Reesejoy Care Home III

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Valeria Conway conducted an unannounced annual required visit to the facility. At 10:45 A.M., LPA met with caregiver, Darwin Sabalerio, who contacted the Licensee via telephone. At 11:05 A.M. the Licensee, Roberto Ramirez arrived at the facility and the reason for the visit was explained. LPA observed two (2) caregivers and three (3) residents present. Entrance interview conducted. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS: There are four resident bedrooms (two shared and two individual rooms). All residents’ rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. This facility doesn’t have a staff room, facility will provide 24/7 care. RESTROOMS: There are two bathrooms at the facility. Bathrooms were observed to be equipped with slip resistant surfaces and grab bars. Continued on LIC 809-C Continued from LIC 809 COMMON SPACES: This includes the living room, foyer and dining room areas. LPA observed common areas to be clean and properly furnished at the time of the visit. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. The facility maintained a temperature of 73 degrees. Facility provides sufficient space to accommodate both indoor and outdoor activities. LPA observed a working phone available for residents use and required postings in the common area. The fire extinguisher appeared fully charged and was last purchased on 09/16/2025. At 11:40 A.M., the hardwired smoke detectors and carbon monoxide alarms were tested throughout the facility and functioned properly at the time of visit. KITCHEN: Kitchen knives are stored in the locked drawer in the kitchen. The supply of dishes, utensils, pots, pans and drink ware is adequate. The supply of perishable and nonperishable food is adequate. Appliances in the kitchen were cleaned, and all appeared functional. LPA observed dried emergency food under the kitchen table. Furthermore, LPA observed a functioning security camera installed in the common area between the kitchen and the living room. GARAGE: Inside the garage, LPA observed the washer and dryer and cleaning supplies and disinfectants. The garage is also used by staff as a break area and storage area for their personal items. During today’s visit the garage was not locked. LPA observed that the facility did not have an adequate supply of emergency water available. Licensee purchased emergency water during today’s visit. Technical Violation (TV) issued. OUTDOOR SPACE: The backyard has a covered patio area with patio furniture and a shed containing tools. LPA observed several mattresses, a folding bed and other miscellaneous items stored in the backyard. Licensee stated that the items were scheduled to be removed by a junk removal company. Additionally, the LPA observed a fountain located in the front yard containing standing water. Due to recent rain showers, the LPA determined to issue a Technical Violation (TV) at this time. LPA reminded the Licensee of the need to ensure that the fountain remains empty of standing water at all times. Facility has one side gate; LPA observed the side gate with clear passageways for emergency exit use, however, the foyer exit contained wheelchairs blocking an exit gate. Continued on LIC 809-C Continued on LIC 809-C RECORDS: A review of facility files was initiated and the following was observed. The LPA reviewed four (4) resident files and five (5) personnel records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were observed to be complete. MEDICATION REVIEW: Between 1:45 P.M. and 2:30 P.M. Medications for three (3) residents were observed. All medications observed were labeled, stored, and properly documented at the time of the visit.Each resident's medication was observed stored in its originally received container. The LPA obtained the following documents at the time of visit: Personnel Report (LIC500), Resident Roster (LIC9020), last emergency disaster drill, and a copy of the facility’s liability insurance. Additionally, the LPA reviewed the facility's infection control practices and the emergency disaster plan. Emergency disaster drills are conducted quarterly, with the last drill conducted on 07/02/2026. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were issued.the state’s words, verbatim · CDSS document, Sep 8, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(d)(6) · Plan of correction due date: Sep 11, 2026

87307(d)(6) Personal Accommodations (d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by… Based on observation, the licensee did not comply with the section cited above as the foyer exit was blocked with wheelchairs and other items which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 8, 2026

Plan of correction: Licensee agreed to remove all items and objects obstructing the pathway between the foyer exit and the exit gate. Also, a written statement acknowledging the requirement to always maintain the pathway clear and free of obstructions. Corrections will be sent to LPA prior POC due date.

