Patchwork Quilt Guest Home II

Allegation investigated: Staff yelled at resident in care Staff inappropriately spoke to resident in care

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents. Regarding the allegations that staff yelled at resident in care and staff inappropriately spoke to resident in care, the investigation revealed the following: Licensee indicated an incident on 03/21/2026 where Staff 1 (S1) and S2 got into a verbal altercation in the facility. Both staff were yelling at each other but not at residents. The staff were separated and there were no further incidents. Administrator indicates neither staff is employed at the facility since the incident. Two out of two staff and four out of four residents deny witnessing staff yell or talk inappropriately to residents. Based on interviews conducted, LPA is unable to corroborate the allegations. Therefore, the allegations have been determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and a copy of this report was left at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 23, 2026 · control 22-AS-20260323110021

Type of visit: Required - 1 Year

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by facility staff. LPA explained the purposes of the visit, and Administrator (AD) Rizalina "Sally" Reyes was notified via telephone and arrived shortly after to assist with the inspection. LPA Vanegas began a tour of the facility and observed the following. AD Rizalina "Sally" Reyes has an active administrator certificate valid from July 01, 2025 through June 30, 2027. This is a one storied home with five bedrooms one of which is a staff room, and four of which are resident rooms, two bathroom, and an attached two car garage. LPA Vanegas observed kitchen area to be clean and free of any mildew and debris. LPA observed there to be a two day supply of perishable food and a seven day supply of non-perishable food on hand a long with a sufficient amount of emergency water on hand, LPA observed there to be a microwave, an electric stove, a refrigerator, dishwasher, dryer and washer. All appeared to be in good condition and tested operational. LPA Vanegas observed all resident bedrooms to be clean and free of any hazards. LPA observed all rooms to have all required furnishings such as a bed, clean linens in good repair; meaning no strains or tares, a chair, reading lamp, and enough storage space to store personal belongings. LPA vanegas observed restrooms to be clean and free of any mildew and debris, LPA observed toilets and water faucets to be operational. LPA observed the hot water temperature to be between 107.8 and 108.9 degrees Fahrenheit. LPA observed bathrooms to have required furnishings such as a shower chair, slip resistant floor mats, and grab bars. CONTINUED ON LIC809C. LPA observed all fire extinguishers to be up to date and fully charged. LPA observed all smoke detectors and carbon monoxide detectors to be in good condition and tested operational. LPA observed first aid kit to have all required items such as adhesive tape, scissors, tweezers, bandages, a thermometer, and a first aid manual. LPA Vanegas toured the outside of the facility and observed there to be a shading seating area available to residents in care upon request. Backyard is large enough to participate in outdoor activities upon resident request. LPA Observed side routes to be free of any debris or hazards, side gates are self latching and unlocked. LPA reviewed three staff files, and five resident files. All files (Staff and Resident) had all required documents and staff had annual required training completed. LPA Vanegas reviewed medication with AD and observed the following: All medications are documented correctly, Per LPA review medications are being administered per physicians orders. LPA observed no discrepancies in regard to medication administration. Based on observations made during today's inspection no deficiencies will be issued per title 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with AD and a copy of this report was provided to the facility additionally a copy of this report will be mailed to the facility as well.the state’s words, verbatim · CDSS document, Mar 24, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by care giving staff after explaining the purpose for the visit. Administrator (AD) Rizalina Reyes was notified via telephone and later arrived to assist with the inspection. LPA observed that Administrator Rizalina Reyes has a valid Administrator certificate which expires on June 30, 2025. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents with a hospice waiver for three. The facility is a single-story home with four resident bedrooms, two of which are shared, one staff bedroom, two shared resident bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. LPA accompanied by the AD conducted a tour of the interior portion of the facility. On today's visit, LPA observed three residents in care, none of which are on hospice, and three care giving staff present. LPA observed residents relaxing in the living room as well as their respective bedrooms. LPA observed the See Something, Say Something poster (PUB 475) mounted on a wall in the resident hallway. LPA inspected the four resident bedrooms, and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed each resident has an internet device in their bedroom. All resident beds had clean linens and blankets. LPA observed additional linens are stored in a hallway closet. LPA inspected the two shared resident bathrooms. Resident bathrooms are clean. Bathrooms are equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 65.6 and 132.2 degrees Fahrenheit. LPA observed the staff room is kept locked and inaccessible to residents in care. LPA observed the kitchen has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. The four top electric stove was operational. LPA observed knives and sharps are stored in a locked storage cabinet in the kitchen. CONTINUED ON LIC809-C A fire extinguisher is located in the kitchen and it was observed to be charged and serviced on September 4, 2024. LPA tested the individual smoke detectors and carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on October 1, 2024. The centrally stored medication is kept in a locked cabinet in the resident hallway. A First Aid kit was observed be stored in the locked cabinet and it was observed to be missing scissors, a thermometer, and a tweezer. The door leading to the attached two car garage is kept locked and inaccessible to resident. The garage is used for storage and laundry. LPA observed chemicals and toxins to be stored in the locked garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA and the AD conducted a tour of the exterior portion of the facility. LPA observed the exterior portion to be clear of obstructions and hazards. LPA observed a shaded outdoor seating area with furniture for resident use. The perimeter gates on the north side and southside of the facility are self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all three resident files. LPA observed the facility did not have a Pre-appraisal on file for Resident #3 (R3). LPA observed the facility did not have a Reappraisal on file for Resident #1 (R1), Resident #2 (R2), and Resident #3 (R3). LPA reviewed all three residents’ medication and medication records. LPA reviewed four staff files. LPA observed that 0 out of the 4 care giving staff had a valid CPR training card on file. LPA observed that 0 out of the 4 care giving staff did not conduct the required annual training for the year of 2024. All staff are background cleared and associated to the facility. Based on today's observations, deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Rizalina Reyes. A copy of the report and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Mar 6, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by staff on duty (S1) Trinia Granada. S1 notified facility administrator (AD) Rizalina Reyes about visit, however AD was unable to be present, therefore provided consent for S1 Granada to receive and sign report. For today’s visit, LPA observed a total of 5 residents in care and 2 staff members on duty. LPA observed the Administrator's Certificate for facility administrator (AD) Rizalina Reyes which expires on 06/20/2025. LPA observed the PUB475 "See Something Say Something" poster located at the entrance and in the hallway. LPA De Perio toured the interior and exterior portions of the facility with S1 Granada. The facility is a single level structure and is licensed for 6 residents, of which 4 may be on hospice. For this visit, there are a total of 5 residents in care. There are a total of 5 bedrooms, of which 2 are private resident rooms, 2 are shared resident rooms, and 1 room designated for staff. LPA De Perio toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. It was observed that there are a total of 2 restrooms in the facility. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in restrooms were measured to be at 109.7 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. LPA De Perio observed the emergency disaster and evacuation plan, which is posted in the hallway. Facility had back-up emergency food and water supply, located in the garage and in the kitchen. LPA De Perio observed that First Aid Kit had all the required components. LPA De Perio observed that medications and toxins were locked and inaccessible to residents in care. For the exterior portion, LPA De Perio observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, which both were self-closing and self-latching. No bodies of water were observed. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with S1 Granada. A copy of this report was provided and explained.the state’s words, verbatim · CDSS document, Mar 22, 2024