Precious Someone Homecare

Type of visit: Required - 1 Year

On 8/22/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct a required Annual Inspection. Upon arrival LPA was greeted by the Caregiver Mario Resurrection, who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. LPA Khurshudyan reviewed the required postings on a wall next to the entrance area. The Administrator Madonna Olila contacted over the phone. The inspection tool was used to complete the visit. At 10:15am. LPA with the help of caregiver began a physical plant tour of the facility and the following was observed: This is a single-story building with five (5) bedrooms, of which four (4) bedrooms are designated for residents’ use and one bedroom designated for staff use only. There are two (2) bathrooms, kitchen, common areas: living and dining rooms, and outdoor areas. It has an approved fire clearance for six (6) Non-ambulatory residents, of which one (1) may be Bedridden. The facility also has a Hospice waiver for two (2) residents. Common Areas: The facility maintains a comfortable temperature at 75°F. The living room and dining area appeared generally clean and were properly furnished. No obstructions and or tripping hazards throughout the facility were observed. Kitchen: At approximately 10:40am LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. Sharps/knives were properly stored and locked inside the kitchen cabinet. There is a fire extinguisher on the kitchen wall which was last serviced on 6/26/2025. Chemicals observed to be locked under the sink and inaccessible to residents in care. Continue on LIC809-C Bathrooms: At 10:50am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet paper, soap and paper towels. The hot water temperature measured at 111.2°F. LPA observed appropriate grab bars and non-skid mats. All trash cans in bathrooms had fitted lids to protect from cross contamination. Smoke detectors/carbon monoxide. Dual smoke and carbon monoxide detectors were located throughout the facility, and at 11:05am they were tested and observed to be operational. Outside areas: At approximately, 11:20am LPA toured the outside area of the facility and observed appropriate outdoor furniture, with a covered shaded area for residents. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. Laundry Room: Laundry machines are in a separate locked area next to the kitchen. Disinfectants, laundry detergents and hygiene supplies were stored and inaccessible to residents in care. Extra linens were also stored and readily available. Garage: The garage is currently being used as storage for extra supplies and maintenance tools. Between 11:45am to 2:00pm, LPA reviewed records of six (6) residents and three (3) staff members. Resident and staff records appeared to be complete and updated. MEDICATION: LPA observed centrally stored medication and First Aid kit locked inside the kitchen cabinet and inaccessible to residents in care. LPA observed First-aid kit is complete and has new manual. Facility has a Dementia Care Program. PRN medications have written orders from a physician. The facility serves residents with dementia and the facility has trained staff to meet the needs of residents who are diagnosed with dementia. Facility has two (2) staff for AM shift and two (2) awake caregivers for PM shift, there is one (1) caregiver on call. Administrative: Annual fee is current. All required signs are posted. LPA collected LIC500, LIC9020. The Administrator Certificate expires on 7/16/2027. LPA Interviewed two (2) caregivers and four (4) out of six (6) residents who were able to communicate. No citation issued during this visit. Exit interview conducted. Copy of report signed and delivered to the Administrator.the state’s words, verbatim · CDSS document, Aug 22, 2025

