Ramada Ranch

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) E. Conchas made an unannounced visit to the facility to conduct an annual inspection. At the time of the visit Diane Emerson, the Licensee, greeted LPA. Upon entering the facility Diane informed LPA the last resident passed away in January of 2025 and has not had any residents since. LPA was informed the facility will no longer be operating. LPA conducted an overall inspection of the facility. LPA observed no clients residing and no staff presently working and no furniture or clients belongings as well.the state’s words, verbatim · CDSS document, Jan 8, 2026

Allegation investigated: Staff leave residents in soiled clothing for an extended period Staff do not ensure resident's bed pads and linen are clean and dry

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to deliver findings. LPA met with Diane Emerson, Administrator and explained the purpose of today's visit. The investigation consisted of LPA observations, pertinent document reviews, and interviews with staff and residents. At the time of visit, the facility does not have residents in care. The allegation that staff leave residents in soiled clothing for an extended period. Two (2) staff interviewed denied leaving residents in soiled clothing for an extended period. LPA Malcore made attempts to interview Resident #1 (R1); however, they were unable to provide information. Unsubstantiated The allegation that staff do not ensure resident's bed pads and linen are clean and dry. Two (2) staff interviewed ensured that resident’s bed pads and linens were kept clean and dry. LPA Malcore made attempts to interview Resident #1 (R1); however, they were unable to provide information. Based on LPA Malcore’s observations, there was no incontinence smell in the resident’s bedrooms. Based on interviews with staff and resident, the allegations above are Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report was discussed and a copy of this report was provided to Diane Emerson, Administrator at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jun 24, 2025 · control 56-AS-20240410110332

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection. At the time of the visit there was one (1) staff members and one (1) resident. LPA met with Diane Emerson- Licensee who was informed of the purpose of the visit. Upon entering the facility Diane informed LPA there was no power. Diana stated she received notification by e-mail which was observed at the time of inspection which stated services would be intermittently interrupted because of weather conditions. Diana also stated all responsible parties for Resident 1 (R1) have been informed of the outages in the community and the emergency disaster plan will be implemented if required. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: The Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient furniture and is maintained at a comfortable temperature. There was enough nonperishable and perishable food for the number of resident in care. The facility has a variety of food available for resident. The facility food is stored in a safe manner. Sharps are stored and locked cabinet in the laundry room inaccessible to resident in care. The resident bedroom is equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. All bathrooms had non-slip mats and were operating in a safe and in good sanitary condition. The hot water temperature measured between 105-120-degrees F. LPA also observed the facility is equipped with operating carbon monoxide/smoke detectors and fully charged fire extinguishers. Posters such as personal rights and the disaster plan were posted in a common area. LPA did observe cleaning supplies, toxins items are kept in a locked cabinet in laundry room inaccessible to resident in care. The resident file was reviewed, all files had the required documents at the time of the visit. LPA reviewed one (1) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. There are currently three (3) staff members working at the facility. An exit interview was conducted, and this report was discussed and provided to Diane Emerson- Licensee at the conclusion of the visit with appeal rights.the state’s words, verbatim · CDSS document, Jan 9, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Ryan Gardner conducted an unannounced case management visit during complaint control number 56-AS-20240122161217. LPA met with Administrative Assistant Amanda Chastain and explained the reason for the visit. During today's visit, LPA observed a hole in the ceiling in the dinning room. The area near the hole has damaged dry wall, dry wall is missing, paint is damaged, and paint is missing from the wall. The window seal near the window is also damaged, has holes, and is missing drywall. The window seal and the wall near the hole are both discolored with possible water damage. LPA took pictures of the damage. Based on observations today, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrative Assistant Amanda Chastain, along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Jan 30, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Feb 16, 2024

87303 Maintenance and Operation (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. Based on observation the licensee did not comply with the section cited above evidenced by having a hole in the dining room ceiling and by having a damaged window seal in the same area which poses a potential health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 30, 2024

Plan of correction: The licensee has agreed to read regulation 87303 entirely and send LPA a self-certified letter that the regulation was read and understood. The licensee has agreed to hire a licensed contractor to repair the ceiling, the wall, and the window seal in the dinning room. The licensee has agreed to send LPA an invoice from a licensed contractor and send picture proof of the repairs by the POC due date. The POC is due by 2/16/2024.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection. At the time of the visit there was one (1) staff members and four (4) residents. LPA met with Amanda Chastain who was informed of the purpose of the visit. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: The Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient furniture and lighting and is maintained at a comfortable temperature. There was enough nonperishable and perishable food for the number of residents in care. The facility has a variety of food available for residents. The facility food is stored in a safe manner. Sharps are stored and locked cabinet in the laundry room inaccessible to clients in care. The resident’s bedrooms are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. All bathrooms had non-slip mats and were operating in a safe and in good sanitary condition. The hot water temperature measured between 105-120-degrees F. LPA also observed the facility is equipped with operating carbon monoxide/smoke detectors and fully charged fire extinguishers. Posters such as personal rights and the disaster plan were posted in a common area. LPA did observe cleaning supplies, toxins items are kept in a locked cabinet in laundry room inaccessible to clients in care. The resident’s files were reviewed, all files had the required documents at the time of the visit. LPA reviewed two(2) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. An exit interview was conducted, and this report was discussed and provided to Amanda Chastain at the conclusion of the visit and LIC9123 inspection checklistthe state’s words, verbatim · CDSS document, Dec 20, 2023