Popo's Place

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to conduct a required closure inspection and met with Kim Rosa, House Manager. LPA and the House Manager conducted a tour through the interior of the facility. LPA did not observe any residents present. Furniture was still in place in resident rooms and common areas. Both the Licensee and House Manger confirmed that all (3) residents moved out by Monday, June 22, 2026. (2) of the residents relocated to a related facility in the area and (1) relocated to another facility in the nearby area. LPA obtained the facility license from the House Manager and explained the license will be closed effective June 26, 2026. There are no deficiencies issued in this report. Exit interview. Copy of report printed.the state’s words, verbatim · CDSS document, Jun 26, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with caregiver staff, Luz Jimenez, and explained purpose of inspection. Kim Rosa, Administrator, arrived at 11:00 am. LPA observed (3) residents watching television in the common area. There are (0) residents currently under hospice care. Kim Rosa advised she is currently the Administrator. LPA to email required documents to make update in the system. LPA and the administrator toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms (1) shared resident bedroom, (2) resident bathrooms, (1) staff room, kitchen and laundry area, and garage area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, skid -resistant flooring, paper towels and hand-washing posters. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and sharps, medications and toxins are locked in the kitchen. There are additional locked toxins in the laundry area. The inside temperature measured 72*F and the hot water measured 120*F in the kitchen. The smoke/monoxide alarms are working and the fire extinguisher was last serviced 2/10/2026. There are sufficient linens/towels/blankets and paper supplies, including PPE. There are (2) unlocked exits in the backyard. There is covered seating, and there are no pools in the backyard. LPA reviewed (3) resident files and (3) staff files. Files are organized and contain current documentation. Medications were reviewed for (2) residents- orders matched medications being administered. Staff have completed or are in the process of completing annual training. Staff have current First Aid/CPR certifications. Administrator to be updated- RCFE current Administrator certificate # 7010896740 (9/3/27). LPA requested an updated copy of the LIC308, LIC500 and current liability insurance be provided by 3/6/26. Exit interview. Copy of report to be emailed as requestedthe state’s words, verbatim · CDSS document, Feb 27, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection and discussed with Kim Rosa, House Manager. A required annual inspection was also conducted today. During this inspection, LPA and House Manger discussed the following (3) incident reports, as follows: Resident (R1) was found on the floor in their room on the morning of January 15, 2025. Staff contacted hospice personnel who arrived to check resident's vitals. 9-1-1 was also contacted and determined resident's vitals to be stable. Resident remained at the community and passed at 11:00 pm that day. Resident moved in in December 2024 and had been on hospice for many months prior to that. A Death report was submitted to the Department on January 22, 2025, by regular USPS mail. Resident (R2) was observed to be not breathing properly while eating dinner on February 6, 2025. Resident was sent to the emergency room and returned to the facility on the morning of February 15, 2025, under hospice care. Resident has been doing well and has not needed any oxygen since being placed on hospice. Resident (R3) moved to the facility on February 3, 2025, after sustaining one or more falls at home. On February 26, 2025, resident was found on the bathroom floor during staff shift change. Staff stated resident didn't request help and got up on their own. Staff called emergency services who assessed them and sent them to the hospital for further evaluation. Resident sustained a fractured pelvic, has been in rehabilitation and will be returning in a couple of weeks. LPA discussed with the House Manager how incident reports should be as complete as possible, including follow up information from the hospital. Staff training will be conducted- Also discussed how reports can be faxed in more quickly. There are no deficiencies issued in this report. Exit interview. Report provided.the state’s words, verbatim · CDSS document, Mar 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with caregiver staff, Luz Jimenez, and explained purpose of inspection. Kim Rosa, House Manager, arrived at 11:30 am. LPA observed (4) residents watching television in the common area and was advised (1) resident was attending a medical appointment. There is currently (1) resident under hospice care. LPA and manager toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms (1) shared resident bedroom, (2) resident bathrooms, (1) staff room, kitchen and laundry area, and garage area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and sharps, medications and toxins are locked in the kitchen. There are additional locked toxins in the laundry area. The inside temperature measured 72*F and the hot water measured 125*F in the