Mount Carmel Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nacole Patterson 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 Licensees Richard and Elizabeth Willey. The facility serves elderly residents, ages sixty (60) and above; all of whom may be non-ambulatory. Approved for one (1) bedridden resident to be housed in bedroom #1 or #4; Hospice waiver approved for six (6) During today’s inspection there were five (5) residents in care. LPA and Licensees toured the interior and exterior of the facility and inspected a sample of rooms. 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 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 Richard Willey, 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 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 Licensees Richard and Elizabeth Willey, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Feb 25, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to observe the facility's physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health and Safety Code. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Richard Willey. The facility had applied for an increase in rooms approved for bedridden residents. Currently, the facility is only approved for a capacity of six (6) residents, one (1) of which may be bedridden. Bedroom #4 is approved for bedridden only. In addition, the facility's license includes a hospice waiver for six (6). Community Care Licensing received an approved fire clearance on April 16th, 2025, reflecting that bedrooms #1 and #4 were approved for bedridden residents. The fire clearance also notes that the facility may only have one (1) bedridden resident at a time, and that all other bedrooms in the facility are approved for non-ambulatory residents. LPA and Administrator Willey conducted a tour of the facility and LPA confirmed that the facility sketch was consistent with the current layout of the facility. No immediate health and/or safety concerns were observed during today's visit. The completed change and increase to approved bedridden rooms will be forwarded to management for final review and approval. An exit interview was conducted with Administrator Willey to whom a copy of this report was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Apr 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, Required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Co-Administrator Elizabeth Willey. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, ages sixty (60) and over. The facility is also approved for one (1) bedridden resident that may reside in bedroom #4 and one (1) ambulatory resident who may reside in bedroom #1. Hospice waivers for two (2). During today’s inspection there were six (6) residents in care. LPA and Administrator Willey 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. Hot water temperature at taps accessible to clients were all compliant: Bathroom sink was 107F and kitchen tap read at 113F. 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 client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives and sharps were locked and inaccessible to residents. [Continued on LIC 809-C] [Continued from LIC 809] 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 Administrator Willey, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed (2) staff and (0) clients, and interviews did not reveal any licensing or regulatory concerns. LPA 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 Administrator Richard Willey to whom a copy of this report was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Feb 12, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself, and disclosed the purpose of the visit to Administrator Richard Willey. The facility was licensed for a capacity of six (6) non-ambulatory residents, of which one may be bedridden in bedroom #4. Bedroom #1 was approved for ambulatory only. The facility was also approved for a Hospice waiver for two. At the time of the inspection, the facility had a census of five non ambulatory residents. Facility is the process of increasing their Hospice Waiver, and submitting facility sketches and application to change bedroom #1 to non-ambulatory. The LPA, accompanied by Licensee, 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. 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 client activities. 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. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, and stored in locked areas. No pools or bodies of water on the premises. Per staff, no firearms or ammunition were kept at the facility. Carbon monoxide detectors, and facility telephone were all working. Fire extinguisher was present. First aid kit was readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed multiple staff and client records/files. The files which LPA reviewed contained required documents. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with licensee Richard and Elizabeth Willey, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Jan 31, 2024