Temmera Residence

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Co-Administrator Megan Hill and explained reason for visit. Administrator Lorraine Lopez arrived shortly. Facility is licensed to serve age range 60 and over. Approved for six (6) non-ambulatory residents, one (1) of which may be bedridden. Bedridden resident approved in bedroom in bedroom #2. Waiver granted for hospice care for six (6). Facility has an approved Dementia Care Plan. The facility is a single-story home located in a residential area. It consists of (4) resident bedrooms, (2) full bathrooms, a kitchen, dining room, living room, attached garage, and shaded patio area with sufficient seating for residents. There is sufficient indoor and outdoor activity space for residents. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. The Smoke detectors were observed throughout the facility and are properly operating. There is one carbon monoxide detector in hallway. The facility has one (1) fully charged fire extinguishers which is kept in kitchen. Cleaning supplies and toxic substances were observed to be inaccessible in garage. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed to have sufficient supply of 2 days perishable & 7 days non-perishable foods. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The resident bathrooms have the required grabs bars and non-skid mats. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents outside with a garden. Passageways and exits are free of obstruction. SEE LIC 809C Four (4) staff files were reviewed and included criminal clearance record, and health screening with TB. Four (4) resident files were reviewed and included physician’s reports and appraisal needs and service plan. Fire/earthquake drill was conducted May 25th, 2025. The medications are centrally stored and locked in a cabinet in kitchen. LPA reviewed medications for residents, and they are being administered as prescribed by the physician. No deficiency was observed during today’s visit. Exit interview was conducted with Megan Hill and a copy of report was emailed.the state’s words, verbatim · CDSS document, Aug 5, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) V. Maldonado made an announced visit to the facility for the purpose of conducting the Pre-Licensing visit using the Compliance and Regulatory Enforcement (CARE) Tool, to evaluate the facility. LPA Maldonado met with Applicants Lorraine Lopez, Megan Hill, and Andres Castellanos. This is a new facility. Applicant has requested to operate as a Residential Care Facility for the Elderly (RCFE). Fire clearance has been approved to serve (6) older adults, ages 60 and over, of which (5) will be non-ambulatory, and (1) will be bedridden. Bedridden resident approved in room#2 only. Applicant has also requested to care for residents with dementia, and has a pending Dementia Care Plan. An Infection Control plan has been submitted and approved by the department. The facility has an active and current liability insurance policy on file. The facility is a single-story home located in a residential area. It consists of (4) resident bedrooms, (2) full bathrooms, a kitchen, dining room, living room, attached garage, and shaded patio area with sufficient seating for residents. There is sufficient indoor and outdoor activity space for residents.. Resident bedrooms were observed to have the required furniture, sufficient lighting, and closet/storage space. Resident bathrooms are equipped with required grab bars and non-skid mats. The showers accommodate non-ambulatory residents. The hot water was tested and measured between 111*F-114*F, which is in compliance. Food supplies was observed and was sufficient as required. Fire extinguishers were observed throughout, with current inspections and were fully charged. All sharps and cleaning supplies/toxins were observed to be locked and inaccessible to residents in care. Auditory devices were observed at all entrances/exits of facility and were operational. There were no bodies of water observed on the premises. All required postings were observed throughout the facility. Sufficient additional linens/towels were observed. The washer and dryer, PPE, hygiene supplies, and cleaning supplies are located in the garage. They are kept locked and inaccessible to residents at all times. (Report continued on LIC809-C...) Sharps/knives are locked in a lockbox in the kitchen and inaccessible to residents. Sufficient additional linens were observed, available for residents and in good repair. There is a central storage area for files and medication equipped with locks. First aid kits were inspected and observed to have the required supplies and first aid manual to meet Title 22 Regulations. Smoke/Carbon monoxide detectors are interconnected. They were tested during the visit and and operational. LPA Maldonado has cleared the physical plant. The applicants have waived Component III Orientation as it was recently completed for another facility they have licensed. An exit interview was conducted and a copy of this report has been furnished to the applicant. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Jun 20, 2024