Mission Carehome South

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by, identified themselves to and discussed the purpose of the visit with Caregiver Emerita Montalla. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden. Hospice waiver for three (3). During today’s inspection there were two (2) residents in care with one (1) bedridden and two (2) residents on hospice. Licensee Alexander Limpin arrived later during the visit. LPA with Caregiver Montalla toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperatures for both bathrooms were in compliance at 113 F and 112 F. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Licensee Limpin, no firearms or ammunition are kept at the facility. (Cont. on LIC 809-C) (Cont. from LIC 809) Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. During the facility tour, LPA observed medications being stored in plastic containers with different sections for morning, noon, evening, and bed time. An interview with Staff #1 (S1) revealed that S1 transfers medications into the corresponding time residents are suppose to receive their medication. These medications were not stored in the original medication packages. LPA explained to the licensee that medications must not be transferred into different containers in this way and in accordance with licensing guidelines must stay in their original packaging. A deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D page). A Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with Licensee Limpin to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Nov 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by, identified themselves to and discussed the purpose of the visit with Caregiver Emerita Montalla. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden. Hospice waiver for three (3). During today’s inspection there were three (3) residents in care and on hospice. Licensee Alexander Limpin arrived later during the visit. LPA with Caregiver Montalla toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Licensee Limpin, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Licensee Limpin to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Nov 14, 2024

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Daniel Pena and Mark Mandel conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Caregiver Emerita Montalla. LPAs later met with Alexander Limpin, Manager, who arrived later during the visit. According to the facility’s license, the facility has a maximum capacity of six (6) residents, age range 60 and over six (6) non-ambulatory of which, one (1) may be bedridden. Hospice waiver for three (3). On day of visit, there were two residents on Hospice. During today’s inspection, there were a total of four (4) residents in care, of which one (1) was non-ambulatory, and none were bedridden. These non-ambulatory clients were each assigned to bedrooms which had glass doors leading directly outside, consistent with the facility sketch. The facility sketch was accurate to the current layout of the facility. This facility does not feature a secured perimeter or delayed egress doors. Required licensing postings were observed in visible areas of the facility. LPAs, accompanied by licensee’s staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens, and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was comfortable. LPAs observed via measurement with a thermometer device hot water temperature at taps accessible to residents were compliant: Kitchen was 112.3 F. and resident bathroom was 107.8 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. Medications were labeled, as required, and secured. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. LPAs interviewed staff and clients, and reviewed staff and client records/files. The interviews did not raise any licensing concerns. No deficiencies were cited during today’s visit. An exit interview was conducted with Mr. Limpin and a copy of this report, along with the Licensee Rights (LIC 9058 FAS 01/16) were provided to Mr. Limpin.the state’s words, verbatim · CDSS document, Nov 29, 2023

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.