Oravilla Guest Home

Type of visit: Required - 1 Year

On December 9, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Licensee Evelyn Wallace was notified via telephone and later arrived to assist with the inspection. LPA observed that Evelyn Wallace has a valid Administrator certificate which expires on August 10, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for two. The facility is a single story home with four resident bedrooms, two of which are shared, one staff bedroom, three resident bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. LPA, accompanied by the LI, conducted a tour of the interior portions of the facility. On today's visit, LPA observed five residents in care and two care giving staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the four resident bedrooms and observed them to be clear of any hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in resident bathroom. LPA inspected the three resident bathrooms and observed them to be clean. Resident bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 108.5 and 109.1 degrees Fahrenheit. LPA observed the facility has a two day perishable and a seven day non-perishable food supply in the kitchen. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. CONTINUED ON LIC809-C LPA observed a fire extinguisher to be mounted on the wall in the resident hallway and it was observed to be charged and up to date on service. LPA tested the individual smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility did not have any documented emergency disaster drills in the year of 2025. LPA observed the centrally stored medication to be kept in a locked cabinet in the kitchen. LPA observed there is also a First Aid kit stored in the cabinet which has all the required components. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage and laundry. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the LI, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be clear of any obstructions or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gate to be self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all five resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed the residents' medication and medication administration records. LPA observed the facility was providing six over the counter medications to Resident #4 (R4) without a physician's order. LPA reviewed four staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-D. An exit interview was conducted with Licensee Evelyn Wallace. A copy of the report and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: POC

On January 16th, 2025 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting a plan of correction visit. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) Leonides Arceo.Shortly after LPA set up equipment administrator arrived and LPA Vanegas observed the following. Licensee/administrator has made the following corrections. Administrator documented and completed required annual training for all staff members. Administrator also began the implementation of the medication administration record (MAR) and medication that is being given to residents is organized. LPA Vanegas observed a new administrator record, and all required documents were included in the administrator record. LPA Vanegas also reviewed updated and active liability insurance to be on the facility premises and filed in facility record. All plans of correction have been completed and cleared. After today's visit no deficiency's have been cited. An exit interview was completed and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jan 16, 2025

Type of visit: Required - 1 Year

On 12/26/2024 Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of completing an annual inspection. Upon Arrival LPA Vanegas was greeted and granted entrance to the facility by Caregiver Nonie Arceo. LPA Vanegas set up equipment and began a tour of the facility at 8:55AM and observed the following. This is a one storied home with five bedrooms one of which is a staff bedroom and four of which are resident bedrooms, three bathrooms, and one attached two car garage. LPA observed the facility kitchen to be clean and free of debris. LPA observed a microwave, gas stove, and dishwasher that were all tested and tested operational. Refrigerator was observed to have sufficient food for a two day supply of perishable food and a 7 day supply of non-perishable food was observed to be in the garage with sufficient emergency water. Resident's were observed to be in common areas watching television and in their respective private areas resting. Resident bedrooms were observed to have the required furnishings such as a lamp, chest drawers, bed, screened windows, a chair, and linens that are in good repair, meaning no strains or tears. Smoke detectors and carbon monoxide detectors were observed to be operational. Fire extinguisher was observed to be fully charged however did not have a fire tag on it. Resident restrooms were observed to be clean and free of mildew and debris. Water faucet and toilets tested operational, and water temperature tested at 106.7 degrees F-108.3 degrees F. Resident Showers were observed to have functional grab bars and slip resistant matts. LPA Vanegas conducted a tour of the outside of the facility and observed the following. There are no obstructions in front of any emergency exit doors. Doors have a self closing latch and are not locked. There is an outdoor seating area that is shaded for residence convenience CONTINUED ON LIC809C LPA Vanegas reviewed staff files and observed that there was no staff file for the administrator that was ever assembled and they did not have any files documented for administrator a deficiency was cited on today's date. LPA Vanegas observed licensee to not have liability insurance available for review and licensee advised that they are in the process of obtaining a new policy in this moment. A deficiency was cited on today's date. LPA Vanegas reviewed four resident files, and two staff files. All staff files did not have any of the required training that is needed annually, and it was not documented a deficiency was cited on today's date. LPA Vanegas observed all resident files to have required documents and no deficiency was cited on today's date. LPA Vanegas reviewed medications with Caregiver Nonie Arceo and observed the following. There are some medications that are not being documented when given to the resident's, and if resident refuses the medication it is not being documented and reported to community care licensing via incident report. Licensee was made aware of the process on reporting a refusal of medication and a deficiency was cited on today's date. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Dec 26, 2024