Mother's House by Westside

Type of visit: Required - 1 Year

Licensing Program Analyst, LPA, Noel Wolf Petersen arrived unannounced to the facility to conduct the annual inspection. LPA met with administrator Patty Brooks to explain the purpose of the visit. Physical Plant was inspected including the kitchen, bedrooms, bathrooms, common areas, exterior, and evacuation route gate. Facility is clean, the traffic areas are well lit and unobstructed. Kitchen has adequate lockable storage for sharps, toxics, and medication. There is 2 days of storage for perishable food and 7 days of nonperishable food. LPA pointed out 2 cans of expired food, LPA gave guidance to do an 6 month inventory of the food, wipe the containers for dust and remove out of date or damaged items. The bathrooms have functional hardware, water temp is measured at the basin at 110*f. Bedrooms have beds equipped with half rails, LPA gave guidance that all ralls should come with a doctors order. 1 resident has a bedrail order, other 2 residents may or may not have pending bedrails orders. Bedrooms have all required furniture and furnishings. In the common areas, Bedrooms doors have a mounted privacy screen that fits over the door, the kitchen has winding belts that can cordon off the pantry and refrigerator. It's possible that these could be used to prevent access to a common area of the facility, currently the residents seem cognitavely and physically able to bypass the cordon and the privacy screen. The LPA gave guidance to ensure that residents do have access to the common areas of the facility, as the clients decline it may be too restrictive in a personal rights sense and potentially a fire hazard. Exterior has space for activities, evacuation route gate is locked. The LPA reviewed a previous LPA's report on 7/31/24: "The City of Newman Fire Department provided an updated Fire Safety Clearance that clarified the exception to the "Access to a public way" rule found in business code regulations for Building Egress (BE), BE 1028.5." LPA notes house is a relatively modern construction and has sprinklers. Continued on C page LPA reviewed 4 of 4 staff files, for the health screening, first aid certification, background clearance, and current/annual training requirements. files are present and up to date. LPA reviewed 3 of 3 client files, for the signed admission agreement, health screening, needs and services plans, recent health assessments, and if applicable hospice services plans. all clients have an error on the admission agreement informing the client/representative the facility is NOT secured, when it is in fact secured. LPA gave guidance to correct the error, and inform the current clients/representives of the change, re aquire signed admission agreements. 1 client needs an updated needs and services plan following a change in thier needs and services. 1 client needs an updated 602's, dementia clients are updated at least annually. hospice care plan designates a wound care task to the caregivers of the facility, LPA gave guidance to review hospice care plans, if there are tasks for the caregivers they should be continually logged. Facility provided scheduled visit for Aug 19th 2026, to update 602, hospice nurse talked about the bedrails for 1 client while the were here during the visit supported with doc order. Health screening files present and up to date. 2 residents medication and MARs were checked at random, LPA gave guidance that the PRN distribution's need to be filled out every time. LPA reviewed administrator files, for the infection control plan, evacuation plan, required posters (ombudsman, client rights, right to resident councils, evacuation plan), the facility license, the facility sketch, workers comp/liability insurance. files are present and up to date. Interviewed 2 staff and 3 clients. No citations issued. A copy of the report was read and given to the administrator. exit interview was conducted.the state’s words, verbatim · CDSS document, Aug 5, 2026

Type of visit: Post Licensing

On 10/22/2025, Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct a post-licensing visit. LPA Campbell met with Patty Lynn Brooks, Administrator and explained the purpose of the visit. The licensee greeted LPA Campbell upon arrival. Upon entry, LPA Campbell observed a resident watching television and staff working in the kitchen. The community is a one floor facility licensed to serve 6 residents age 60 and over. There may be 2 bedridden residents and there is a hospice waiver granted for 4. The facility also serves residents with dementia. LPA Campbell requested the MAR and medications for residents in order to conduct an audit. Medications were found to be locked in a closet and inaccessible to clients. LPA Campbell reviewed the Medication Administration Record (MAR) and compared it to residents medication name and dosage, recipient name and time and frequency to be taken. After a review of medication for 2 of 5 residents, medications were found to be present and accounted for and accurately documented in the MAR. The first aid kit was inspected and found to be complete with a tweezer, thermometer, scissors and first-aid manual. LPA Campbell also toured the outside of the community. A review of the perimeter fence, side gates, walkways were observed to be maintained in compliance at this time. Window screens were found to be intact. Pathways were clear and there were no pathway obstructions. There was shaded seating available for residents. No deficiencies were observed or cited during this visit. Exit interview held and a copy of report left.the state’s words, verbatim · CDSS document, Oct 22, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renee Campbell arrived at the facility to conduct an unannounced annual inspection on 07/30/2025. LPA met with Patty Lynn Brooks, Administrator and explained the purpose of the visit. LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. This facility is a single story building licensed to serve six (6) non-ambulatory residents, two (2) of which may be bedridden. There are 6 bedrooms and 3 bathrooms. One bedroom with a master bathroom is reserved for staff. The community has been granted a hospice waiver for two (2). LPA Campbell observed the facility to be free of odor, clean and in good repair. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA Campbell observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured in the bathroom. The bathroom water temperature measured at 115 degrees. Fire extinguishers, smoke and carbon monoxide detectors are in good repair. The community thermostat was observed at 75 degrees Fahrenheit. LPA Campbell checked medication storage and found medication to be locked away and inaccessible to clients. The first aid kit was complete and contained; tweezers, scissors, thermometer and first aid manual. LPA requested four (4) client files for review and observed that they were complete. Toxins were made accessible to clients in care. Toxins are stored in the laundry room, however the laundry doorknob locks are not accessible to residents in care and only staff may access it. All restricted areas were made inaccessible to residents using a biometric lock that can only be opened by staff. The following documents will be emailed to LPA Campbell (Renee.Campbell@dss.ca.gov) by 5:00 PM by end of day: (1) LIC 500 Personnel Report Per California Code of Regulations, Title 22, no deficiencies were observed during today’s visit. A copy of this report was provided to the facilitythe state’s words, verbatim · CDSS document, Jul 30, 2025

