Ohana Elderly Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jose Tan conducted an unannounced Required One (1) year inspection. Upon arrival, LPA was greeted by staff Corazon Zolita, who contacted the Administrator Beatriz Vasquez and arrived about 20 minutes later. LPA explained the reason for the visit. At 9:08 AM, LPA Tan conducted a physical plant tour of the facility inside and out. The following was observed: LPA observed appropriate postings by the entry and a visitor sign-in log with a digital thermometer affixed to a wall. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen and medications were observed locked in a kitchen cabinet. Cleaning supplies were observed locked in kitchen cabinet under the sink. Bedrooms: There are five (5) bedrooms designated for residents' use of which one (1) is shared. Resident bedrooms were properly furnished with appropriate bedding, linens, sufficient lighting and required furniture. Hallway cabinets by the bedrooms were observed to store extra linens. The auditory alarms on all exit doors were on and functional at the time of visit. Bathrooms: There are three full (3) bathrooms and one (1) half bathroom. One (1) full bathroom is located in the shared bedroom. Bathrooms were properly supplied with paper towels, hand soap, toilet paper and grab bars. LPA observed the bathroom fixtures to be functional. Hot water temperature was measured at a range of 111.2°F to 117.8°F and within regulation. (continued on LIC 809-C) (continued from LIC 809) Common Areas: These included the two (2) living areas and two (2) dining areas. The common areas were clean, clear of clutter and properly furnished. Dining tables sit the capacity of the facility. One of the living areas has a television and fireplace secured with a screen. Laundry: The laundry room is kept locked and inaccessible to residents in care. Detergents, cleaning agents and other toxins are kept in the laundry room locked. Garage: The garage is attached to the house and accessible inside the facility. The garage was locked during the visit. The garage was also being used as tools, PPE and old equipment storage. The smoke alarms are hardwired and interconnected. Licensee tested the dual smoke/carbon monoxide detectors and they were observed functional. The facility also has fire doors that automatically closed when the smoke detector were tested. LPA observed an additional carbon monoxide detector by the kitchen. LPA tested carbon monoxide detector and it was observed functional. The fire extinguisher is located in the kitchen and was observed fully charged and last purchased on 06/18/2026. Disaster drill was last conducted on 06/01/26. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards and fenced in. There is no body of water in the facility. Resident Files/ Staff Files /Facility Files: LPA conducted a file review of six (6) residents records, all records were observed to be complete and updated. Staff records and facility records were also reviewed to insure forms and training are up to date and compliance with licensing forms. LPA reviewed facility's Emergency Disaster Plan (LIC 610E) and Certificate of Liability Insurance. All staff present and facility records reviewed observed to be complete and updated. Medications: Medication and Medication Records were reviewed for proper documentation. No deficiencies observed during today's visit. Exit Interview conducted. Copy of the report provided.the state’s words, verbatim · CDSS document, Aug 1, 2026

Type of visit: Required - 1 Year

On 07/02/25 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by a caregiver. Caregiver contacted the Licensee and informed them LPA was at the facility. Licensee, Beatriz Vasquez met LPA shortly after. LPA Rios explained the purpose of the visit. At 2:00 p.m., LPA Rios conducted a physical plant tour of the facility inside and out. The following was observed: LPA observed appropriate postings by the entry and a visitor sign-in log with a digital thermometer affixed to a wall. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen and medications were observed locked in a kitchen cabinet. Cleaning supplies were observed locked in kitchen cabinet under the sink. Bedrooms: There are five (5) bedrooms designated for residents' use of which one (1) is shared. Resident bedrooms were properly furnished with appropriate bedding, linens, sufficient lighting and required furniture. Hallway cabinets by the bedrooms were observed to store extra linens. The auditory alarms on all exit doors were on and functional at the time of visit. Bathrooms: There are three full (03) bathrooms and one (01) half bathroom. One (1) full bathroom is located in the shared bedroom. Bathrooms were properly supplied with paper towels, hand soap, toilet paper and grab bars. LPA observed the bathroom fixtures to be functional. Hot water temperature was taken from three (03) bathrooms at 3:14 p.m. and read within regulation. (Continued on LIC809-C) Common Areas: These included the two (02) living areas and two (02) dining areas. The common areas were clean, clear of clutter and properly furnished. Dining tables sit the capacity of the facility. One of the living areas has a television and fireplace secured with a screen. Laundry: The laundry room is kept locked and inaccessible to residents in care. Detergents are kept in the laundry room locked. Garage: The garage is accessible and the facility uses it as a storage room. The smoke alarms are hard wired and interconnected. Licensee tested the smoke detectors at 3:43 p.m., and they were observed functional. The facility also has fire doors that automatically closed when the smoke detector were tested. LPA observed a carbon monoxide detector by the kitchen. LPA tested carbon monoxide detector and it was observed functional. The fire extinguisher is located in the kitchen and was observed fully charged with purchased date 06/09/2025. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards and fenced in. No bodies of water were observed. Resident Files/ Staff Files / Facility Files: At 2:16 p.m., LPA conducted a file review of four (04) out of four (04) resident records. At 2:53 p.m. LPA also conducted a file review of staff records and facility records to insure forms and training are up to date and compliance with licensing forms. LPA reviewed facility's Emergency Disaster Plan (LIC610E) and Certificate of Liability Insurance. Medications: At 3:11 p.m. Medication and Medication Records were reviewed for proper documentation. No deficiencies observed during today's visit. Exit Interview conducted. A copy of the report provided.the state’s words, verbatim · CDSS document, Jul 2, 2025