Type of visit: Required - 1 Year

An unannounced annual visit was conducted by Licensing Program Analyst (LPA) Perchui Milena Khurshudyan on 9/13/24 at 10:00 am. Upon arrival LPA met with Mario Resurreccion Caregiver, who granted access to the facility. LPA explained the reason for the visit. Shortly after the Administrator , Madonna Olila arrived and helped with physical plant tour and staff/residents files. During today's visit, LPA conducted a physical plant walk through, at approximately 10:20am, to ensure that the facility is in compliance with rules and regulations under California Code of Regulations, Title 22. The following was observed: Facility is licensed for capacity of six (6) residents, of which six (6) may be Non-Ambulatory, one (1) can be Bedridden. Facility also has a hospice waiver for two (2) residents. This is a single story house. There are five (5) bedrooms in the facility of which four (4) is designated for residents’ use. Bedrooms are appropriately furnished and have appropriate lighting. There are two (2) bathrooms in the facility. LPA observed bathrooms have soap, paper towels and hand washing signs. The hot water temperature measured at 10:45 to be 109°F. Extra towels and linens were readily available. There are grab bars for each toilet and shower, bathrooms have non-skid mats. All trash cans in bathrooms had fitted lids to protect from cross contamination. The facility has alarms on all exit doors. Centrally stored medications are locked in the cabinets located in the kitchen. PRN medications have written orders from a physician. The facility has dementia care plan. however, currently they don't have dementia residents. Facility has 2 staff for AM shift and 1 awake caregiver for PM shift. Continue on LIC809-C LPA observed the kitchen area, there was sufficient stock of one-week non-perishable foods and two days of perishable foods. Frozen foods are properly wrapped and stored in the freezer. Food storage and preparation areas are clean and inaccessible to pests. LPA observed that sharp objects were stored in a locked drawer inaccessible to residents in care. The kitchen has a working gas stove, microwave, refrigerator, and freezer. Extra emergency food was properly stored inside the storage cabinet. The common areas which include dining and living room appeared clean and were properly furnished. Temperature was comfortable it was measured at 11:10am to be 75°F. The fireplace was closed and non-operational. No obstructions and or tripping hazards throughout the facility found. The Facility has one (1) fire extinguisher, LPA observed they are last purchased on 11/29/2023. Laundry room is located in the separate area next to the kitchen, which has exit door to the backyard. LPA observed all chemicals and detergents are kept locked and inaccessible to residents in care inside the locked cabinets next to the laundry area. Smoke detectors and carbon monoxide monitors were tested at 1:30pm and observed to be functional. LPA observed a generally clean covered patio and backyard furniture to accommodate the six (6) residents. Exit areas are free of obstructions and hazards. LPA checked inside of the locked shed it was used for facility maintenance purposes, and for facility supplies. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. The facility does not have a swimming pool or body of water. There is no garage. Between 11:30am to 1:00pm, LPA reviewed records and files of two (2) residents and three (3) staff/caregivers. A review of staff and resident records appeared to be complete. Resident’s files contain a signed admission agreements and a medical assessment, and all other required documentarians. A review of staff records indicates that all facility staff and who required caregiver background checks have received criminal record clearances, LPA reviewed LIC501s, LIC503s, LIC9052s, and Training and Education certificates. There are no residents with prohibited conditions residing at the facility. Continue on LIC809C At approximately 1:35pm to 2:00pm LPA observed each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. All medications are properly labeled and checked for expiration dates. First-aid has all proper items and is current. it is located in the locked cabinet along with medications. LPA collected LIC500, LIC9020, Copy of the Administrator certificate, The Infection Control, and Liability Insurance. Facility is in compliance with Title 22 Regulations at this time. No citations issued during this visit. Exit interview conducted and copy of this report signed and delivered to the Administrator.the state’s words, verbatim · CDSS document, Sep 13, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff, Mario Resurreccion and explained the reason for the visit. Administrator Madonna Olila has joined shortly after. At approximately 11:20 am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are interconnected and battery operated. There is a carbon monoxide detector that functions properly installed in the hallway between resident rooms. The fire extinguisher is located in the kitchen. The purchase date is November 29, 2023. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. Bedrooms: There were four (4) bedrooms designated for residents' use. Three(3) out 4 bedrooms are properly furnished with appropriate beddings and linens with sufficient lighting. LPA observed Room 1 is cluttered and there are many boxes stacked which creates difficulties opening the door room. LPA observed that Resident #1(R1) smokes in the room and thus the facility walls are yellow including the room curtains. Surrounding Grounds: The outdoor area was cluttered with recycle bags, unused broken bed, table, and water dispenser. LPA is unable to continue with the annual inspection. Additional visit be conducted. Deficiencies observed and will be cited during the subsequent visit.the state’s words, verbatim · CDSS document, Nov 29, 2023