Keene Kare III

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Licensee (LN) Cristina Banago. During the visit, LPA observed 4 residents and 2 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 2 restrooms and 4 residents bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected. While touring resident bedroom, located between 2 residents bedroom, LPA noted, oxygen was being used. ADM confirmed the resident that was residing in that bedroom does use oxygen. LPA noted that the door to the bedroom does not have a, "oxygen in use, no smoking." LPA spoke to Administrator and noted to Administrator Abigail Gamboa that she wasn't associated to the facility. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 118 degrees F in resident bathrooms. Fire extinguisher was serviced in March 13, 2025. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by LN, and were functional. LPA observed facility first aid kit. LPA requested to review the facility emergency drill log. Licensee Cristina Banago stated she and the ADM have not conducted any drills. LPA reviewed requested to review staff records. LN stated she didn't have them prepared for LPA to review. LPA reviewed 3 resident files. Resident R2's Needs and services plan is dated August 10, 2024, is blank. Resident R3's Needs and Services Plan is blank. Resident R3's Pre-admission Appraisal is blank. LN stated she didn't do a pre-admission appraisal for R3. LPA reviewed 3 resident medications and centrally stored medication records. Resident R1's centrally stored medication record did not have 5 of R1's medications listed. Resident R4 did not have 2 medications that were not listed in his/her centrally stored medication record. Resident R3 did not have his/her medications listed on his/her centrally stored medication record. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500) for the Administrator working in the facility without association. Deficiencies are being cited during today's visit. This report was reviewed with Administrator Cristina Banago and a copy of the signed report was provided. Appeal rights were provided. END OF REPORT.the state’s words, verbatim · CDSS document, Jan 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Cristina Banago. LPA toured the facility inside and out with ADM. One staff and Two residents were observed in the facility. License, personal rights posters, and Administrator Certificate were observed posted at the main entrance. LPA reviewed one resident file and one staff file. Living room, family room, kitchen, dinning room and two restrooms were inspected. 4 bedrooms, 1 master bedroom, laundry room, and garage were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet was observed locked. Knives closet were observed locked. Dish washing solution closet under the sink in the kitchen was observed unlocked. ADM locked it immediately during the inspection. Room temperature was at 68 degree F, and hot water temperature was at 107 degree F in facility. The temperature of the refrigerator was at 33 degree F, and the temperature of the freezer was at 0 degree F. The fire extinguisher was observed expired. The facility staff bought a new fire extinguisher and install it before LPA finished the annual inspection. The facility was equipped with fire alarm system, and carbon monoxide detectors. Fire alarm and carbon monoxide detectors were tested by ADM and they were working. First aid box, flash light and nigh lights were observed in the facility. Front yard and backyard were inspected. There was no obstruction to block the walkways. One storage room was observed at the back yard. No citation noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.the state’s words, verbatim · CDSS document, Mar 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Cristina Banago. LPA toured the facility inside and out with ADM. One staff and one resident were observed in the facility. License, personal rights posters, and Administrator Certificate were observed posted at the main entrance. LPA reviewed one resident file and one staff file. Living room, family room, kitchen, dinning room and two restrooms were inspected. 4 bedrooms, 1 master bedroom and laundry room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet was observed locked. Knives closet, and cleaning product closet were observed unlocked. ADM locked them after LPA's inspection on site. Room temperature was at 68 degree F, and hot water temperature was at 106 degree F in facility. The temperature of the refrigerator was at 33 degree F, and the temperature of the freezer was at 0 degree F. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Fire alarm and smoke detectors were tested by ADM. The fire alarm and smoke detectors were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. Deficiencies were noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.the state’s words, verbatim · CDSS document, Mar 5, 2024