Type of visit: Required - 1 Year

On 06/25/24 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by caregiver. Caregiver contacted the administrator and informed them LPA was at the facility. Administrator, Natividad Arayata and Licensee Beatriz Vasquez met LPA shortly after. LPA Rios explained the purpose of the visit. This is a six (6) bedroom four (4) bathroom Residential Care Facility for the Elderly. Facility has an approved fire clearance for 5 non ambulatory and 1 bedridden resident for a total capacity of 6. At 11:30 a.m. LPA conducted a physical plant tour to ensure the health and safety of the residents in care. The following was observed: Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen and medications were observed locked in a kitchen cabinet. Bedrooms: There were six (6) bedrooms of which five (5) are designated for residents' use and one (1) is shared. Three of the bedrooms are currently occupied. Two (2) rooms are currently vacant. Rooms occupied by residents were properly furnished with appropriate bedding, linens, sufficient lighting and required furniture. Hallway closet by the bedrooms was observed to store extra linens. The facility keeps a comfortable temperature of 72 degrees Fahrenheit. Bathrooms: There are four (4) bathrooms. One (1) is located in the shared bedroom. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was taken from two (2) bathrooms at 12:00 p.m. and read between 110.6 and 111 degrees Fahrenheit within compliance. (Continued on LIC809-C) Common Areas: These included the living areas and dining areas. The common areas were clean, clear of clutter and properly furnished. Dining table and couches sit the capacity of the facility. Living area has a fire place secured with a screen. The auditory alarms on all exit doors were on and functional at the time of the visit. The smoke alarms are hard wired and interconnected. Administrator tested the smoke detectors and carbon monoxide detector at 12:20 p.m. and they were observed to be functioning properly. The fire extinguisher is located in the kitchen and was observed fully charged. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards. Garage/Laundry: The laundry room is kept locked and inaccessible to residents in care. Detergents and cleaning products are kept in the laundry room locked. The garage is accessible and the facility stores extra paper towels, toilet papers, emergency water and linins. Staff Files and Facility File: At 12:27 p.m. LPA also conducted a file review of staff records and facility records to insure forms and training are up to date and compliance with licensing forms. Resident Files: At 1:15 p.m. LPA conducted a file review of resident records to insure compliance of licensing forms. According to resident#1's (R1) and resident#2's (R2) most recent physician's report for the purpose of fire clearance both R1 and R2 have bedridden checked off under Ambulatory Status. According to the administrator the physician marked the incorrect ambulatory status and it should have been non ambulatory as per the administrator both R1 and R2 can independently reposition themselves in bed and only require assistance with transferring to and from bed. LPA observed R2 able to reposition themselves utilizing bed rails. LPA also observed both R1 and R2 in non ambulatory bedrooms. According to facility's approved fire clearance, bedroom #1 is designated as the bedridden bedroom. Medications: At 3:11 p.m. Medication and Medication Records were reviewed for proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiency observed during the visit (refer to 809-D). Exit Interview Conducted. Appeal Rights provided. A copy of the report Issued.the state’s words, verbatim · CDSS document, Jun 25, 2024