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Case Management - Annual Continuation at the facility today continuing the inspection that began on 09/11/2025. At 3:00 p.m., the LPA met with the Staff, Darwin Sabalerio and explained the reason for the visit. Administrator Susana Vincecruz arrived shortly thereafter. RECORD REVIEW: At 3:00 p.m. the LPA conducted a file review for two (2) staff. The LPA observed Staff 1 (S1) who was present today during the visit not associated to the facility. Upon observation the Administrator stated that they had faxed the Criminal Background Clearance Transfer Request to CCL this morning and it was S1's first day at the facility. Due to time constraints the LPA will return at a later date to complete the annual. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were issued.the state’s words, verbatim · CDSS document, Oct 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced required annual visit to the facility. LPA met with the administrators Susana Vincecruz and Roberto Ramirez and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS: There are four resident bedrooms (two shared and two individual rooms). The resident rooms are set up with appropriate furnishings, clean linens, and sufficient lighting. At 12:32 p.m. the LPA observed 2 tubes of triad hydrophilic wound dressing, 1 tube of neosporin, one bottle of dermal wound cleaner, 2 bottles of Pepcid complete, one bottle of Dulcolax stool softner, 1 bottle of diabetic Tussin, and one box of Chloraseptic sore throat +cough in room #4, however per the resident's (R1's) LIC602 they cannot manage or store their own medications. RESTROOMS: There are two bathrooms at the facility. The restroom has grab bars and a shower with non-skid materials. The hot water temperature measured within the required temperature. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. The LPA observed the required postings. The fire extinguisher appeared fully charged and was last purchased on 09/15/2024. The facilities smoke detectors and carbon monoxide alarms were tested throughout the facility and functioned properly at the time of visit. Report will continue on LIC 809 - C. The garage, which has laundry equipment, was observed locked and contained laundry supplies. The garage is also used by staff as a break area and storage area for their personal items. The outdoor patio has a covered area equipped with furniture for resident use. There were no bodies of water noted. At 12:40 p.m. the LPA observed the foyer exit blocked with various items on the floor, such mattresses, clothing and shoes, the LPA also observed knives, chemicals, gardening equipment, clothing, canned food, and a cooking pot with an unknown substance inside. The foyer fence was also observed to be locked with a paded lock. Upon observation, the lock was removed. KITCHEN: Kitchen knives are stored in the locked drawer in the kitchen. The supply of dishes, utensils, pots, pans and drink ware is adequate. The supply of perishable and nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. RECORDS: A review of facility files was initiated and the following was observed. The LPA reviewed five (5) of six (6) resident Files. Out of the five files reviewed, the LPA identified that R2's and R3's LIC602 were from 2023 and did not have a medical assessment within the past year on file or documentation of resident's refusal to receive an annual routine visit or their representative's refusal on their behalf. The LPA also identified that R4's ambulatory status is bedridden per the LIC602, however the facility is only licensed and fire cleared for 6 non-ambulatory residents and is not license/ fire cleared for any bedridden residents. INTERVIEWS: Interviews were conducted with two residents No issues or concerns revealed. Due to time constraints the LPA will return at a later date to complete the annual. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were issued.the state’s words, verbatim · CDSS document, Sep 11, 2025

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Prelicensing

At 10:30 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted a pre-licensing visit to the above noted facility. The LPA met with applicant representative, Roberto Ramirez. This is a a change of ownership application. A dementia program was included in the plan of operation. A Hospice Waiver for six (6) has been requested. Component III was completed during the inspection with the applicant. The facility is a single story home. At 12:00 PM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing the home for six (6) non-ambulatory residents in rooms #1-4. The facility has two (2) private bedrooms and two (2) shared bedrooms. Bedroom #2, #3 and #4 have direct access outside. All resident rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. The beds are furnished with comfortable mattress and clean linen; which includes, top and bottom linens, pillowcases, blanket and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with wheelchair or walker. All rooms were free of odors. All window screens were clean and maintained in good repair. The LPA observed a makeshift staff room in the passageway leading to the garage. Upon observation, the beds and other items in the makeshift staff room were removed. Applicant representative understands that the facility does not have a staff room, therefore will have 24 hour awake staff and cannot have staff sleep in the facility including the garage unless there is an approved staff room. There is two (2) common restrooms. Both resident bathrooms have showers with grab bars and non-skid materials. The hot water temperature was measured as follows: resident's common bathroom outside of room #4 117.9*F, common restroom outside of rooms #1 and #2 117.1*F which fall within the allowable range of 105*F to 120*F. Report continued on LIC 809-C (2ND PAGE). Resident and staff records are stored in a locked drawer in the office. Medications are centrally stored in a locked closet located in the entryway of the facility. Knives and cleaning supplies are stored in a locked drawer and cabinet in the Kitchen. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. The supply of perishable and nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. Kitchen, laundry and house cleaning supplies are stored in the locked garage. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. The facility has televisions, puzzles, games and coloring books for activities. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to non-private bathrooms. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. The facility has emergency lighting, which included flashlights, or other battery powered lighting, and batteries. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and they have an A/C unit and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. The facility smoke alarm system is hard wired. At 12:16 PM the smoke detector and carbon monoxide detectors were tested and functioned properly during the time of visit. There is one (1) fire extinguisher in the kitchen, fully charged and do not exceed the purchase date 09/15/2024. The supply of extra bed and bath linens is adequate. Personal hygiene items (shampoos, soaps) were adequate. There is a functioning telephone on the premises. The emergency exiting plans/sketch, emergency telephone numbers and other required postings are posted in the entry way of the home. Report continued on LIC 809-C (3RD PAGE). The exterior passageways were clean and clear of any obstructions. There is a covered patio area with outdoor seating. The back and sides of the house are separated from the front yard by gates on each side. The garage is accessible from the house; the garage door is to remain locked from the inside of the house. The LPA observed a bed in the garage which was discussed with the applicant. Infection control practices were discussed with the applicant.. Facility has a 30 day supply of Personal Protective Equipment (PPE) on site. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted and report issued.the state’s words, verbatim · CDSS document, Sep 16, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census: 5 COMP II Participants: Roberto Ramirez, CEO; Susana Vincecruz, Administrator Interview Method: Telephone interview On 8/26/24, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Aug 26, 2024