Martha's House

Type of visit: Required - 1 Year

On 08/18/2025 at approximately 8:52 AM, Licensing Program Analyst (LPA) Troy Watson conducted an unannounced Required 1 Year Inspection to the above-named facility and met with Care Giver Ernestine Gordon. LPA Watson explained the purpose of the visit and was granted entry inside the facility. The facility is licensed for ages range 60 and up. A Hospice waiver is approved for 4 residents. A total of 3 residents is currently residing in this facility. A total of 2 staff members is currently working in the facility. The facility is a one-story house located on a residential street. The home consists of 2 resident bedrooms, 1 bathroom, 1 living room, 1 kitchen, 1 detached garage, and 1 backyard patio area with shaded seating. The department toured the outside grounds with the Care Giver Ernestine Gordon, and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear and free of hazards and debris. CONTINUED ON LIC9099 - C The department inspected the kitchen area and observed supplies of nonperishable foods for a minimum of 7 days and perishable food for a maximum of two weeks. Documents are posted as mandated. The first aid kit is fully stocked with a certified manual, tweezers, scissors, tape, gauze and antiseptic. Smoke and carbon monoxide detectors were inspected and found to be operational. The fire extinguishers were inspected and found to be current and fully charged. The department inspected 2 residents’ bedrooms. Mattresses were observed to be in good condition and free of bed bugs, the bedrooms contained adequate lighting, dresser drawers and plenty of closet space. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries are accessible to residents. The department tested the facilities hot water temperature, and it measured between (121.3 – 122.4) degrees Fahrenheit between the kitchen and bathroom. No staff or resident records were reviewed. Deficiencies are being cited, and the department found the facility not to be in total compliance with the California Code of Regulations, Title 22. Because of time constraints and insufficient time to complete this report needs further time to complete. An exit interview was conducted with the Care Giver Ernestine Gordon, and a copy of this report was given.the state’s words, verbatim · CDSS document, Aug 18, 2026

Type of visit: Required - 1 Year

On 08/07/2025 at around 1:00 PM, Licensing Program Analyst (LPA) Jose Anguiano conducted an announced Required 1 Year Inspection to the above-named facility and met with Licensee/Administrator Sharina Hymes. LPA explained the purpose of the visit and was accompanied inside and outside the facility during this inspection. The facility is licensed age range 60 and over. Hospice waiver approved for 4. A total of 0 residents are currently residing in this facility. A total of 0 staff are currently in the facility. The facility is a one-story house located in a residential street. The home consists of 2 resident bedrooms, 1 bathroom, 1 living room, 1 kitchen, 1 detached garage, and 1 backyard patio area with shaded seating. Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear of hazards. LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week for a minimum of two days. Documents are posted as mandated. The first aid kit is fully stocked. Smoke and carbon monoxide detectors complied and operational. 2 out of 2 residents’ bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries are accessible to residents. LPA tested hot water temperature, and it measured 120 degrees Fahrenheit. Please see LIC809-C for report continuation. No deficiencies are being cited based on LPA observation in accordance with the California Code of Regulations, Title 22. However, Advisory - Technical Assistance’s was provided (please see LIC9102). An exit interview was conducted, and a copy of this report was left with the Administrator.the state’s words, verbatim · CDSS document, Aug 7, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 08/02/2024 at around 8:00 AM, Licensing Program Analyst (LPA) Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Licensee/Administrator Sharina Hymes. LPA explained the purpose of the visit and was accompanied by Administrator inside and outside the facility during this inspection. This facility is licensed to serve 4 adults ages 55 and above. A total of 0 residents are currently residing in this facility. A total of 0 staff are currently in the facility. The facility is a one-story house located in a residential street. The home consists of 2 resident bedrooms, 1 bathroom, 1 living room, 1 kitchen, 1 detached garage, and 1 backyard patio area with shaded seating. Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear of hazards. There are security bars on the premises. LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Documents are posted as mandated. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. 2 out of 2 resident’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. LPA tested hot water temperature and it measured between 105 and 120 degrees Fahrenheit. No deficiencies are being cited based on LPA observation in accordance with the California Code of Regulations, Title 22. An exit interview was conducted and a copy of this report was left with the Administrator.the state’s words, verbatim · CDSS document, Jul 11, 2024