Mariah's Garden Home Care

Type of visit: Required - 1 Year

On August 24, 2026 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. Upon, entry, LPA was greeted by caregiver, Karen Romero and LPA explained the purpose of today's visit. The administrator, Maria Zepeda arrived shortly thereafter and assisted with the inspection. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Facility is clean and odor-free. Comfortable temperature is maintained and lighting is sufficient for comfort. The facility has 3 shared bedrooms (2 female rooms and 1 male room), 2 full- bathrooms and bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars and non-skid mat. Hot water temperature was measured at 112- 115 degrees Fahrenheit. LPA observed medications, toxins and sharps were locked and inaccessible to residents. 2 days for perishables and & 7 days non-perishable were observed to be present. A review of (5) resident files was conducted and noted on the LIC 858. A review of (1) staff files was conducted and noted on the LIC 859 No deficiency is cited. This report is reviewed and discussed with the administrator; a copy is provided.the state’s words, verbatim · CDSS document, Aug 24, 2026

Type of visit: Required - 1 Year

On August 19, 2025 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA meet with the administrator, Maria Zepeda and LPA explained the purpose of the visit. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Facility is clean and odor-free. Comfortable temperature is maintained and lighting is sufficient for comfort. The facility has 3 shared bedrooms (2 female rooms and 1 male room), 2 full- bathrooms and bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars and non-skid mat. Hot water temperature was measured at 110-118 degrees Fahrenheit. LPA observed medications, toxins and sharps were locked and inaccessible to residents. 2 days for perishables and & 7 days non-perishable were observed to be present. A review of (6) resident files was conducted and noted on the LIC 858. A review of (3) staff files was conducted and noted on the LIC 859 A civil penalty of $100.00 is being assessed today as the facility did not complete the process of requesting a transfer of criminal clearance record for S1. Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in additional civil penalties. This report is reviewed and discussed with the administrator/licensee. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 19, 2025

Type of visit: POC

On August 14, 2024, Licensing Program Analyst (LPA), Murial Han conducted an unannounced Plan Of Correction visit. LPA met with the administrator and explained the purpose of today's visit. During the visit, LPA toured the facility, observed medications, chemicals, sharps, and disinfectants are locked and inaccessible to residents in care. LPA observed the kitchen, living room, bathroom and resident rooms are cleaned and tidy. LPA observed the environment is comfortable. The following deficiencies are cleared: 87303(a)- The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. 87309(a)- (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients 87555(b)(25)- (b) The following food service requirements shall apply: (25) Soaps, detergents, cleaning compounds or similar substances shall be stored in areas separate from food supplies. 87555(b)(27)- (b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. 80075(k)(1)- 80075 Health Related Services No deficiency is cited today. This report is reviewed and discussed with the administrator. A copy is provided.the state’s words, verbatim · CDSS document, Aug 14, 2024

Type of visit: Case Management - Annual Continuation

On August 14, 2024, Licensing Program Analysts (LPAs) Murial Han arrived unannounced to conduct an annual continuation for an annual required inspection conducted on August 7, 2024. LPA met with administrator, Maria Zepeda and LPA explained the purpose of the visit. During today's visit, LPAs toured the facility, reviewed resident records and emergency drills. No deficiencies cited today. This report is reviewed and discussed with the administrator. A copy is provided.the state’s words, verbatim · CDSS document, Aug 14, 2024

Type of visit: Required - 1 Year

aOn August 7, 2024 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA met with caregiver, Maria Clementina Zepeda Areas and explained the purpose of today's visit. The administrator, Maria Zepeda arrived later and assisted with the inspection. LPA toured the facility inside and outside including the bedrooms (3 shared bedrooms), 2 full- bathrooms, kitchen, living and dining rooms. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars and non-skid mat. Facility temperature is comfortable. Hot water temperature was measured at 105-106 degrees F. During the tour, LPA observed stairs to the garage were dirty and sticky, sharps and chemicals were not locked in the kitchen, unknown brown/crumbs on the kitchen floor, medication cabinet has a lock with the key on it, fruit flies in the kitchen area, vegetables were placed on the kitchen floor, dirty dishes in the sink, resident room was not tidy with two dirty wheelchair wheels on the dresser, clothes hanging all over the place, unused mattress in one of the resident's room, the brown couch in the living room has soiled towels, an empty box, and the dining room table is messy and sticky with many stains and brown particles. A total civil penalty of $750.00 is being assessed today for 3 repeat violation. LPA is unable to complete the annual inspection today and will return on another day to complete it. This report is reviewed and discussed with the administrator. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 7, 2024

