Muriel's Residential Facility

Type of visit: Required - 1 Year

On 02/24/2026 at 9:40 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Irene Jenkins, and explained the purpose of the visit. Administrator certificate is current. LPA toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms of which 4 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. A comfortable temperature is maintained at 68 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107.2 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 detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last purchased on 01/12/2026. First aid kit was observed to be complete. Fire drill was last conducted on 02/04/2026. Liability insurance is effective from 03/03/2025 to 03/03/2026. At 10:30 AM, LPA reviewed 5 residents records. At 10:47 AM, LPA reviewed 3 staff records and 3 of 3 have current first aid training and are associated with the facility. At 11:30 AM, LPA reviewed two samples of residents’ medications. Continue to LIC809-C... Continued from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 03/06/2026 LIC 500 Personnel Report LIC9020 Register of Facility Clients/ Residents Liability Insurance THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 10:04 AM, LPA observed scissors unlocked in the kitchen drawer. At 10:22 AM, LPA observed both showers soiled. At 11:51 AM, LPA observed that R4's file is incomplete and all the residents LIC625 (Appraisal Needs and Services Plan). At 12:00 PM, LPA observed R1 and R4’s PRN medication in the facility not available and R4’s doctor’s order for PRN medication missing. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with Administrator. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 24, 2026

The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 02/27/2025 at 11:20 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Care Staff, Trifina De Leon and explained the purpose of the visit. The Administrator was unable to come today and gave authorization on the phone for staff to sign. The facility’s fire clearance was approved for six (6) non-ambulatory and two (2) hospice waiver. LPA toured facility with staff inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 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. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature was measured at 107.9 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 purchased on 11/27/2024. Emergency Disaster Plan was last posted on 02/02/2024. First aid kit was observed to be complete. Fire Drill was last conducted on 01/03/2025. At 12:34 PM, LPA reviewed 5 residents records. At 1:00 PM, LPA reviewed 5 staff records and associated to the facility. At 2:00 PM, LPA reviewed two sample of resident’s medications. Continue to LIC 809-C... Continue from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/13/2025: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 11:44 AM, LPA a screw locking the side gate in which the ramp leads in the backyard. Staff stated that they lock it for resident safety. Civil Penalty of $500 is assessed. At 12:05 PM, LPA observed a wall dividing the staff room in half. At 12:30 PM, LPA observed that staff uses the bathroom and as a passageway in R1 and R4's room. Staff stated that they are using the bathroom. At 3:03 PM, LPA observed that R1 and R3 has half bed rail with no doctor's order. At 4:00 PM, LPA observed that the Administrator certificate expired in 2022. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with Staff. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 27, 2025

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 2/15/2024 at 12:00pm, Licensing Program Analysts (LPAs) L. Hall and T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPAs met with Caregiver Magdalena Lucero, and explained the purpose of the visit. House Manager, Noel Morales, arrived at 12:20pm. Administrator was out-of-the country. LPAs toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of five (5) bedrooms and two (2) bathrooms. Staff occupies one (1) bedroom. LPA did not observe any bodies of water. A comfortable temperature is maintained at 71 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 106.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 05/13/2023. Emergency disaster plan last updated 2/1/2024. First aid kit was observed to be complete. Five (5) staff records were reviewed. None of the staff are CPR trained. LPAs reviewed all five (5) resident records and they were current and complete. Continued on LIC809C. Continued from LIC809. LPA requested the following documents to be submitted to CCLD by 2/22/2024. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (last page) Liability Insurance Resident roster Administrator certificate Updated facility sketch The following deficiencies were observed: At 12:35pm, LPAs observed during record review none of the staff were CPR trained. At 12:45pm, LPAs observed knives in unlocked cabinet underneath kitchen sink. At 12:50pm, LPAs observed 1/4 gallon of milk, 2 apples, 3 oranges, no fresh vegetables. Facility did not have a 7-day supply of non-perishables and 2 day supply of perishables. At 12:35pm, LPAs observed a hoe, portable toilet, and a chair in back yard on right side of house. At 1:20pm, LPAs observed during record review facility is not maintaining a record of each dose of medication in the resident's record Continued on LIC809C. Continued from LIC809C. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights and this report provided.the state’s words, verbatim · CDSS document, Feb 15, 2024

The state marks this report as 7 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.