St. Joseph's Guest Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. LPA identified herself, and was granted entry by Administrator Vanessa Sanchez and discussed the purpose of the visit with Administrator Sanchez and licensee Angelita Sanchez who arrived and joined the visit. According to the facility’s license, there may be a maximum of 5 residents, four (4) of whom may be non-ambulatory in rooms #1, #2, and #4, at any given time at the facility site. Wheelchair is approved in room #4. Hospice is approved for one (1) resident. During today’s inspection, the facility’s current census is 0 residents living at the facility. There were 0 residents present at the facility site during the inspection, as the facility is undergoing renovations. LPA inspected the interior and exterior of the facility and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 77 degrees(º) Fahrenheit (F). Hot water temperature at taps that will be accessible to residents were also compliant. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. Toxic chemicals and/or poisons were inaccessible. Medications will be stored in a locked cabinet. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per administrator Sanchez, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and the facility telephone were all working. Fire extinguisher was present (01) and serviced within the last 12 months. LPA spoke with staff, and reviewed staff records. LPAs visit did not raise licensing concerns. The files that LPA reviewed contained the required documents. Confidential records will be stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were no deficiencies observed or cited during today's annual inspection. An exit interview was conducted with licensee Angelita Sanchez, to whom a copy of this report, along with the Licensee/Appeal Rights (LIC9058 03/22), were provided at the conclusion of the visit. The signature below confirms that the documents were received. LPA requested Administrator Sanchez and Licensee Sanchez to submit a current Designation of Administrative Responsibility (LIC 308), Personnel Report (LIC 500), and Emergency Disaster Plan (LIC610-E) to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Jul 13, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction clearance. LPA Lopez identified herself and was allowed entry by caregiver, Marissa Tapang. LPA met with administrator Vanessa Sanchez and licensee Angelita Sanchez, who later arrived and discussed the purpose of their visit. On 07/21/2025, the facility was issued six deficiencies and cleared two deficiencies during the visit. Although two deficiencies were cleared, one required follow-up with medication training certificates which the facility provided during today’s visit. A citation is being reissued for the facility not conducting a quarterly fire drill, as the due date had lapsed. The fourth and fifth citations were issued to the facility for not being able to provide staff records and staff training records, both due 09/01/2025. Although the citations are being cleared during today’s visit, the facility is being provided a failure to correct between the dates of 09/02/2025 through 09/09/2025, for a total of 8 days on each citation. The last citation for the kitchen area to be cleared of insects and vermin has a due date of 09/26/25, and will be cleared by said date. The deficiencies and failures to correct were cited during today's visit and may be found on the LIC809-D and LIC421FC pages of this report. The citation clearances were also provided for two corrections during today's visit. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to administrator Vanessa Sanchez, and licensee Angelita Sanchez at the conclusion of the visit. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Sep 10, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.695(c) · Plan of correction due date: Sep 26, 2025

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. Based on record review, the licensee did not comply with the section cited above in 2 out of 4 quarterly fire drills were not maintained which posed a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 10, 2025

