Kindness Residential Care

Type of visit: Required - 1 Year

On 8/10/2026 Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with staff and explained the purpose of the visit. Later joined by Nessy Radaza. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 108.5 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees. Fire extinguishers and smoke detectors are operational. LPA observed centrally stored medications are kept locked and inaccessible to residents. LPA reviewed and compared resident medication vs. resident medication logs. Continued LPA reviewed 5 resident and 3 staff files, including criminal record clearances. During the file review LPA observed that R1 is bedridden and needs to have the physician's report updated to reflect the change in condition. First aid kit was checked and is complete. LPA observed the carbon monoxide detectors in the facility. Fire drill was conducted on 7/1/2026. Per the Title 22, Division 6 of California Code of Regulations. Deficiencies were observed during today's inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Aug 10, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1566.45(c) · Plan of correction due date: Aug 11, 2026

FIRE CLEARANCE - H&S code 1566.45(c) A bedridden person may be admitted to, and remain in, a residential facility that secures and maintains an appropriate fire clearance. A fire clearance shall be issued to a facility in which one or more bedridden persons reside if either of the following conditions are met: (1) The fire safety requirements are met. Clients who are unable to independently transfer to and from bed, but who do not need assistance to turn or reposition in bed, shall be considered non ambulatory for purposes of this paragraph. (2) Alternative methods of protection are approved. This regulation is not met as evidenced by LPA observed on inspection that R1's ambulatory status needs to be updated to bedridden. This is a health and safety risk to resident in care.the state’s words, verbatim · CDSS document, Aug 10, 2026

Plan of correction: Administrator to communicate with resident's responsible party and physician for clarification of residents bedridden status. Administrator to submit physician statement if resident is bedridden, and then request for fire clearance to CCL by POC date.

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 08/28/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff persons, Jessica Mamangon and Francisco Enriquez, who were briefly interviewed at this time. This LPA requested that they go ahead and contact the facility designated Administrator, Nicetas "Nessy" Radaza, to inform her that CCL was present at this time for an annual visit. Current census was 5 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 were (2) 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 unit located in the garage area was 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, # 7035882740, for Nessy Radaza was observed to have an expiration date of 08/13/2026 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, Assured Fire Extinguisher Company, on 01/10/2025 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 There were no deficiencies observed or cited during today's annual visit. Exit Interviewthe state’s words, verbatim · CDSS document, Aug 28, 2025

Type of visit: Post Licensing

Unannounced Post Licensing visit made out to this facility on 07/01/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Nicetas "Nancy" Radaza. A brief interview was conducted with the facility designated Administrator at this time. Current census was 5 residents. It was learned that there was (1) resident under the care of hospice at this time. This facility does have an approved hospice waiver to be able to accept and retain up to (6) hospice residents at any given time. It was learned that there were (3) residents receiving care from a home health care agency at this time. It was learned that there was (1) resident diagnosed with dementia at this time. A tour of this facility was conducted. Administrator certificate was observed to be present and in compliance at this time for facility Applicant/designated Administrator Nicetas Radaza. Additional forms and documents were reviewed to make sure that the initial certification process was completed and a valid certificate was issued in compliance at this time. Kitchen area was toured. Cabinets and drawers were reviewed. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted. Medication cabinet, located in a separate dining area cabinet, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility designated representative at this time. This medication cabinet was observed to be locked and made inaccessible to the residents at this time. A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Linen closet, located in the hallway, was observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time. Laundry area was toured. Cabinets storing detergents and bleach were observed to be locked and made inaccessible to the residents at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected by the local fire extinguisher company, Assured Fire Extinguisher Company, on 01/15/2024 and in compliance at this time. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gate, and exits was conducted. A review of (5) facility resident records was conducted and noted on the following LIC 858 form. A review of (4) facility staff records was conducted and noted on the following LIC 859 form. The following forms and documents were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's Post Licensing visit. Exit Interviewthe state’s words, verbatim · CDSS document, Sep 26, 2024

Type of visit: Prelicensing

Unannounced Prelicensing visit made out to this facility on 07/01/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility Applicant/designated Administrator Nicetas "Nancy" Radaza. A brief interview was conducted with the facility Applicant/designated Administrator at this time. Current census was 4 residents. It was learned that there weren't any residents under the care of hospice at this time. This facility does have an approved hospice waiver to be able to accept and retain up to (6) hospice residents at any given time. It was learned that there weren't any residents receiving any care from a home health care agency at this time. It was learned that there weren't any residents diagnosed with dementia at this time. A tour of this facility was conducted. Administrator certificate was observed to be present and in compliance at this time for facility Applicant/designated Administrator Nicetas Radaza. Additional forms and documents were reviewed to make sure that the initial certification process was completed and a valid certificate was issued in compliance at this time. Kitchen area was toured. Cabinets and drawers were reviewed. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted. Medication cabinet, located in a separate hallway cabinet, was reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications was discussed with the facility designated representative at this time. This medication cabinet was observed to be locked and made inaccessible to the residents at this time. A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Linen closet, located in the hallway, was observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time. Laundry area was toured. Cabinets storing detergents and bleach were observed to be locked and made inaccessible to the residents at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected by the local fire extinguisher company, Assured Fire Extinguisher Company, on 01/15/2024 and in compliance at this time. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gate, and exits was conducted. A review of (4) facility resident records was conducted and noted on the following LIC 858 form. A review of (2) facility staff records was conducted and noted on the following LIC 859 form. The following forms and documents were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 There were no deficiencies observed or cited during today's Prelicensing visit. This facility was found to be in compliance for today's visit. Component III interview was conducted by this LPA with the facility Applicant/designated Administrator Nicetas Radaza. Exit Interviewthe state’s words, verbatim · CDSS document, Jul 1, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 5 COMP II Participants: Nicetas Radaza Interview Method: Telephone interview On June 13, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staffing, Medication Distribution, Unusual incidents 3. Staffing requirements & Training 4.General Provisions/pre licensing inspection readinessthe state’s words, verbatim · CDSS document, Jun 13, 2024