Type of visit: Prelicensing

On 07/31/24, Licensing Program Analyst (LPA) Renee Campbell arrived at the facility announced to complete a pre-licensing inspection and verify requested changes. Upon entry, LPA Campbell met the Administrator Patty Brooks and Facility Manager William Brooks and explained the purpose of the visit. The following changes were made as required: The curtain for the bathroom door near the entry of the residence has been replaced with an accordion folding door that could be closed and locked and fit the entryway from top to bottom. The City of Newman Fire Department provided an updated Fire Safety Clearance that clarified the exception to the "Access to a public way" rule found in business code regulations for Building Egress (BE), BE 1028.5. Pre-licensing has been passed and COMP III completed. The applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations. A copy of the report was left with the licensee.the state’s words, verbatim · CDSS document, Jul 31, 2024

Type of visit: Prelicensing

On 07/16/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility announced to conduct a pre-licensing inspection. LPA Campbell met with Administrator Patty Lynn Brooks and William Brooks, Facility Manager and explained the purpose of the visit. Upon entry, LPA Campbell observed the sign in sheet and the common/living room area for residents. The facility is a one story building with 6 bedrooms and 3 bathrooms. The walls and floors were clean and in good repair and were free from hazards or obstructions. Smoke alarms were connected to the carbon monoxide alarm and were found to be functioning. Fire extinguishers were fully charged. Cleaning solutions and other hazardous items were stored in the locked laundry room. Door alarms were observed on all exterior entrances and no body of water was found. Bedroom 5 will be shared between two clients and have its own bathroom (a). Bedroom 4 and 3 will be for single bedridden clients. Bedroom 6 is a staff room with an en suite bathroom (b), bed and office. Bedroom 1 and 2 will be for single clients and will have one bathroom (c) to share between them. At this time, bathroom (c) has a curtain Instead of a door. All bathrooms had non slip non-skid mats. All bedrooms contained mattresses, box springs, linens, a closet, night stand, lamp, a chair and a chest of drawers for each occupant. The hot water is measured at 116 degrees Fahrenheit which is within the required temperature of105 to 120 degrees Fahrenheit. Medications were locked in a closet along with a safe for narcotics. See Something Say Something information was displayed for residents next to the locked medication closet. The first aid kit was observed as complete with scissors, tweezers and thermometer as well as bandages and antiseptic wipes. Forms for residents and staff as well as Medication Administration Record forms are available and ready for use. LPA Campbell observed the Emergency and Disaster Plan in a binder as well as at the entrance of the facility. Sharps were observed to be locked in the kitchen. Refrigerator 1 in the kitchen was measured at 0 degrees Fahrenheit for the freezer and the refrigerator was set at 37 degrees Fahrenheit. Refrigerator 2 was observed in the garage and the freezer and refrigerator temperatures were within regulation. Emergency food supplies were stored on top of freezer number 3 in the garage as well. A 2015 Ford Fusion was parked outside of the facility and will be used as transportation for the residents Based on a review of this facility during this Pre-licensing visit, it was determined that this facility was found to not be in compliance at this time. The following item will need to be completed before moving forward with the application process: -- The fire department completed a second inspection that added an addendum regarding the locked gates. Per Administrator Patty Brooks, because the backyard has more than 50 feet for a safety evacuation perimeter, the facility can lock the side gates. LPA Campbell has called the Fire Inspector and requested a copy of the second inspection with details noted on the Fire Safety Inspection Request (STD 850). Once the updated report is received, the facility will be cleared to lock the side gate entrance. -The facility will have to add a door to bathroom (c) to ensure privacy for residents. LPA Campbell will return to the facility when the corrections have been made. Applicant was informed to call LPA Campbell when the correction has been completed. An exit interview was conducted, and a copy of this report was given to the applicant.the state’s words, verbatim · CDSS document, Jul 16, 2024