Leap Care Services

Type of visit: Required - 1 Year

On 2/26/2026 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Catherine Ibanez and explained the purpose of the visit. Administrator, Marivel Calambro arrived 30 minutes later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned. First Aid kit is complete. LPA reviewed 5 residents and 3 staff files starting at 10:15AM. Staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medication during inspection. At 10:30AM, LPA observed R2 does not have medical assessment and TB test results on file. At 11:00AM, LPA measured hot water at 132.7 degrees F in the hallway bathroom. Staff lowered hot water and was re-measured at 114.8 degrees F. At 11:15AM, LPA observed unlocked medications in the refrigerator. Staff locked up the medications during inspection. At 11:20AM, LPA observed facility had a baby monitor in R1's room and the receiver is on the kitchen counter. Staff removed the baby monitor during inspection. (Continue LIC809C...) At 11:45AM, LPA observed S3 does not have initial training completed. At 12:45PM, LPA observed 4 residents (R2, R3, R4, R5) does not have doctor's orders for bed rails. At 1:20PM, LPA observed R4 did not have medication Senna available. Additionally, R4 has a doctor's order for Milk of Magnesium; however, the facility has MiraLAX power instead. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights was provided.the state’s words, verbatim · CDSS document, Feb 26, 2026

Type of visit: POC

On 5/6/2025 at 1:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a POC (proof of correction) inspection. LPA met with caregiver, Julie Ann Arcosa and informed her the reason for the visit. Administrator, Marivel Calambro was not able to be at the facility and authorized caregiver to sign CCLD reports. The following deficiencies were cleared by visit: - 1569.625(b)(2); LPA observed staff have annual training documents in file. - 1569.69(a)2); LPA observed staff have initial training documents in file. - 87465(d)(3); LPA observed staff completed medication training and certificates were sent via email. - 87458(a); LPA observed R2 has medical assessment on file. - 87467(a)(3); LPA observed residents have reappraisals on file. - 87507(d); LPA observed R1 and R3 have signed admission agreements. No deficiencies are being cited on this date. Exit interview conducted with Julie. A copy of this report and POC letters provided.the state’s words, verbatim · CDSS document, May 6, 2025

Type of visit: Case Management - Annual Continuation

On 4/9/2025 at 10:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with caregiver, Julie Ann Arcosa and explained the purpose of the visit. Administrator, Marivel Calambro was not able to be at the facility and authorized caregiver to sign CCLD reports. During visit, LPA reviewed 5 residents and 3 staff files. LPA observed staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications at around 3:00PM. At 11:30AM, LPA observed R1 and R3 did not have admission agreement on file. At 11:35AM, LPA observed the five residents (R1, R2, R3, R4, R5) did not have reappraisal/ needs & service plan on file. At 11:40AM, LPA observed R2 did not have medical assessment on file. At 1:00PM, LPA observed all staff does not have initial and annual training on file. At 3:30PM, LPA observed facility did not have MAR (Medication Administration Records) completed for March and April of 2025. MARs for April was missing for all residents and MARs for March was incomplete. LPA observed staff did not mark down when medications were given and PRN medications were not documented on the MARs. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted with Julie Ann Arcosa. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 9, 2025

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 2/14/2025 at 11:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Catherine Ibanez and explained the purpose of the visit. Administrator, Marivel Calambro arrived 30 minutes later. The facility’s fire clearance was approved for 6 residents of which 4 residents maybe non-ambulatory and 2 residents maybe under hospice care. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mat in the bathrooms. There were adequate lights in each room. Resident rooms were observed to be cleaned. First Aid kit is complete. LPA reviewed 5 residents and 3 staff files starting at 11:30AM. At 12:15PM, LPA observed unlocked medications in the refrigerator. Staff locked up the medications during inspection. At 12:20PM, LPA observed unlocked knives and scissors in the kitchen. There was unlocked cleaning supplies in the bathroom and unlocked tools in the backyard. Staff locked up the items during inspection. At 12:25PM, LPA measured hot water temperature at 130.5 degrees F in the hallway bathroom. Staff lowered hot water temperature and LPA re-measured hot water at 118.1 degree F. At 12:45PM, LPA observed R1's physician's report dated 7/19/2024 states R1 has a dementia diagnosis which requires R1 to be in a non-ambulatory room. However, R1 is occupying room 5 which is ambulatory only. Civil penalty of $500 is being assessed. (continue on LIC809C...) At 1:00PM, LPA observed R1, R2, and R4 does not have TB test on file. At 1:10PM, LPA observed resident files were incomplete. At 2:00PM, LPA observed S3 does not have health screening and TB test on file. At 2:10PM, LPA observed S1, S2, and S3 does not have current first aid training on file. At 2:30PM, LPA observed facility did not conduct fire drill every three months. LPA will return at a later time to complete annual inspection. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and Health & Safety Code. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights was provided.the state’s words, verbatim · CDSS document, Feb 14, 2025

