St. Francis Home for the Elderly II

Type of visit: Required - 1 Year

On February 10, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator Runette Catibog arrived shortly after to assist with the facility inspection. The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for four (4) residents. Currently, there is one (1) Hospice residents present during today’s visit. This is a single story with a detached garage facility. The facility has five bedrooms (two shared resident rooms, two private resident rooms, and one staff room) and two full bathrooms. At around 2:55PM, LPA conducted a tour of the physical plant accompanied by Administrator Runette Catibog, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens and towels were available during the visit. Bathrooms were operational with water temperature measured between 109.5 to 111.7 degrees F. A comfortable temperature of 76 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has emergency food and water supply. Facility has one fire extinguisher mounted and fully charged. CONTINUED ON 809C During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. LPA observed the facility has supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 1/14/2026. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 11/24/25-11/24/26. A review of four residents (R1-R4) service files and two staff (S1-S2) personnel files revealed to be complete. The facility has the current administrator's certification on file for Runette Catibog # 7003096740 - Expiration 10/26/2027. No deficiencies during this inspection visit. An exit interview was conducted with Administrator Catibog, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 10, 2026

Type of visit: Required - 1 Year

On March 4, 2025, at 9:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim was greeted and granted entry by Caregiver (CG) Norman Quiambao. Administrator (AD) Runette Catibog arrived at the facility around 9:45 AM and LPA explained the purpose of the visit. The facility is licensed to operate for six (6) nonambulatory residents and has a hospice waiver for four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, living area, dining area, kitchen, and a detached two car garage. LPA Kim toured inside and outside of the physical plant with AD Catibog. There were no bodies of water or obstructions in the facility. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 111.2 degrees F to 113.1 degrees F. A comfortable temperature of 76 degrees F was maintained in the facility. LPA Kim observed the facility to be appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food both were available and maintained properly. Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The smoke detectors and carbon monoxide detectors were operable. A working telephone (562-296-8859) remains available. Last emergency drill was conducted on February 2, 2025. Fire extinguisher is charged and mounted in the kitchen. First aid kit is maintained and contains all the necessary elements. Liability Insurance is effective 11/24/2024 and expires 11/24/2025. Emergency food, emergency water, and emergency supplies are stored in the bathroom #2 closet. LPA Kim conducted an audit of resident files (R1-R6), staff files (S1-S12), and medication and medication administration record were in all in order and complete. LPA Kim conducted two (2) Staff interviews. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to Administrator Runette Catibog.the state’s words, verbatim · CDSS document, Mar 4, 2025

Type of visit: Required - 1 Year

On June 20, 2024, at 8:00am, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim was greeted and granted entry by Caregiver Lynrd Suba, and explained the purpose of the visit. The facility is licensed to operate for six (6) non-ambulatory and have a hospice waiver for four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, living room, dining room, kitchen, detached 2-car garage, and an outside covered patio area. LPA Kim toured indoor and outdoor of the physical plant with Caregiver Suba. Administrator Runette Catibog arrived and joined the tour at 8:41am. There are no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4, and Staff Room 1. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 105.8 degrees F and 110.0 degrees F. A comfortable temperature of 70 degrees F was maintained in the facility. LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, water, and supplies are stored in a closet. A working telephone (562-296-8859) remains available. Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. First Aid Kit contained all the necessary elements. The facility has one (1) fire extinguishers that is charged and mounted in the kitchen, smoke detectors, and carbon monoxide detectors were operable. The facility conducted a fire/safety drill on April 8, 2024, and drills are conducted quarterly. LPA conducted an audit of resident files (R1-R6), staff files (S1-S7), and medication and medication administration review that were all in order and complete. LPA Kim conducted three (3) staff interviews. No deficiencies were cited during this inspection visit. An exit interview was conducted, and a copy of this report was provided to Administrator Runette Catibog.the state’s words, verbatim · CDSS document, Jun 20, 2024