Sabile House of Care

Type of visit: Required - 1 Year

11/14/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently three residents in care. Facility approved/cleared for 6 ambulatory, of which all may be non-ambulatory. Facility has a hospice waiver approved for two residents. LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner. All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Exits are equipped with auditory devices which were working properly during time of inspection. Water temperature in sinks accessible to residents in care were measured at 110.8 and 112.2 degrees F which is within the range of 105 to 120 degrees F per title 22 regulation. Fire extinguishers were last inspected January, 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested were found to be operational. Toxins and sharps were located in the garage and in the kitchen and were found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Facilities conducts quarterly fire drills with the last one being conducted on 10/31/2025. continued on LIC809C LPA conducted a review of 3 resident records. LPA observed two out of three residents (R1 and R2) needing an updated medical assessment (Deficiency Cited). LPA conducted review of 3 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training, however one out of three staff did not have an updated 1st Aid & CPR certification on file. Administrator certificate (#7011753740) for Rosauro Sabile is current; 05/11/2024 - 05/10/2026. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/14/2025: LIC500- Personnel Report LIC308- Designation of Responsibility Updated Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Nov 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Cuadra and Stevenson arrived unannounced to conduct an annual required – 1 yr. visit of the facility and met with Licensee/Administrator Rosauro Sabile. There are residents receiving hospice services and diagnostic of dementia. Required postings were observed. At approximate 11:30am LPA/Licensee observed that there are annual fees outstanding in the amount of $495. Licensee was provided with Pin number to make an online payment. LPAs/Licensee toured the facility at 11:45 AM, the facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Exits were equipped with auditory devices and all auditory devices were working properly. Fire Extinguisher was found to be last charged on January 2024. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Last disaster drills have not been conducted quarterly with the last one being conducted on 4/10/24. Hot water temperature measured 110.3 and 110 which is within Title 22 regulation. There was a sufficient supply of both perishable and nonperishable food as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations. Toxins are stored in a locked cabinet in the kitchen. There was a supply of cleaners, hygiene products and paper products available for residents. All bedrooms have lighting & appropriate furnishings. Contact information was reviewed. The facility does not handle cash resources. The bathrooms designated for residents at the facility were supplied with paper towels and hand soap dispensers. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom shower. However, one out of three sinks in the main bathroom located in the hallway had a sign of "out of order". Also, LPAs/Licensee observed that garbage cans located in the bathrooms did not have tight-fitting covers in the containers. Licensee agreed to repair needed items. LPAs/Licensee observed some deck boards needed to be replaced. Continued on LIC809C... Continued from LIC809... LPAs initiated file review at 12:00pm. Three resident's files and three staff files were reviewed. All residents have current medical assessments, but one out of three resident's pre-appraisal assessment have not been completed (technical violation was issued). One out three staff do not have additional 20 hours of training complete. Two out of three staff needs to update their 1st aid/CPR certificates. Administrator certificate for Administrator Rosauro Sabile #7011753740 expired on 5/2024. LPAs have reviewed the Department's certification unit list and found that the administrator is listed in the pending list. Medication and medication records were reviewed. Licensee agreed to submit updates of the following documents by 12/20/24: LIC 308 Designated of facility responsibility, LIC 500 Personnel Summary, LIC 610 Emergency Disaster Plan – if changes, copy of Certificate of Liability Insurance and proof of control of property. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Licensee and a copy of this report was given.the state’s words, verbatim · CDSS document, Dec 10, 2024

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

On 08/06/2024, Licensing Program Analyst (LPA) Leibert conducted an unannounced case management visit and met with Rosauro Sabile to follow up on a substantiated allegation of neglect/lack of care and supervision resulting in a resident sustaining severe injuries. On July 28, 2023, the Department concluded a complaint investigation which alleged neglect/lack of care and supervision resulted in a resident sustaining severe injuries. The licensee was cited for violating California Code of Regulations (CCR) Title 22, §87466 - Observation of a resident (R1) when R1 developed multiple pressure injuries and an unstageable severe traumatic injury to R1's right wrist/hand resulting in amputation. At the time of the complaint visit on July 28, 2023, an immediate civil penalty of $500 was issued and the licensee was informed that an additional civil penalty was still being determined and might be assessed based on Health and Safety Code §1569.49. The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. Per Welfare and Institutions Code §15610. 67 defines serious bodily injury as “an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of a function of a bodily member, organ, or of mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidenced by the Licensee failing to obtain timely medical care for R1. The Licensee’s failure to seek timely medical care caused the resident to suffer serious bodily injury which required hospitalization and surgery. According to medical records, R1 was sent to the medical center for medical attention on March 10, 2023, after the facility observed R1 to be bedbound without energy for two days. Upon admission to the medical center, R1 was assessed and observed to have a total of seventeen wounds; including multiple pressure injuries, a stage one pressure injury to R1’s right hip, and an unstageable severe traumatic injury to R1’s right wrist/hand, which resulted in amputation of R1’s right hand. Today, 08/06/2024, the Department will be issuing a civil penalty per Health and Safety Code§1569.49 for a violation that the Department constitutes as serious bodily injury in the amount of $10,000. However, since an immediate civil penalty of $500 was previously issued on July 28, 2023, the amount of the civil penalty issued today will be $9,500. Exit interview conducted. A copy of the report issued. Appeal rights provided. Rosauro Sabile's signature on this report acknowledges receipt of the appeal rights, found on page 2 of the LIC 421D.the state’s words, verbatim · CDSS document, Aug 6, 2024

Type of visit: Required - 1 Year

LPA Hiratsuka conducted this unannounced annual visit. LPA toured with Caregiver Maria Duenas. This facility currently five residents. This facility has a fire clearance for six non-ambulatory residents. There are four private resident rooms and one shared resident room. The shared resident room has a full private bathroom. One of the private rooms has a private bathroom. There is one full common bathroom. There are several common areas. Food supply meets regulations. There is a detached garage that has an employee/office area in it. The backyard has a wood deck and a ramp. Two resident records were reviewed Four staff records were reviewed. The following deficiencies were observed today: -the annual fees have not been paid for a couple of years. The total amount due as of today is $1,237.00. -the staff records reviewed showed the most recent training was November 2022. All past training records show November as the month for training. LPA did not find any training for 2023. The following shall be updated and submitted to Community Care Licensing Division (CCLD) by January 26, 2024: -updated control of property. The lease agreement on file in the CCLD office shows the lease expired in January 2022 -current liability -LIC 500 facility personnel or staff schedule Deficiencies cited from Title 22 Regulations and or the California Health and Safety Code. Failure to correct shall result in civil penalties. appeal rights leftthe state’s words, verbatim · CDSS document, Dec 28, 2023