Royal Palms Care Home

Type of visit: Required - 1 Year

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of completing an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by care giving staff. Administrator (AD) Fredric Robart was notified via telephone and arrived shortly after in order to assist with the annual inspection. LPA conducted a tour of the facility and observed the following. AD does not have a valid Administrator certificate a deficiency was issued on today's date. The facility is a one storied home with six bedrooms two of which are utilized for two and four are utilized for residents in care. The facility is equipped with a detached two car garage. LPA observed the kitchen area to be clean and free of any mildew and debris. LPA observed the kitchen area to be equipped with a refrigerator, microwave, and gas stove. All appeared to be in good repair and tested operational. LPA observed the facility to have a two day supply of perishable food and a seven day supply of non-perishable food along with a sufficient amount of emergency water on hand. LPA observed all resident rooms to be clean and free of any debris and hazards. LPA observed the resident bedrooms to be large enough to walk about freely. LPA observed all bedrooms to have all required furnishings including a chair, a lamp, a bed, clean linens in good repair; meaning no strains or tears, a chest of drawers, and enough storage space to store personal belongings. LPA observed all facility restrooms to be clean and free of any mildew and debris. LPA observed all restrooms to have all required furnishings such as grab bars, slip resistant floor matts, and a shower chair. LPA observed all water faucets and toilets to be in good repair and tested operational. Hot water temperature tested between 111.3 and 114.4 degrees Fahrenheit. CONTINUED ON LIC809-C LPA observed all smoke detectors and carbon monoxide detectors to be in good repair, and tested operational. LPA observed all fire extinguishers to be fully charged and had an updated service tag on them. LPA observed first aid kit to have all required items including scissors, tweezers, adhesive tape, bandages, a thermometer, and a first aid manual. LPA conducted a tour of the outside of the facility and observed the following. The backyard of the facility is large enough to participate in outdoor activities upon resident request. LPA observed the backyard to be free of any debris or large objects. LPA observed side exits to be free of any hazards or debris blocking the side exits. LPA observed the side doors to be unlocked and self latching. LPA reviewed six resident files and three staff files. All files (staff and resident) were complete and had all required items. Annual staff training was updated and documented correctly. LPA reviewed P&I with AD all balances were documented correctly and cash on hand matched P&I ledger. LPA Reviewed medications and medication administration record. Per LPA review all medications are being documented correctly and are being administered per physicians orders. Based on today's observations a deficiency will be issued per title 22 chapter 6 division 8 of the California Code of Regulations, an exit interview was conducted and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 13, 2026

Allegation investigated: Resident was verbally abused by staff Resident was not accorded dignity Residents were physically abused by staff

Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to investigate the complaint allegations listed above. LPA was greeted and granted entry by staff after introducing himself and stating the purpose of the visit. The complaint investigation consisted of interviews with facility staff, document review, and observations. During interviews, 3 of 3 individuals did not provide information that corroborates the complaint allegation. Two of the individuals interviewed provided information that contradicts the information provided in the complaint narrative. According to Staff 2 (S2) and Staff 3 (S3), only caregivers are allowed in the facility. All three staff members interviewed denied seeing anyone throw anything at a resident or be rough or forceful when dealing with residents. Based on the information gathered through interviews and document review, the allegation is deemed unfounded, meaning the allegation is false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided. Unfoundedthe state’s words, verbatim · CDSS document, Jan 30, 2026 · control 22-AS-20260126130316

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced case management visit to issue a citations for a deficiency that was discovered during the course of a complaint investigation. While investigating complaint control # 22-AS-20260126130316, it was discover an uncleared and associated individual was living in the facility. It is not clear exactly how long the individual was living in the facility; however it was confirmed the individual was living at the facility. A couple years ago, the individual was removed from the facility due to a personal matter and is not allowed back. At that time the individual moved to another state. As a result of today’s Case Management visit, a deficiency will be cited. An exit interview was conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 30, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Jan 30, 2026

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by: One uncleared and unassociated individual was living in the facility. It is unclear exactly how long the individual was living at the facility, but it was confirmed the individual was living at Royal Palms Care Home.the state’s words, verbatim · CDSS document, Jan 30, 2026

