Meison La Paz IV Elderly Care Home

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 Hermelinda Perez was notified via telephone and arrived later to assist. There are currently five residents in care, three of which are receiving hospice care at this time. Residents are observed relaxing in their respective bedrooms and in the common areas. LPA accompanied by facility staff toured the physical plant. The facility is a two-story house with two shared and one private bedrooms used by residents on the ground floor. The second floor is for exclusive use by the licensee with no resident occupancy confirmed during the visit. There are two bathrooms used by residents. None of the residents are bedridden at this time. All occupied bedrooms appear clean and sanitary. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are all equipped with grab bars and slip mats. Hot water temperature measured at 108F and 109F in two bathrooms with faucets used for personal grooming by residents. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secure. Two wall-mounted fire extinguishers are present and verified to be charged. Carbon monoxide and smoke detectors are present and operational. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with outdoor furniture for resident use in the backyard. There is a fenced swimming pool in the backyard as well. The identified routes of egress are free of clutter and obstructions. There are self-latching gates on one side of the premises. Sheds used for storage are present and observed to be locked. The facility does not utilize either locked perimeters or delayed egress. LPA reviewed five resident records which were found to include all necessary elements of documentation. LPA reviewed resident medication records and prescription orders with no discrepancies observed for three residents. LPA reviewed staff records for two staff members during the visit. All staff members on the schedule are background cleared and associated. Proof of current CPR training reviewed. Annual and initial training reviewed. Disaster drills are conducted quarterly. The administrator certificate is current. Based on the observations conducted during the present visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report were provided to a facility representative.the state’s words, verbatim · CDSS document, Jan 7, 2026

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 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 Hermelinda Perez was notified of the visit via telephone and arrived shortly afterwards to assist with the visit. There are currently five residents in care, three of which are currently receiving hospice care after one resident alternated from her admission into palliative 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 two-story house with an attached garage. The second level is for use by the licensee and their family exclusively, with all family members over 18 shown to be background cleared. The facility has one private bedroom and two shared rooms . There are two full bathrooms throughout the facility, one designated for use by residents and the other one for staff, visitors and third-party providers. Bedrooms appeared clean and sanitary. Two beds are equipped with full rails and one bed with half rails. Physician orders and hospice plans of care for all postural supports in use reviewed. LPA observed all the resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary. Bathroom are equipped with grab bars and slip mats. Hot water temperature measured at 113.2F in the bathroom used by residents. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items are stored in a secure drawer. Fire extinguisher is charged and mounted, with up-to-date maintenance documented on an attached receipt. LPA tested the smoke and carbon monoxide detectors which were found to be operational. The centrally stored medication is located in a secure closet located in the dining area. The attached garage is inaccessible to residents and is used for storage and laundry, with an additional refrigerator/freezer present. Cleaning supplies are stored securely in the garage. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and facility staff toured the outside of the facility. LPA observed an shaded outdoor seating area with furniture for resident use. The perimeter gate on one side of the property is self-latching and can easily be opened in an evacuation. There is a fully fenced swimming pool on the premises which is kept inaccessible to residents. LPA reviewed five resident records which included all necessary components. LPA reviewed resident medication records and prescription orders with no discrepancies observed. One resident interview conducted during the visit. There are no bedridden residents present on the premises. LPA reviewed two staff records which were found to be complete with the exception of the most recent annual training which was verified to have been conducted but was not documented by the administrator. Consultation provided. CPR/First aid training reviewed and up-to-date. All staff are background cleared and associated to the licensed location accurately. Licensee does not hold a current liability insurance at the time of the visit after encountering issues during their renewal. Licensee states a new insurance coverage is in the process of being acquired within the next two weeks. Type B citation issued. Based on the observations made during today’s visit, one type B deficiency is being cited per Title 22 Division 6 of the California Code of Regulations and three consultations are provided. 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, Feb 5, 2025

The state marks this report as 6 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 this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after stating the purpose of the visit. Administrator Hermelinda Perez was notified by telephone and arrived later to assist. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a two-story home. The second floor is restricted for use by the licensee with no resident dwellings. The ground floor is shown to have one private and two shared resident bedrooms and two bathrooms in addition to the common living areas. All resident bedrooms have the required furnishings. LPA observed all beds have linens and blankets. The backyard has a shaded area and the routes of egress are free of clutter and obstructions. There are currently five residents in care at the facility, two of which are receiving hospice care. Residents are observed to be clean and appear well taken care of. 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. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Combined smoke and carbon monoxide detectors tested operational. Fire extinguisher present is observed to be fully charged. Medication, sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed five resident files and three staff files. One staff member on duty was interviewed during the visit in addition to two residents. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. One Technical Violation Advisory Note was provided to the licensee. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, May 29, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.