Queen Mary Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted this unannounced visit for the purpose of completing an annual required inspection. LPA met with Care Staff (CF) Surio Filomena and discussed the purpose of the inspection. The facility is a one-story residence featuring four bedrooms, a living room and family room each with a screened fireplace, an eat-in kitchen, two bathrooms, and a detached two-car garage used for storage. All four residents were present at the facility at the time of the visit. LPA toured the interior and exterior facility and observed required department postings displayed throughout. There is a minimum of seven days of non-perishable foods and two days of perishable foods available. LPA reviewed medication and observed that it was labeled and stored inaccessible to residents in care. LPA measured the hot water temperature at 108.6 Fahrenheit degrees. All bathrooms were observed to have a supply of soap, toilet paper, and towels. LPA also observed that all rooms have furniture in good repair, clean linens, and adequate storage space, and are kept free of tripping hazards. Smoke and carbon monoxide detectors and auditory exit alarms were tested and found operational. Fire extinguishers are mounted in the kitchen and garage areas with a last inspection date of March 11, 2025. Upon review of records, the emergency drill log indicated that the last drill was conducted on December 8, 2025. LPA toured the exterior of the facility and observed a shaded seating area for residents’ enjoyment. LPA checked emergency exits and found them to be free of obstacles. LPA reviewed two residents’ and two staff files and observed they all contained the required documentation. Based on the observations made during today’s inspection, no deficiencies are being cited. An exit interview was conducted, and a copy of this report was provided to Care Staff (CF) Surio Filomena.the state’s words, verbatim · CDSS document, Feb 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA met with Administrator (AD) Evangeline Bruno and discussed the purpose of the inspection. LPA toured the interior and exterior facility and observed the following: The facility is a one-story and has 4 bedrooms, living room with screened fireplace, family room with a screened fireplace, eat in kitchen 2 bathrooms and a detached two car garage that is used for storage.LPA and AD tested smoke detectors/carbon monoxide in common areas and bedrooms; all were operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPAs observed fire extinguisher mounted in kitchen and garage areas with last inspection date of on March 8th, 2024. Upon review of record, emergency drill log indicated that the last drill was conducted in January of 2025. LPA observed sharps sand knives locked in the kitchen and are inaccessible to residents in care. However, LPA observed the medication cabinet opened and unlocked. The medication cabinet was in the kitchen. Restrooms toilets and water faucets were also observed to be operational. Grab bars were secure, and showers were observed to be free of mold/mildew. Water temperature measured between at 117.6 degrees Fahrenheit and 118.9 degrees Fahrenheit. LPAs and AD toured the backyard of the facility and observed a shaded seating area for residents’ enjoyment. LPA checked emergency exits to be free of obstacles. LPA reviewed two residents’ and two staff files and observed they all had the required documentation. Based on the observations made during today’s inspection, ONE deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights provided to AD at end of inspection.the state’s words, verbatim · CDSS document, Feb 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator Evangeline Bruno and explained the reason for the visit. Administrator's certificate expires on 8/27/2024. LPA and Administrator toured the facility. Facility has 4 bedrooms, living room with screened fireplace, family room with a screened fireplace, eat in kitchen 2 bathrooms and a detached two car garage that is used for storage. Smoke detectors and carbon monoxide detectors tested operational. LPA observed the fire extinguisher in the kitchen is fully charged. LPA observed all resident bedrooms were clean and organized. All bedrooms had the required furnishings. Both bathrooms were clean and operational. Hot water measured 114.8 degrees Fahrenheit in both bathrooms. LPA observed a 2 day perishable food supply and a 7 day non-perishable food supply in the kitchen. LPA observed the knives are kept locked under the kitchen sink. LPA observed the cleaning supplies are kept locked in the laundry closet. LPA and Administrator toured the backyard. No bodies of water observed. The exit gate is operational. The patio is covered and there are two separate seating areas. No obstacles or hazards observed in the backyard. No obstacles or hazards observed inside of the facility. LPA and Administrator toured the garage. LPA observed tools and supplies throughout the garage. The garage is kept locked and off limits to residents. LPA observed most of the items are kept on the floor in the garage. LPA inspected the all of the resident's medication, no discrepancies observed. LPA inspected the first aid kit. The first aid kit had all the required elements. LPA reviewed 2 out of 2 staff files. No discrepancies observed. LPA reviewed 6 out of 6 resident files, no discrepancies observed. LPA interviewed staff and residents. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Feb 6, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.