Plan of correction: The individual was removed from the facility after a personal situation and told they would not be allowed back. The individual left the facility and moved to another state. No further action is needed.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of completing the required one-year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Administrator (AD) Fredric Robart has a current Administrators certificate that expires May 10, 2026. Royal Palms Care Home is a one-story community with six bedrooms and two bathrooms. Four bedrooms are for residents and two bedrooms are for staff. The facility capacity is 6 and the census was 6 during the annual visit. All residents were observed in the living room watching television waiting on rides to take them to their day programs. During the inspection, all bedrooms and bathrooms were observed. Resident bedrooms had all the requirements and were in compliance with regulation guidelines. Resident bathrooms were in compliance as well. No hazardous cleaning items were observed. Grab bars were tightly secured to the wall. Hot water temperatures were measured in both bathrooms. In bathroom #1 hot water measured at 106.5 degrees Fahrenheit, and in bathroom #2 hot water measured at 107.2 degrees Fahrenheit. Carbon monoxide detectors were observed in both hallways near resident rooms and both tested operational. All smoke detectors observed in resident bedrooms, and the common areas tested operational. In the kitchen knives and sharp objects are locked in a drawer near the stove. Resident medications are locked in the cabinet along with a first aid kit that had all the required items including a first aid manual. The stove was clean, and all four burners were operational on the gas stove. A fully charged fire extinguisher was observed behind the refrigerator. Continued on LIC809C The backyard was clean, organized and walkways were free of obstruction. A patio area with a table and chairs was observed. There were two storage sheds in the backyard. Both sheds were used to store personal items that belong to staff. One shed contained boxes of clothing, and the other shed contained miscellaneous items that belong to staff. The garage is used to store various items. There were two locked cabinets used to store hazardous cleaning solutions, detergents, and hygiene supplies. An additional refrigerator and freezer with an additional perishable food supply, and an additional nonperishable food supply was observed. An emergency supply of water and several containers of emergency food was observed on the shelves with the supply of nonperishable items. A laundry area was also observed in the garage with a washer and dryer. There’s an office area in between the backyard and kitchen. There’s a computer, a couple desk, posting boards, and a copy machine in the office area. There’s two locked cabinet areas in the office area. One of the locked areas is for resident and staff files and the other locked area is for resident P&I funds. An emergency evacuation drill was conducted April 12, 2025, and are conducted quarterly. During the inspection four resident files were reviewed, four resident medications were reviewed, four resident P&I funds were reviewed, 3 staff files were reviewed, and two staff and one resident were interviewed. No deficiencies are being cited as a result of today’s visit. An exit interview was conducted, and a copy of this report was provided to Administrator Fredric Robart.the state’s words, verbatim · CDSS document, May 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Administrator (AD) Fredric Robart has a current Administrators certificate that expires May 10, 2024. Royal Palms Care Home is a one-story community with six bedrooms and two bathrooms. The facility capacity is 6 and the census was 3 during the annual visit. All residents were observed in the living room during the visit. During the inspection, all bedrooms and bathrooms were observed. Resident bedrooms had all the requirements and were in compliance with regulation guidelines. Resident bathrooms were in compliance as well. No hazardous cleaning items were observed. Grab bars were tightly secured to the wall. Hot water temperatures were measured in both bathrooms. In bathroom #1 hot water measured at 116.6 degrees Fahrenheit, and in bathroom #2 hot water measured at 109.4 degrees Fahrenheit. There are two carbon monoxide detectors in both hallways mounted on the wall near resident bedrooms. In the kitchen knives and sharp objects are locked in a drawer near the stove. Resident medication is locked in the cabinet along with a first aid kit that had all the required items including a first aid manual. The stove was clean and all four burners were in good working order. A fully charged fire extinguisher was observed on top of the refrigerator. The backyard was clean, organized and walkways were free of tripping hazards. A patio area with a table and chairs was observed. There were two storage sheds in the back yard. One shed was used to store miscellaneous items: old bedframes, personal items that belong to staff, a skateboard, etc. The second shed was used to store blankets that were all still inside the plastic. Continued on LIC809C The garage is used to store various items, and according to Administrator Robart, several items in the garage will be picked up and be disposed of. There were two locked cabinets used to store hazardous cleaning solutions, detergents, and hygiene supplies. An additional refrigerator and freezer with an additional perishable food supply, and an additional non perishable food supply was observed. An additional supply of linen was observed. An emergency disaster kit was prepared, and an emergency supply of food was prepared. Smoke detectors tested operational. An emergency evacuation drill was conducted April 7, 2024, and are conducted quarterly. A technical violation was given regarding some areas of the physical plant that need to be repaired or replaced. No deficiencies are being cited as a result of today’s visit. An exit interview was conducted and a copy of this report was provided to Administrator Fredric Robart.the state’s words, verbatim · CDSS document, May 3, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Staff #1 (S1) Gladis Pachuca and discussed the purpose of the inspection. Administrator (AD) Fredric Robart arrived during the inspection. LPA reviewed Infection Control requirements. At about 1:00PM, LPA and S1 conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: this is a one-story home. Facility is a 6-bedroom, 2-bathroom, one-story house with detached garage that is being used for storage. LPA observed 3 staff and 6 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the 2 staff bedrooms. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested at 110 degrees F in the client bathroom near the backyard and 116 in the client bathroom near the front door. LPA inspected all rooms in the facility. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested, including the wired smoke detectors/carbon monoxide detectors. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the kitchen and in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. AD paid the facility’s licensing fees during the inspection. At about 2:00PM, LPA reviewed 6 resident files and 5 staff files, interviewed 6 residents and 3 staff, inspected medications for 6 residents, and inspected resident money and ledgers for 6 residents. There were no deficiencies observed in the areas inspected. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Oct 19, 2023

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.