St. Jude's Home for the Elderly II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Staff Samantha Mercado and explained the reason for the visit. The purpose of the visit is to complete the required inspection. LPA Trueman toured the facility along with Staff Samantha Mercado today 04/23/2026 at 9:40 AM and the following was observed: Facility contains 3 Resident Bedrooms and 1 Resident Bathroom, dining room, living room, and TV room. Annual Inspection includes the following Domains: Infection Control, Physical Plant and Environment Safety, Operational Requirements, Staffing, Personnel Records- Staff Training, Resident Records- Incident Reports, Resident Rights/ Information, Planned Activities, Food Service, Health Related Services, Incidental Medical, Disaster Preparedness, and Residents with Special Health needs. Resident and Staff files were reviewed. All staff were cleared and associated. Medication was administered per physician's directions. Signage for hand washing and proper sanitizing were posted. Staff have been trained in hand washing. Licensee maintained an individual admission agreement for each client. Fire Clearance has been maintained. Facility had sufficient supply of 2 day perishable and 7 day non-perishables meeting regulations. Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature. There is an adequate number of direct care staff to support each resident's physical, social, emotional safety and health care needs as identified in his/her current appraisal. No deficiencies. Exit interview conducted and copy provided.the state’s words, verbatim · CDSS document, Apr 23, 2026

Allegation investigated: Facility is not providing a refund to resident's responsible party as necessary.

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced complaint investigation regarding the above allegations. LPA was met by Caregiver Virgi Vicente. Administrator Terry McGee was notified by telephone. The investigation consisted of the following: LPA Gutierrez requested and obtained copies of staff roster, resident roster, resident (R1) identification and emergency information, and admission agreement. LPA conducted interview with Administrator over the telephone. SEE 9099C Substantiated In regard to the allegation” Facility is not providing a refund to resident's responsible party as necessary”. It is alleged that after R1’s passing on April 10th, 2025, facility did not issue refund for rent. It was revealed during record review that admission agreement dated March 10th, 2024, that upon death of a resident within 15 days a refund will be issued. During interview with Administrator, it was reveled that admission agreement had not been followed and a refund was issued on June 23rd with a bank hold of June 30th, 2025. Based on record review and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited according to California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted with Caregiver. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 30, 2025 · control 28-AS-20250626163949

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(f) · Plan of correction due date: Jul 4, 2025

87507 Admission Agreements (f) The licensee shall comply with all applicable terms and conditions set forth in the admission agreement, including all modifications and attachments. This deficiency is evidenced by the following: Administrator did not issue a refund within the 15 days of R1’s death.the state’s words, verbatim · CDSS document, Jun 30, 2025

Plan of correction: Administrator issued refund on June 23rd, 2025, with a bank hold until June 30th, 2025. Administrator will send LPA by email a plan on how moving forward the admission agreement will be followed.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Glenn Trueman made an announced pre-licensing visit and was greeted by Licensee Terry McGee. Tour of the facility was conducted and included the following: Living room, dining area, kitchen, 4 bedrooms (3 client and 1 staff), 2 bathrooms (1 client and 1 staff), laundry area, and patio area Inspection included the following domains: Infection Control, Operational Requirements, Physical Plant/ Environmental Safety, Personnel Records- Staff Training, Staffing, Resident Rights, Resident Information, Food Service, Incidental Medical and Dental, Health, Resident Records- Incident Reports, Disaster , Preparedness and Residents with Special Health Needs. Medication is locked an inaccessible to residents. The facility is clean, safe, sanitary and in good repair. All passageways are free from obstruction. Disinfectants, cleaning solutions and poisons are inaccessible to clients and are locked. The restrooms were observed to be clean and water temperature measured between 105 F.- and 120 F. Fire Clearance has been maintained. The program maintains a comfortable temperature in each room/office. The First Aid kit is kept and it is fully stocked with all required items including a current manual. Sufficient supply of 2 day perishables and 7 day non-perishables were maintained. Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature. Component 3 was completed at today's visit. Pre-Licensing is complete and this facility has no deficiencies Exit interview conducted.the state’s words, verbatim · CDSS document, Apr 11, 2025

Type of visit: Office

Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 6 Census (if any clients in care): 5 COMP II Participants: Terry McGee Jr, Applicant Antoinette Corsentino, Administrator Interview Method: Virtual interview (Microsoft Teams) On March 12, 2025 at 9:00 AM, Applicant and Administrator participated in COMP II for the below pending facilities: St. Jude’s Homes For The Elderly I—198603767 St. Jude’s Homes For The Elderly II—198603769 St. Jude’s Homes For The Elderly III—198603768 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. 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 Readiness Exit interview conducted with Applicant and Administrator Report sent via email to applicant and informed to return sign copy to CAB by end of business day today.the state’s words, verbatim · CDSS document, Mar 12, 2025