Jones Rest Home

Allegation investigated: Facility does not have adequate lighting.

On 8/13/2026 at 9:00 am, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a complaint investigation and deliver findings for the allegation above. LPA met with Mary Joy Sabisor, Patient Coordinator and explained the purpose of the visit. Administrator Della Deleon arrived around shortly after around 10:15 am. During the investigation, LPA toured the facility including bedrooms, bathrooms and outside area. LPA conducted interviews with three (3) staff and four (4) residents. Allegation: Facility does not have adequate lighting. Finding: Substantiated Continued on LIC9099-C. Substantiated Continued from LIC9099. During Investigation, LPA toured the facilities outdoor path ways and observed that the facility did not have operable light fixtures where residents can exit and enter from. LPA observed certain light fixtures along the facility that did not have working light bulbs. R1 stated that they have doctor appointments that they attend in the morning and the facility does not have working light fixtures along the pathway where their transportation picks them up. R3 stated that the facility does not have sufficient lighting along certain pathways of the facility. S1 and S2 stated that they were made aware of the insufficient lighting along the pathways and thought that they had been replaced. Based on LPA’s interviews and observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. A copy of the appeal rights and this report provided.the state’s words, verbatim · CDSS document, Aug 13, 2026 · control 15-AS-20260810102419

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(d)(4) · Plan of correction due date: Aug 20, 2026

(d) The following space and safety provisions shall apply to all facilities: (4) Stairways, inclines, ramps and open porches...well-lighted. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above by not having adequate lighting near the ramps and open porches that are accessible to residents which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 13, 2026

Plan of correction: By POC date, the Administrator agrees to replace the broken light bulb and add two light fixtures near the ramp/open porch where residents reside and send photo proof to CCLD.

Allegation investigated: Staff handled resident in a rough manner

On 3/4/2026 at 9:45 AM, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a complaint investigation and deliver findings in regards to the allegations above. LPA met with Lisa Rodriguez, Director of Nursing and informed her the reason for visit. During the course of investigation, LPA interviewed staff and residents. LPA obtained the following documents for R1, R2 and R3: Face Sheet, LIC602 (Medical Assessment), Appraisal Needs and Services Plan, Care Notes, Body/shower check log, the staff schedule, the licensed nurse staff schedule. Continued on LIC9099-C. Unsubstantiated Continued from LIC9099. Allegation: Staff handled resident in a rough manner Finding: Unsubstantiated Interview with residents revealed that they feel safe and comfortable living at the facility. Interview with residents reveal that they have not experienced any staff members handling them in a rough manner. R1 stated that they are very sensitive when being touched but the staff make sure they are well taken care of. R1 stated that if the residents ask for assistance, there is always a staff there to help. Interview with staff revealed that they have not heard or witnessed any staff members handling the residents in a rough manner. Interview with staff revealed that staff accommodate the needs of the residents. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted with Lisa and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 4, 2026 · control 15-AS-20260123124712

Type of visit: Case Management - Deficiencies

On 1/29/2026 at 11:30 AM , Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct a case management visit. LPA met with Director of Nursing, Lisa Rodriguez. During the course of investigation for complaint (#15-AS-20260123124712), the following deficiencies were observed: 1.) LPA observed unlocked medication in a residents room. 2.)LPA observed that the facility did not report an incident regarding a resident. *An immediate civil penalty of $250 will be assessed on today's date for failure to correct and repeat violation. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Administrator Della authorized Lisa to sign today's report. Exit interview conducted with Lisa and a copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Jan 29, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jan 30, 2026

87465 Incidental Medical and Dental Care (h)The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible...supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above by having unlocked medication: Triple Antibiotic Ointment which was unlocked over-the-counter medication in the resident’s room, which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 29, 2026

Plan of correction: By POC date, the Administrator removed the unlocked medication and put it In a locked medication cart. Administrator agreed to conduct an In-Service training with all staff regarding unlocked medications and over-the-counter medications in residents' rooms and submit a copy of the sign-in sheet to CCLD by 2/5/2026. *Civil Penalty of $250 was assessed on today's visit*

From the deficiency page — Deficiency type: Type B · Section cited: CCR87211(a) · Plan of correction due date: Feb 5, 2026

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: Based on interview and record review, the Licensee did not comply with the section cited above in not reporting R1 being sent to the hospital on 1/13/2026 to CCLD within seven days, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 29, 2026

Plan of correction: By POC date, the Administrator agrees to read and review the regulation and send a self certification stating that they understand and will abide by the regulation to CCLD.

Type of visit: Required - 1 Year

On 11/5/2025 at 12:30 PM, Licensing Program Analyst (LPA) Yasamin Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Lisa Rodriquez, Director of Nursing and explained the purpose of the visit. Della DeLeon, Administrator arrived to the facility around 1:15 pm. The administrator currently holds a certificate (#7029111740) that expires on 10/20/2026. The facility’s fire clearance was approved for thirty-one (31) residents, eight (8) may be non-ambulatory. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, and outside area. The facility consists of four (4) buildings and nineteen (19) total bedrooms. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 118.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and two (2) day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 4/15/2025. First aid kit was observed to be complete. LPA reviewed five (5) resident and five (5) staff files. Continue to LIC809C. (Continued from LIC809...) The following forms will be updated and submitted to CCLD by 11/12/2025: LIC610D: Emergency disaster plan LIC500: (Personnel Record) The following deficiencies were observed: At 2:15 pm, LPA observed that S2 was not fingerprinted and associated to the facility. At 2:30 pm, LPA observed unlocked medications in R1's room. At 3:00 pm. LPA observed that zero (0) out of five (5) staff members did not have their first aid certificates. *An immediate civil penalty of $500 will be assessed on today's date. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with Della DeLeon, Administrator. A copy of the appeal rights, LIC421BG and this report provided.the state’s words, verbatim · CDSS document, Nov 5, 2025

Type of visit: Required - 1 Year

On 11/14/24 at 12:55 p.m., Licensing Program Analyst (LPA) J. Clancy-Czuleger arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Della De Leon and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 buildings and 19 total bedrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 118 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Fire extinguisher was last serviced on 5/22/24. First aid supplies were observed to be adequate. LPA reviewed 6 residents records and 3 staff records. The following deficiencies were observed: S1 and S2 are not associated to the facility S3 does not have a criminal records clearance The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided. *CIVIL PENALTY ASSESSMENT $500 FOR FAILURE TO OBTAIN FINGERPRINT CLEARANCE (See Civil Penalty Assessment - Immediate).the state’s words, verbatim · CDSS document, Nov 14, 2024

Type of visit: Required - 1 Year

On 11/20/23 at 1:30 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Della De Leon and explained the purpose of the visit. The facility’s fire clearance was approved for 31 clients. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 buildings and 19 total bedrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 118 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 5/08/23. First aid supplies were observed to be adequate. LPA reviewed 5 residents records and 5 staff records, all were complete. LPA also reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/01/23: LIC 610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 20, 2023

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.