Stella's Care Home I

Type of visit: Case Management - Other

On 05/14/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility for the purpose of conducting a closure visit initiated by the Licensee. LPA Calandra was greeted by Fernando Inducta, Caregiver and explained the purpose of the visit. LPA conducted a walk-through of the facility, inspected all rooms and common spaces. There are currently no residents living in the facility and the last resident moved out on 05/06/2026. LPA was provided with a list of all residents and relocation sites and given updates throughout the months leading up to the final closure. During today's inspection, LPA Calandra found no evidence to suggest that any care and supervision is being provided. Fernando stated that residents have taken personal belongings and furnishings for transfer to their new homes. The facility files for both residents and staff will be kept in storage for 3 years. The Licensee initiated this facility closure and submitted a written statement to Community Care Licensing (CCL) on 03/31/2026, requesting to close this facility. All residents were found to be safely relocated. Closure inspection of this facility has been completed. Licensee has surrendered the license to LPA Calandra. The Department will be moving forward with the closure process. No deficiencies were cited during today's visit.the state’s words, verbatim · CDSS document, May 14, 2026

Type of visit: Required - 1 Year

On 1/5/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the 1-year required Annual Inspection. LPA Calandra was greeted by Fernando Induct, Caregiver/temporary House Manager and explained the purpose of the visit. Licensee's Husband, Henry Chang arrived later during the visit. LPA toured the physical plant. This is a 2-story house with 7 bedrooms, 4 bathrooms, a kitchen, office, living room, dining room, garage, and Foyer. All bedrooms had the required furniture and sufficient lighting. All bathrooms had the required non-skid flooring and grab bars. The facility's fire alarm was observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last checked on 10/29/2025 . The facility had the required 7 days of non perishables and 2 days of perishables on site. No food was expired. The facility's first aid kit had the required items. LPA reviewed 5 resident files and 6 staff files. During record review, missing documents were observed. This facility does not handle cash resources for residents. A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. During the tour of the physical plant, LPA observed that soap, detergent, poisons, and sharp objects such as knives and scissors were not locked up and in-accessible to persons in care. A Type A citation was issued for not ensuring that sharp objects were locked up. A Type A citation was also provided for not ensuring soap, detergent, and poisons were locked up and in-accessible to persons in care. During record review of staff files, LPA observed that S1 did not have a TB exam prior to employment. A Type B citation was provided for this deficiency. In addition, LPA asked for a copy of the Licensee's Liability Insurance but one could not be provided during the inspection. A Type B citation was provided for this deficiency. During the tour of the physical plant, LPA could not locate the facility's carbon monoxide detector. LPA asked Licensee but they could not locate it. A Type B citation was provided for this deficiency. In addition, during the tour of the physical plant, LPA observed that the facility's faucets in bathrooms did not deliver hot water between the required temperature of 105-120 and were not in good repair. Two Type B citations were issued for these deficiencies. During record review, LPA observed that the Licensee had not documented the number of hours of trainings on subjects such as Dementia. In addition, LPA observed that none of the staff had active CPR and First Aid Training. Per conversation with the Licensee, a CPR and First Aid training had been conducted recently but the active certificates for staff could not be located at the time of the inspection. Type B citations were issued for these deficiencies. In addition, during record review, LPA observed that Licensee had not provided 8 hours of Dementia care training and four hours of training which shall be specific to postural supports, hospice care, and restricted health conditions. A Type B citation was provided for this deficiency. During the tour of the physical plant, LPA observed that Licensee was storing food supplies with soap, detergent, and poisons. A Type B citation was provided for this deficiency. During record review, LPA observed that Licensee had not recorded the date and time of each contact with physicians and the physicians directions when assisting residents with self-administration of PRNs. A Type B citation was provided for this deficiency. In addition, during record review, LPA observed that the Licensee had not ensured that the date and time the PRN medication was taken, the dosage taken, and the resident's response shall be documented and maintained in the resident's facility record. During record review, LPA observed that Pre-Admission appraisals had not been completed for R1 and R2 prior to admission. A Type B citation was provided for this deficiency. During record review, LPA observed that Licensee did not ensure that quarterly emergency drills were completed. A Type B citation was issued for this deficiency. In addition, during record review, LPA observed that R3 was missing an Appraisal of Needs and Services. A Type B citation was provided for this deficiency. LPA requested the following documents be sent to the Department by 1/16/2026: - Control of Property(Property tax statement or Deed) - Current Liability Insurance - Up to date LIC 500(Personnel Summary Report) - Administrator's Certificate Deficiencies are cited under the California Code of Regulations. Failure to correct the deficiencies by the POC due date may result in Civil Penalties. An exit interview was conducted. This report was reviewed with facility representative and a copy of the report along with Appeal Rights provided.the state’s words, verbatim · CDSS document, Jan 5, 2026

