The Robin's Nest

Type of visit: Required - 1 Year

On July 16, 2026, Licensing Program Analyst (LPA) Taylor Simerly and Licensing Program Manager (LPM) Alfonso Iniguez conducted an unannounced annual visit. LPA and LPM were greeted and granted entry by staff. LPA and LPM met with Martha Crawford, Administrator, with a valid administrator certificate from August 5, 2025 to August 4, 2027. LPA and LPM explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above, of which (5) can be non-ambulatory. The facility has an approved hospice waiver for (1). Currently the facility has (2) residents and neither of them are currently on hospice. This facility is a one storied home with seven bedrooms six of which are resident rooms, and one of which is a staff room. There are six bathrooms one of which is for staff and visitors, and five bathrooms that are for resident use only. There is a two car detached garage. There is a fully fenced pool with the fence measuring at 4 feet 11 inches. LPA Simerly, LPM Iniguez and the executive director toured the physical plant. LPA and LPM inspected residents’ bedrooms and bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were found to be within Title 22 regulations and were operational. Smoke and carbon monoxide detectors were in operable condition. The water temperature ranged from 108.8°F to 110 F, and a comfortable room temperature. The evaluation Report continues on the next page, LIC 809-C, providing further details of the inspection findings. During the visit, LPA Simerly and LPM Iniguez observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Sharp objects need to be stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there were sufficient perishable and non-perishable food available. The food needs to be maintained in order to ensure safe for consumption. The first aid kit contains all of the required materials. All fire extinguishers were charged and operable. The last Fire/Disaster Drills were conducted on July 1, 2026. A review of (2) residents' service files and (2) staff personnel files was conducted, there were discrepancies in the staff files. LPA reviewed (2) Medication Administration Records (MARs) and found no discrepancies. LPA and LPM observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See D page for details. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Martha Crawford, Administrator.the state’s words, verbatim · CDSS document, Jul 16, 2026

Allegation investigated: Facility staff did not provide resident reappraisal upon change in condition

Licensing Program Analyst (LPA) Hanna Gough made an unannounced inspection for the purpose of investigating the above mentioned complaint allegation. LPA was greeted and granted entry and met with Administrator (AD) Martha Crawford and discussed the purpose of the visit. The investigation into the allegation facility staff did not provide resident reappraisal upon change in condition revealed the following: During the course of the investigation, the department interviewed the responsible party, staff and residents in care. During interviews with Staff (S1) it was revealed that on December 28th, 2024, Resident 1(R1) sustained a fall and was sent to the hospital. S1 informed the department that there is a clause in the admission agreement for a rate increase if there is a change in condition for R1. S1 informed the department that they were planning to update R1 needs and services plan. Upon record review, it was revealed that the last appraisal was updated on February 15, 2020 and the last needs and services plan was updated on March 1, 2020. Continue on 9099-C Substantiated Based on LPAs observations, interviews and information gathered during the investigation and review of all documents obtained, the preponderance of evidence standard has been met, therefore the above allegation is deemed SUBSTANTIATED. California Code of Regulations, Title 22 Division 6 is being cited on the attached LIC 9099D. An exit interview was conducted with AD Martha Crawford and a copy of this report along with LIC 9099D and appeal rights were given at the time of inspection. The text message was sent on December 28, 2024, the same day as the reported fall. The text message also revealed that on December 28th, 2024 S1 informed R1s responsible party that they contacted ambulatory services and that R1 was being transported to the hospital. S1 informed LPA that the fall happened around 3pm ambulatory services came after 3pm and then they informed R1s responsible party while the paramedics were here via text message at 4:28PM. Based on LPAs observations, interviews and information gathered during the investigation and review of all documents obtained, the preponderance of evidence standard has not been met, therefore the above allegations are deemed UNFOUNDED. Meaning that the allegations facility did not report unwitnessed falls to authorized representative and facility staff did not seek timely medical attention for resident was false, could not have happened and/or is without a reasonable basis. The department therefore dismissed the complaint. An exit interview was conducted with AD Martha Crawford and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jun 16, 2025 · control 22-AS-20250303123024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Jul 7, 2025

