Northwood Care Home

Type of visit: Required - 1 Year

On August 5, 2026, at 1:30 PM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with House Manager (HM) Danilo De Guzman. The facility is licensed to have a capacity of six (6) nonambulatory residents and a hospice waiver for two (2) residents. LPA Kim observed the following. The facility is a one-story house with an attached 2-car garage with four (4) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, dining room, a kitchen, a living room, and outdoor shaded area. LPA Kim toured inside and outside of the physical plant. There are no obstructions or bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be clean and operational. The water temperature measured 123.4 degrees F. During the visit, the hot water temperature was adjusted and the hot water measured at 112.2 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, emergency water and emergency supplies are stored in the garage. All mandated inspection control posters were posted. The facility has smoke detectors and carbon monoxide detectors that were operable. The Certificate of Liability Insurance is effective from April 3, 2026, to April 3, 2027. Surety Bond is from April 3, 2026, to April 3, 2027. The facility conducts Fire/Safety Drills quarterly and was last conducted on May 2,2026 . One (1) fire extinguishers is mounted in the kitchen that were serviced on August 7, 2025. A working telephone Facility phone number (949-653-5742) and tablet device dedicated to the residents both remain available. First Aid Kit contained all the necessary elements. LPA Kim conducted an audit of five (5) residents (R1-R5) files, and five (5) staff (S1-S5) personnel files, and medication and medication administration records that were all in order and complete. Resident P&I records were reviewed and in order. LPA conducted interviews with two residents and one staff. Based on today’s visit a deficiency was cited as per the Title 22 Division 6 Chapter 8 of California Code of Regulations (CCR). LPA observed a resident’s bathroom hot water temperature measured at 123.4 degrees F. During the visit, the facility adjusted the hot water temperature that measured at 112.2 degrees F. An exit interview was conducted, and a copy of this report and appeal rights were provided to House Manager Danilo De Guzmanthe state’s words, verbatim · CDSS document, Aug 5, 2026

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. The facility is licensed for six (6) non-ambulatory residents. Currently, 5 residents reside in the home with 4 residents present during today's visit. The facility is a 5 bedroom, 2 bathroom, single story home with an attached garage. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors and testing hot water temperature in the bathrooms. The hot water temperature measured 110.8 and 112.5 degrees Fahrenheit and all smoke detectors were operational. The facility conducted an emergency drill in 07/26/2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed secured medication storage. LPA observed emergency food and water in the garage of the facility. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of five out of five resident files. LPA confirmed that administrator has a current administrator certificate which expires on 12/26/2025. Based on observations no deficiencies noted. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #3 (S3) at 8:00 AM. During today’s visit, LPA met with Teresa Alpuerto, Administrator (AD) and Designee, Danilo De Guzman. The facility is a level 4 single-story building with an approved fire clearance of six non-ambulatory residents of which two may be on hospice. The facility currently has a census of six residents in care. At 8:05 AM LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that the administrator has a current certificate which expires on May 19, 2025. Danilo De Guzman's Administrator's Certificate is currently pending. Three residents had already left for Adult Day Program and two others left at 8:15 AM. At 8:55 AM LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperatures in two of two resident bathrooms, and testing auditory devices on all exits. The hot water temperatures measured between 111.9 and 113.0 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on May 13, 2024. The facility’s last fire drill was conducted on May 11, 2024. All items in First Aid kit were noted. At 9:00 AM LPA noted the PUB 475 poster is not the required size of 20" X 26". A Technical Violation will be issued, LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. (See LIC 809-C Continuation page) (Continued from LIC 809) LPA reviewed four of four staff training and fingerprint records. LPA reviewed three of six resident records and noted all records had Admission Agreements from Regional Center but there were no Admission Agreements compliant to Title 22 and a Technical Violation will be given. All Resident P&I records were reviewed and were accurate. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Danilo De Guzman, Administrative Designee and a copy of the report and files reviewed (LIC 858 & LIC 859) and LIC 9102-TV were given at the time of the visit.the state’s words, verbatim · CDSS document, Jul 31, 2024

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.

Allegation investigated: Administrators wife yelled at client Client blamed for employees quitting by administrator wife

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit regarding the complaint allegations above. LPA Haley was gretted, granted entry and explained the reason for the visit before entering the facility. During the visit LPA Haley conducted two additional interviews before delivering findings on the complaint allegations. Regarding the allegation: Administrators wife yelled at client 4 of 5 individuals interviewed denied the complaint allegation. According to two of the staff that were interviewed, Staff 2 (S2) had a discussion with Resident 1 (R1) regarding R1’s behavior and how R1 was treating staff. According to Staff 3 (S3), S2 had a conversation with R1 regarding R1’s behavior and denied S2 was yelling. “If (S2) was yelling we would hear it.” According to Staff 4 (S4), S2 had a discussion with R1 and the mother of R1 regarding the R1’s behavior, and denied S2 was yelling at R1. “No. From my understanding, they had a conversation with (R1). R1’s behaviors were bad.” Continued on LIC9099C Unsubstantiated Document review revealed emotional outburst and property destruction were some of R1’s challenging behaviors. Regarding the allegation: Client blamed for employees quitting by administrator wife. 4 of 5 individuals interviewed denied the allegation. All the staff interviewed denied any staff quit because of Resident 1 (R1). 4 staff denied R1 was blamed for staff quitting. Three staff members stated the former staff who left, found a better opportunity. S1 said the former staff left for the DMV or something. Staff 4 (S4) said the former staff didn’t want to continue in this line of work and thinks the former staff is working a county job. Document review revealed a former staff member resigned for a better opportunity. Staff 3 (S3) stated another former staff member left the facility to pursue the military because the staff was young and wanted to do different things. S3 also revealed the former staff who left for the military left after R1 moved out. Based on the information gathered during the investigation through interviews and document review, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the allegations are deemed Unsubstantiated.the state’s words, verbatim · CDSS document, Jul 22, 2024 · control 22-AS-20210414143207

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff and LPA explained the nature of the visit. Danilo De Guzman, House Manager arrived shortly after and met with LPA. There are five residents at the facility and there are no residents receiving hospice services currently. Five residents reside at this facility. LPA began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in refrigerator in garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in kitchen. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 108.1 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink and locked storage cabinet garage. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there are shaded seating areas for residents’ enjoyment. LPA observed a fire extinguisher with service date of May 09, 2023, in kitchen. LPA began review of records. Continued on LIC809-C LPA reviewed three resident records. All the required documentation was present and current in the residents’ files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility representative, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Oct 11, 2023