Lourdes Home 3

Type of visit: Required - 1 Year

On January 14, 2026, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Gemma Sia Rodriquez and Direct Support Provider Herrieta Labrado. LPA explained the purpose of today’s visit. The facility is licensed to operate for two (2) ambulatory and (2) non-ambulatory elderly adults ages 60 and above. The facility is approved for one (1) hospice waiver. The residents are Harbor Regional Center consumers. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident's rooms, one (1) staff room, two (2) bathrooms, a living area, a dining area, a kitchen, an activity room, and an outside patio area. LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A water temperature of 106.7 degrees F. A comfortable temperature of 70 degrees F. was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained adequately. The fire extinguishers were charged, and smoke detectors and carbon monoxide were operable. Evaluation Report Continues on LIC 809-C A review of Medication Records Administration (MAR) and Fire Drills were observed to be maintained in order and accurate. The facility conducted Fire/Safety Drill on 01/01/26. The facility has a working landline telephone. The staff had all current CPR/First Aid Training on file. During the visit, LPA observed the facility's infection control practices. LPA observed staff followed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Posters mandated for inspection control were posted. An audit of residents #1-#3 (R1-R3) service records and staff #1-#3 (S1-S3) personnel records revealed to be complete. The facility has a current surety bond coverage. The facility has current liability insurance effective 03/25/25 - 03/25/26 with policy # 009900273-6. The facility is current on CCL annual dues. The facility has a current administrator's certificate for Gemma Rodriquez #7003524735 03/17/2024 - 03/17/2026. No deficiencies cited during this inspection visit. An exit interview conducted with Gemma Sia Rodriquez and a copy of the report is provided.the state’s words, verbatim · CDSS document, Jan 14, 2026

Type of visit: Required - 1 Year

On 12/11/24 Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Gemma Sia Rodriquez . LPAs explained the purpose of today’s visit. The facility is licensed to operate for two (2) ambulatory and (2) non-ambulatory elderly adults ages 60 and above. The facility is approved for one (1) hospice waiver. The clients are Harbor Regional Center consumers. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) clients' rooms, one (1) staff room, two (2) bathrooms, a living area, a dining area, a kitchen, an activity room, and an outside patio area. LPA toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A water temperature of 105.9 degrees F. A comfortable temperature of 70 degrees F. was maintained in the facility. LPAs observed the facility to be sanitary and appropriately furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained adequately. The fire extinguishers were charged, and smoke detectors and carbon monoxide were operable. A review of Medication Records Administration (MAR) and Fire Drills were observed to be maintained in order and accurate. The facility conducted Fire/Safety Drill on 10/01/24. The facility has a working landline telephone. The staff had all current CPR/First Aid Training on file. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed staff followed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Posters mandated for inspection control were posted. An audit of residents #1-#4 (R1-R4) service records and staff #1-#5 (S1-S5) personnel records revealed to be complete. The facility has a current surety bond coverage. The facility has current liability insurance effective 03/01/24 - 03/01/25. The facility is current on CCL annual dues. The facility has a current administrator's certificate for Gemma Rodriquez #7003524735 03/17/2024 - 03/17/2026. No deficiencies cited during this inspection visit. An exit interview conducted with Gemma Sia Rodriquez and a copy of the report is provided.the state’s words, verbatim · CDSS document, Dec 11, 2024

Type of visit: Required - 1 Year

On 02/01/24 Licensing Program Analysts (LPAs) Ernand Dabuet and Sparkle Day conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Gemma Sia Rodriquez . LPAs explained the purpose of today’s visit. The facility is licensed to operate for two (2) ambulatory and (2) non-ambulatory elderly adults ages 60 and above. The facility is approved for one (1) hospice waiver. The clients are Harbor Regional Center consumers. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) clients' rooms, one (1) staff room, two (2) bathrooms, a living area, a dining area, a kitchen, an activity room, and an outside patio area. LPAs toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of the visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. A water temperature of 105.7 degrees F. A comfortable temperature was maintained in the facility. LPAs observed the facility to be sanitary and appropriately furnished during the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained adequately. The fire extinguishers were charged, and smoke detectors and carbon monoxide were operable. A review of Medication Records Administration (MAR) and Fire Drills were observed to be maintained in order and accurate. The facility conducted Fire/Safety Drill on 01/01/24. The facility has a working landline telephone. The staff had all current CPR/First Aid Training on file. The facility has current liability insurance effective 03/01/23 - 03/01/24. Evaluation Report Continues on LIC 809-C During the visit, LPA observed the facility's infection control practices. LPA observed staff followed screening protocols for visitors, staff, and residents, sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). Posters mandated for inspection control were posted. An audit of residents #1-#4 (R1-R4) service records and staff #1-#4 (S1-S4) personnel records revealed to be complete. Interviews conducted with (2) staff. Interviews were not available for residents during this visit. A review of client's P&I found to be maintained in order and accurate. The facility has a current surety bond coverage. The facility is current on CCL annual dues. No deficiencies cited during this inspection visit. An exit interview conducted with Gemma Sia Rodriquez and a copy of the report is provided.the state’s words, verbatim · CDSS document, Feb 1, 2024