Tomas Residential Care

Type of visit: POC

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction clearance. LPA Lopez identified herself and was allowed entry by Administrator Norma Tomas. LPA met with Administrator Tomas and discussed the purpose of the visit. On 03/16/26, the facility was issued four (4) deficiencies [Plan of Corrections (POC)] for not having an updated Administrator’s Certificate, medications not being in their original containers, a quarterly fire drill, and a medication list for residents with centrally stored medications. During today’s visit, LPA was provided with information regarding their Administrator’s Certificate, which was in progress. The facility had agreed they would contact the Technical Support Program (TSP) for assistance with recertification, which was completed. This POC is deemed cleared during this visit. The facility agreed to follow up with LPA once they have obtained their certificate. The facility was issued a citation for obtaining medications in pill boxes, and according to their POC, they decided to remove the pill boxes and maintain their medications in their original containers. During the visit with TSP, they assisted with ensuring that the facility was within the scope of Title 22 regulations, and they were advised only to pour daily medications. LPA observed that the facility was in compliance and observed that only the medications for that day were poured. Based on the Department's instructions and LPA's observations, the facility is within the scope of the regulations. This citation is deemed cleared during today’s visit. (Continuation on LIC809-C) (Continuation of LIC809) The facility was issued a citation for not conducting their quarterly fire drill. According to their POC, they were to conduct a fire drill. During today’s visit, LPA observed that the facility had completed their quarterly fire drill in March 2026. They are aware that their next fire drill will be conducted in June 2026. Based on LPA's review of the record, this citation is deemed cleared during today’s inspection. The facility was issued a citation for not having updated medication lists for resident #1 (R1 – see confidential names list), resident #2 (R2 – see confidential names list), and resident #3 (R3 – see confidential names list). An updated medication list was provided for R1, but the facility was unable to provide an updated medication list for R2 or R3. This POC is not deemed cleared during today’s visit, and a failure to correct will be issued. No additional deficiencies were observed, but a civil penalty (CP - LIC421FC) for failure to correct was issued during today’s visit. An exit interview was conducted, CP was issued, and a copy of this report, along with Licensee Rights (LIC 9058 03/22), were provided to Administrator Norma Tomas at the conclusion of the visit. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Apr 29, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself and was granted entry by Licensee Abraham Tomas. LPA discussed the purpose of the visit with Administrator Norma Tomas, who was present at the facility. According to the facility’s license, there may be a maximum of six (6) residents, all of whom may be non-ambulatory in at any given time at the facility site. It was noted that the facility did have a dementia plan on file. During today’s inspection, the facility’s current census is three (3) residents living at the facility. There were 3 residents present at the facility site during the inspection. LPA, accompanied by Administrator Tomas, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present and safely stored in the garage. The facility had sufficient space to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 73º degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant. At least 2 days of perishable food and at least 7 days of non-perishable food were present in their second kitchen area. Cooking, dining equipment, and utensils were present and safely stored. No toxic chemicals or poisons were inaccessible to residents. [Continuation on LIC809-C] Medications were properly labeled, as required, and stored in a locked cabinet, which LPA inspected and observed that the medications were not in their original containers. There are no pools or bodies of water on the facility premises. Per Administrator Norma Tomas, there are no weapons or ammunition kept on the facility grounds. Fire extinguishers were present (01) and serviced within the last 12 months. First aid kits were complete and readily accessible. The fireplace was not in use and was inaccessible to residents. LPA spoke with staff and briefly with residents, and reviewed staff and resident records. The facility did not maintain a current administrator certificate. LPA’s visit did not raise any licensing concerns. The files that LPA reviewed contained required documents that will need to be updated by the end of the month. Confidential records were stored in a locked cabinet. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection, and may be reviewed on the LIC809-D page of this report. An exit interview was conducted with Licensee Norma Tomas, to whom a copy of this report, along with the Licensee/Appeal Rights (LIC9058 03/22), were provided at the conclusion of the visit. The signature below confirms that the documents were received. LPA requested licensee Norma Tomas to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-E, to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Mar 16, 2026

