Tarrasa

Type of visit: Required - 1 Year

On 10/03/25, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced required – annual inspection and met with staff one, Matt Palmer - Administrator (S1) and staff two, Jerick Calpito - House Manager (S2) and the purpose of the visit was explained. The facility is licensed for (6) non-ambulatory of which (1) maybe bedridden for ages 60 and above. It is also licensed for (6) hospice residents. Currently, there are five (5) residents of which (2) residents receiving hospice care and (1) bedridden resident. Facility is a one-story family home with (6) bedrooms, (2) full bathrooms, (½) half bathroom, living room, dining room, office area, closet/storage space (located in the hallway), kitchen, patio, and backyard. A one (1) car attached garage is located on the front of the property. Front yard landscape is in good condition at time of visit. There is one wheelchair ramp on the left front side of the house that connects to the back-left side of the backyard. There is one located on the center patio deck across from the living room. One located center back against the home, and one located to the right-hand side of the kitchen and dining room. Washer/Dryer appliances are located in the garage. The facility is clean, sanitary, and in good repair. LPA toured the inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. All exits and walkways around the home were clear of obstruction. Resident bedrooms had the required furniture, bed linens, and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, and hot water temperature properly measured at One-hundred and eight degrees Fahrenheit (108.4°F). Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Report continues, please see LIC809C LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food, all stored properly. Knives and toxins were kept in locked kitchen cabinet. First Aid kit was available. One fire extinguisher, last serviced on August 22nd, 2025 (08/22/25) was observed across from the kitchen area. House Manager tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional and interconnected. Five resident records were reviewed and 5 out of 5 resident records had medical assessments, appraisals and pre-appraisals. There have been zero (0) deficiencies cited during today's visit. An exit interview was held with Matt Palmer (S1) and a copy of this report was left with the Administrator, Matthew Palmer.the state’s words, verbatim · CDSS document, Oct 3, 2025

Type of visit: Required - 1 Year

On 11/02/2024, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with the House Manager. The Administrator Matthew Palmer joined us later. The facility is licensed for (6) non-ambulatory of which (1) maybe bedridden for ages 60 and above. It is also licensed for (6) hospice residents. Currently, there are (2) residents on hospice and (1) bedridden resident. Facility is a one-story family home with (6) bedrooms, (2) full bathrooms, (½) half bathroom, living room, dining room, office area, closet/storage space located in the hallway, kitchen, patio, and backyard. A one (1) car attached garage is located on the front of the property. Front yard landscape is in good condition at time of visit. There is one wheelchair ramp on the left front side of the house that connects to the back-left side of the backyard. There is one located on the center patio deck across from the living room. One located center back against the home, and one located to the right-hand side of the kitchen and dining room. Washer/Dryer appliances are located in the garage. The facility is clean, sanitary, and in good repair. The House Manager accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. Continue to LIC809-C. Resident bedrooms had the required furniture, bed linens, and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, and hot water temperature properly measured between 108-degree F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. LPA toured the kitchen area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxins were kept in locked kitchen cabinet. First Aid kit was available. One fire extinguisher, last serviced October 4, 2023 was observed across from the kitchen area. House Manager tested the carbon monoxide detector and smoke detectors in the house. Both devices were functional and interconnected. Five staff records were reviewed and 5 out of 5 staff records had required criminal record clearances or criminal record exemptions. Five resident records were reviewed and 5 out of 5 resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medication was reviewed. No deficiencies are being cited. An exit interview was conducted, technical assistance provided, and a copy of this report was discussed and left with the Administrator Matthew Palmer.the state’s words, verbatim · CDSS document, Nov 2, 2024

Type of visit: Required - 1 Year

On 11/22/23 at 10:18 am Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced visit to this facility. The purpose of today’s visit was to conduct an annual inspection. LPA met with House Manager Liza Sergio. The facility is licensed for (6) non-ambulatory of which (1) maybe bedridden ages 60 and above. The facility is licensed for (6) hospice. Currently, there are (3) residents on hospice. Liza Sergio contacted Licensee Matthew Palmer by phone to inform him of our visit. LPA toured the physical plant and inspected food service, reviewed (5) staff records, and reviewed (5) resident files for medical status. LPA observed (2) Medication Administration Records (MAR) that were maintained in order. All records are upheld and in compliance. The last fire a drill was conducted 11/03/2023. The facilities consist of (5) resident bedrooms and (2) resident bathroom. There’s (1) bedroom for live-in staff and (1) staff bathroom. The facility has living room, dining room, and kitchen and activity room. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms are clean, sanitary and fixtures are working properly. Bathrooms grab bars are secure and non-skid mats in place. The facility water was tested by LPA which measured at 108.5 degrees F. Resident's bath towels, toiletries, and personal hygiene supplies were adequately stocked. Common areas were free from obstruction. All doors and windows have alarms. Fire extinguishers (2) are fully charged in kitchen and in garage last inspected 10/04/2023. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. The medications were securely locked and inaccessible to residents in hall cabinet. Evaluation Report Continues on LIC 809-C LPA tested smoke detectors and carbon monoxide detectors and found to be operating properly. The First Aid kit is fully stocked. Outside grounds were toured and no bodies of water were observed around the home were clear of hazards. There are no security bars or weapons on the premises. Administrator’s Certificate Program are current. Two (2) staff and (2) clients were interviewed. All required mandated posters are posted in dining room area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies therefore no citations were issued. Exit interview conducted and a copy of report was provided to the House Manager Liza Sergio with signature confirming receipt of report.the state’s words, verbatim · CDSS document, Nov 22, 2023