Strawberry Fields

Type of visit: Case Management - Other

On 09/15/25 at 10:00 am Licensing Program Analyst (LPA) Lorena Casillas arrived at facility to conduct an unannounced case management visit. LPA was greeted and granted access by staff member Julissa Dubon Hall who contacted Administrator Monica Gory over the phone. Administrator informed LPA that they would not be able to join LPA for the visit and designated staff member to sign the report. LPA informed designee that today's case management visit was to amend annual report dated 09/03/25. Staff member signed amendment, LPA printed and provided a copy to designee.the state’s words, verbatim · CDSS document, Sep 15, 2025

Type of visit: Required - 1 Year

On 09/15/25 Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility for an unannounced one (1) year Required visit and was greeted by a caregiver. Caregiver called administrator and LPA was informed that the Administrator, Monica Gory, would not be able to meet with LPA. LPA informed the Administrator of the purpose of the visit via phone and the Administrator designated caregiver Julissa Dubon Hall to sign the report. Three (3) out of the five (5) residents were observed to be in their room sleeping, watching TV and/or resting. Two (2) residents were attending day program. A tour of the physical plant was conducted with the designee at 12:00 pm. The facility has five (5) bedrooms and two (2) bathrooms currently occupying five (5) residents. One (1) bedroom is designated for staff use only. The facility is Fire Cleared for four (4) ambulatory, two (2) non-ambulatory residents, and a hospice waiver for one (1). Currently the facility has no residents on hospice. Administrative: Annual fee is current. LIC 500, Client roster and Liability insurance will be emailed to LPA. Infection control: LPA previously reviewed the facility mitigation plan (approved on 03/18/21) to make sure the licensee was following current infection control recommendations. Resident Rooms: LPA observed rooms to have the appropriate bedding, nightstand, a chair and sufficient lighting for each resident. LPA observed the staff room to have a locked filing cabinet for staff and resident files. Currently the staff office has an extra freezer, and extra supplies. Continued on LIC809-C Food Inspection: LPA conducted a tour of the kitchen at 12:20 pm and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects being locked and inaccessible to residents in care. The Medication cabinet was in the kitchen and was observed to be locked and inaccessible to residents in care. There is a locked medication refrigerator in the hallway for refrigerated medication. Bathrooms: At 12:30 pm LPA observed all bathrooms to have non-skid mats, grab bars, and the appropriate wash your hands signs posted. Hot water was tested and measured within regulation at 118.2˚F. Living and dining: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a temperature of 78°F. The dual smoke detectors and carbon monoxide detectors were tested and observed to be operational at 12:40 pm. There are two (2) fire extinguishers, one (1) is in the kitchen and one (1) is in the hallway. The Fire extinguishers were observed to be full and last purchased on 10/22/2024 and 11/10/2024. Laundry: LPA observed the laundry room to not have any chemicals or hazardous items. Cleaning supplies are kept locked in a hallway closet outside of laundry room. Physical environment: LPA toured the outside area of the facility at 12:50 pm. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. No bodies of water on the premises. Garage: LPA observed no garage in the facility. Resident and Staff Files: LPA conducted a file review of resident files at 01:00 pm. Staff files were not in the facility. LPA spoke to Administrator via phone and Administrator admitted to not having files in the facility for review. A citation will be issued. LPA explained the importance of having files readily available for licensing to inspect. Interviews: LPA conducted interviews of staff and residents at 03:00 pm. Citation issued. Exit interview was conducted, and a copy of this report was provided to designee.the state’s words, verbatim · CDSS document, Sep 15, 2025

