Mt. Zion Home for the Elderly

Type of visit: Required - 1 Year

On 04/7/2026 at 9:00 AM, Licensing Program Analysts (LPAs) K. Nguyen and A. Christy arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Licensee/Administrator (ADM), Restituto Sabadera and explained the purpose of the visit. The facility’s fire clearance was approved for capacity six (6) residents in which five (5) may be non-ambulatory and one (1) may be bedridden in bedroom #1. Hospice waiver approved for four (4) residents. ADM hold a current ADM certificate #7000859740 effective 10/12/2025 to 10/11/2027. LPAs toured facility with Restituto including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 3 bedrooms are occupied by the residents and 2 bedrooms is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 117.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Report Continues on LIC 809c… Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/10/2025. Emergency Disaster Plan was last posted on 04/07/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/21/2026. Facility certification of Liability Insurance policy number ALF103069-05 effective 10/04/25 to 10/04/26. LPAs reviewed 3 resident's records. LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:15AM The second gate is in disrepair. At 9:30AM, it was found there was a significant amount of junk and debris in the backyard. At 10:00AM, one of the sinks in a private resident’s bathroom was clogged and slow moving. Deficiencies are cited per Title 22 Code of California Regulations. Failure to submit proof of corrections, or any repeat violations within a 12 month period, will result in civil penalties. Exit interview conducted. A copy of this report, along with appeal rights, was made available to the administrator.the state’s words, verbatim · CDSS document, Apr 7, 2026

Type of visit: Required - 1 Year

On 04/08/2025 at 1:00 PM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Restituto Sabadera, and explained the purpose of the visit. Administrator certificate is current. LPAs toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 3 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 07/19/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 02/28/2025. At 1:31 PM, LPAs reviewed 3 residents records. At 1:46 PM, LPA reviewed 3 staff records. All 3 staff are associated to the facility. At 2:35 PM, LPAs reviewed all of the resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 8, 2025

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

On 10/21/2024 at 11:00 AM, Licensing Program Analysts (LPAs) L. Alexander and K. Nguyen arrived unannounced to conduct a Plan of Correction (POC) visit from Annual Inspection visit on 04/14/24 and POC visit on 05/23/24 which resulted in civil penalties that were assessed. LPAs met with Licensee/Administrator, Restituto Sabadera and gave reason for visit. During the POC visit LPAs toured the backyard and observed that the yard was cleaned up and the items that were located under the gazebo was cleared. Deficiency cleared: CCR 87303(a) No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 21, 2024

Type of visit: POC

On 05/23/2024 at 11:55 AM, Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct Proof of Correction (POC) visit. LPA met with Caregiver, Vincent Catequist, and informed the reason for visit. Vincent phoned the Licensee/Administrator, Restituto "Resty" Sabadera to inform. LPA spoke with the Administrator and advised that LPA was there to tour the facility. On 04/17/2024, LPA conducted an Annual visit in which deficiencies were cited. The POC due date was 4/18/2024 for Type A deficiencies and for the Type B deficiencies the POC due date was 5/15/2024. LPA toured the back yards and observed a toilet camode, bricks, wheel barrow, wire, ladders, boxes covered with a tarp and other clutter in the back behind the shed. Licensee/Administrator Resty stated that those items is their personal items from their Sacramento home. Facility has the following deficiencies that was not cleared: 87303(a) = 8 Days x $100.00 = $800.00 Civil Penalties in the total amount of $800.00 is assessed today for failure to meet POC date for deficiencies. Facility is subject to ongoing daily civil penalties until deficiencies is corrected. Exit interview conducted. A copy of this report, appeal rights, and LIC421FC provided.the state’s words, verbatim · CDSS document, May 23, 2024

Type of visit: Case Management - Deficiencies

On 05/23/2024 at 12:40 PM, Licensing Program Analysts (LPAs) Lori Alexander conducted an unannounced to conduct a case management visit. LPA met with Caregiver, Vincent Catequista. Vincent phoned Licensee/Administrator, Restituto "Resty" Sabadera. While LPA was at the facility for another visit, the following deficiencies was observed. At 11:59 AM, LPA observed an latch lock located on the front door at the bottom of the front door. LPA discussed this lock latch on 04/17/2024 with Resty when leaving. LPA observed the lock when leaving the facility. Resty stated that he would remove the lock on 04/17/2024. At 12:15 PM, LPA observed scissors sitting on the kitchen counter, tablet medications, Omeprazole tablets unlocked laying on dining room table, insulin, inhalers, bottle Mucus Relief cough liquid sitting on counter unlocked. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted. A copy of this report, appeal rights, and LIC421FC and LIC421IM provided.the state’s words, verbatim · CDSS document, May 23, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1 · Plan of correction due date: May 24, 2024

Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in by having a latch lock on front bottom door which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 23, 2024

Plan of correction: Administrator removed the latch lock during the visit. Deficiency cleared.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87465(h)(2) · Plan of correction due date: May 24, 2024

87465 (h)(2) Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in by not having bottled medications, tablet medications and insulin inaccessible to clients which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, May 23, 2024

Plan of correction: Administrator removed the medications. Deficiency cleared during visit.

Type of visit: Required - 1 Year

On 04/17/2024 at 3:25 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee/Administrator, Restituto Sabadera and explained the purpose of the visit. The facility’s fire clearance was approved for capacity six (6) residents in which five (5) may be non-ambulatory and one (1) may be bedridden in bedroom #1. Hospice waiver approved for four (4) residents. LPA toured facility with Restituto including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 3 bedrooms are occupied by the residents and 2 bedrooms is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 105 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last purchased 10/07/2023. Emergency Disaster Plan was last posted on 02/09/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 02/07/2024. LPA reviewed 1 resident's records. LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 4:15 PM LPA observed unlocked bottle medications on dining room table and kitchen counter At 4:16 PM LPA observed unlocked medications in bubble packaging on kitchen counter At 4:18 PM LPA observed unlocked medications in kitchen cabinet At 4:19 PM LPA observed unlabeled food in containers located in refrigerator At 4:20 PM LPA observed unlocked knives and scissors in kitchen drawer and on top of kitchen counter At 4:34 PM LPA observed ladders, toilet camodes, mops, brooms, buckets, granite marble, vaccum, chair, and other items located on the side of house and in the back yards behind sheds and patio area. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 04/24/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificatethe state’s words, verbatim · CDSS document, Apr 17, 2024

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.