Rendercare

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced visit to the facility to conduct a Case Management visit to discuss a recently submitted Incident Report for incident occurring on 04/08/2026. House Manager Nancy Wade was at the home and met with LPA regarding this matter. LPA toured the facility and checked that the exits had an auditory alarm or alerts when opened, front door alarm was active. LPA reviewed relevant resident file and staff files. It was reported that two staff were on duty at the time of this incident, as well as another staff that had come over to the home during the time of this incident. It was explained to LPA that during the day of the incident, there were several visitors and the auditory door chime had been turned off, enabling a resident to walk out of the front door of the home unnoticed. Citation was issued on this day. Signature of House Manager on this document acknowledges it's receipt.the state’s words, verbatim · CDSS document, Apr 29, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(d) · Plan of correction due date: May 1, 2026

Care of Persons with Dementia-The licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement, as defined in Section 87101, Definitions. This requirement was not met as evidenced by a resident walking out of the front door of the facility and no staff noticed resident leave, while two staff were present and had turned off the auditory alert on the door; which poses an immediate risk to the health, safety, or personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Apr 29, 2026

Plan of correction: Facility will retrain all staff on Section 87705- Care of Persons with Dementia. Training to be completed by 05/01/2026 and proof to be sent to Licensing office by FAX. Proof of training to include staff signatures as well as the trainers signature.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explain the purpose of the visit. (Administrator) Nancy Wade (AD) was called to come to the home and arrived a short time later. The residence was set at 78 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition, one new dresser is being ordered. Hot water temperature was measured at 120 degrees F. Bathrooms were clean, in two of the resident bathrooms. Kitchen toured, supply of perishable and non-perishable food observed. Food was found that needed to have better air-tight storage and date labels. There was enough fresh food present in proper food groups, to accommodate five residents for two days, and non-perishable for 10 days. Medication and knives are locked next to the kitchen area. Medication log had minor typing errors which were brought to Administrators attention. Medication was being opened from perforated packs and blister packs and being pre-filled into a day/week pill organizer. Cleaning supplies were locked under kitchen sink and in the garage. Smoke detectors and carbon monoxide were checked and operating. Fire extinguishers were charged and was serviced on 04/23/25. Last fire drill completed on 7/2/25. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. Two gates exiting the backyard area were observed, the east gate gets stuck on the cement and is difficult to open and the west gate will open, but you must use force to close properly. Administrator to fix gates so that they properly open and close.During the visit LPA reviewed staff and resident files and found all documents in order.(continued on next page) \An exit interview was conducted, and a copy of this report was provided to Administrator along with appeal rights. Deficiencies were cited on this date. LPA requested the following updated forms faxed to CCLD by 12/14/25: Personnel Report (LIC 500), Proof of current Liability Coveragethe state’s words, verbatim · CDSS document, Dec 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explain the purpose of the visit. Administrator Jill Stowell (AD1) was called to come to the home, but she was in Merced and caregivers stated that she would be here in approximately an hour. LPA notified staff that I was going to proceed with the inspection while waiting. At 11:00 AM, LPA asked for arrival time of AD1 and was told she will not be able to make it. Administrator Nancy Wade phoned facility and stated that she would be able to come by in 20 minutes. The residence was set at 78 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 106 degrees F. Bathrooms were clean, in two of the resident bathroom, there was no hand soap available. Kitchen toured, supply of perishable and non-perishable food observed and food was stored properly. There was not enough fresh food present in proper food groups, to accommodate five residents for two days. Medication and knives are locked next to the kitchen area. Medication was properly logged. Medication was being crushed when given to the residents, which LPA did not find any doctors orders stating that this was allowed, in the five resident doctors orders. Cleaning supplies were locked under kitchen sink. Smoke detectors and carbon monoxide were checked and operating. Fire extinguishers were charged and was serviced on 04/04/24. Last fire drill completed on 2/2/23. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. Two gates exiting the backyard area were observed, the west gate gets stuck on the cement and is difficult to open and the east gate will not open at all. Administrator will fix gates within two weeks. During the visit a file review was conducted for residents and staff files. When reviewing staff files, it was found that there were documents missing. (continued on next page) Resident files were found to not have the most recent documentation available from doctor visits. Administrator was offered TSP services and they were accepted. LPA to refer Rendercare and notify Licensee. An exit interview was conducted, and a copy of this report was provided to Administrator along with appeal rights. Deficiencies were cited on this date. LPA requested the following updated forms faxed to CCLD by 10/17/24: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage.the state’s words, verbatim · CDSS document, Oct 3, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) M. Flores arrived at the facility unannounced to conduct a required annual visit. LPA was granted entry by caregiver staff and explain the purpose of the visit. Administrator Jill Stowell (AD1) arrived at the facility minutes after to complete the inspection tour. The residence was set at 75 degrees F temperature and free of passageway obstructions inside and outside. LPAs observed six bedrooms in the residence. Residents' rooms were toured and inspected. Rooms were found to be clean, and furnishing was in good condition. Hot water temperature was measured at 108.4 degrees F. Kitchen toured, supply of food observed, and food stored properly for perishable and nonperishable. Medication and knives are locked next to the kitchen area. Cleaning supplies were locked under kitchen sink. Smoke detectors and carbon monoxide were checked and operating. Fire extinguishers were charged and was serviced on 2/3/2023. Last drill completed on 2/2/23. There was outdoor seating for the residents. Outdoor area was clean and free of obstruction. During the visit a file review was conducted for residents and staff files, refer to 809D for deficiencies. An exit interview was conducted, and a copy of this report was provided to AD1 whose signature confirms receipt. LPA requested the following updated forms faxed to CCLD by 10/12/23: Designation of Facility Responsibility (LIC308), Administrative Organization (LIC309), Personnel Report (LIC 500), Proof of current Liability Coverage, and Plan of Operation, fire drill training.the state’s words, verbatim · CDSS document, Oct 5, 2023

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.