Mum's Home Sweet Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA explained the purpose of the visit and was granted entry by caregiver staff. This annual visit was completed with Administrator, Jill Stowell, who arrived within minutes. The residence was set at 72 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 113 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in the kitchen area. Cleaning supplies are locked and stored in the laundry room closet. Smoke detectors and carbon monoxide were checked and operating. Fire extinguishers was purchased on 12/08/25. Last drill completed on 09/06/2024. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. LPA observed a 6ft. fence around an emptied swimming pool in the backyard that is locked with a keyed padlock. The north side of the home has a separate gate with a lock, preventing entry into the pool area. LPA observed Infection Control Plan and Disaster Emergency Plan to be up to date. During the visit a file review was conducted for residents and staff files. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to caregiver, Gloria Gil, whose signature confirms receipt.the state’s words, verbatim · CDSS document, Mar 23, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA explained the purpose of the visit and was granted entry by caregiver staff. This annual visit was completed with Administrator, Jill Stowell. The residence was set at 72 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 118 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in the kitchen area. Cleaning supplies are locked and stored in the laundry room closet. Smoke detectors and carbon monoxide were checked and operating. Fire extinguishers was purchased on 11/19/2024. Last drill completed on 09/06/2024. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. LPA observed a 6ft. fence around an emptied swimming pool in the backyard. The gate to the pool area is locked. There are two bedrooms that have doors that open to the pool portion of the backyard, one of those residents is bedridden and the other is ambulatory. LPA and Administrator discussed adding additional fencing to prevent residents accessing the pool area from the resident's rooms. Deficiency is being cited based on LPA observation in accordance with the California Code of Regulations, Title 22, see LIC809D. During the visit a file review was conducted for residents and staff files. An exit interview was conducted, and a copy of this report was provided to caregiver, Gloria Gil, whose signature confirms receipt. (continued on next page) LPA discussed the updating and maintenance of the home with the Administrator. LPA and Administrator discussed that the home is an older home and has 6 residents plus staff, and this is a lot of wear and tear on a home. LPA and Administrator discussed updating kitchen and bathroom fixtures and cabinets. All flooring in the home is newer tile and is in good condition. LPA requested the following updated forms faxed to CCLD by 11/29/24: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Nov 20, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA explained the purpose of the visit and was granted entry by caregiver staff. This annual visit was completed with Administrator, Jill Stowell. The residence was set at 72 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 118 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked in the kitchen area. Cleaning supplies are locked and stored in the garage. Smoke detectors and carbon monoxide were checked and operating. Fire extinguishers was purchased on 11/16/2023. Last drill completed on 10/01/2023. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. Deficiencies are being cited based on LPA observation, interviews and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. During the visit a file review was conducted for residents and staff files. An exit interview was conducted, and a copy of this report was provided to Administrator, Jill S. whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 11/23/23: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage, infection control plan.the state’s words, verbatim · CDSS document, Nov 16, 2023

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.