Mcalister's RCFE

Type of visit: Case Management - Incident

On 04/22/26 Licensing Program Analyst (LPA) M. Garza arrived at the facility for an unannounced case management visit. LPA met with Care Giver, Jackie Cunningham, explained reason for visit and was permitted entry into the facility. This case management visit is being conducted for a death report that was received by the Department. LPA toured the facility and completed a health and safety check on residents in care. LPA observed 1 of 3 residents during time of visit in their room. LPA observed a 7-day non-perishable and 2-day perishable source of food. Water and electricity is on and functioning. 2 of 3 residents had not returned from day program. LPA notified Licensee via telephone file for R1 needed to be removed and copied. Licensee stated the file was not at the facility and will drop off at the office. LPA informed Licensee file will be copied and returned within 3 business days. No deficiencies cited during todays visit. Exit interview completed with Care Giver, Jackie. A copy of this report provided.the state’s words, verbatim · CDSS document, Apr 22, 2026

Type of visit: Required - 1 Year

On 10/17/2025 Licensing Program Analyst (LPA) M. Garza arrived at the facility to complete an unannounced annual visit. LPA met with Licensee, Duane McAlister explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility inside and out. There were no residents present during todays visit. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced on 09/12/2025. Last fire drill on conducted on 10/7/25. Resident rooms observed to have the required furnishings and with adequate lighting. Sharps, chemicals and medications were located in locked cabinets/closets and cupboards. The following issues were observed during today’s visit: Complaint poster not posted. Emergency disaster plan did not have all of the required components. 2 of 2 resident files reviewed did not have the required documents. Deficiencies cited per California Code of Regulations, Title 22, on the attached 809D. If not corrected, the violation with have a potential risk to the health, safety and/or personal rights of residents in care. LPA requested the following documents to be submitted to CCL by 10/24/2025: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) and a copy of liability insurance in order to update the facility file. Exit interview was conducted with Licensee, Duane. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided to Administrator.the state’s words, verbatim · CDSS document, Oct 17, 2025

Type of visit: Required - 1 Year

On 11/7/2024 Licensing Program Analyst (LPA) B. Miranda arrived unannounced at the above facility to conduct an Annual Inspection. LPA introduced herself, stated the purpose of the visit, and was granted entry to the facility. Licensee/Administrator Duane McAlister was contacted but was not able to attend the visit. Staff Carol Holley conducted the tour with LPA. LPA toured the facility inside and out including entry, kitchen, dining, living room, bedrooms, bathrooms, and exterior. LPA observed the facility to be at a comfortable temperature, clutter & odor free. Facility is free of debris and no passageway are obstructed and no fire hazards were observed. Common areas were properly furnished and well-lit throughout. Facility capacity is 6, with a current census of 4. Residents do not share bedrooms. Fire extinguishers have been services as of 9/17/24 and are in good standing with charge. Smoke detectors and carbon monoxide detector were tested and are in working condition. Water temperature was checked in the kitchen and read at 105.1 degrees Fahrenheit. Inspecting the kitchen LPA observed the required 7-day supply of non-perishable food and 2- day supply of fresh perishables to be properly stored. Knives & cleaning supplies were observed to be locked and inaccessible to residents. R1 has a DX of dementia and LPA observed scissors and screwdrivers in the kitchen drawers. LPA did not observe all resident files to have current emergency information or physician report. LPA did not observe staff to have current training for dementia. LPA is requesting the following due by 11/28/24: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Personnel Report (LIC500), Register of Facility Clients/Residents (LIC9020A), and current liability insurance. Under California Code of Regulations Title 22 the following deficiencies were observed, and citations were issued. Pool is accessible to residents on the far left side (left side of the gate is missing) Scissors and screwdrivers were in unlocked kitchen drawer and accessible to residents R1 has a glucose meter prescribed and R1 listed as not being able to test themselves, facility has no meter Kitchen needs cleaning under sink, inside & outside of cabinets Bathrooms cabinets are dirty and hallway bathroom is missing cabinet doors Staff do not have current dementia training on file. Exit interview was conducted and a copy of this report LIC809, LIC809D, LIC421IM and appeal rights were provided to Staff Carol Holley.the state’s words, verbatim · CDSS document, Nov 7, 2024

Type of visit: Required - 1 Year

On 12/15/23 Licensing Program Analyst (LPA) arrived at the facility to conduct an annual inspection. There were no residents or staff at the facility. LPA spoke with Administrator who was not able to come at the moment, but could arrive after a bit. LPA informed they will attempt another time to complete annual inspection. Administrator stated the residents all go to day program and staff are available at the facility after 2:00 p.m.the state’s words, verbatim · CDSS document, Dec 15, 2023