Plan of correction: Facility will conduct a quarterly fire drill and submit a copy to LPA by POC due date 09/26/2025. They will maintain drills every month thereafter and submit by 12/31/2025. Reissued from the 07/21/25 visit.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by caregiver Teofila Mayo. LPA discussed the purpose of the visit with Administrator Vanessa Sanchez. Licensee Angelita Sanchez later arrived and joined the visit. According to the facility’s license, there may be a maximum of five (5) residents, four (4) of whom may be non-ambulatory in rooms 1, 2, and 4 in at any given time at the facility site. The facility is approved for a wheelchair in room #4 and 1 hospice is approved. During today’s inspection, the facility’s current census is two (2) residents living at the facility. There were 2 residents present at the facility site during the inspection. LPA, accompanied by caregiver Erminda Aquino, toured the interior and exterior of the facility, and inspected each room. The facility was clean and in good repair. There was an insect found during the inspection. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 73 degrees F. Hot water temperature at taps accessible to residents read as follows: kitchen sink initially measured hot water at 135 degrees F but later measured 111 degrees F; sink in restroom #1 delivered hot water at 120 degrees F; sink in restroom #2 initially delivered hot water at 136 degrees F, but later measured at 113.5 degrees F; and sink in restroom #3 initially measured hot water at 137.7 degrees F, but later measured at 111.6 degrees F. The hot water temperatures were lowered during the inspection and were cleared. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in locked areas which LPA inspected. The facility-maintained medication logs which LPA reviewed. No pools or bodies of water on the premises. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present (01) and serviced within the last 12 months. First aid kit was complete and readily accessible. LPA interviewed staff and residents, and reviewed staff and resident records. LPA interviews did not raise any licensing concerns. The resident files which LPA reviewed contained required documents. Staff files were not complete but were stored in a locked area. Required licensing postings were observed in a visible area of the facility. On July 7, 2022, the facility was cited on section, 87211(a)(1)(D) Reporting Requirements, Any incident which threatens the welfare, safety or health of any resident. The facility had ongoing construction which threatened the welfare of the residents, that was not reported to the Department. This citation is being cleared during this annual inspection. Title Section, 87305 (a) Alterations to Existing Buildings or new facility is being cited and is cleared during todays inspection. It may be reviewed on the LIC809-D page of this report. On April 15, 2024, the facility was cited on sections 87458(a) Medical Assessment, which is being cleared during today’s inspection. All medical assessments for residents in care are current and on file. The facility was also cited for 87465 (a)(5)(A) Incidental Medical and Dental Care, Medications usually prescribed for self-administration which have been authorized by the person's physician. This section is being cleared during this inspection. Although Incidental Medical and Dental Care are cleared, the facility is pending staff medication training and is being cited during today’s inspection which may be reviewed on the LIC809-D page of this report. [CONTINUED FROM LIC 809-C] [CONTINUED FROM LIC 809-C] There are additional deficiencies observed and being cited during today's annual inspection which can be reviewed on the LIC809-D page(s) of this report. An exit interview was conducted with Administrator Vanessa Sanchez and Licensee Angelita Sanchez to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Administrator Sanchez to submit a current Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-E, to the licensing office within 10 business days. A current Designation of Administrative Responsibility LIC 308 was provided to LPA during the visit. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Jul 21, 2025

The state marks this report as 11 pages; the online copy we transcribed has 9. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by Administrator Teofila Mayo, Administrator. LPA discussed the purpose of the visit with Administrator Mayo. Assistant Administrator Vanessa Sanchez later arrived and joined the visit. According to the facility’s license, there may be a maximum of five (5) residents, four (4) of whom may be non-ambulatory in rooms 1, 2, and 4; and wheelchair approved in room 4 in at any given time at the facility site. The facility is approved for one (1) hospice resident. During today’s inspection, the facility’s current census is three (3) residents living at the facility. There were 3 residents present at the facility site during the inspection. LPA, accompanied by Administrator Mayo, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 74 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: kitchen sink measured hot water temperature at 116.4 degrees F; sink in restroom #1 delivered hot water at 118.8 degrees F; and sink in restroom #2 delivered hot water at 112.6 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present, and all safely stored. There were no toxic chemicals/poisons accessible to residents. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] Medications were properly labeled, as required, and stored in locked cabinet which LPA inspected. LPA reviewed resident medications which LPA discovered that one residents medication was not provided to resident as prescribed. LPA went over Incidental Medical and Dental Care with the Administrator Mayo and Assistant Administrator Sanchez. No pools or bodies of water on the premises. Per Assistant Administrator Sanchez, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present (01) and serviced within the last 12 months. First aid kit(s) were complete and readily accessible. LPA interviewed staff and resident, and reviewed staff and residents’ records. During today’s visit there were 3 residents on the facility premise. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained most required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection and may be reviewed on the LIC-809D page of this report. An exit interview was conducted and a plan of correction was jointly developed with Assistant Administrator Sanchez to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Assistant Administrator Sanchez to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-E to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Apr 15, 2024

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.