Type of visit: Required - 1 Year

On 2/26/2025, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Administrator, Margie Valeria. The facility currently provides care for 10 residents, 1 resident who is receiving hospice services and some of which with a diagnosis of dementia. LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located throughout the facility were found to be charged. Smoke detectors and sprinkler systems were present in each common room and resident bedroom with last fire safety inspection conducted in March 2024 ensuring all fire safety systems are in place. There is a designated closet for cleaning supplies, however, LPA requested Administrator to change garage doorknob to a lockable system in case of any items stored in the garage that could pose safety risk. Technical Assistance provided. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations, with food stored in the kitchen refrigerator found to have appropriate coverings, enough for residents in care. Cleaning supplies and other toxins are safely stored upon inspection. There was a supply of hygiene products and paper products available for residents. Resident's bedroom have lighting & appropriate furnishings and bedding items. Restrooms for resident use were equipped with non-slip mats, grab bars and kept in good condition. Upon spot review of medications, LPA found that the facility has documentation of resident prescriptions on file with medication counts in order. Continued onto LIC809-C LPA conducted a sample file review for residents and found that 2 residents' (R1,R2) pre-appraisal assessments were not conducted prior to admission. Both residents were recently admitted and Administrator agrees to complete assessment for resident care needs. Upon a sample review of 5 staff files LPA found that all caregiver staff have current 1st aid and CPR and training on file. Administrator, Margie Valeria's Administrator Certificate 7015084740 is valid through 2/22/2026 LPA requested the following updated documents be sent to CCL by COB 3/12/2024: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan Deficiency cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties.the state’s words, verbatim · CDSS document, Feb 26, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

On March 6, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 2:30 PM to conduct a Case Management visit to deliver an Amended report from LPA Calandra's previous Annual 1-year required visit on February 21, 2024. LPA Calandra was greeted by Stella Chang, Licensee and explained the purpose of his visit. This report was reviewed with Licensee, Stella Chang, and a copy of the report and the Amended report left at the facility.the state’s words, verbatim · CDSS document, Mar 6, 2024

Type of visit: Required - 1 Year

On February 21, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 10:15 AM to conduct the Annual-1 year required visit. LPA Calandra met with Margie Valeria, Administrator and explained the purpose of his visit. LPA Calandra toured the physical plant. This is a two story building that consists of 8 bedrooms and 3 bathrooms. Water in all bathrooms was measured between the required 105-120 degrees Fahrenheit. Bathrooms were observed to have the required grab bars and anti-skid mats. Fire extinguishers in the facility were observed to be fully charged and last inspected on October 23, 2023. The facility had the required 7 days of non-perishables and 2 days of perishables on site. No food was expired. The kitchen refrigerators and freezers temperature were within the required range. All bedrooms were sufficiently lit and had the required furniture. The backyard was clear from obstructions. No accessible bodies of water or hazards were observed. The facility does not handle cash resources. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. All knives, sharp objects, soaps, detergents, and medications were observed to be locked and in-accessible to persons in care. LPA Calandra reviewed 5 resident files and 5 staff files. All staff files were observed to be complete. R1's file was missing the Annual Needs and Services Plan. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. Technical Violations(TV) were provided for failing to conduct an emergency drill at least quarterly per shift and not including in their plan of operation information about accepting/retaining residents with dementia. During today's visit, the facility was cited for not including an appraisal of a resident's individual needs and service in comparison with the admission criteria. The following documents were requested during today's visit: -Liability Insurance -Updated LIC 500 -Updated LIC 400 -Facility sketch showing evacuation routes -Updated designation of facility responsibility-LIC 308 Deficiencies of the California Code of Regulations, Title 22 are cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. This report was reviewed with Margie Valeria, Administrator, and a copy along with appeal rights left at the facility.the state’s words, verbatim · CDSS document, Feb 21, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to the facility to conduct an annual required inspection. LPA met with facility staff Fernando, and explained the purpose of the visit. LPA was later met by current Administrator Margie E Valeria. Previous Administrator Stella Chang is no longer than administrator but is still the licensee of the facility. Based on an interview with Administrator Margie, Margie was appointed in 2017. Margie has an active Administrator Certificate: #6047120740 Exp. 02/22/2024. LPA and facility staff toured the facility physical plant to ensure compliance with Title 22 regulations. The facility is a two story building. The stairs were equipped with a evacuation chair, which was observed to be in working condition. LPA observed bedrooms to have necessary furniture, to be in clean condition, and free from odors. Bathrooms were fully stocked with toilet paper, paper towels, soap, trash can, and skid mats. Faucets in the bathrooms delivering hot water measured a temperature of 115.3*degrees F, which is within the regulatory range. Common areas were observed to be clean and free from debris. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed medication cabinets on both floors to be unlocked. Facility staff locked the cabinet once LPA asked them to lock them up. LPA Valerio observed a pull alarm system with an inspection date of 03/06/23, fire extinguisher(s) with last check on 10/12/22, and smoke and carbon monoxide detectors. No emergency exits were obstructed. LPA reviewed resident and staff files. LPA observed 4 staff files to be up to date and training files to be current. All staff were observed to be fingerprint cleared. 3 out of 4 resident files reviewed were observed to be incomplete. Residents were observe eating their lunch (chicken/fish, vegetables, rice, fruit, and drink), watching football, reading the paper, being assisted with ADLs, listening to gospel music, enjoying the weather in the backyard. LPA requested the following updated copies to be sent to the Regional Office: LIC 500, LIC 308 Designation of Administrative Responsibility, Liability Insurance, Proof of Control of Property, LIC 9282 Infection Control Plan, and LIC 610D Emergency Disaster Plan Per the California Code of Regulations, Title 22, Division 6, deficiencies were observed or cited on the LIC 809-D page. Appeal Rights provided. Exit interview held and a copy of the report was provided.the state’s words, verbatim · CDSS document, Oct 21, 2023

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.