Ohana Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility’s compliance history was reviewed prior to the visit. LPA identified herself and was granted entry by caregiver Jessica Tellez and discussed the purpose of their visit. Frank Ramirez, Licensee, and Etsuko Greene, caregiver later arrived and joined the visit. According to the facility’s license, there may be a maximum of 6 residents, all of whom may be non-ambulatory in at any given time at the facility site. The facility has a hospice waiver approved for 6 residents. During today’s inspection, the facility’s current census is 5 residents living at the facility. There were 5 residents present at the facility site during the inspection. LPA inspected 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. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 74ºF. Hot water temperature at taps accessible to residents were also compliant and within the allotted temperature ranges, 105ºF - 120ºF. There was at least 2 days of perishable food and at least 7 days of non-perishable food present. Cooking, dining equipment, and utensils were present and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in a locked area, which LPA inspected. The facility-maintained medication logs, which LPA reviewed. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per licensee Ramirez, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and the facility telephone were all working. Fire extinguishers were present (02) and were in need to be serviced. The first aid kit was complete and readily accessible. LPA reviewed staff and resident records. LPA’s visit did not raise licensing concerns. The files that LPA reviewed contained some of the required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection, which may be found within the LIC809-D page of this report. An exit interview was conducted with Licensee Frank Ramirez, to whom a copy of this report, along with the Licensee/Appeal Rights (LIC9058 03/22), were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Licensee Ramirez to submit a current Designation of Administrative Responsibility (LIC 308), Personnel Report (LIC 500), and Emergency Disaster Plan (LIC610-E) to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Sep 8, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: Sep 23, 2026

87203 Fire Safety: All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This regulation was not met as evidence by: Based on observations the licensee did not comply with the section cited above in 2 out of 2 fire extinguishers did not have their updated tags, which posed a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 8, 2026

Plan of correction: The facility agreed to take their fire extinguishers to be serviced and submit a copy of their invoice or tags to LPA by POC due date, 09/23/2026.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87412(a) · Plan of correction due date: Sep 30, 2026

87412 Personnel Records: (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Based on records review the licensee did not comply with the section cited above in 3 out of 3 staff records did not have their updated training information on file, which posed a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 8, 2026

Plan of correction: Facility agreed to have the staff updated training records in their file and submit a copy to LPA by POC due date, 09/30/2026.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Sep 30, 2026

87506 Resident Records: (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. This requirement was not met as evidence by: Based on records review the licensee did not comply with the section cited above in 5 out of 5 resident records did not have their updated documentation on file, which posed a potential health and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 8, 2026

Plan of correction: The facility agreed to have the updated resident records on file and submit a copy of the resident records to LPA by POC due date, 09/30/2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit to licensee Seiko Iso. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, ages 60 and over. The facility has an approved hospice waiver for six (6). During today’s inspection there were zero (0) residents in care. LPA and licensee Seiko Iso 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, 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. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. There were no sharp objects, toxic chemicals/poisons, active fireplaces, or open-faced heaters left accessible to potential residents. There were locked areas for storage of medications and confidential records. No pools or bodies of water exist on the premises. Per licensee Seiko Iso, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. 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. LPA interviewed staff and reviewed facility records. The files reviewed by LPA contained required documents. No deficiencies were cited during the inspection. An exit interview was conducted with licensee Seiko Iso to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Sep 26, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensees Frank Ramirez and Seiko Iso. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of which all may be ambulatory or non-ambulatory but none may be bedridden. Per LPA observation and staff interviews, During today’s inspection, there were zero (0) residents in care. The facility’s license does not include endorsements for delayed-egress doors or secured perimeter, and none of these were present. LPA, accompanied by Licensee’s staff, toured the interior and exterior of the facility, and inspected all common areas and resident rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, toilets, and showers were working. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was complaint at 73 F. Hot water temperature at all taps were compliant: Kitchen Sink was 113.2 F, Bathroom #1 Sink was 113.5 F, and Bathroom #2 Sink was 110.8 F. Appliances to preserve perishable food were also all compliant in temperature: Kitchen Refrigerator was 35 F and Kitchen Freezer was 0 F. Garage Freezer was 0 F. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] There were no sharp objects, toxic chemicals/poisons, active fireplaces, or open-faced heaters left accessible to potential residents. There were locked areas for storage of medications and confidential records. No pools or bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, night lights, emergency lighting, and facility telephone were all working. The facility’s fire extinguisher was in good condition. Required licensing postings were observed in visible areas of the facility. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Ramirez and Iso, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.the state’s words, verbatim · CDSS document, Sep 10, 2024