Pristine Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 1pm. LPA briefly met with Administrator (AD) Mary Jean Alvarado who had a conflicting appointment. LPA conducted the visit with the Administrative Designee (AD) Oswaldo "Israel" Bautista. The facility is a six bedroom, three bathroom single-residence home with a fire clearance of six non-ambulatory residents; of which six may be on hospice. Currently there are five residents in care. During today's visit, LPA toured the dining room and living room. One resident was observed speaking on the phone, four residents were reclining in their bedrooms after eating lunch. The refrigerator had a two-days of perishable food and the facility retained seven-days of non-perishable food on-hand. Kitchen appliances were operational. Sharps and knives were secured in a locked drawer and cleaning and chemical supplies were secured beneath the kitchen sink. Smoke alarms and carbon monoxide detectors were inspected. Both fire and carbon monoxide alarms were operational. Two fire extinguishers were charged and serviced on November 17, 2025 and the facility conducted their last fire drill on January 20, 2026. LPA inspected hot water temperatures in two of two resident bathrooms. The hot water temperature ranged between 116.0 to 116.9 degrees Fahrenheit. The facility temperature was a comfortable seventy-three degrees. All resident bedrooms were clean, beds had linens and all rooms had the required furnishings. (Continued on LIC 809-C) (Continued from LIC 809) LPA toured the exterior of the property and observed a large shaded seating area for residents and ample space for residents to walk in the backyard. The facility had self-latching gates. LPA toured the garage and observed a working washer and dryer, emergency supplies and an additional refrigerator and freezer. A workout area was also observed. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. Four of four staff who provide direct care to the residents have expired First Aid/ Cardiopulmonary certificates. A Type A deficiency will be given. Two of three staff records did not have twenty hours of staff training. Additionally, two of five resident records did not have completed Appraisal Needs and Services Plans. Type B deficiencies were cited. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on June 8, 2028. A copy of the Legionnaire's Disease Fact Sheet was also provided to the facility for Assisted Living Facility Administrators. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Oswaldo "Israel" Bautista, Administrative Designee and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D and Appeal Rights.the state’s words, verbatim · CDSS document, Apr 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation at 8am. LPA was greeted and granted entry by Oswaldo Lara Bautista, Administrative Designee and LPA shared the purpose of the visit. Administrator, Mary Jean Alvarado, was not available to come to the facility during the visit. The facility is a five resident bedroom, two bathroom, and one staff bedroom, single story residence with an approved fire clearance of six non ambulatory residents with a hospice waiver for six. The facility currently has a census of three residents in care. At time of entry, home health was visiting one of the residents and assisted with resident's shower. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 111.5 and 118.4 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on November 8, 2024. The facility’s last fire drill was conducted on January 20, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Emergency food and extra supplies were located in the garage with the washer and dryer. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. The facility has a First Aid kit with all the required elements and a First Aid book. (Continued on LIC 809-C) (Continued from LIC 809) LPA toured the exterior and there was a large shaded seating area and ample room for outdoor activities. Both exterior gates were unlocked and self-latching. All exit seeking doors inside the facility had alarms. Resident bedrooms had the required linens and furnishings and were clean. Fireplace was screened and resident was observed watching Spanish television in living area. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on June 8, 2026 .LPA informed Administrative Designee to advise licensee that licensee fees are not current. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Oswaldo Lara Bautista, Administrative Designee and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.the state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst(LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Mary J. Alvarado and was granted entry to the facility. The facility is a (6) bedroom (2) bathroom home and, with a kitchen/dining area, living room, and attached garage. Licensed capacity is (6) current census is (6). LPA was accompanied Administrator Mary J. Alvarado to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Record Review: LPA reviewed (3) client files for admission agreements, updated physician reports, medications and needs and services plans. LPA conducted (3) medication audit. LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Mary J. Alvarado.the state’s words, verbatim · CDSS document, Jul 17, 2024