Trinity Hills Estates - Walnut

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Vaid conducted an unannounced annual inspection visit. LPA met with Margaret Granich, LVN and discussed the visit. Licensee Kenny Yu assisted with the facility inspection. The facility is licensed to serve six (6) non-ambulatory of which two (2) may be bedridden, ages 60 years old and above. The facility has an approved Hospice Waiver for six (6) residents. Currently, there are six (6) residents on hospice in placement. Administrator certificate is current and the expiration date is 11/30/2026. The facility inspection consists of the following: LPA completed the Care tool, interviewed staff/residents, reviewed staff/residents' records, toured the facility, reviewed food supply and medications. The facility is a single-family residence located in a neighborhood, consisting of six (6) bedrooms, three (3) bathrooms, kitchen, dining room, laundry room, family room, administrator office, activities room, and living room with a TV. Passageways, walkways, entrance and patio were free from obstructions. Rooms were furnished with appropriate furniture for residents’ comfort and in compliance. The bathrooms were furnished with grab bars and nonskid surfaces. Common areas were observed for the ability to safely serve the needs of the residents. Facility maintained a comfortable temperature for residents at 76 deg F. Auditory alarm devices to monitor exits were operable. The outdoor activity area had a shaded patio with ample seating. Hot water temperature was measured in a range of 112.4- 119.1 deg F. which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies were observed. Sufficient supply of perishable and nonperishable foods was observed. Knives, tools, and sharp items were inaccessible to residents. Smoke and carbon monoxide detectors were dual/hardwired and operable. Two (2) Fire extinguishers were fully charged and serviced on 02/11/26. Mandated documents and signages were posted in common areas. Medication was centrally stored in a locked cabinet. Resident records were stored in a locked cabinet. Liability insurance expires 10/22/2026. No deficiencies were observed on todays’ visit. An exit interview was conducted and this report/appeal rights were provided to Licensee Kenny Yu.the state’s words, verbatim · CDSS document, Mar 19, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Winnie Poon, Activity Director for the facility, and explained the purpose of the visit. Administrator Jennifer arrived shortly thereafter. There are six (6) residents residing within the home. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control practices were observed. · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) residents, six (6) of which may be non-ambulatory, two (2) of which may be bedridden, and a hospice waiver approved for six (6) residents. The facility consists of a kitchen, a dining room, two (2) living rooms, one (1) staff bedroom, five (5) resident bedrooms, a staff office, four (4) bathrooms which all measured within the required range of 105 – 120 Degrees Fahrenheit, along with a backyard that contains a shaded area. The backyard area has an accessory dwelling unit (ADU) that contains an additional two (2) bedrooms for residents, a bathroom whose hot water temperature was 117.1 Degrees Fahrenheit, and a kitchen. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has two (2) fully charged fire extinguishers in the facility. Operational Requirements: · The Program Design was reviewed. · Fire clearance was approved by LA County Fire Department for a capacity of six (6) residents, six (6) of which may be non-ambulatory, two (2) of which may be bedridden, and a hospice waiver approved for six (6) residents. · Care and supervision to meet the clients’ needs was observed. Staffing: · Nineteen (19) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Six (6) staff files were reviewed for criminal background clearance and training. · One (1) staff member did not have a criminal background clearance on file and was not associated to the facility. · Five (5) staff records reviewed have a health screening with a Tuberculosis clearance, and five (5) staff have First Aid/CPR trainings that are active. · One (1) staff member has a First-Aid/CPR certificate that expired in October of 2024. · The administrator’s certificate expires on 7/22/2025. Resident Rights/Information: · Physician orders were reviewed for six (6) resident files. · Medications were also reviewed for six (6) residents. Resident Records/Incident Reports: · Five (5) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan (LIC610E) was found in the facility. · The last emergency and disaster drill was conducted on 2/10/2025. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs: · All six (6) residents are receiving hospice services. · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit is documented on the LIC809D pages. Exit interview held and a copy of the report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Mar 18, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met with Kenny Yu, administrator, who assisted with visit. The facility is licensed to serve four (4) non-ambulatory and two (2) bedridden, ages 60 years old and above. The facility has an approved Hospice Waiver for six (6) residents. Currently, there are two (2) resident on hospice in placement. Administrator certificate is current and the expiration date is 11/30/24. During the visit, LPA completed the Care tool, interviewed staff/residents, reviewed staff/residents' records, toured the facility, reviewed food supply and medications. The facility is a single-family residence located in a neighborhood, consists of six (6) bedrooms, five (5) bathrooms, kitchen, dining room, laundry room, family room, administrator office, activities room, detached garage, and living room with a TV. Passageways, walkways, entrance and patio were free from obstructions. Rooms were furnished with appropriate furniture for residents’ comfort and in compliance. The bathrooms were furnished with grab bars and nonskid surfaces. Common areas were observed for the ability to safely serve the needs of the residents. Facility maintained a comfortable temperature for residents. Auditory alarm devices to monitor exits were operable. The outdoor activity area had a shaded patio with ample seating. Hot water temperature was measured in a range of 110.2 - 115.5 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies was observed. Sufficient supply of perishable and nonperishable foods was observed. Knives, tools, sharp items were inaccessible to residents. Smoke and carbon monoxide detectors were dual/hardwired and operable. Fire extinguishers were fully charged. Mandated documents and signages were posted in common areas. Medication was centrally stored in a locked cabinet. Resident records were stored in a locked cabinet. Deficiencies were observed and cited per California Code of Regulations, Title 22, in LIC 809D. An exit interview was conducted and this report/appeal rights were provided to staff#2.the state’s words, verbatim · CDSS document, Apr 18, 2024