New Cedar Lane Care Home

Type of visit: Required - 1 Year

On 12/9/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Nancy Hernandez, Caregiver and explained the purpose of the visit. LPA toured the physical plant. This is a 1-story building with 14 bedrooms, 3 bathrooms, a kitchen, dining room, living room, office, and pantry. All bedrooms had the required furniture and sufficient lighting. All bathrooms had anti-slip flooring and grab bars. The facility's fire alarms and Carbon Monoxide Detectors are directly connected to the fire department and were observed to be in working order. The facility's fire extinguisher was observed to be fully charged. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility's first aid kit had the required items. All sharp objects, soap, poisons, and detergents were observed to be locked and in-accessible to persons in care. LPA reviewed 5 resident files. All were observed to be complete. LPA reviewed 6 staff files. S1, S2, S3, and S4 were missing TB results. A Type B citation was issued for this deficiency. In addition, based on document review, Licensee did not have documentation of their latest quarterly emergency drill. A Type B citation was provided for this deficiency. Licensee will send a copy of their Liability Insurance and current LIC 500 to the Department by 12/16/2025. A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the POC due date may result in Civil Penalties. An exit interview was conducted. A copy of this report along with Appeal Rights was provided to the facility representative.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: Required - 1 Year

On 12/19/2024, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Administrator Assistant, Myra Casamina. Licensees Rosa & Yolanda Diaz were notified and arrived later in the visit. The facility currently provides care for 17 residents, none of which are currently receiving hospice services and some of which with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located throughout the hallways, kitchen and common spaces were found to be charged. Facility is equipped with interconnected smoke and carbon monoxide detectors all of which were found to be in working order. In addition, fire safety systems monitored and serviced by outside agencies with last inspection in 2024. Emergency Disaster Plan has been updated with appropriate guidelines and evacuations sites. There was a sufficient supply of both perishable and nonperishable foods as required, with food stored in the kitchen and additional storage room, sufficient for residents in care. Food supply is replenished multiple times per week and stored in proper conditions. Facility provides a wide variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Cleaning supplies and other toxins are safely stored in locked in designated storage and laundry room, which was secured upon inspection. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. Residents that were out in the community were observed interacting with staff, fellow residents in the common areas, participating in activities and family visits. The facility encourages regular family visits and utilizes a large outdoor patio, garden, and common areas. LPA observed residents to have a strong relationship with staff, with LPA finding the level of care and engagement to be exceedingly positive. Continued onto LIC809-C LPA conducted a sample file review for residents and found that the facility is in the process of updating medical assessments and reappraisal care plans for residents with a diagnosis of dementia. LPA found that the facility has contacted resident physicians and is in process of completing medical appointments. In addition, resident reappraisals have been completed for residents with signatures pending. LPA determined that the facility has taken appropriate steps and actively working on completing resident records. License agrees to ensure medical assessment and reappraisals for all residents are current. Technical Assistance issued. Upon a sample file review for staff, LPA found that annual training requirements and 1st aid & cpr certification were completed. Lastly, upon a spot check of medication and medication records, LPA found all items including prescription and fill dates to be documented. LPA requested the following documents be sent to CCL by COB 1/9/2025: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan No deficiencies cited during today's visit.the state’s words, verbatim · CDSS document, Dec 19, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

On December 21, 2023, Licensing Program Analyst(LPA) John Calandra arrived at the licensed facility to continue the Annual 1-year required visit from November 17, 2023. LPA Calandra met with Assistant Administrator, Myra Casamina. LPA Calandra interviewed 3 residents and 2 staff. One staff member could not be interviewed due to a language barrier (LPA unable to call language line as he had no phone service.) No deficiencies were cited during today's visit. A copy of this report was reviewed and provided.the state’s words, verbatim · CDSS document, Dec 21, 2023

Type of visit: Required - 1 Year

On November 17, 2023, Licensing Program Analyst(LPA) John Calandra, and Licensing Program Manager(LPM)Jackie Jin arrived at the licensed facility to conduct an Annual 1-year required inspection. LPA Calandra and LPM Jin met with Assistant Administrator Myralee Casamina and Administrator, Rosa Diaz joined later. The visit commenced with a tour of the facility in which resident bedrooms, kitchen, living room, dining room, office, medication room, and basement. Adequate furniture and sufficient lighting were observed in resident bedrooms. Two days of perishables and 7 days of non-perishables were observed. All bathrooms were equipped with anti-skid flooring and grab bars. Water temperature in all bathrooms were measured between 105 and 114.6 degrees Fahrenheit. All fire extinguishers were last checked in March of 2022 and fire and carbon monoxide detectors were observed to be in working order. All fire extinguishers were observed to be charged. Sufficient night lights were observed throughout the facility. Sharps are stored appropriately and inaccessible to residents in the kitchen with a lock on the door and staff locks the door when he/she leaves the kitchen. The facility, backyard, and front yard were observed to be free of hazards/obstructions and no accessible bodies of water were observed. There are 15 residents, and 5 staff members present during the inspection. During an inspection of the kitchen and basement storage room, expired food was observed. In the presence of the LPA and LPM the Assistant Administrator Myralee Casamina removed the expired foods and disposed of them properly. A technical violation was provided. Furthermore, during the tour LPA and LPM observed the facility's medication room door to be open and accessible to persons in care. In the presence of the LPA and LPM, Assistant Administrator, Myralee Casamina locked the door. LPA and LPM advised that facility ensure medications room always being locked and train staff. LPA Calandra and LPM Jin also observed Lysol wipes and spray to be unlocked and accessible to persons in care. Assistant Administrator removed them in the presence of the LPA and LPM. LPA Calandra and LPM Jin reviewed seven client records which were complete with signed Admissions Agreements, Physician's reports, Needs and Services/Care plans, signed consent forms, etc. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. LPA Calandra and LPM Jin requested for a copy of the facility's limited liability insurance to be sent to the department by November 24, 2023. LPA Calandra and LPM Jin will return to facility to complete the Annual Inspection at a later date. No deficiencies were cited during today's visit. A copy of the Report and Technical Violation was reviewed with Assistant Administrator, Myralee Casamina and Administrator/Licensee Rosa Diaz and left at the facility.the state’s words, verbatim · CDSS document, Nov 17, 2023