The Palazzo of Downey

Type of visit: Required - 1 Year

Licensing Program Analyst’s (LPA’S) Christian Gutierrez, and Gabby Castro conducted an unannounced Annual required inspection to Palazzo of Downey, Inc., The. Upon arrival LPA’s were greeted by the administrator Rowena Marantal and explained the reason for the visit. This home is licensed to serve age range of 60 and over. Fire clearance approved for six (6) ambulatories. Licensed is subject to terms and conditions for hospice waiver approved for four (4) residents. No dementia residents. The facility is a two-story home located in Downey, Ca. A tour of the facility includes 1st floor: 2 resident bedrooms, 1 full bath, 1 1/2 bath, kitchen dining area, family room, living room, pantry, laundry room, closets, attached garage, front yard and backyard. 2nd (frontal) floor: 5 bedrooms (4 are resident rooms, two (2) with private bath, 1 Administrator office with bathroom), 1 additional restroom, and living room. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. Extra linen was observed in downstairs laundry room. LPA’s observed R4 with full bed rails with no physician’s order. The Smoke detectors and carbon monoxide detectors were observed throughout the facility and are properly operating. The facility has two (2) fully charged fire extinguishers which are kept in kitchen and upstairs. Cleaning supplies and toxic substances were observed to be inaccessible in a locked cabinet in kitchen and in laundry room. Knives were locked in kitchen drawers. 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 not 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 in backyard. Passageways and exits are free of obstruction. Two (2) out of four (4) staff files reviewed included criminal clearance record, and health screening with TB. Staff (S1) has expired CPR/First aid and is alone with residents at night, S2 is missing health screening with TB. Six (6) resident files were reviewed, all six (6) were missing appraisal needs and service plan (625), R2 has physicians report 602 with no dates, R4’s 602 has no dates and physicians signature missing, R5’s 602 is expired, and R6’s 602 is expired. During document review it was revealed that R4’s physician report stated that he/she is non-ambulatory and has dementia both not approved in fire clearance. Civil penalties cited. Fire/earthquake drill was conducted in July of 2025. The medications are centrally stored and LPA’s observed key hanging from knobs that are accessible to residents in kitchen cabinet. LPA reviewed medications for six (6) residents and three (3) out of six (6) are missing medication. Mar log is being used. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit will be detailed on the LIC809-D. Exit interview held and a copy of the report and appeal rights were provided to Rowena Marantal Carrillo.the state’s words, verbatim · CDSS document, Sep 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Rowena Marantal Carrillo - Administrator and explained the purpose for today’s visit. The facility is licensed to serve 6 Ambulatory Residents ages 60 and above, and a hospice waiver for (4). The facility currently has 2 residents on Hospice. The facility is a two-story home located in Downey, Ca. A tour of the facility includes: 1st floor: 2 resident bedrooms, 1 full bath, 1 1/2 bath, kitchen dining area, family room, living room, pantry, laundry room, closets, attached garage, front yard and back yard. 2nd (frontal) floor: 5 bedrooms (2 are resident rooms with private bath, 3 are staff rooms with bath), staff bath. 2nd (rear) floor: 2 staff bedrooms and 1 staff bath. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit todays visit and the initial visit and observed the following: Infection Control: Staff are cleaning and disinfecting throughout the day and have an Infection Control Plan maintained at the facility. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with required Infection Control Plan and facility maintains the required liability insurance. Staffing: There appears to be sufficient staffing at all times in the facility. Personnel Records-Training: Staff has criminal record clearance, and ongoing training are documented in personnel files. LPA reviewed 4 staff files and 3 out of the 4 staff files reviewed were missing their first-aid certificates, citation will be detailed in the LIC809-D. Administrator Rowena Marantal Carrillo administrator certificate expires 6/24/2025. Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 4 Resident Files with no issues observed. (Continued on LIC809-C) Physical Plant & Environment Safety: LPA toured facility, residents’ bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The front yard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available for clients. The hot water temperature was tested throughout the facility and measured within the required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are kept in a locked and are inaccessible to residents, however, during visit LPA observed a empty can of disinfectant in an unlocked cabinet in residents downstairs restroom, also Laundry room was observed to be unlocked with door open during visit making disinfectants/cleaning supplies accessible to residents. citation issued and detailed on LIC809-D. Smoke detectors and carbon monoxide detectors are operable and in compliance. There fire extinguisher was observed and is fully charged. Last fire/disaster/earthquake drill was conducted on 9/1/24. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility has a variety of activities to choose from within the facility. There is an outdoor activity area available for the residents. Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Incidental Medical & Dental: Medication is properly labeled and are centrally stored in a closet and are in their original containers. LPA reviewed 4 residents’ medications during visit. LPA observed staffs personal medication/supplements in an unlocked kitchen cabinet along with medication cabinet being unlocked with key hanging from cabinet making medication accessible to residents, citation issued on LIC809-D. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. Residents with Special Health Needs: There are no bedridden or residents with postural supports at this facility. The facility currently has 2 residents on Hospice Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit will be detailed on the LIC809-D. Exit interview held and a copy of the report and appeal rights were provided to Rowena Marantal Carrillo.the state’s words, verbatim · CDSS document, Sep 9, 2024

