LR Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Diana Pisingan. Administrator (AD) Lorna Constantino arrived shortly after. For today’s visit, LPA observed a total of five residents in care and two staff members on duty. LPA observed the Administrator's Certificate for facility AD Constantino which expires on April 11, 2027. LPA Ramirez toured the interior and exterior portions of the facility with AD Constantino. The facility is a single level structure and is licensed for six non-ambulatory residents, of which four may be on hospice and zero bedridden. There are a total of seven bedrooms, of which six are private resident bedrooms, and one private bedroom for staff. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. One resident is currently using half-rails for postural support. LPA observed appropriate physician orders on file for the resident. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of four restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 108.8-111.3 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, and had a service tag dated October 2025. The fire extinguisher was located by the dining room. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the kitchen. Licensee was advised to use the update Emergency Distaste Plan form (LIC610E) dated December 2025. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. Medications are locked in a cabinet by the dining room. There are no bedridden residents present on the premises. For the exterior portion, LPA Ramirez observed a shaded patio area with furniture, and the grounds were free of any hazards. There is one gate in the backyard. No bodies of water were observed. LPA reviewed five resident files and three staff files. LPA interviewed residents and staff present. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Constantino. A copy of this report was provided at the time of exit.the state’s words, verbatim · CDSS document, Apr 29, 2026

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Lorna Constantino was notified of the visit via telephone and informed LPA she would not be able to assist with the visit due to a family emergency. Administrator gave permission to her staff to assist with the annual visit and to sign the report on her behalf. There are currently six residents in care, two of which are receiving hospice care. LPA observed residents relaxing in their respective bedrooms or in the facility's common living areas. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage. The facility has six private rooms There are two en-suite bathrooms and one shared bathroom throughout the facility. Bedrooms appeared clean and sanitary, however one bedroom is not equipped with a bed as facility staff indicates that resident requested a recliner seat instead upon admission. Facility staff however did not submit an exception request at the time of the visit. Type B deficiency cited. There are two beds equipped with half rails and one bed with full rails installed for postural support. Full rail orders are present in the relevant resident's hospice plan of care, however the other two half rails are not documented by physician orders available during the present visit. Type B defiency cited. Bathrooms appear clean and sanitary. Hot water temperature measured at 105F and 106F in two separate bathrooms with faucets used for personal grooming. Advisory provided. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning products and the laundry area are secured. Fire extinguisher is charged and mounted. LPA tested the smoke and carbon monoxide detectors which were found to be operational. LPA and facility staff toured the outside of the facility. LPA observed multiple shaded outdoor seating areas with furniture for resident use. There is a self-latching gate on the exit route, which is not obstructed. There are no bodies of water on the premises. Facility does not utilize locked perimeters or delayed egress. LPA reviewed six resident records which were observed to be complete. One missing document for a recently admitted resident will be provided by the licensee at the earliest convenience. LPA reviewed resident medication records and prescription orders for all residents with no discrepancies observed. Oxygen is currently in use and adequate signs are present. There are no bedridden residents present on the premises. LPA reviewed staff records for both caregivers present. Records were found to be complete. Training and CPR/First aid training reviewed and up-to-date. All staff are background cleared and associated to the licensed location accurately. Disaster drills are conducted quarterly. Based on the observations made during today’s visit, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights was provided to a facility representative.the state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit for the purpose of conducting a Required Annual Inspection. LPA was greeted and granted entry by caregiving staff after introducing himself and stating the purpose of the visit. Administrator Lorna Constantino was contacted by phone and arrived later to assist. During the inspection, LPA and administrator conducted a tour of the physical plant and observed the following: The facility is a one-story home with six resident bedrooms, one staff room and four bathrooms. All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets and an adequate additional supply is present. The backyard has multiple shaded areas and the route of egress is free of clutter and obstructions. There are currently six residents in care at the facility, four of which are receiving hospice care. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Combined smoke and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with up-to-date maintenance. Sharps were observed locked in a drawer in the kitchen. LPA observed cleaning supplies to be stored in a locked cabinet in the laundry area. The medication central storage was also observed to be secure. LPA reviewed six resident files and five staff files and interviewed staff present. Based on the observations made during today’s inspection, two type B deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report along with appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Mar 25, 2024