Rossmoor Manor

Type of visit: Required - 1 Year

On August 19, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. House Manager Maria Tavarez arrived shortly after to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents which one (1) may be bedridden with approved hospice waiver for six (6) residents. Currently, there are one (1) Hospice resident present during today’s visit. This is a two story with attached garage facility. The facility has six (6) private resident bedrooms and three full bathrooms located on first floor. Second floor is not accessible to residents. Located on second floor is two (2) live in staff bedrooms. LPA conducted a tour of the physical plant accompanied by House Manager Maria Tavares, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured between 112.6 to 115.7 degrees F. A comfortable temperature of 76 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient two day perishable and seven day non-perishable food was maintained adequately. Facility has two fire extinguishers mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. CONTINUED ON 809C During the visit, LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on July 27, 2026. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 04/25/2026 – 04/25/2027. A review of five residents (R1-R5) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Natalia Banos # 6075860740 - Expiration 03/04/2027. No deficiencies during this inspection visit. An exit interview was conducted with Maria Tavarez, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Aug 19, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jenifer Tirre visited this facility for the purpose of conducting a Pre-Licensing evaluation. Facility is a two story residential home. LPA Tirre along with Applicants Ricardo Banos and Flormine Resurreccion toured facility at 8:15AM and observed the following: Fire clearance approval was received on 2/3/2025 for Six (6) Non Ambulatory residents , one (1) of which can be Bedridden. Fire Clearance is approved for residents residing on first floor. Second floor is not accessible for residents and will be used as live in bedrooms for staff Structure: Facility is a two story, 6 resident private bedrooms located on first floor and two live in staff bedrooms located on second story. Facility Has three (3) full bathrooms with attached two car garage and white exterior. Living Room/ Dining Room: Adequate seating is available in the dining room and living room. Bedrooms Residents: All Residents bedrooms meet Licensing requirements and has required furnishings Bathrooms: All resident bathrooms have a working toilet, wash basin, and bathtub/shower as well as grab bars and non-skid surface mats in the shower. Linens & Hygiene Supplies: Facility has adequate supply of linens, blankets, towels as well as secured hygiene supplies. Emergency Phone Numbers and Exit Plan: Facility has Emergency Plan posted on wall and required postings. Food Service: Facility has 2 day perishables as well as 7 day non-perishables in the pantry/ refrigerator, as well as emergency food and water supply. Smoke Detectors: Home has combination Smoke detectors and carbon monoxide detectors which are centrally wired and tested operational. Fire extinguishers are mounted and charged. Facility has 2 extinguishers. Facility has audible alarms on all exit doors and perimeter gate. CONTINUED ON 809C Appliances: Gas stove, refrigerator and microwave are operational. Toxins: LPA observed cleaning supplies and sharps secured in storage area and closet. Water Temperature: Tested and recorded between 109.2 to 119.1 degrees F. in facility bathrooms. Reading Material Games, and Equipment: facility has puzzles, games, books and music therapy being provided. Facility has tablet with Internet access available for residents use. Medications, First-Aid Kit & Book: Facility has first aid kit present at the facility along with First Aid Manual. Facility has a secured location for medications and facility files. Backyard: LPA observed the facility perimeter is secured by walls with a self latching gate on both sides of facility as required. Facility has audible alarms on perimeter gates. LPA observed shaded outdoor seating. Administrator's Certificate for Ricardo Banos observed on wall expiring 1/11/2026. Component III Orientation was conducted during visit. No deficiencies noted during todays visit. The pre-licensing visit has been completed. An exit interview was conducted with Administrator and a copy of report was left at facilitythe state’s words, verbatim · CDSS document, Jun 4, 2025