Ridgewood Residential Care Home #3

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff #1(S1) and explained the reason for the visit. Assistant Administrator, Karla Plata was contacted and arrived shortly after. At approximately 09:35 am, with the assistance of S1, LPA took a tour of the physical plant, and the following were observed: Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There are carbon monoxide detectors that function properly in the residents' rooms. The fire alarms and Carbon monoxide detectors were tested. The fire extinguisher is located in the kitchen. The charge date is March 28, 2025. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of properly stored perishable and non-perishable food at the facility. Knives were stored in a locked drawer in the kitchen. Bedrooms: The facility has six (6) bedrooms. There are four (4) bedrooms designated for residents' use. All four (4) bedrooms are designated for private use. There are two(2) bedrooms designated for staff use. All the bedrooms used by residents were properly furnished with appropriate bedding and linens with sufficient lighting. Bathrooms: The facility has three (3) bathrooms. There are two (2) bathrooms designated for residents' use. One (1) bathroom is designated for staff. Both bathrooms in use by residents were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 106.2 and 109.5 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. The dining room table is large enough to sit the capacity of the facility. Seating such as couches were in good repair and sat the capacity of the facility. Properly labeled medications were locked in one of the hallway cabinets. (Continue on 809C) Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. There is a swimming pool that is fenced all around its parameters. The fence was at least five feet high with a gate, that is also five feet high. The gate was observed locked, making it inaccessible for residents to enter. The gate at the side of the home was checked to ensure no locks were installed, and that exits and passageways were clear for emergency evacuation Garage/ Laundry Area: The garage is attached to the house and can be entered from the second hallway next to the third (3) bathroom. There is a supply of extra paper towels, water supplies, PPEs, wheelchairs, incontinence, and wipes. There is an additional refrigerator with extra food. The laundry area is located in the garage with a washer and dryer. No laundry detergents or toxins were present in the laundry area during the inspection. Resident Files: LPA conducted a file review of resident records to ensure compliance with licensing forms. Cash Resources: LPA with the assistance of the Assistant administrator reviewed cash resources for all three residents. LPA observed that logs and cash resources were inconsistent. LPA observed that there were 260.47$ extra on clients account. Assistant Administrator stated that will review all cash resources and updated the records promptly. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and in compliance with licensing forms. Medications: Medication and Medication Records were reviewed for proper documentation. Temperature: The facility maintains a comfortable temperature of 69 degrees Fahrenheit Exit interview conducted, citation issued, appeal rights given, and a copy of this report signed and delivered.the state’s words, verbatim · CDSS document, Jan 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Mariana Agban and Nadia Shahbazian conducted an Annual Required visit and inspection of the facility. LPAs met with Assistant Administrator Karla Platta and explained the reason for the visit. At approximately 10:25 am, with the assistance of the Administrator, LPAs took a tour of the physical plant, and the following were observed: Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There are carbon monoxide detectors that function properly in the residents' rooms. The fire alarms and Carbon monoxide detectors were tested at 10:40 AM. The fire extinguisher is located in the kitchen. The charge date is May 06, 2024. The facility has a working phone number and a landline. Kitchen: The kitchen appliances and fixtures were functional. LPAs found a sufficient amount of properly stored perishable and non-perishable food at the facility. Knives were stored in a locked drawer in the kitchen. Bedrooms: The facility has 6 bedrooms. There are four (4) bedrooms designated for residents' use. All four (4) bedrooms are designated for private use. There are two(2) bedrooms designated for staff use. All the bedrooms used by residents were properly furnished with appropriate bedding and linens with sufficient lighting.Bathrooms: The facility has three (3) bathrooms. There are two (2) bathrooms designated for residents' use. One (1) bathroom is designated for staff. Both bathrooms in use by residents were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 109.8 and 110.2 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. LPA observed in bathroom#1 extra incontinence and wipes supplies in the bathroom cabinet. