Our Legacy

Type of visit: Required - 1 Year

On March 11, 2026, Licensing Program Analyst (LPA), Jarred Torres, and LPA Mia Lankford, arrived at the facility unannounced to conduct an annual inspection and met with Administrator, Jeannette Rodriguez. A facility file review was conducted at the regional office and additional records were requested and reviewed at the facility. Their files were stored in a secure location. The facility is licensed for six elders and was operating at a capacity of six elders. The LPAs toured the facility along with the Administrator and made observations pertaining to the annual inspection. The LPAs inspected the facility inside and outside. There were no obstructions on the indoor and outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. During the tour of the premises, the LPAs observed the facility phone to be operable. The facility's phone number is 951-221-1563. The LPAs observed the residents' bedrooms which were equipped with the required furniture as stated in Tittle 22 of the California Code of Regulations (CCR); however, bedroom two and bedroom six had broken drawers that were askew and did not function properly. This issue was discussed with the Administrator and a deficiency and plan of correction were issued. The furniture in all other areas of the facility was observed to be in good condition. The facility's appliances were observed to be operational at the time of this visit. The facility is equipped with operational smoke detectors and a carbon monoxide detector. The fire extinguishers were in good condition and were serviced on January 2, 2026. Required postings regarding safety, personal rights, and emergency exits were posted in the home. The cleaning supplies were not kept locked and inaccessible to clients in care, so a deficiency and a plan of correction was discussed with the Administrator and issued. Sharp items were kept locked and inaccessible to residents in care. Continued on LIC 809-C... The facility's cooling and heating system is operational and the air temperature was at 73 degrees Fahrenheit(F) and the hot water was measured at 118. The LPA observed the medications to be locked and inaccessible to clients in care. The medication supply was sufficient for the six clients in care. There were no discrepancies with the centrally stored medications and Medication Administration Records. In the kitchen, the food supply of non-perishable and perishable foods consisted of, but not limited to, bread, eggs, frozen meats, vegetables, juice, water, and fruits. The facility goes grocery shopping two times per week and maintains an appropriate food supply for the six clients in care. Adequate staff was present for the supervision of the residents in care. The facility has a designated area for storing activity supplies and activities are conducted in the living room and backyard. Telephone numbers and floor plans were posted in the facility. The Administrator showed proof that they resubmitted payment to the Department, and their administrator's certificate is pending renewal. This proof was sent to LPA Torres' e-mail. Client files and staff files were reviewed. During the staff file review, the LPAs observed that two out of seven staff did not have the required health screening. This issue was discussed with the Administrator and a deficiency with a plan of correction was issued. No discrepancies were observed during the review of client files. The LPA reviewed the emergency disaster plan and fire clearance. The next emergency drill will be conducted on March 12, 2026. The emergency disaster plan meets the department's standards. The LPA inspected the bathrooms and observed the hand washing stations to have the required non-medicated soaps and single-use hand towels. Furthermore, the bathrooms are free of dust and debris. Additionally, the facility has an approved infection control plan in their files. An exit interview was conducted and this report was reviewed with the Administrator. A copy of this report, LIC 809-Ds, and appeal rights were provided to the Administrator whose signature confirms receipt.the state’s words, verbatim · CDSS document, Mar 11, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Janira Arreola conducted a Plan of Correction (POC) Visit. LPA met with Licensee, Jeannette Rodriguez, who was informed of the purpose of the visit. LPA conducted an annual required visit on 04/24/2025 and issued deficiencies and POCs. The following deficiency was corrected at the time of the visit: Deficiency 87355(c)(3) Criminal Record Clearance was cited for S1 not being associated to the facility. POC was for the licensee to submit an LIC9182 for S1 by the POC due date of 04/25/2025. During the visit the LIC9182 has was received for S1. Therefore the POC was cleared at the time of the visit. The remaining deficiencies cited have a POC due date of 05/24/2025. The licensee was advised on the remaining POCs and proof to be submitted which can be found on the Annual inspection report. An exit interview was conducted with the licensee were this report was reviewed.the state’s words, verbatim · CDSS document, May 12, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, Jeannette