Reesejoy Care Home IV

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the owner/administrator, Roberto Ramirez, and explained the reason for the visit. At approximately 8:15am, LPA took a tour of the physical plant. The facility is a one story building. The smoke alarms and carbon monoxide are dual, hardwired and interconnected. The facility has one (1) fire extinguisher located on the wall next to the kitchen island. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives are stored in a locked drawer in the kitchen. Cleaning supplies are kept locked in the garage. Bedrooms: The facility has four (4) bedrooms, and all bedrooms are designated for residents' use. All residents' bedrooms observed to be nicely furnished with beds, night stands, lamps, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. Additional linen is available inside each bedroom’s closets and inside the linen cabinet located in the hallway. Bedrooms #1 and #3 are for private use and bedrooms #2 and #4 are for shared. Bathrooms: The facility has two (2) bathrooms, both designated for residents’ and staff use. All bathrooms were observed to have the proper fixtures, grab bars, non-skid mats, trash cans with closed lids, paper towels and washing hands signs. The hot water delivered in the bathrooms measured between 111 and 112 degrees. Bathroom #1 is located in the hallway next to bedroom #1 and bathroom #2 is inside bedroom #4. COMMON AREAS: These include living room and a dining room. LPA observed the area was generally clean and organized. The living room was equipped with furniture, a television, tables and chairs. There is fireplace that is properly screened. The dining area has a dining table to accommodate six (6) residents. GARAGE: The garage is used as storage for facility equipment, supplies and water. Garage is attached to the facility and has access from the dining area. Facility has second refrigerator in the garage to store additional perishable food items. LAUNDRY ROOM: Laundry area is located in the garage. MEDICATIONS: Medications are kept locked in the locked kitchen cabinet. LPA observed the First-aid has all proper items and is current. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility is properly fenced, has a patio and backyard furniture to accommodate six (6) residents. There is a pool in the backyard which was observed to be properly fenced and locked. There are two (2) exit gates on both sides of the property, LPA checked gates were unlocked and easy accessible. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and A Copy of the Report Issued.the state’s words, verbatim · CDSS document, May 2, 2026

Type of visit: Office

Licensing Program Manager (LPM) Nichelle Gillyard and Licensing Program Analyst (LPA) Perchui Melina Khurshudyan met with Presidents (RVR Corporation) Roberto D. V Ramirez, Evangeline Ramirez and facility Administrator Ryan Ramirez for an informal office visit. The Regional Manager Angela Whittaker joined the meeting. The purpose of the office visit is to discuss notification of unpaid rent to the property landlord and labor issues. These issues are related to a pending complaint (31-AS-20251222125206). On 12-21-2025 and 02-13-2026 the department received notification indicating the rent for this facility location has not been paid since March 2025. In addition to possible labor issues. The LPM expressed concern that not paying rent could result in unexpected displacement of elderly residents, which would create a serious threat to their health, safety, and continuity of care. The LPM reminded the licensee that Title 22 regulations: 87213 Finances, 87205 Accountability of Licensee Governing Body, 87211 Reporting Requirements, 87224 Eviction Procedures, licensees require to maintain sufficient resources to operate the facility. The licensee was given an opportunity to explain and stated the following. The licensee reported that an ongoing conflict has developed between them and the property owner. The licensee stated that they have fulfilled all financial obligations under the lease and do not have any outstanding payments owed to the property owner. Continue on LIC809-C The Licensee also added the matter was taken to court and explained that they won the case by demonstrating proof that all required payments had been made in full. The licensee agreed to provide documentation verifying all payments made to the property owner, as well as copies of the final court judgments related to the case. The licensee was informed that appropriate cross reports will be made to the labor board for any labor issues. LPM also reminded of outstanding licensee fee of $495.00 which is due by 3/6/2025. During the meeting, licensee stated that currently no residents are present in the facility and the census is 0. The Licensee / Administrator was instructed to provide the Department with the following documentation by 2/27/2026. - New Administrator documentation - Copy of Liability Insurance - Statement documenting each resident’s information, the location to which they were transferred, and the date of transfer. - Final Judgement from the court.the state’s words, verbatim · CDSS document, Feb 20, 2026

