Ranum's Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct an annual required inspection. LPA Valerio met with facility staff, and explained the purpose of the visit. LPA Valerio spoke to Administrator Melinda Munar who designated staff Daisy to sign off on the report. LPA Valerio observed three residents watching television, one resident in the dinning table, and the other two residents in their bedroom. LPA Valerio observed resident bedrooms to be fully furnished and free from odors. LPA Valerio observed the door alarms in the bedrooms to be operational and make a sound once the door was opened. Resident bathroom was observed to be equipped with paper towels, toilet paper, wipes, hand soap, shower chair, hand rail, and sanitizer. LPA Valerio observed the facility temperature to be 82 degrees in the home with the thermostat set to 77. LPA Valerio advise staff to turn the thermostat lower due to the temperature being close to being over the regulatory range, which is between 68 to 85 degrees Fahrenheit. LPA Valerio observed staff serving residents watermelon for afternoon snack. LPA Valerio observed the exterior area to have a walk way that was free from obstructions. The temperature in the facility was measured within the regulatory range of 105 - 120 degrees F. The facility was observed to have a minimum two day supply of perishable food items and seven day supply of non perishable food items. The fire extinguisher was observed to be fully operational with last annual service date of April 08, 2026. LPA Valerio observed staff and resident files. Files were observed to be up to date with required annual documentation. LPA Valerio requested the following annual document be sent to christina.valerio@dss.ca.gov: LIC 500, LIC 308, LIC 610, copy of liability insurance No deficiencies were cited during today's visit. An exit interview was held with facility staff and Administrator Melinda via cell phone, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Aug 4, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Melinda Munar and explained the purpose of the visit. LPA Moleski reviewed four resident files (R1-R4) and three staff files (S1-S3). LPA Moleski toured the facility with Munar and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 75 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 106 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. LPA Moleski observed a fully-charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives. LPA Moleski interviewed one resident (R1). LPA Moleski attempted to interview a staff member (S2), but S2 did not understand LPA Moleski's questions. No deficiencies were cited during this visit. An exit interview was conducted and a copy of this report was left with Munar.the state’s words, verbatim · CDSS document, Jul 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 6/14/24 at 9am to conduct a Required - 1 Year visit. LPA met with Melinda Munar and stated the purpose of the visit. License fees are current. Administrator certificate expires 11/3/2024. The facility is licensed for a capacity of 6 nonambulatory/bedridden residents of which 3 may receive hospice care services. There is 1 residents receiving hospice care services during this visit. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed 2-day perishables and 7-day non-perishables. The temperature inside the facility was observed to be at 74*F which is within the required range of 68-85*F. The hot water temperature was measured at 109.7*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. LPA reviewed 2 staff and 2 resident files and conducted interviews during this visit. Upon a file review the following items were discussed to be submitted with any changes annually: Licensing fees-Current Criminal Record Clearances LIS536-Current Administrative Organization LIC309-Current Designation of Administrative Responsibility LIC308-Submit Personnel Report LIC500-Submit Affidavit Regarding Client/Resident Cash Resources LIC400-NA Surety Bond LIC402-NA Facility Floor Plan/Plot Plan LIC999-Current Fire Clearance (consistent with terms and limitations of license)-NA Qualifications of Administrator/Facility Manager-Submit Articles of Incorporation/Organization, Constitution and bylaws-NA Partnership Agreement-NA Control of Property-NA Emergency Disaster Plan LIC610E-Submit Plan of Operation (Restricted Health Care Plan)-NA Admission Policies and Procedures-NA Health Screening Report-Facility Personnel LIC503-NA Bacteriological Analysis of Private Water Supply-NA In-service Training Program-NA Medication Procedures-NA Transportation Procedures-NA Job Description/Personnel Policies-NA Exemptions/Waivers and Exceptions-Current First aid/CPR certificates-Current Liability Insurance-Submit Infection Control Plan-Submit Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited during this visit. Exit interview held. A copy of todays’ report provided.the state’s words, verbatim · CDSS document, Jun 14, 2024

Allegation investigated: Neglect/Lack of Supervision: 1) Staff do not assist Resident with bathing 2) Staff does not ensure that resident's hygiene needs are met Medication: 1) Staff is providing medication to resident without the required authorization.

Licensing Program Analyst (LPA) Kevin Gould made an unannounced inspection to the Ranum's Care Home (RCFE) on 10/12/23 at 9:00am to conclude the investigation of the above allegations and to deliver the findings. LPA met with Administrator and together discussed the investigation details. Based on the interviews conducted and statements obtained during the investigation process, the allegations cannot be corroborated. LPA reviewed resident's files and observed documentation by the hospice agency that the hospice agency is providing alleged victim with three bed baths per week. LPA was able to confirm that resident was receiving assistance with bathing while at the facility and the documetnation was available for LPA to review. In addition, LPA conducted interview with A1 who is a friend of the resident who denied having any concerns about the care provided and resident always appeared clean and well groomed. LPAs observations of resident was she appeared clean and well groomed at the time of inspection. LPA was unable to conduct interview with resident as she had limited verbal response. Report Continued on LIC 9099-C Unfounded Staff interviewed claimed individual who was denied entry was aggressive and disruptive to other residents and did not treat staff with respect. A2 was interviewed and denied being unable to visit R1. Regarding being confined to wheelchair, LPA only observed the resident once and observed the resident in a wheelchair. Resident had hip surgery in December 22 and was on hospice and continued decline and was unable to walk much. R1 did have a gait belt, it was not secure to the wheelchair and was only for staff to assist in getting resident up from wheelchair or seated position. LPA was unable to obtain any evidence that R1 was confined to wheelchair by staff. Additionally, Reporting party alleged that R1 was confined to indoors only, and LPA was unable to corroborate the allegation. RP reported that staff protested to him taking resident in the back yard. Staff interviewed stated that resident had severe allergies and going outside would exacerbate her allergies and negatively impacted R1's COPD. Staff did not have a PRN for allergy medication. R1 could not be interviewed due to limited verbal response. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of personal rights are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22, DIVISION 6. Exit interview was conducted with the facility Licensee. Appeal Rights were issued, and a copy of this report was left at the facility. Regarding the allegation that R1 was administered medications without physician authorization, LPA was able to review documentation of multiple physician orders or a PRN of cough syrup to help alleviate symptoms from chromic lung disease (COPD). LPA was able to confirm resident had a physician's order for medication administered to resident. Medication records indicate the PRN was administered in accordance with directions. The Department has investigated the complaint alleging Neglect/Lack of Supervision and Medication.Based on the investigative interviews, record reviews and other supportive evidence, the complaint is determined to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. The Complaint has been dismissed. There are no deficiencies noted or cited per California Code Regulation, TITLE 22. Exit interview was conducted with the facility Licensee and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Oct 12, 2023 · control 27-AS-20230526110229