kitchen. Sign posted near the sink. Water temperature was turned down and will be checked monthly to ensure it's within range of 105-120*F. The smoke/monoxide alarms are working and the fire extinguisher was last serviced 2/28/2025. There are sufficient linens/towels/blankets and paper supplies, including PPE. There are (2) unlocked exits in the backyard. There are no pools with water.LPA reviewed (2) of (4) resident files and found them to be organized and contain current physician's reports and appraisals. Medications were reviewed for (1) residents- orders on file matched medications being administered. LPA reviewed (3) staff files- files are complete and contain current training documentation, including for First Aid/CPR. Discussed updated Dementia care regulations and provided copy of Regulation 87463. LPA requested an updated copy of the LIC308, LIC500 and current liability insurance be provided by 3/19. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with caregiver staff, Retha Micheli, and explained purpose of inspection. Manager, Kim Rosa, arrived shortly. LPA observed (3) residents in the common area and (1) resident in her room. The facility is licensed for (6) non-ambulatory residents. Currently, there are no residents on hospice. LPA and manager toured the interior and exterior of the facility including the common areas, (4) private resident bedrooms (1) shared resident bedroom, (2) resident bathrooms, (1) staff room, kitchen and laundry area, and garage area. LPA observed the facility to be clean, in good repair and odor-free. LPA observed the bathrooms to have the necessary grab bars, non-skid flooring, paper towels and hand-washing posters. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and sharps, medications and toxins are locked in the kitchen. There are additional locked toxins in the laundry area. The inside temperature measured 72*F and the hot water measured 112*F in the kitchen. The smoke/monoxide alarms are working and the fire extinguisher was last serviced 2/1/24. There are sufficient linens/towels/blankets and paper supplies, including PPE. There are (2) unlocked exits in the backyard. There are no pools with water. LPA reviewed (2) of (4) resident files and found them to be organized and contain current physician's reports and appraisals. Administrator to provide an updated copy of LIC613C(Personal Rights) to residents/families and also post a copy in the common area. Medications were reviewed for (2) residents- orders on file matched medications administered and medication documentation is current. LPA reviewed (4) staff files and found them to be complete and contain current training documentation, including for First Aid/CPR. Staff completes annual training through an approved on-line vendor. RCFE Administrator renewals are pending. All staff is cleared and associated. LPA requested an updated copy of the LIC308, LIC500 and current liability insurance be provided by 3/19. There are no citations issued but a technical advisory note is being issued today. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 12, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a case management inspection to follow up on a recent incident report and hospice death reported to the facility. LPA met with Luz Jimenez, caregiver, who contacted Kim Rosa, Co-Administrator, who arrived at 3:00 pm. LPA explained reason for the inspection. LPA discussed the incident report submitted on 11/22/23 reporting resident (R1) fell when inadvertently stepping in the shower instead of putting her bottom on the shower chair first. (R1's) feet became tangled due to her knees bowing inwards. Staff was present with (R1) during the entire incident and was able to catch her, break her fall and assist her in breaking the fall to the ground. This staff was not present to interview today. (R1) was sent out to the emergency room immediately following the fall and was diagnosed with a femur fracture. There was no head injury sustained. Resident lived at the facility since 2017. LPA reviewed (R1's) physician's report, dated 12/19/22, which notes resident has a diagnosis of Dementia, is a fall risk and other diagnoses. Co-Administrator and staff stated (R1) had gout for many years, had foot pain, and began falling more often approximately a year ago. Staff placed a bedside commode next to the bed and (R1) began using a wheelchair more. Staff also indicated that (R1)'s appetite became less for the last (6) months. Care Plan completed in Dec 2022 by (R1's) health care plan notes resident needed some assistance with showers. Resident returned the next day from the hospital with updated physician's report, dated 11/23/23, and under hospice care. (R1's) family opted to forego surgery due to resident's advanced age based on physician's recommendation. Staff stated (R1) returned in a lot of pain and family was at bedside for the following (3) weeks until resident passed. Hospice records show the hospice care team made (16) visits from 11/23/23 through 12/13/23. Based on information obtained, it appears the facility followed (R1's) care plan and sent resident out timely for medical evaluation following resident complaining of pain in her knee area. There are no deficiencies issued in this report. Exit interview. Copy of report provided to Co-Administrator.the state’s words, verbatim · CDSS document, Dec 21, 2023