Type of visit: Required - 1 Year

This is an amendment of the original report issued 09/03/2024. Based on 2nd level appeal response deficiencies 87705(c)(4) and 87204(a) have been dismissed. Licensing Program Analyst (LPA) Lorena Casillas met with administrator Monica Gory for an unannounced one (1) year Required visit for this facility. LPA arrived at 10:00 am and was greeted by a caregiver. Caregiver called administrator and LPA was informed that administrator was on their way. LPA informed the Administrator of the purpose of the visit via phone. Six (6) out of the six (6) residents were observed to be in their room sleeping, watching TV and/or resting. There is only one (1) staff member for care in the facility. The Administrator arrived at 02:45 pm. Infection control: LPA previously reviewed the facility mitigation plan (approved on 03/18/21) to make sure the licensee was following current infection control recommendations. A tour of the physical plant was conducted with caregiver at 10:20 am. The facility has five (5) bedrooms and two (2) bathrooms currently occupying six (6) residents. One (1) bedroom is designated for staff use only. The facility is Fire Cleared for four (4) ambulatory, two (2) non-ambulatory, and a hospice waiver for one (1). Currently the facility has no residents on hospice. Food Inspection: LPA conducted a tour of the kitchen 10:20 am and observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas care clean and inaccessible to pests. LPA observed all knives and sharp objects being locked and inaccessible to residents in care. The Medication cabinet was in the kitchen and was observed to be locked and inaccessible to residents in care. Continued on LIC809-C Resident Rooms: LPA observed rooms to have the appropriate bedding. There is a nightstand, a chair and sufficient lighting for each client. LPA observed the staff room to have a locked filing cabinet for staff and residents’ files. Currently the staff office has an extra freezer, and extra supplies. Bathrooms: At 10:30 am LPA observed all bathrooms to have non-skid mats, grab bars, and the appropriate wash your hands signs posted. Hot water was tested and measured within regulation at 115.0 degrees F. Living and dining: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a temperature of 78°F. The dual smoke detectors and carbon monoxide detectors were tested and observed to be operational at 11:40 am. There are two (2) fire extinguishers, one (1) is in the kitchen and one (1) is in the hallway. The Fire extinguishers were observed to be full and last serviced on 10/29/2023. Laundry: LPA observed the laundry room to not have any chemicals or hazardous items. Cleaning supplies are kept locked in a hallway closet outside of laundry room. Physical environment: LPA toured the outside area of the facility at 11:00 am. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. No bodies of water on the premises. Garage: LPA observed no garage. Administrative: Annual fee is current. LIC 500, Client roster and Liability insurance will be emailed to LPA today. Resident Files: LPA conducted a file review of resident records at 2:30 pm. Based on record review, facility is over capacity for non-ambulatory residents by one (1) resident. Civil penalty shall be issued. Facility will also be issued a citation for having one (1) non ambulatory resident in ambulatory rooms. Based on file review, a citation for not having sufficient staff will also be issued. Staff Files: LPA conducted a file review of staff records at 03:00 pm. Medications: At 4:00 pm LPA and Administrator reviewed medication and medication records. Citation issued. Civil Penalty issued (see LIC809-D). Appeals rights discussed and provided. Exit interview was conducted, and a copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Sep 3, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lorena Casillas met with administrator Monica Gory for an unannounced one (1) year Required visit for this facility. LPA arrived at 09:50 am and was greeted by a caregiver. Caregiver called administrator and LPA was informed that administrator was on their way and would arrive in about an hour. One (1) resident was observed in the living room watching TV. The rest of the residents were observed to be in their room sleeping, watching TV and/or resting. The Administrator arrived at 10:50 am. LPA informed the Administrator of the purpose of the visit. LPA was having technical difficulties with computer system and Inspection Tool Kit was not able to be completed. Infection control: LPA previously reviewed the facility mitigation plan (approved on 03/18/21) to make sure the licensee was following current infection control recommendations. A tour of the physical plant was conducted with caregiver at 10:20 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) residents. One (1) bedroom is designated for staff use only. The facility is Fire Cleared for four (4) ambulatory, two (2) non-ambulatory, and a hospice waiver for one (1). Currently the facility has no residents on hospice. Food Inspection: LPA conducted a tour of the kitchen at 10:20 am and observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects being locked and inaccessible to residents in care. The medication cabinet was in the kitchen and was observed to be locked and inaccessible to residents in care. Continued on LIC809-C Resident Rooms: LPA observed rooms to have the appropriate bedding. There is a night stand, a chair and sufficient lighting for each client. LPA observed the staff room to have a locked filing cabinet for staff and residents’ files. Currently the staff office has an extra freezer, refrigerator, and PPE supplies. Bathrooms: At 10:30 am LPA observed all bathrooms to have non-skid mats, grab bars, and the appropriate wash your hands signs posted. Hot water was tested and measured within regulation at 110.3 degrees F. Living and dining: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a temperature of 71°F. The dual smoke detectors and carbon monoxide detectors were tested and observed to be operational at 11:40 am. There are two (2) fire extinguishers, one (1) is in the kitchen and one (1) is in the hallway. The Fire extinguishers were observed to be full and last purchased on 10/29/2023. Laundry: LPA observed the laundry room to not have any chemicals or hazardous items. Cleaning supplies are kept locked in a hallway closet outside of laundry room. Physical environment: LPA toured the outside area of the facility at 11:00 am. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. No bodies of water on the premises. Garage: LPA observed no garage. Administrative: Annual fee is current. LIC 500 and Client roster were collected. Liability insurance will be emailed to LPA today. Resident Files: LPA conducted a file review of resident records at 11:45 am. Staff Files: LPA conducted a file review of staff records at 12:45 pm. Medications: At 1:30 pm LPA and caregiver reviewed medication and medication records. No citations issued. Exit interview was conducted, and a copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, May 7, 2024