Type of visit: Prelicensing

On 2/21/25 at 9:30am, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a Pre-Licensing Inspection with the Licensee Ramirez Roberto. This is a Change of Ownership Application from facility #197610175 to #197610671 to operate an Residential Care Facility for Elderly (RCFE). A Change in Ownership (CHOW) Application to operate the RCFE was received by Community Care Licensing (CCL) on July 2nd, 2024. A fire clearance was approved on December 5th, 2024, for six (6) Non-Ambulatory residents. No approval for Bedridden resident. Facility has Hospice waiver granted for six (6) residents. The smoke alarms and carbon monoxide detectors are hard wired and inter-connected, they were tested and are operational. The facility has one (1) fire extinguisher that was purchased on 10/7/2024 and is located on the wall next to the kitchen island. A tour of the physical plant was initiated at approximately 10:30am and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, gas stove, microwave oven and sink. There were adequate supplies of two (2) days of perishable and seven (7) days of nonperishable food, dining ware to accommodate a maximum capacity of six (6) residents. Knives and other sharps were observed locked inside kitchen cabinet next to the sink and chemicals observed stored inside locked cabinet under the sink. Kitchen area is open plan facing the dining areas. COMMON AREAS: These include living room and a dining room. LPA observed the area was generally clean and organized. The living room was equipped with furniture, a television, tables and chairs. There is fireplace nicely fenced and blocked with a coffee table. The dining area has a dining table to accommodate six (6) residents. There were no visible immediate hazards. The facility has comfortable temperature which was measured at 10:50am to be 71 degrees F. Continue On LIC809-C BEDROOMS: The facility has four (4) bedrooms, and all bedrooms are designated for residents' use. All residents' bedrooms observed to be nicely furnished with beds, night stands, lamps, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. Additional linen is available inside each bedroom’s closets and inside the linen cabinet located in the hallway. Bedrooms #1 and #3 are for private use and bedrooms #2 and #4 are for shared. BATHROOMS: The facility has two (2) bathrooms, both designated for residents’ and staff use. All bathrooms were observed to have the proper fixtures, grab bars, non-skid mats, trash cans with closed lids, paper towels and washing hands signs. The hot water delivered in the bathrooms measured at 11:10am to be at 115 degrees. Bathroom #1 is located in the hallway next to bedroom #1 and bathroom #2 is inside bedroom #4. GARAGE: The garage is currently being used as storage for facility equipment, supplies and water. Garage is attached to the facility and has access from the dining area. Facility has second refrigerator in the garage fully stocked with perishable and nonperishable foods. Sufficient amount of emergency food is also stored inside the pantry located in the garage. LAUNDRY ROOM: The washer and dryer is located in a garage. Laundry chemicals are also kept in the laundry area which is always locked and under supervision. Client Files: From 11am to 12pm LPA conducted a file review of all client records to ensure compliance of licensing forms. Clients’ files are complete and kept locked in the in the commercial cabinet located in the office area next to the dining room. Staff Files: Staff files are also kept in a locked commercial cabinet located in the office. From 12:00pm to 12:30pm LPA conducted staff file review, files were complete with all documents and training certificates. MEDICATIONS: Medications are kept locked in the locked kitchen cabinet. At approximately 12:00pm to 1:00pm LPA observed each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. All medications are properly labeled and checked for expiration dates. First Aid and the new manual is also locked in the cabinet. LPA observed the First-aid has all proper items and is current. Continue on LIC809-C SURROUNDING GROUNDS: The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility is properly fenced, has a patio and backyard furniture to accommodate six (6) residents. There is a pool in the backyard which was observed to be properly fenced and locked. There are two (2) exit gates on both sides of the property, LPA checked gates were unlocked and easy accessible. LPA observed the facility is clean, safe, sanitary and odorless. All window screens were in good repair. Auditory signals were installed on exit doors and operational. All passageways were free of obstruction. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised. An emergency exit plan/sketch along with other posting requirements were available in the hallway next to the entrance. No deficiency cited on today’s visit. Exit interview conducted and copy of this report signed and delivered to the Licensee/Administrator.the state’s words, verbatim · CDSS document, Feb 21, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 6 COMP II Participants: Roberto Ramirez & SHANDEE ABEGONIA / Licensee & Administrator Interview Method: Telephone interview On 01/16/2025, 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, Jan 16, 2025