The state marks this report as 10 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit for a Plan of Correction clearance and to clear citations issued during their annual inspection. LPA Lopez identified herself and was granted entry by resident Mark Hobbs. LPA met with licensee Norma Tomas and discussed the purpose of today’s visit. On 10/06/2025, the facility was issued two citations during their required annual inspection. The first citation was for Reappraisals, §87463(h). The facility agreed to have updated medical assessments for their residents by 10/06/2025 and submit documentation to LPA by the due date. The second citation issued to the facility was for not having a certified administrator with qualifications, §87405 (a). The facility agreed to have the facility manager register for CEU classes, submit the class registration to LPA by 11/06/2025, and submit their certificate at a later date. During today’s visit, LPA reviewed the documentation for the CEUs and deemed the citation to be cleared. LPA reviewed and observed that one out of 3 residents had their physical exam completed, and the other 2 residents denied going to their PCP for their yearly Physician’s Report. Both residents had a note in their file noting their refusal. The POC’s were deemed cleared during today’s visit. Although the POCs are deemed cleared during today’s visit, the facility is being assessed Civil Penalties for failure to correct citations by the POC due date, 11/06/2025. No new deficiencies were observed or cited during today’s visit. An exit interview was conducted, and a copy of this report, civil penalties (LIC421) for failure to correct, along with Licensee Rights (LIC 9058 03/22) were provided to licensee Norma Tomas at the conclusion of the visit. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Nov 13, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit as a continuation to complete the required Annual Inspection visit, which commenced on March 18, 2025. LPA Lopez identified herself, was granted entry by facility manager Abraham Tomas. LPA discussed the purpose of the visit with facility manager Tomas and Licensee Norma Tomas who joined the visit. Medications were properly labeled, as required, and stored in locked cabinet which LPA inspected. The facility-maintained medication logs which LPA reviewed. Fire extinguishers were present (01) and serviced within the last 12 months. First aid kits were complete and readily accessible. LPA informed Licensee Tomas of the new Department updates effective January 1, 2025, for the senior care regulations. LPA provided licensee with the Department flyer and demonstrated how and where to find the regulation updates. LPA informed licensee Norma Tomas that the facility's Plan of Operations will need to be updated. LPA spoke with staff and briefly with residents, and reviewed staff and resident records. The facility did not maintain a current administrator certificate and updates to medical assessments for residents in care. LPA’s visit did not raise any licensing concerns. The files that LPA reviewed contained additional required documents, but updates were needed. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. [Continuation on LIC809-C] [Continuation of LIC809] An exit interview was conducted with Licensee Norma Tomas, to whom a copy of this report, along with the Licensee/Appeal Rights (LIC9058 03/22), were provided at the conclusion of the visit. The signature below confirms that the documents were received. LPA requested licensee Norma Tomas to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-E, to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Oct 6, 2025

The state marks this report as 15 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself and was granted entry by Licensee Abraham Tomas. LPA discussed the purpose of the visit with Licensee Tomas and Administrator Norma Tomas who joined the visit. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory in at any given time at the facility site. It was noted that the facility did have a dementia plan on file. During today’s inspection, the facility’s current census is three (3) residents living at the facility. There were 3 residents present at the facility site during the inspection. LPA, accompanied by Licensee Tomas, toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 68 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: the kitchen sink measured hot water at 115.5 degrees F; sink in restroom #1 delivered hot water at 105.4 degrees F; and sink in restroom #2 delivered hot water at 117.7 degrees F. At least 2 days of perishable food and at least 7 days of non-perishable food were present. Cooking, dining equipment, and utensils were present and safely stored. No toxic chemicals or poisons were accessible to residents. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Due to time constraints, LPA will need to return and complete this facility’s annual inspection. No deficiencies were cited during today's visit. An exit interview was conducted with Administrator Norma Tomas to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Mar 18, 2025

The state marks this report as 17 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by Licensee Abraham Tomas. LPA discussed the purpose of the visit with Licensee Tomas and Administrator Norma Tomas. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory in at any given time at the facility site. The facility does have a dementia plan of operation on file. During today’s inspection, the facility’s current census is 3 residents living at the facility. There were 2 residents present at the facility site during the inspection, but one left during the inspection. LPA, accompanied by Licensee and Administrator, toured the interior and exterior parts of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 72 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients were also compliant: kitchen sink measured hot water at 119 degrees F; sink in restroom #1 delivered hot water at 107.4 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present, and all safely stored. There were no toxic chemicals/poisons accessible to residents. Medications were properly labeled, as required, and stored in a locked cabinet. LPA inspected the medication storage and found that medications were properly labeled and stored. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per administrator Norma Tomas, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present (01) and serviced within the last 12 months. First aid kit(s) were complete and readily accessible. LPA interviewed residents, and reviewed staff and resident records. During today’s visit there were 3 residents on the facility premise with one who left during the inspection. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were no deficiencies cited during today's annual inspection, but a Technical Advisory was provided. An exit interview was conducted with Administrator Tomas to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Administrator Norma Tomas to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, Emergency Disaster Plan LIC 610-E, and Residential Infection Control Plan LIC 9282 (6/23), to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Feb 12, 2024

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.