Type of visit: Required - 1 Year

On 10/06/23 at 10:30 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Annual/Required inspection to Palazzo of Downey, Inc., The. Upon arrival LPA was greeted by the administrator Rowena Marantal and LPA explained the reason for the visit. This home is licensed to serve age range 60 and over. Fire clearance approved for six (6) ambulatories. Licensed is subject to terms and conditions for hospice waiver approved for four (4) residents. No dementia residents. There were two (2) residents in care at the time of the visit. The last emergency disaster drill conducted on 6/27/2023. The Administrator Certificate expires on 6/24/2023 #6004604740. LPA confirmed administrator certificate is pending on CCLD website. During today's visit LPA inspected the physical plant inside and outside, reviewed the food supply, tested the smoke/carbon monoxide detectors, reviewed (1) staff files, (2) resident files, medications, and medication administration records for (2) residents. This facility is a two (2) story home in a residential area. The first floor contains 2 bedrooms, 1.5 bathrooms, 2 living rooms, 2 dining room, laundry, kitchen, dining room and an attached garage. The second floor consists of 3 vacant bedrooms, 1 staff bedroom, 3 bathrooms, sitting area, and 1 dinning room. The facility also contains a maid’s quarter with 2 bedrooms,1 bathroom, and 1 living room with fireplace. The maid’s quarters are currently designated for the licensee’s kids aged 15 and 17. LPA toured the physical plant with the Administrator and observed all resident bedrooms, contained required furniture, lamps, dresser, chair, and closet space. The bathrooms contained a working toilet, basin and water faucet, shower with grab bars, shower chair, and bath/ skid mat. The water temperature was measured at 105.0*F-109.5*F respectively. The smoke detectors were tested and observed to be working properly. The carbon monoxide detector was located throughout the facility, tested, and functioning properly. There were (2) fire extinguishers located in kitchen and the upstairs dining room fully charged and up to date. The kitchen was toured and contained working appliances; refrigerator, stove, oven and contained dishware, cups, plates, utensils, pots, and pans with knives secured in the kitchen draw and the cleaning agents and toxins was locked underneath kitchen sink and in the laundry room. The pantry was well stocked with canned goods, pasta, cereals, and the food supply contained a sufficient supply with a two-day supply of perishables and a seven-day supply of non-perishables that met title 22 guidelines. Walls and floors, cabinets and counters were clean and sanitary throughout the home. (Report continued on LIC809C.) The outdoor grounds were toured and inspected, and the patio was well maintained with a shaded seating area accessible for resident use. The garage contained storage supplies. The laundry room contained laundry supplies, towels, PPE’s, cleaning agents and staff fridge. Exit interview conducted with Rowena Marantal, Administrator, a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 6, 2023