Royal Home Care

Type of visit: Required - 1 Year

At 9:13am, on 4/7/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Hanileta Keohen, announced who he was and the reason for the visit. Licensee and LPA conducted a full tour of the facility. This facility is a single story residential home with three resident bedrooms (one is dual occupancy), two full bathrooms (one is en-suite and one is for public use). There is a living room with dining space, a kitchen and office area. The living room has a fireplace with barrier for resident protection and a piano for residents or visitors to play. Access to the laundry area and garage is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the living room and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 10/29/2025. LPA tested facility hot water at 120°F, within regulation temperatures 105-120°F. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility is in good repair with no obstructions in hallways, doorways or exits. Medications are locked in a cabinet in the kitchen area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. Staff and client files are in the enclave of the kitchen. LPA conducted a staff and resident file review. (Continued LIC809-C) LPA noted 1 of 4 residents medical assessments indicate they are at risk if given access to poisonous substances and sharp objects. During facility tour at 9:31am LPA and licensee noted on the back patio on a metal rack covered with a tablecloth a box of plant food, aerosol can of bug spray, bottle of mosquito repellent, one quarter full bottle of Windex, and a kitchen knife approximately six inches in length with a black handle, all not locked up. Under the awning covered patio not connected to the house, in the backyard a wooden sink cabinet with two gardening pruners, two scissors, and aerosol false plant cleaner not locked up. Between the separate awning and the wall along the north side of the of the backyard a half full bottle of bug spray not locked up. All of these items were unattended and accessible to residents in care. Licensee locked up the items upon discovery. Unlocked and accessible poisonous substances was cited during last years facility annual conducted on 5/21/2025. LPA and Licensee conducted a review of the annual care tool modules. Exit interview conducted, deficiency cited on LIC809-D page, a civil penalty for in the amount of $250 for a repeat violation within the last 12 months is being assessed on the attached LIC421FC, report signed, report and appeal rights provided to Licensee.the state’s words, verbatim · CDSS document, Apr 7, 2026

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At 8:50 am on 05/21/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced at the facility to conduct an annual facility inspection. LPA met with Licensee/Administrator Hanileta Keohen and Lead Staff (S1), announced who he was and the reason for the visit. At 10:10am LPA and S1 conducted a tour of the facility. This facility has three dual occupancy resident bedrooms and two full bathrooms (one is on-suite and one is for shared/public use). There is a living room with dining space, a kitchen and office area. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 11/16/2024. At 10:15am LPA noted 3 spray cans of primer accessible to residents in care in the kitchen/office area under the medication refrigerator. The living room and dining room have seating to accommodate all residents in care. The living room has a piano for residents to play freely. The resident bedrooms are furnished and space provided for each resident to keep their personal effects. LPA noted the facility is in good repair with no obstructions in hallways, doorways or exits. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is the dining room and functioning normally. In the shared bathroom LPA tested facility hot water at 112.5*(f), within regulation temperatures 105*-120* (f). Access to the laundry room and garage is through a locked door for resident safety. At 10:40am LPA noted a partial wall constructed of wood panels in the garage. S1 stated staff rest/sleep overnight in the area partitioned off with the wood panels. LPA observed this area is not noted on the facility sketch. (Continued LIC809-C) LPA toured the exterior of the facility noting a large backyard with seating and shade for residents and visitors to enjoy. At 11:01am while touring the backyard LPA noted two cans of paint, various chemicals including round-up and insect repellent, a hand saw and set of large pruning shears not locked up, accessible to residents in care. Medications are locked in a cabinet in the kitchen/office area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review. Resident file review revealed 1 of 4 residents are at risk if they have access to poisonous substances, this resident has an ambulatory status. LPA, Licensee/Administrator and S1 conducted a review of the annual care tool modules. Exit interview, deficiencies cited on LIC809-D pages, report signed, appeal rights, and report providedthe state’s words, verbatim · CDSS document, May 21, 2025

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At 8:23 am on 05/1/2024, Licensing Program Analysts (LPA') Rankin and Jeffries arrived unannounced at the facility to conduct an annual facility inspection. LPA's met with Licensee, Hanileta Keohen and Lead Caregiver Dave Condez at the door and announced who they were and the reason for the visit. Licensee and LPA's conducted a tour of the facility: This facility is a 3 bedroom and 2 bathroom, with kitchen/office space with a dining room, living room, and large back yard with patio cover and gazebo for residents. LPA's tested smoke alarms and carbon monoxide detectors to be working and in order, LPA's observed one fire extinguisher to be in the green charge and currently tagged for service. LPA's noted that all hallways and exits were free and clear of obstacle and audible alarms on all doors. LPA's observed more than two days of perishable foods and more than seven days of non-perishable foods. LPA's tested that water in the facility to be within regulation parameters of 105*- 120* (f).The facility is clean and in good repair. No violations or citations were issued as a result of the facility tour. LPA's reviewed medications and Medical Administrator Records (MAR), centrally stored medication records, staff records, and resident records. Licensee and LPA's conducted annual inspection using the care tool. No violations were cited. Exit interview, report read, report printed and provided.the state’s words, verbatim · CDSS document, May 1, 2024