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. The dining room table is large enough to sit the capacity of the facility. Seating such as couches were in good repair and sat the capacity of the facility. Properly labeled medications were locked in one of the hallway cabinets. (Continue on 809C) Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. There is a swimming pool that is fenced all around its parameters. The fence was at least five feet high with a gate, that is also five feet high. The gate was observed locked, making it inaccessible for residents to enter. Garage/ Laundry Area: The garage is attached to the house and can be entered from the second hallway next to the third (3) bathroom. There is a supply of extra paper towels, water supplies, PPEs, wheelchairs, incontinence, and wipes. There is an additional refrigerator with extra food. The laundry area is located in the garage with a washer and dryer. No laundry detergents or toxins were present in the laundry area during the inspection. Resident Files: LPAs conducted a file review of resident records to ensure compliance with licensing forms. Cash Resources: LPAs with the assistance of the Assistant administrator reviewed cash resources for all four residents. Logs and cash resources were consistent. Staff Files: LPAs also conducted a file review of staff records to ensure forms and training are up to date and in compliance with licensing forms. Medications: Medication and Medication Records were reviewed for proper documentation. Temperature: The facility maintains a comfortable temperature of 75 degrees Fahrenheit 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, Dec 16, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced Annual visit to this facility at 09:05am. LPA Saucedo was greeted by Staff (S1) . The purpose of the visit was discussed. S1 called the administrator upon my arrival. The administrator arrived 9:45am while waiting, the resident and staff rosters were obtained. The census was also provided. LPA conducted a tour of the physical plant at 10:15 am. By the entrance of the facility there is signs displaying hand washing, coughing etiquette, physical distancing, Ombudsman. Kitchen area was observed to be clean. LPA reviewed the food service area in the refrigerator, food storage and supply (perishable and nonperishable foods) were sufficient for several days. The kitchen food supply was observed and sufficient for the three (3) residents currently residing there. There is an excess of perishables in several of the cabinets with several canned goods. Sharps observed to be stored, locked, and secured in one of the cabinets next to the dishwasher, inaccessible to clients. The fire extinguisher is located in the kitchen area and is fully charged, reading June 2024. Temperature of facility wall thermostat is observed and set to 69 degrees Fahrenheit. Garage/Backyard area The garage is attached to the house and can be entered from the second hallway next to the third (3) bathroom. There is a supply of extra paper towels, water supply, PPE’s, wheelchairs, incontinence and wipes. There is an additional refrigerator with extra food. The laundry area is located in the garage with a washer and dryer. In the backyard, There is a dining area that has a covered patio which has sufficient seating for the three residents. There is a pool located in the backyard that is fenced and locked inaccessible to the residents. LIC 809-C continued There is a dining room which has a table where the residents can sit and use to eat. There is enough seating for three (3) residents. The living room was observed to have adequate seating for residents. Administrator confirmed there are three (3) non-ambulatory, residents-two male and one female. There is internet, a television and a phone line for use. There is enough furnishings and enough lighting. The living area had furnishings and sufficient lighting. There is no fireplace. Resident bedrooms: There are four (4) resident bedrooms, two staff bedrooms and three bathrooms. Bedroom three (3) is vacant. It is vacant but still has all furnishings, ready for use. Bedroom one (1), two (2) and three (3) are single, housed rooms with proper furnishings. The other two bedrooms were opened where staff sleep for observation. There is three bathrooms in the house which are accessible to the residents for use. The hot water temperature was measured for the three (3) bathrooms to ensure it is within the regulations. The water temperature of the bathrooms range between 109.9 and 106.2 degree Fahrenheit. The bathrooms had proper signs displaying proper hygiene. The bathrooms had proper supplies of toilet paper, napkins, grab bars and toilet was functioning properly. There is carbon monoxide present in each room and function properly. The smoke detectors are also functioning properly. The medication, chemicals and first aid are locked and secured in the cabinets next to the dining room area. There is also a first aid manual. There is extra linen in the cabinets located next to the dining room area. Administrative: The Annual fee is current. There is additional signs in the living room area displaying the licensee certificate, Rights of the Individuals with Developmental Disabilities, Rights of Residents, YES postage, Daily Activity Schedule, Personal Rights, Facility sketch, Disaster Plan. An exit interview was conducted, no citation issued, and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Dec 3, 2023