St. Christopher and Jude Home for the Elderly

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tao conducted an unannounced annual visit at the facility using the CARE inspection tool. Upon arrival, LPA met with staff Vanessa Joy Arbis and spoke with the administrator Antoinette Corsentino over the phone. The reason for the visit was explained. The facility is licensed as a Residential Care for Elderly (RCFE) to serve six (6) non-ambulatory residents who are 60 years old and over. The facility has six (6) approved hospice waivers. Currently, one resident is on hospice. The facility is a single-family home located in a residential area in Glendora. The facility consists of a living room, dining room, TV room, kitchen with a medication closet, four (4) residents rooms (2 shared rooms and 2 private rooms), one (1) live-in staff bedroom, three (3) bathrooms, a swimming pool, attached garage with laundry area, storage closet, and back yard with shaded area and patio furniture. The following CARE tool domains were reviewed during this visit: Infection Control: Sufficient PPE supplies and an Infection Control Plan maintained at the facility were observed and in compliance. Physical Plant & Environment Safety: Physical plant tour was conducted. Residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The outdoor and passageways were free of obstruction and debris/hazards. Storage areas for cleaning solutions, toxins, knives, and hazardous items were kept in a locked cabinet and were inaccessible to residents. (-Continued on the LIC809-C) Water temperature was tested and the temperatures were between 115.5 to 119.1 degrees F., which was in compliance with regulations. Smoke detectors and carbon monoxide detectors were checked and operable. Fire extinguishers were observed and fully charged. Swimming pool was secured by a 5-ft high fence and a latched lock. Audio devices on the exit doors were operable. Operational Requirements and Disaster Preparedness: Facility has an activity area furnished for outdoor use. Fire drills were conducted quarterly. The last fire drill was on 7/28/26. Staffing and Personnel Records- Training: There appears to be sufficient staffing at all times in the facility. Staff files were reviewed and in compliance. Administrator certificate is current with the expiration date on 09/08/2027. Resident Rights-Information and resident Records-Incident Reports: Facility provided telephone landline and internet for the residents. Resident rights posters and reporting posters were displayed within the facility. Food Service: The kitchen was observed to be clean. Two (2) days of perishables and one-week (7) days of non-perishables food supply were observed. Health Related Service: Medication was properly labeled, centrally stored, and in their original containers. Incidental Medical & Dental and Emergency Intervention: Staff designated to administer medication have the proper training on file. Residents at this facility do not need the use of restraints or de-escalation techniques, however, staff maintain a CPI Certificate in the case of use. Exit: Deficiencies were noted per California Code of Regulations, Title 22, Division 6 during this visit. Exit interview was conducted with staff Vanessa Joy Arbis and spoke with the administrator Antoinette Corsentino over the phone. Copies of LIC 809s and appeal rights were provided.the state’s words, verbatim · CDSS document, Aug 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced required annual inspection visit and met with Agripina Maleon, Caregiver. LPA Cota explained the reason for the visit and Maleon facilitated today’s inspection. Barbara Mitchell, House Manager, was informed of the visit telephonically and arrived thereafter. The facility is licensed to care for adults in the age range (60) and over, (6) non-ambulatory with a hospice waiver for (6). The facility is operating within the scope of its license. There are currently (4) residents in care at the facility. The facility is a single-story home located in a residential neighborhood of Glendora. The home consists of a living room, TV room, (4) resident bedrooms, (1) staff room (2) full bathrooms, kitchen, pantry, dining room, dining area for caregivers, front and backyard, side patio and pool, and detached garage with a laundry area. During the visit, LPA toured the facility's indoor and outdoor environment, reviewed (4) resident and (3) staff records and conducted medication review. During today’s visit, LPA observed the following: The facility was observed clean, inside and out. All walkways, passages, and exits are clear and free of debris and obstructions. Livingroom and dining area have sufficient seating, and furniture is in good repair. Kitchen was observed to be clean. Kitchen appliances are also clean and were operating at the time of visit. Cleaning supplies and toxins were observed locked in a cabinet under the kitchen sink and are inaccessible to residents. Knives/sharps were also properly locked in a kitchen drawer. A sufficient supply of (2) day perishable and (7) day non-perishable food was observed. Food in the refrigerator and pantry is labeled and kept within expiration limits. Fresh fruit was observed throughout the kitchen counters and menus are posted. ***Continues on LIC 809-C Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and mattress pads. One (1) resident bedroom has a call button which was tested and observed to be working properly. Doors to the front entrance, backyard and to the pool patio have safety chime which were tested and working properly. Two (2) full bathrooms were inspected and were observed clean. The water temperature was tested in both bathrooms and measured within the required 105 - 120 degrees F. The laundry area in the garage is clean and the appliances were operable and in good repair. Detergents are kept locked in a cabinet. Garage was also observed to be locked and inaccessible to residents. Interconnected smoke detectors were observed throughout the facility and were tested and were working properly. One (1) carbon monoxide detector was observed and was also tested and working properly. There is (1) fire extinguisher located in the kitchen which was observed to be charged and last serviced on 4/16/25. Drills are conducted monthly. Last fire/safety drill was conducted on 9/4/25. First Aid kit was reviewed and observed to be properly stocked and to have all the required tools. The front and backyard are well maintained and the pool is inaccessible to residents in care. Patio is in good repair. Three (3) staff files were reviewed; however, (1) caregiver was found to be on the premises without proper criminal background clearance. LPA interviews with (2) staff indicate that the uncleared individual is providing care at this facility for residents since 9/15/25. Three resident files were reviewed; however, physician’s report for resident #3 is incomplete. Report is missing elements and it is not signed by a physician. Also, resident #4 is missing a current physician’s report. Resident medication is centrally stored and kept locked in a cabinet. Resident medication was reviewed and was observed to be administered according to physician’s orders and documented appropriately. Deficiencies are being cited, and a civil penalty is being assessed today under Title 22 Regulations during today's visit. Exit interview was conducted with Barbara Boiston, House Manager, and a copy of the reports, LIC 421BG and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Sep 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced required annual inspection visit and was greeted by Back up-Administrator Barbara Mitchell. LPA Ramirez explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected four (4) resident rooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside showers. LPA Ramirez observed no-slip mat in showers. Facility has video surveillance inside common areas and outside perimeter of the facility. Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). LPA Ramirez observed bottom kitchen cabinet drawer to be in disrepair and not functioning to it’s original design. Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 06/23/2024. LPA Ramirez observed facility sketches with exits and emergency exits routes throughout various locations of the facility. See 809-C Residents with Special Needs: Pool was observed to be inaccessible to residents in care. LPA Ramirez observed signs posted indicating “No smoking - Oxygen in Use” in various locations of the facility. LPA Ramirez observed several oxygen tanks in resident rooms secured in stands. Knives, sharps or other items that could pose a danger to residents with dementia, were observed to be inaccessible. Auditory devices were observed to be in working order. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication rooms and in bubble packs and/or original containers. The facility uses the Medication Administration Record (MAR) log to document medications given. The facility provides incidental medical services. Staffing: Administrator Certificate for Antoinette Corsentino expires 09/18/2025. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed CPR and First Aid for two (2) out of the three (3) personnel records reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for three (3) out of the three (3) personnel records reviewed. Two (2) out of the three (3) staff completed required annual training. LPA Ramirez did not observe required annual training for R1. Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for six (6) non-ambulatory. This facility may retain no more than six (6) hospice residents. There were two (2) residents under hospice care during inspection. Resident Records/Incident Reports: LPA reviewed Resident files for five (5) residents in care. Resident files are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. LPA Ramirez did not observe annual medical assessment for R5. Three (3) deficiencies were observed during visit. Exit interview conducted. A copy of this report, 809-D and appeals rights was provided via email.the state’s words, verbatim · CDSS document, Aug 24, 2024