Reappraisals 87463(a) The pre-admission appraisal...Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition... This requirement is not met as evidence by: Based on record review, R1s last appraisal was dated February 15, 2020 and last needs and services was dated March 1, 2020. This poses a potential risk to resident's health and safety in care.the state’s words, verbatim · CDSS document, Jun 16, 2025

Plan of correction: Licensee stated they will update R1s appraisals and send to LPA by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) William Vanegas conducted an unannounced inspection for the purposes of completing an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Administrator (AD) Martha Crawford. LPA Vanegas explained the purpose of the inspection and began to set up equipment. LPA Vanegas began a tour of the facility and observed the following. This is a one storied home with seven bedrooms six of which are resident rooms, and one of which is a staff room. There is six bathrooms one of which is for staff and visitors, and five bathrooms that are for resident use only. There is a two car detached garage. There is a fully fenced pool with the fence measuring at 4ft 11in. The gaps between the bars are 5in, and the door swings into the pools direction. LPA Vanegas observed kitchen area to be clean and sanitary. LPA Vanegas observed a refrigerator, microwave, electric stove, dishwasher, washer and dryer all to be in good repair, and tested operational. LPA Vanegas observed there to be a seven day supply of non-perishable food, and a two day supply of perishable food. LPA Vanegas observed all resident rooms to be clean and large enough to walk about freely. LPA Vanegas observed all resident rooms to contain all required furnishings such as a chest drawer, bed, clean linens in good repair; meaning no strains or tears, a lamp, and enough storage space to store personal belongings. LPA Vanegas observed all resident restrooms to be clean and sanitary, LPA Vanegas observed restrooms to have all required furnishings such as grab bars, shower chair, and slip resistant matts. LPA Vanegas observed toilets and water faucets to be operational. Restroom water tested between 117.2 and 120.5 degrees. CONTINUED ON LIC809C LPA Vanegas observed all fire extinguishers to be up to date and fully charged. LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair and operational. LPA Vanegas observed the outside of the facility to be clean and in good repair. LPA Vanegas observed the back yard to be large enough to participate in outdoor activities upon resident request. All exit routes were observed to be free of any obstructions. Side doors are self latching and are unlocked. LPA Vanegas observed all toxins, sharps, and medications to be locked away and inaccessible to residents in care. LPA Vanegas reviewed all medications with AD and observed all medications to be documented correctly, and are being administered per physicians orders. LPA Vanegas reviewed three resident files, and two staff files all files (Staff and Resident) had all the required documentation. Based on observations made during today's inspection no deficiencies will be cited per title 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with AD Martha Crawford, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Martha Crawford. The Administrator's certificate expires August 4, 2025. LPA and the Administrator toured the facility. Facility is a single story home with 7 bedrooms, 6 bathrooms, kitchen, living room, dining room, family room, laundry room and an office and a detached 2 car garage. LPA observed the See Something, Say Something poster (PUB 475) is 22 by 18 inches in size. LPA observed the fireplace in the family room and the fireplace in the living room are screened. LPA observed the kitchen is clean and organized. Knives and medication are kept locked in the office. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The fire extinguisher mounted in the dining room is fully charged. Hot water measured 103.2 degrees Fahrenheit to 105.0 degrees Fahrenheit in all bathrooms. The hot water temperature was adjusted (increased) during the visit. LPA observed all resident rooms had the required furnishings and bed linens. Smoke detectors and carbon monoxide detectors tested operational. No obstacles or hazards observed inside of the facility. LPA and the Administrator toured the backyard and the garage. The garage is kept locked and used for storage. There is a pool in the backyard. The pool is surround by a fence that measures 5 feet in height. The pool fence gate is locked. The Administrator reported that no one uses the pool. There is a shed in the backyard that is used for storage. The shed is kept locked. The exit gates on each side of the house are operational. No obstacles observed in the backyard. LPA reviewed all 3 resident files. No discrepancies observed. LPA reviewed 3 staff files. All 3 staff members had the required training. No discrepancies observed. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Jul 18, 2024

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.