Rodriguez who was informed of the purpose of the visit. At the time of the visit there was (1) staff and (5) residents present. The facility is a one story home with (5) bedrooms and (3) bathrooms for clients. No pool or firearms are present at the facility. The facility is a residential care home for the elderly approved for (6) non-ambulatory. Infection Control: The LPA observed the hand hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan. Physical Plant: Physical plant was observed to be clean and fixtures and furniture were in good repair. LPA observed client bedrooms and bathrooms, kitchen, living areas, and outdoor area. The carbon monoxide detector and smoke alarms were functional. The hot water temperature was read at 120F. LPA observed the hazardous items like cleaners and knifes were kept locked and inaccessible to residents. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and safe environment. The facility met the 2-day supply of Perishable and 7-day supply of non-perishable food items. Record Review and Resident/Staff Files: The administrator's file, staff file for Staff #3 (S3), Staff #4 (S4), Staff #5 (S5), and Staff #6 (S6) were incomplete at the time of the time of the visit. A deficiency was cited and plan of correction was created. LPA reviewed (5) resident files which were also incomplete. A deficiency was cited and a plan of correction was created. Resident #5 (R5) did not have a death report, based on licensee interview and record review there was no incident death report received by the regional office. A deficiency was cited and a plan of correction was created. A deficiency was cited for staff training such as orientation, medication, CPR and first aid, and 40 hour annual training to be documented and sent to the LPA for review. The staff schedule has staff scheduled to work at the facility who are not associated to the facility. A deficiency was cited for the staff schedule to be redone with cleared staff and staffing levels to meet the residents needs. A deficiency was cited for Staff #1 (S1) who was not associated to the facility and had worked at the facility for (1) month. A deficiency was cited for Staff #2 (S2) who had worked at the facility for (6) months and was not fingerprint cleared. Staff observed during the visit were fingerprint cleared. Health Related Services/ Incidental Medical Services: All resident medication was locked in a hallway closet. Medication was accounted for on the Medication Administration Record (MAR) and observed medications stored in originally received containers. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. The last documented fire drill was conducted on 11/25/2024 which did not meet the department requirements. A deficiency was cited and a plan of correction was created. The facility exits were observed to be clear of obstructions. An exit interview was conducted where a copy of this report, LIC809-D pages and appeal rights were reviewed and provided.the state’s words, verbatim · CDSS document, Apr 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met with Administrator, Jeannette Rodriguez who was informed of the purpose of the visit. At the time of the visit there was (1) staff and (5) residents present. The facility is a one story home with (5) bedrooms and (3) bathrooms for clients. No pool or firearms are present at the facility. The facility is a residential care home for the elderly approved for (6) non-ambulatory. LPA found through records review and interview that (1) resident was confirmed to be bedridden. The facility was cited for not having the appropriate fire clearance, Plan of correction was created. Infection Control: The LPA observed the hand hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan. Physical Plant: Physical plant was observed to be clean and fixtures and furniture were in good repair. LPA observed client bedrooms and bathrooms, kitchen, living areas, and out door area. No health and safety issues were observed. The carbon monoxide detector was functional and hot water temperature was 120F. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Perishable and non-perishable items were observed to be in required amounts. Record Review and Resident/Staff Files: LPA reviewed staff files and training, and resident files. LPA reviewed (5) resident files, (3) did not have a written care plan. The facility was cited and a plan of correction was created. LPA review the staff training, all staff have completed required training corroborated through interview. The documentation for the training will be sent to the LPA by Monday 4/29/2024. Health Related Services/ Incidental Medical Services: All resident medication was locked in a hallway closet. Medication was accounted for on the MARS list. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. The facility has not conducted a fire drill since being licensed. Technical note was documented for staff to conduct drill and send to LPA by 4/29/2024. An exit interview was conducted where a copy of this report was reviewed and provided to Administrator, Jeannette Rodriguez.the state’s words, verbatim · CDSS document, Apr 26, 2024