Teenee's House

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) LaVette Farlow completed an unannounced Case Management visit to complete the closure of Teenee's House, facility #366405852, located at 801 S. Westeria Avenue, Rialto, CA 92376. The new business name and facility number are as followed: Teenee's Home, #365530303. LPA was granted entry by Lead staff, Thelma Agpalo. LPA Farlow explained the purpose of the visit. Staff Thelma notified Jerry Parchejo, of LPAs arrival. LPA Farlow completed a tour of the facility, with Lead staff Thelma. During the visit the following was observed: The facility has (3) resident bedrooms, (2) resident bathrooms, (3) staff sleeping quarters, living room, dining area, kitchen, backyard, and attached garage. During this visit, LPA Farlow observed the facility to be in good condition and there is plenty of food for the residents in care. The facility current census is three (3). Residents appear to be in normal health, and the health and safety is maintained. Upon records review an Pre-Licensing Inspection was conducted on September 11, 2025, for License #365530303. LPA collected the following documents: 1. The Previous Licensee CCLD License. 2. The current facility sketch (Floor plan). An exit interview was conducted and this report was discussed and a copy provided to Lead Staff, Thelma Agpalo.the state’s words, verbatim · CDSS document, Jan 21, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) LaVette Farlow arrived unannounced to conduct the required annual visit to the facility. LPA met with Lead Staff Thelma Agpalo, and introduced self and stated purpose of the visit. LPA asked Lead staff to notify the administrator of my arrival. LPA was informed that there are currently 3 residents in care who are in the facility. The facility has (3) resident bedrooms, (2) resident bathrooms, (2) staff sleeping quarters, living room, dining area, kitchen, backyard, and attached garage. LPA completed a walk through of facility and review of records. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 71 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. LPA tested the water temperature and the reading were extremely hot. Staff attempted to correct the temperature and were unsuccessful. The water temperature tested 123.5, 125.9, and 135.1 degrees Fahrenheit. Deficiency issued. The facility is equipped with operational smoke detectors, carbon monoxide alarms, fire extinguisher and first aid kit. Posters such as; the personal rights, ombudsman and emergency disaster plans were posted in a common area. There was a designated storage space for resident/staff files. Resident medications were observed secured and inaccessible to residents. There are no guns, ammunition, swimming pool or bodies of water in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard, a garage housing the washer and dryer. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed issues with 1 of 3 resident records indicting the resident is bedridden. The facility does not have a fire clearance to admit or maintain a resident who is bedridden or to, maintain or remain in, residential care facilities for the elderly. Deficiency issued. Also, after reviewing the resident LIC 602 it was observe that the Physician Report does not have current medical condition and after interviewing staff and Physician it was reported that the resident is bedridden. Deficiency issued. LPA also reviewed staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. LPA observed that the facility completes monthly disaster drills and was able to provide proof of the last drills conducted in December 2024. LPA observed that the Emergency Disaster Plan was reviewed/updated May 2024. Three Deficiencies, were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, and LIC809D, and appeal rights were discussed and copies were provided to Thelma Agpalo.the state’s words, verbatim · CDSS document, Jan 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts, Amber Coleman, (LPA Coleman) and Bianca Wolcott, (LPA Wolcott) arrived at the Teenee House, Residential Care Facility for the Elderly to conduct an Annual Inspection. LPAs were greeted by staff members, Marcy Alcanpara and Phelma Agalo and granted entry. LPAs introduced themselves and stated purpose of the visit. LPA’s signed in and were provided a space to work. While signing in, LPA observed a COVID station which included PPE, hand sanitizers and information regarding infection control. All made accessible to those who visit the facility and its residents. Accompanied by Marcy Alcanpara, LPA’s was completed a walk through of the facility. Personnel Records/Training/and Staffing- LPA reviewed three, (3) employee records, for first aid certification, fingerprint/criminal background clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights and training verification, and current administrator certification. Resident Records/Incident Reports/Personal Rights/Residents with Special Needs/Incidental Medical and Dental- LPA reviewed four resident files for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA found that each of the resident files included all above mentioned documents included in the residents files. Resident Rooms - Each resident bedroom can accommodate any non-ambulatory resident. All resident bedrooms were adequately furnished with beds, chairs, closets for storage space, appropriate linens, adequate lighting, and an functional smoke and carbon monoxide alarms. Bathrooms: All bathrooms included operational appliances, an adequate supply of towels, toilet paper, and toiletries. Handrails were observed in each bathroom. Food Service- Food preparations areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables food on hand. Food Menus posted. General: Disaster drills are completed on a monthly basis. Fire Extinguisher last inspected November 2023. No deficiencies observed during today's visit. An exit interview was conducted where this report was discussed and provided to the Facility Representative.the state’s words, verbatim · CDSS document, Dec 15, 2023

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.