Johanan Care Home

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Melina Oropeza arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by staff and administrator joined 40 minutes later. LPA explained the purpose of the visit to Administrator and staff. Administrator, Juliet Ramones certificate #7015643740 expires 04/02/2028. The facility is licensed for 6 non-ambulatory, of which 1 may be bedridden, approved hospice for 6 residents. Current census is 5. Currently, 4 residents are non-ambulatory and 1 resident is bedridden. The facility has a program to be able to accept and retain dementia residents at any given time. The 5 residents are diagnosed with dementia at this time and 1 resident is hospice. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Chemicals were noted to be locked under the kitchen sink and made inaccessible to residents in care. Medication cabinet, located in the facility hallway, was observed to be locked and made inaccessible to the residents at this time LPA also conducted the care domain tool. No bodies of water were observed at the facility. Hot water temperature was measured at 106 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. Toured two residents bathrooms. Grab bars and non skid mats were observed to be present and in good repair at this time. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. . LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, 2 fire extinguishers inspected on 08/20/2025 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. LPA reviewed five (5) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed four (4) resident facility files. All necessary documents were in place. LPA reviewed MARS and identified a medciation documentation deficiency. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. Type B deficiency were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Copies of reports and appeal Rights were printed and given to the Administrator, Juilet Ramones at this time. Exit Interview.the state’s words, verbatim · CDSS document, Aug 10, 2026

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 08/20/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person, Marilyn Garcia, who was briefly interviewed at this time. This LPA requested that she go ahead and contact the facility designated Administrator, Juliet Ramones, to inform her that CCL was present at this time for an annual visit. Current census was 4 residents. It was learned that there were (3) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (6) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there were (2) residents diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Additional food storage units located in the patio area were observed to be present and functional at this time. Laundry area, located in the garage, was toured at this time. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, # 7015643740, for Juliet Ramones was observed to have an expiration date of 04/02/2026 and in compliance at this time. Forms and documents were being updated in order to renew this Administrator certificate at this time. Medication cabinet, located in the facility hallway cabinets, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the kitchen area, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers (2) were located throughout this facility and observed to have been annually inspected by the local fire extinguisher company, Jorgensen Fire Company, on 07/17/2025 and found to be in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (3) facility personnel records was conducted and noted on the following LIC 859. A review of (4) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: Case Management - Other

Unannounced case management visit made out to this facility on 08/20/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Juliet Ramones, who was briefly interviewed at this time. Current census was 4 residents. The purpose of this case management visit was to review the physical plant changes that were recently made by this Licensee in order to create and add an additional room within this facility. Based on a review of the physical plant, this LPA observed that a room was built in what was originally the living room. It was observed that the walls of this room, except for the original side wall, did not go all of the way up and was left open at the top due to ventilation and for air conditioning purposes. It was observed by this LPA that the local fire department, Lathrop Fire, conducted a fire inspection on 07/17/2025 and cleared the room for use according to their rules and regulations within the Fire Code. Furniture and furnishings were observed to be sufficient and able to meet the needs of the resident at this time. This room had a pocket door that slid from left to right and was able to accommodate one resident at any given time. There were no deficiencies observed or cited during today's case management visit at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 08/22/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person Marilyn Garcia. A brief interview was conducted with the facility staff person at this time. This LPA requested that the facility staff person go ahead and contact the facility designated Administrator, Juliet Ramones, to inform her that CCL was present at this time. Current census was 4 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 08/12/2024. This visit was to follow up on the Plans of Correction that were due. The following deficiencies were observed and cited on 08/12/2024: Licensees who accept and retain residents with dementia shall be responsible for ensuring the following: (6) Appraisals are conducted on an ongoing basis pursuant to Section 87463, Reappraisals. This facility did complete the Plan of Correction and provided all of the required forms and documents at this time. Plan of Correction clearance letters were printed and copies were provided to the facility staff person at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Aug 22, 2024

Type of visit: Required - 1 Year

Unannounced annual visit made out to this facility on 08/12/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator, Juliet Ramones, who was briefly interviewed at this time. Current census was 4 residents. It was learned that there were (3) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (6) hospice residents at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there were (4) residents diagnosed with dementia at this time. It was learned that there was (1) resident deemed to be bedridden at this time. This facility was approved to be able to accept and retain up to (1) bedridden resident at any given time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway closet, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Additional food storage units were observed to be present in the patio area and functional at this time. Laundry area, located in the facility garage, was toured. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Medication cabinet, located in the facility hallway drawers, was observed to be locked and made inaccessible to the residents at this time. Policies and procedures involving storage, dispensing, and documentation of the resident medications was discussed with the facility designated Administrator at this time. Administrator certificate, # 6047790740, for Juliet Ramones was observed to have an expiration date of 04/02/2024 and in the process of being renewed and updated at this time. First aid kit, located in the medication cabinet, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected by the local fire extinguisher company, Armor Fire Extinguisher, on 06/12/2024 and in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. This LPA observed an additional storage unit that was present on the east side of this facility at this time. This storage unit was observed to be locked and made inaccessible to the residents at this time. A review of (4) facility personnel records was conducted on the LIC 859. A review of (4) facility resident records was conducted on the LIC 858. The following forms were requested to be updated and submitted into CCL at this time: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Aug 12, 2024