Allegation investigated: Staff does not ensure residents have no access to knives. Staff does not ensure kitchen floor is clean. Staff does not ensure food is properly stored.

On October 11, 2023 Licensing Program Analyst (LPA) Murial Han conducted an unannounced complaint visit to deliver the findings. LPA met with administrator and explained the purpose of today's visit. Regarding to allegation of- staff does not ensure residents have no access to knives, the reporting party reported that during the visit, he/she observed cutlery were exposed. During LPA's visit on August 29, 2023, LPA conducted a facility tour and observed toxins and sharps objects were not locked. After the investigation, this allegation is deemed to be substantiated and the deficiency was issued on August 29, 2023 on LIC 809 and LIC 809D reports. Facility has submitted a copy of the plan of correction and it was reviewed and approved by CCL. Substantiated Regarding to allegation of- staff does not ensure kitchen floor is clean, the reporting party stated that the kitchen was filthy. During LPA's visit on August 29, 2023, LPA observed the kitchen floor in between the medication cabinet and the food cart was filled with brown and white particles, and the stairs to the garage appeared to be black in the middle and sticky. These observations were acknowledged by the administrator. After the investigation, this allegation is deemed to be substantiated and the deficiency was issued on August 29, 2023 on LIC 809 and LIC 809D reports. Facility has submitted a copy of the plan of correction and it was reviewed and approved by CCL. Regarding to allegation of staff does not ensure food is properly stored, the reporting party stated that opened food condiments, such as mayonnaise, hot sauce and other items were not refrigerated, vegetables on the floor, and etc. During LPA's visit on August 29. 2023, LPA did not observe the observations that were reported by the reporting party, however, based on the photos provided by the reporting party, it revealed that fruits and vegetables were placed on the floor, and opened food condiments were stored inappropriately. After the investigation, this allegation is deemed to be substantiated. Based on interviews, record reviews and observations during the investigation, the preponderance of evidence standard has been met. Therefore, this allegations were determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with Administrator, and Appeal Rights provided. According to the male adult, on the day of the incident, there was an unidentified male parked in his driveway so he asked the person to park somewhere else as there was a deliver coming for the facility and the driveway needed to be cleared for the delivery truck. However, this person refused to move initially but eventually did. In regards to the Ombudsman's requests, the male adult stated that he was not a staff at the facility, therefore, he did not have any authorities to provide any information to the Ombudsman. LPA checked facility's association list and this adult male was not associated with the facility. After the investigation, this allegation is deemed to be unfounded as this male adult is not a staff and he was not able to cooperate with the Ombudsman's request. Based on the above information, the Department has found that this allegation to be UNFOUNDED, meaning that this allegation was false, could not have happened and/or is without a reasonable basis. Report was discussed and a copy of this report is provided.the state’s words, verbatim · CDSS document, Oct 11, 2023 · control 14-AS-20230823130422

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(8) · Plan of correction due date: Oct 12, 2023

87555 General Food Service Requirements..(b)The following food service requirements shall apply:..8) All food shall be of good quality. This requirement is not met as evidenced by open food condiments were stored in appropriately and fruits and vegetables were stored on the floor which poses an immediately health risk to residents in care.the state’s words, verbatim · CDSS document, Oct 11, 2023

Plan of correction: The administrator/licensee will develop a plan to ensure food is in good quality and properly stored at all times. The administrator/licensee will submit a copy of the plan to CCL by 10/12/2023.