The state marks this report as 8 pages; the online copy we transcribed has 7. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On 2/7/2024 at 9:10AM, Licensing Program Analyst (LPA) G. Luk conducted a Pre-licensing Inspection to verify corrections were made. LPA met with Licensee/Applicant, Carl Arcosa. The facility's fire clearance was approved for 2 ambulatory and 4 non-ambulatory residents. LPA toured facility including but not limited to resident's bedrooms, bathrooms, living room, kitchen, and outdoor area. LPA observed fire extinguishers to be full and purchase receipt attached dated 1/30/2024. Smoke detectors were observed in operating condition. Hallway bathrooms has night lights and bathrooms have paper towel holders installed. LPA observed bedroom #1 and #5 have chest of drawers for each residents. LPA observed beds have mattress pads. LPA measured hot water at 119.2 degrees F in the hallway bathroom sink. Licensee provided a copy of the updated dementia plan to address behaviors such as ingestion of toxic chemicals and wandering behaviors. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): LPA observed a portion of the back fence is leaning away from the facility. Licensee stated the contractor will be at the facility today to assess the fence. Licensee will submit pictures of fence repair to CCLD. Licensee/Applicant will submit proof of corrections to CCLD on/before 2/20/2024. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 7, 2024

Type of visit: Prelicensing

On 1/30/2024 at 9:10AM, Licensing Program Analyst (LPA) G. Luk conducted a Pre-licensing Inspection. LPA met with Licensee/Applicant, Carl Arcosa. LPA toured facility including but not limited to resident's bedrooms, bathrooms, living room, dining area, kitchen, garage, and outdoor area. LPA observed lighting in all rooms. LPA observed facility had some non-perishable food supply. Licensee will purchase additional food supplies once facility is licensed. Carbon monoxide detector was observed in operating condition. First aid kit was complete. Emergency disaster plan was complete. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1. Fire extinguisher was observed to be full, but unknown when it was last purchased or serviced. Licensee agreed to either provide a copy of the purchase receipt or have it serviced. 2. Hot water was measured at 131 degrees F in the hallway bathroom sink. Licensee lowered hot water and re-measured hot water at 129.4 degrees F. 3. LPA observed facility's smoke detector was beeping during inspection. 4. LPA observed two bathrooms does not have paper towel holders. 5. LPA observed bedroom #1 and #5 does not have chest of drawers. (Continue on LI809C...) 6. LPA observed facility does not have mattress pads for all resident beds. 7. LPA observed common bathrooms does not have night lights available. 8. LPA reviewed dementia plan and observed the plan does not address behaviors such as ingestion of toxic chemicals and wandering behaviors. Licensee/Applicant will submit proof of corrections to CCLD on/before 2/2/2024. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 30, 2024

Type of visit: Case Management - Other

On 1/30/2024 at 11:45AM, Licensing Program Analyst (LPA) G. Luk conducted a face to face Component III presentation. LPA met with Licensee/Applicant, Carl Arcosa. LPA presented Component III power point and discussed the regulations embodied in the presentation. LPA observed Licensee/Applicant gained knowledge about running and maintaining the facility in accordance with Title 22 regulations. LPA concluded Component III. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 30, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): zero COMP II Participants: Ricardo Echon (A)(L) Interview Method: Telephone interview On December 15, 2023, 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.the state’s words, verbatim · CDSS document, Dec 15, 2023