Mission Home III

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to Caregiver Susana Barragan. The facility's license shows a maximum capacity of six (6) non-ambulatory elderly residents, ages 60 and over. During today’s inspection there were five (5) residents in care. LPA and Caregiver Susana Barragan 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. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. 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 Caregiver Susana Barragan, 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 clients, 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 Caregiver Susana Barragan to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Oct 13, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hannah Rodgers, LPA Juliana Barfield, and Licensing Program Manager (LPM) Lizzette Tellez conducted an unannounced Required Annual Inspection.The facility file was reviewed prior to the visit. LPAs and LPM were welcomed by and discussed the purpose of the visit to Caregiver Maria Barragan. Administrator Curmak arrived during the visit. The facility's license shows a maximum capacity of 6 non-ambulatory residents. During today’s inspection there were 6 residents in care. LPAs and LPM accompanied by Barragan 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, as well as Personal Protective Equipment. 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 Barragan, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was 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. LPAs interviewed staff and residents, and reviewed facility records. During review of resident records LPAs observed that Resident #1 (R1), a resident with a major neurocognitive disorder, did not have an updated medical assessment and reappraisal. Confidential records were stored in locked areas. A deficiency was cited in accordance with CCR Title 22. An exit interview was conducted with Barragan to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Oct 28, 2024

Type of visit: Required - 1 Year

On 10/19/2023, at about 10:00 AM, Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Susana Baragan, Caregiver. According to the facility’s license, the facility serves six (6) non-ambulatory elderly residents, age 60 and above. The facility had an Infection Control Plan which LPA reviewed and noted no concerns. LPA Pena toured the interior and exterior of the facility and inspected each resident’s room. The facility was organized, kempt, in good repair and contained no offensive odors. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Bathroom had grab bars at toilet and shower used by residents. Non-skid mat was observed in shower. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least two days of perishable food, and at least seven days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked cabinet. No pools or bodies of water were observed on the premises. Per Caregiver, Baragan, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. Hot water temperatures measured in the resident restroom and kitchen were within Title 22 Regulations. LPA interviewed staff and residents and reviewed staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. [CONTINUED FROM LIC 809] No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Caregiver, Baragan to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Oct 19, 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.