Placerville Home Care

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Ramona Miclea and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 3:30PM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 7-bedroom, 3-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA and AD observed 2 staff and 5 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the three staff bedrooms. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 111 degrees F in the resident bathroom. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 2:00PM, LPA reviewed 5 resident files and 3 staff files, interviewed 2 residents and 2 staff, and inspected medications for 5 residents. Facility does not handle resident money. During the inspection, LPA and AD observed the following: based on observation, the facility does not have a carbon monoxide detector; based on observation, the licensee did not ensure tools and toxins were secured in the side shed where the location is difficult to access by residents, none of whom are assessed as able to handle these items safely, due to distance and mobility limitations; based on documents, the physician's reports for R1, R2, R3, and R5 were on the old form and did not include required information, including behavioral expression; and based on observation, all resident rooms had cameras in them installed by the licensee. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Feb 19, 2026

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analysts (LPAs) Sean Haddad and Hanna Gough for the purpose of conducting a Required – 1 Year Inspection. LPAs met with Staff #1 (S1) Elsa Palomino and Staff #2 (S2) Florin Miclea and discussed the purpose of the inspection. Administrator (AD) Ramona Miclea was not present during the inspection. LPAs reviewed Infection Control requirements. At about 1:30PM, LPAs and S2 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 7-bedroom, 3-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPAs observed 2 staff and 5 residents present at the facility in addition to S2. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPAs inspected three staff bedrooms. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 113 degrees F in the 2 resident bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are not yet past due. At about 2:30PM, LPAs reviewed 5 resident files and 3 staff files, interviewed 2 residents and 2 staff, and inspected medications for 5 residents. Facility does not handle resident money. CONTINUED. During the inspection, LPAs and S2 observed the following: based on observation and documents, the side exit gate was bolted shut and the door from the south side of the home to the north side where the primary emergency exit is located was locked; based on documents, the licensee did not ensure 2 out of 2 staff received the required 20-hour annual training; and based on observation, the facility's fire extinguisher has not been serviced or inspected in the last year. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421IM. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Jan 7, 2025

Type of visit: Required - 1 Year

On today's date, Licensing Program Analysts (LPAs) Michael Tea and Sean Haddad conducted an unannounced Annual Required-1 year inspection visit. LPAs were granted entry by Administrator (AD) Ramona Miclea. AD Certificate for Ramona Miclea expires on 9/18/2025. This is a facility licensed for a capacity of six non-ambulatory residents which two can be on hospice. At 1:30 PM, LPA Tea and Haddad reviewed whether the following is in compliance: licensee is operating the facility within the conditions and limitations, which are specified on the license, including the capacity limitation, after corrections. The facility is a 1 story home. The home consists of: 3 private staff rooms, 4 resident bedrooms, which 2 are shared, 2 restrooms for residents and 1 bathroom for staff , 2 living rooms, kitchen with dining area, 2 car garage used for storage and supplies and a back yard. Between 1:50 PM - 2:20 PM, LPAs reviewed 2 of 2 staff records, 6 of 6 resident records. Residents files and staff files contained all required documentation. At 2:20 PM, LPA Haddad reviewed 6 of 6 client centrally stored medication records. LPAs observed medications are secured in a secured cabinet in staff room, not accessible to clients in care, after corrections. 6 of 6 Medication records were found to be within Title 22 CCR, after corrections. At 2:56 PM, LPAs along with AD Miclea conducted the tour inspection. A tour of the interior and exterior of the facility and physical plant were inspected, including but not limited to testing hot water temperature in resident and common bathrooms. The resident bathroom water tested and measured about 113.0 degrees Fahrenheit. All smoke detectors, carbon monoxide, were operational and functional. LPAs verified if facility is providing a comfortable temperature due to hot/cold weather condition. Facility has a working centralized heater and air conditioner to use for the cold or hot weather as needed. The temperature inside the facility was recorded to be 76 degrees Fahrenheit. CONTINUED ON LIC 809-C PAGE... CONTINUED... LPAs reviewed facility telephone; provision of sufficient lighting; exit obstructions, if any; and potential hazards. Poisons, toxic substances, and other dangerous objects were noted to be secured in staff area and inside garage not accessible to clients in care, after corrections. Kitchen knives were stored and secured, not accessible to clients in care, after corrections. The Outside grounds were inspected during facility tour. LPAs observed sitting area with a shaded patio. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. AD reported offering the following indoor and outdoor activities at the facility for residents such as doing puzzles, crafting bead jewelry, playing card games, and taking walks around the neighborhood, walking as far to the community pool in the neighborhood. Two fire extinguishers observed and fully charged, and last tested on December 19, 2023. AD reports fire drills are conducted with staff and clients. Last facility fire drill was conducted on March 4, 2024. Plentiful basic hygiene items and linen supply were available. First Aid KIT and other aide supplies were observed to be stored in secured cabinet in. Furnishing cleanliness and state of repair, and fixtures were examined. Nonskid mats were observed in resident restrooms. Operational and functional Washer and Dryer were observed in garage area. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Ramona Miclea and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, May 22, 2024