishable food. Emergency food is stored in a cabinet located adjacent to the kitchen. Food is observed as properly labeled and stored. Kitchen cabinets store dishes, plastic, paper goods and utensils. Knives and sharps are secured in a locked kitchen drawer and inaccessible to residents. Medications At 9:20 am, LPA observed a secured medication cart, located in hallway area near bedroom#1. Medications are listed on a centrally stored medication and destruction record log. A stocked first aid kit and manual was observed in hallway area cabinets. Laundry area is located near bedroom#01. Laundry soaps and other cleaning agents are stored and inaccessible to residents. LPA observed two storage cabinets located near bedroom#6. Each storage room contains PPE, incontinent supplies, personal care items, linens, mattress pads, comforters, towels, clean linen and blankets sufficient for residents. Commons: LPA observed living room and resident dining area. Common areas observed as clean and organized. Furniture provides adequate seating for residents and is in good condition. Activities are observed in living room area dresser which stores arts and crafts, board games, puzzles etc. Bedrooms are observed as clean, with sufficient lighting, properly furnished with sufficient closet space, bedding, linens, at least one chair, and night stand. Bathrooms were observed to be clean and sanitary, with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hand towels and washcloths are not shared. Hot water temperature measured at 116°F., Within the required range. Garage is attached and observed to be locked and inaccessible to residents. Garage stores bedroom furniture, wheelchairs, and medical equipment. Outdoor At 10:10 am, LPA observed outdoor area to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. [LIC 809-C Continued] Resident records: Cabinets in the living room area are locked and inaccessible to residents. A total of five (5) Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. LPA observed that file for Resident #3 (R3) did not contain record of tuberculosis tests or chest exams. This deficiency is cited on the corresponding LIC 809-D page. Staff records: Cabinets in the living room area are locked and inaccessible to residents. A total of four (4) Staff files were reviewed. Criminal record clearances were present, and Staff are associated to this facility. LPA observed that file for staff #2 and staff#3 are incomplete; records are missing Health Screening Report (LIC503) This deficiency is cited on the corresponding LIC 809-D page. An exit interview was conducted, deficiencies were issued, appeals rights and a copy of this report was provided to the administrator.the state’s words, verbatim · CDSS document, Jan 31, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Huma Rahimi met with the Administrator who granted access to the facility. LPA explained the reason for the visit. The purpose of the case management visit is to address a deficiency observed during the course of investigation control # 31-AS-20251024143706. Deficiencies observed were not alleged however are related to the complaint During the course of the investigation control # 31-AS-20251024143706 the following was observed: LPA) was informed that on 10/04/2025, the facility admitted Resident #1 (R1), who remained at the facility until 10/23/2025. Upon admission, R1 had documented Stage II pressure injuries, required incontinence care, and needed constant repositioning to prevent further skin breakdown. During the visit, LPA requested staff training records related to pressure injury care, incontinence management, and resident repositioning techniques. The Administrator was unable to provide any staff training documentation and acknowledged that no training had been conducted for staff on these care areas. LPA requested and reviewed staff training records; however, no documentation was available to verify that staff received training in pressure injury monitoring, incontinence care, or resident repositioning techniques. Further observation revealed that three (3) out of three (3) residents currently residing in the facility require daily incontinence care and repositioning services. A deficiency issued and appeal rights explained. Exit interview conducted and copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Oct 29, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Nov 5, 2025

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs....... This requirement is not met as evidenced by: Based on record review and interviews, Licensee did not comply with the above section by failing to properly train staff with incontinence care needs, pressure injury, and repositioing of residents, which poses a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 29, 2025

Plan of correction: Licensee shall ensure that all direct care staff receive in-service training on proper incontinence care and infection control, pressure injury prevention and monitoring and resident repositioning and skin integrity maintenance.... Training must be completed by 11/05/25, with sign-in sheets, training materials, and instructor credentials submitted to LPA by POC due date.

Type of visit: Required - 1 Year

On 12/09/24, 8:25 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual visit to this facility. LPA met with Facility Administrator, Jocelyn Espiritu, and reason for the visit was discussed. Facility is licensed as a single-story residence. Fire clearance approved for six (6) Non-ambulatory residents, and one (1) bedridden. Hospice waiver for six (6). Facility has six (6) total bedrooms, (four private bedrooms, one shared bedroom, and one staff bedroom) with four (4) total bathrooms. At 9:05 am, LPA conducted a tour of physical plant with the Administrator and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Covid 19 prevention protocols are posted. Room temperature is comfortable; wall thermostat displays a setting of 74.0°F., within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted on 11/01/24. Fire Detection/Protection system is present in the facility. Dual Smoke and Carbon Monoxide detectors were tested and function properly. LPA observed two (2) fire extinguishers located in the dining room, and in the hallway. Extinguishers display service date: 11/01/24. [LIC 809-C Continued] Kitchen: At 09:40 am, LPA observed kitchen as clean, equipped with a functional stove, refrigerator, a second refrigerator, (located in hallway near bedroom #05), multiple appliances, with adequate supply of perishables and non-perishable food. Open pantry space stores dry food, condiments, and can goods. Emergency food is stored in a cabinet located adjacent to the kitchen. Food is observed as properly labeled and stored. Kitchen cabinets store dishes, plastic, paper goods and utensils. Knives and sharps are secured in a locked kitchen drawer and inaccessible to residents. Medications At 10:20 am, LPA observed a secured medication cart, located in hallway area near bedroom#1. Medications are listed on a centrally stored medication and destruction record log. A stocked first aid kit and manual was observed in hallway area cabinets. Laundry area is located near bedroom#01. Laundry soaps and other cleaning agents are stored and inaccessible to residents. LPA observed two storage cabinets located near bedroom#6. Each storage room contains PPE, incontinent supplies, personal care items, linens, mattress pads, comforters, towels, clean linen and blankets sufficient for residents. Commons: LPA observed living room and resident dining area. Common areas observed as clean and organized. Furniture provides adequate seating for residents and is in good condition. Activities are observed in living room area dresser which stores arts and crafts, board games, puzzles etc. Bedrooms are observed as clean, with sufficient lighting, properly furnished with sufficient closet space, bedding, linens, at least one chair, and night stand. Bathrooms were observed to be clean and sanitary, with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hand towels and washcloths are not shared. Hot water temperature measured at 113.5°F., Within the required range. Garage is attached and observed to be locked and inaccessible to residents. Garage stores bedroom furniture, wheelchairs, medical equipment and incontinent supplies. Outdoor (front courtyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. All trash cans were observed to be covered. There are no bodies of water in the facility. [LIC 809-C Continued] Resident records: Cabinets in the living room area are locked and inaccessible to residents. A total of four (4) Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be complete and current. Staff records: Cabinets in the living room area are locked and inaccessible to residents. A total of three (3) Staff files were reviewed. Criminal record clearances were present, and Staff are associated to this facility. Staff records appear to be complete and current. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was given to facility representative, Jocelyn Espiritu.the state’s words, verbatim · CDSS document, Dec 9, 2024