Peace and Joy RCFE

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Imaculada Vasquez arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted and granted entry by Administrator, Favie Jimeno. LPA began inspection with introduction and visit purpose. There are currently six (6) residents and two (2) staff present during the visit. The single story facility consists of four (4) bedrooms and two (2) baths. Resident record review began- Two (2) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility meets documentation requirements. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the residents. Lighting is sufficient for safety and comfort. Water temperature measured 117.8 degrees F. Laundry chemicals and cleaning chemicals are locked in the laundry room. Sharped objects are observed in a locked cabinet in the kitchen. Medications are locked in a cabinet. LPA verified there is a telephone working at this location (951) 672-1301. Food Service- Food supply meets the requirement of one (1) week supply of nonperishables and two (2) day supply of perishables food on hand. Food prep areas are clean and organized. (Continued on next page) (Continued from Page 1) LPA began review of employee records- Two (2) records were reviewed. LPA reviewed employee records for first aid, fingerprint clearance, personnel/job application, health screening, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the residents in care. Administrator certifications present and current, expires on 06/26/2027 . LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Two (2) Fire extinguishers were last charged on 03/27/2026. The facility is conducting quarterly emergency disaster drills. The last disaster drill was conducted on 07/29/2026. Based on the information received during this visit today, there are zero (0) deficiencies being cited Title 22, Division 6 of The California Code of Regulations.the state’s words, verbatim · CDSS document, Aug 11, 2026

Type of visit: Required - 1 Year

On 08/09/2024 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct an annual inspection/1 year required visit. LPA met with Administrator Favieruth Jimeno, and explained the purpose of the visit. The facility is licensed to serve (6) non ambulatory, of which 1 may be bedridden in bedroom #1 or #4 only. The facility has an approved hospice waiver for 2. The facility currently has 4 residents receiving hospice services. There are 2 exception requests that were submitted. The home is a single story structure consisting of 4 bedrooms and 2 bathrooms, kitchen, garage, backyard, dining area and family room. There are no pools or bodies of water on the premises. The hot water temperature was tested and measured at 109-110 degrees Fahrenheit. The facility was observed to be clean and clutter free. The facility was observed to have the required postings such as personal rights, CCL complaint and LTCO poster. The food supply was adequate as the facility was observed to have a 2 day supply of perishable and a 7 day supply of non perishable food items. The medications and sharp objects in the locked cabinet located inside the kitchen, The facility has a fully charged fire extinguisher, and the smoke and carbon monoxide detectors were tested and were observed to be operable. The facility is required to conduct the emergency disaster drills on a quarterly basis, the last drill was conducted on 04/20/24. Deficiency cited, as the drill should have been conducted in July 2024. A records review was conducted on both staff and resident files, each file reviewed (3) residents were observed to have a medical assessment, and appraisals. Staff records reviewed (3) were observed to have current CPR certification, with all staff having obtained proper fingerprint clearance and to be associated to the facility. The Administrator was observed to have a valid administrator certificate, which expires April 2025. The facility has an ample supply of personal protective equipment. There are no known guns or ammunition on the premises. LPA conducted a file review and as of 08/01/24 the annual licensing fees have not been paid, as they are due by 08/21/24. During today's visit LPA followed up regarding the fees, and provided the PIN so that the fees could be paid electronically. Based on today's inspection a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, appeal rights, and proof of corrections form (LIC9098) was provided to Administrator Favieruth Jimeno.the state’s words, verbatim · CDSS document, Aug 9, 2024