Shield Care Homes

Type of visit: Post Licensing

On 8-28-2026 at 1:00pm, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct a post licenisng inspection visit. LPA met with the administrator Sharon Drequito and explained the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is a residential care facility for the elderly with a current census of 5. Facility has 4 bedrooms and 3 bathrooms for resident use. 1 extra bedroom is for staff use. Facility has a dining area off the kitchen and a formal living room. Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 77*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher is in place and fully charged. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. First aid kit was observed to have adequate supplies and accessible to staff. During this inspection 5 resident files and 5 staffing files were reviewed for regulatory compliance. All files contained required contents including staff training requirements. All staff reviewed contained criminal background clearances. Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. {Cont. on 809C} Facility does not contain any bodies of water. LPA observed personal rights and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed facility’s sufficient equipment and supplies to meet activity program needs of residents in care. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Facility conducts quarterly fire drills. LPA requested an updated copy of LIC 308 and LIC 500. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administrator.the state’s words, verbatim · CDSS document, Aug 28, 2026

Allegation investigated: Staff are not allowing resident to leave the facility

On 06/22/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA Pascua met with Staff Members and explained the purpose of the visit. LPA Pascua asked the staff to contact the Facility Designated Administrator (FDA) to inform them that CCL was present. The purpose of this visit was to inform the facility and it's representative that a complaint has been filed against it at this time. There were 4 staff members present at the time of this visit, Cristina Heath, Louie Palet, Renz Alvin Pugal and Monica Fresquez. Current census was 4. It was alleged that staff are not allowing resident to leave the facility. During the course of this visit, LPA Pascua conducted interviews and reviewed facility records.Interviews were conducted with four residents, all of whom denied being unable to leave the facility. Interviews were also conducted with four staff members, who similarly denied that residents were unable to leave the facility. Additionally, a review of all residents' physician reports was completed, and the reports indicated that all residents are unable to leave the facility without assistance. Unsubstantiated Based on statements obtained, records review and observations during the investigation process, LPA was unable to corroborate the allegations. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.the state’s words, verbatim · CDSS document, Jun 22, 2026 · control 27-AS-20260622085901

Type of visit: Case Management - Other

Unannounced case management visit made out to this facility on 01/23/2026 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative, Charissa Reyes, who was briefly interviewed at this time. Current census was 0 residents. The purpose of this case management visit was to tour this facility and retrieve the license off of the wall since this facility, and it's representative, has decided to close this facility and relinquish the facility license at this time. A tour of the facility was conducted. After further consideration, the facility designated representative decided that she was going to rescind the decision to close this facility and wanted to remain open at this time. This LPA requested that the facility representative go ahead and submit a letter detailing the decision to keep the license active at this time. There were no deficiencies observed or cited during today's case management visit. Exit Interviewthe state’s words, verbatim · CDSS document, Jan 23, 2026

Type of visit: Prelicensing

On 7/10/25 at 8:50 am LPA Noel Wolf Petersen arrived announced to conduct the facility prelicensing inspection, the LPA met with the administrator and explained the purpose of the visit. Shield Care homes is seeking licensure as a 6 bed RCFE for six nonambulatory residents. A inspection of the physical plant was conducted, including but not limited to the bedrooms, bathrooms, kitchen, storage areas, common areas, exteriors, and evacuation routes. The facility is clean and the furnishings are in good repair. Bedrooms have required furniture. The bathrooms hardware is functional and the water temperature was measured 117*F. The telephone has is connected and has the ability to be reasonably private, 2 days of perishable and 7 days of nonperishable food is present, the LPA pointed out some dented cans that the administrator removed. The toxics sharps and medications have the ability to be stored locked; the LPA observed 10 sticks of caulk and two clorox grout cleaner stored in an accessible manner; the administrator moved them to locked storage. The common areas have indoor activities(puzzles games, books, tv) available and there is adequate space outside for activities(the facility has a dog park immediately next to the property), there are no tripping hazards and traffic areas are unobstructed. the required posters are displayed in the correct dimension, including the ombudsman, the federal work rights, personal rights, facility sketch with evacuation routes, and administrator certification. The first aid kit has all required items. Smoke and CO2 hybrid alarm is functional. The fire extinguisher was dated 7/10/25. Continued on C Page. 1 staff interviews were conducted. The administrator documents were reviewed including but not limited to the plan of op(grievance, sign-in/out, reporting requirements, refund, eviction, and visitation policy), sample admissions agreement, infection control plan, evacuation control plan, surety bond. liability insurance. The comp III presentation was given, a copy of the report was read and given to the administrator. An exit interview was conducted.the state’s words, verbatim · CDSS document, Jul 10, 2025

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Charissa Reyes, Applicant Ryan Alejo, Administrator Interview Method:Virtual interview (Microsoft Teams) On June 13, 2025, Applicant and Administrator participated in COMP II. Identification of the Applicant and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program. 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readinessthe state’s words, verbatim · CDSS document, Jun 13, 2025