Mylda Senior Care Facility

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA Domingo was welcomed by, identified herself to, and discussed the purpose of the visit with Miriam Mehzun Hadgu, Administrator. According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents age 60 and above, two (2) of whom may be non-ambulatory in bedroom #1. The facility has a hospice waiver for 2 residents. During today’s inspection, there were a total of one (1) resident in care. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by licensee’s staff, 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 and 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. Call box was available in each resident unit and were tested for functionality. Resident's room temperatures were within a comfortable range. The facility’s ambient internal temperature was 70 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 100 F, Bathroom #1 sink was 110 F, and Bathroom #2 sink was 100 F. [CONTINUED ON LIC 809C] [CONTINUED FROM LIC 809] Refrigerator temperature was 35 F and freezer temperature was 0 F. 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 sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the licensee's staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. 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. LPAs interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. The reviewed files contained required documents. Confidential records were stored in locked areas. Licensee's staff also presented proof of current/active business liability insurance and surety bond. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Miriam Mehzun Hadgu, Administrator to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Apr 3, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Juliana Barfield conducted a Case Management visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee Miriam Mehzun Hadgu. During the visit, LPA collected an Application for a Community Care Facility or Residential Care Facility for the Elderly License, (LIC200) and an updated facility sketch for a change of ambulatory status at the facility. No deficiencies were observed or cited on this date. An exit interview was conducted with Miriam Mehzun Hadgu, to whom a copy of this report was provided during the visit.the state’s words, verbatim · CDSS document, Feb 21, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced visit for a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee Miriam Mehzun Hadgu. According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents age 60 and above, one (1) of whom may be non-ambulatory in bedroom #1. The facility has a hospice waiver for 2 residents. During today’s inspection, there were a total of two (2) residents in care. This facility does not feature a secured perimeter or delayed egress doors. During today’s visit, LPA observed two residents in care both of who were non-ambulatory. A review of the Physician Report indicated that R1 was non-ambulatory and R2 was also non-ambulatory due to using a walker and the facility only has clearance for one non-ambulatory resident. Due to time constraints, a return visit on a subsequent day is needed to complete the annual inspection. One deficiency was cited per California Code of Regulations, Title 22 for violation of facility's fire clearance.(refer to the attached LIC 809-D). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Miriam Mehzun Hadgu, to whom a copy of this report, the LIC809-D, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Feb 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee, Miriam Hadgu. The facility is approved to serve six (6) elderly residents age 60 and above; one (1) of which may be non-ambulatory in Bedroom #1 only. Hospice approved for two resident two (2) residents. The facility was undergoing repairs on the day of the inspection. Two residents were relocated on 1/31/2023. One resident was transferred to Baron's Presido University City (374603323) and one returned to their residence in Nevada. Per Licensee Hadgu, both residents will return once the repairs are complete in approximately two weeks. Licensee Hadgu will submit an Incident Report with update to CCLD. During the inspection, LPA toured the interior and exterior of the facility and observed resident rooms. The facility was organized, kempt and in good repair. The kitchen was out of service and cabinets, sink and dishwasher had been removed. Due to the out of service status of the kitchen, food supplies were not evaluated. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Pathways inside the property were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, 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 resident activities. No pools or bodies of water were observed on the premises. Per Licensee, Hadgu, no firearms or ammunition are kept at the facility. Carbon monoxide detector, emergency lighting, and facility telephone were all working. Fire extinguisher was present and operational. First aid kit was observed and readily accessible. Required licensing postings were observed in visible areas of the facility. Hot water temperatures measured in resident restrooms and the kitchen recorded at 106, 107.1 and 106.2 degrees Fahrenheit which are within Title 22 Regulations. LPA reviewed staff and resident records/files. The files which LPA reviewed contained the required documents. Confidential records were stored in locked areas. LPA provided the licensee consultation on reporting requirements and Infection Control Plans. LPA also provided licensee with the electronic version of the LIC9282. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Licensee Hadgu, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Feb 13, 2024