Type of visit: Post Licensing

Licensing Program Analyst (LPA) V. Maldonado made an unannounced visit at the facility for the purpose of conducting the required Post-Licensing inspection, using the Compliance and Regulatory Enforcement (CARE) Tool, to evaluate the facility. LPA Maldonado met with Administrator, Barbara Boiston, and explained the purpose for the visit. During today's visit, LPA Maldonado conducted a tour of the physical plant with Administrator, observed the facility food supplies, reviewed (6) resident medications, (6) resident files, (3) staff files, and conducted interviews with (3) staff, and attempted interviews with (6) residents. The facility is a single-story home, operating as a Residential Care Facility for the Elderly. It is licensed to serve (6) older adults, ages 60 and over. There is a fire clearance approved for (6) non-ambulatory residents. It has an approved Dementia Care Plan and a Hospice Waiver approved for (6) residents. There are currently (3) resident receiving hospice services. An Infection Control plan has been submitted to the department for review. The facility has an active and current liability insurance policy on file. LPA observed all resident bedrooms to have the required furniture, sufficient lighting, and closet/storage space. There are (2) full bathrooms in the home- both equipped with required grab bars and non-skid mats. The hot water was tested and measured at 107*F, which is in compliance. Food supplies was observed and was sufficient as required. Emergency food supplies and water were available. A pool was observed in the backyard- fenced and inaccessible to residents in care. Fire extinguishers were observed throughout, with current inspections and were fully charged. All sharps and cleaning supplies/toxins were observed to be locked and inaccessible to residents. Smoke/carbon monoxide detectors were observed in each room- tested and operational during today's visit. Auditory devices were observed at all entrances/exits of the home and operational. (6) resident files and (3) staff files were reviewed and observed to be complete with all required documentation. At 2:15PM, LPA reviewed (6) resident medications, and discovered (1) pill, outside of it's casing, dropped inside a drawer behind a box of gloves, where pre-punched medications were stored. Staff and administrator reviewed medication while LPA observed. It was determined that (1) medication for (1) of (6) residents was missing, as it was supposed to be administered in (2) pills at a time- this medication was administered and documented incorrectly. Per California Code of Regulations, Title 22, citations will be cited on the LIC809-D page. An exit interview was conducted and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Dec 26, 2023