Twin Homecare - A

Type of visit: Required - 1 Year

On 09/24/2025 at 09:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Twin Home Care A Facility. LPA Calderon was allowed entry into the facility by Staff Gina Macasieb. The facility is licensed to serve six (6) non-ambulatory residents, of which six (6) may be bedridden and may retain six (6) hospice residents, over the age of 59. Currently residing in the facility there are six (6) residents. LPA Calderon explained to Staff Gina Macasieb the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records, two (2) staff records, and inspected the inside facility and outside grounds. The facility’s last fire drill was conducted on 07/29/2025. The one-story residential home consists of six (6) client bedrooms, three (3) client bathrooms, living room, family room, dining room, kitchen, staff room, office area, garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored on the premises. The kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is found in the garage and kitchen area.On 09/24/2025 at 09:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Twin Home Care A Facility. LPA Calderon was allowed entry into the facility by Staff Gina Macasieb. The facility is licensed to serve six (6) non-ambulatory residents, of which six (6) may be bedridden and may retain six (6) hospice residents, over the age of 59. Currently residing in the facility there are six (6) residents. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 111 degrees Fahrenheit. Bathroom #2 hot water temperature properly measured at 110 degrees Fahrenheit. Bathroom #3 hot water temperature measured at 112 degrees Fahrenheit. Kitchen hot water temperature is properly measured at 121 degrees Fahrenheit. Facility two (2), Carbon Monoxide and ten (10) Smoke Detectors, hard-wired and connected, were tested and are working properly. The facility two (2) Fire Extinguishers were checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. All toxins and knives are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility one (1) first aid kit is fully stocked with manuals was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications, and they were all found to be administered according to doctor's orders. Two (2) staff files were checked, and they have the required documents. LPA Calderon noted the Administrator Napoleon Garcia Certification # 7014612740 expiration date of 07/10/2026 was valid at time of inspection. Commercial General Liability Policy #0102655131 policy period from 10/28/2024 to 10/28/2025 underwritten by Kinsale Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. All the required documents are posted in the facility in a clearly visible area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. The annual Licensing Fee, $495.00 PIN 454274 is due on 09/27/2025. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Staff Gina Macasieb.the state’s words, verbatim · CDSS document, Sep 24, 2025

Type of visit: Required - 1 Year

On 09/06/24, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. LPA met with Caregiver, Angela Macasieb, and the purpose of today’s visit was explained. We were later joined by Administrator Designee, Charesa Reyes. The facility is licensed to serve six (6) non-ambulatory residents, of which six (6) may be bedridden and may retain six (6) hospice residents, over the age of 59. Currently residing in the facility are six (6) residents. Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of the following: 6 resident bedrooms, 3 resident bathrooms, staff room, staff bathroom, living room, dining area, sitting room, kitchen, garage, laundry room, supply room, and backyard patio area. The backyard has a table with umbrella and chairs. LPA observed all walkways around the facility to be clean, clear, and free of obstructions, debris, or hazards. LPA did not observe any bodies of water on the premises. Bedrooms LPA inspected all resident rooms and observed the walls and floors to be in good repair. Beds and bedding were in good condition. LPA observed all resident rooms had the required furniture including a bed, dresser, nightstand, storage space for personal belonging, and ample lighting. LPA observed all beds had the required linens including a mattress cover, fitted sheet, blanket, comforter, and pillows. LPA observed an ample supply of bed linens, and comforters in good repair stored in the cabinet in the hallway. Bathrooms LPA inspected the facility bathrooms and found them to be within Title 22 regulations. All bathrooms were observed clean and operational. LPA observed storage area for personal hygiene products for each individual resident in the storage room in the hallway. LPA observed an ample supply of towels and personal hygiene products available for residents. All showers had a nonskid mat, secured safety handrails, and a shower chair. The water temperature measured 119.1-degrees, 118.4-degrees, 117.9-degrees and 117.4-degrees Fahrenheit. Kitchen LPA inspected the kitchen and observed it to be clean and sanitary. LPA observed all appliances to be operable and in good repair. LPA observed an ample supply of dishware, cookware, and cutleries. LPA observed a 2-day supply of perishable foods and a 7-day supply of non-perishable foods properly stored and labeled. The water temperature measured 118.1-degrees Fahrenheit. All sharps are secured in a locked drawer in the kitchen and are inaccessible to residents. All cleaning supplies are secured in a locked cabinet under the kitchen sink and in locked cabinets in the laundry room and are inaccessible to clients. Common Rooms LPA observed the facility to be appropriately furnished during the time of visit. The facility has a sitting room with two (2) couches to accommodate all residents. LPA observed the living room to have recliners to accommodate all residents. LPA observed an ample supply of games, activities, reading material and puzzles available. LPA observed two (2) fireplaces screened and inaccessible to residents. The dining room table is large enough to accommodate residents for meals. LPA observed all walkways and hallways to be clean, clear, and free of hazards and obstructions. All rooms were observed with ample lighting. The facility was kept at a comfortable temperature of 76.3-degrees Fahrenheit. Safety LPA observed a fully charged fire extinguisher, located in the kitchen. All smoke and carbon monoxide detectors are operable. The last emergency drill was conducted on 09/01/24. LPA inspected the First Aid Kit and observed it had the required items. The facility sketch is posted in the hallway near the entrance of the facility. The facility’s Emergency and Disaster Plan was observed posted. LPA observed all required documents posted in the facility. The facility has a working landline telephone. There are no firearms are ammunition stored at the facility. Medication LPA observed all Centrally Stored Medications secured in a locked cabinet, in the kitchen, and are inaccessible to residents. All medications were observed in their original packaging. LPA reviewed the medications and Medication Administration Record (MAR)for the three (3) residents. Three (3) out of three (3) resident’s MARs and medication are consistent with properly documented records. Infection Control Upon entry, LPA observed a sanitizing station and visitor sign-in log. LPA observed on the table there is hand sanitizer, gloves, and masks available. LPA observed all required Infection Control signs posted in the facility. LPA observed a 30-day supply of Personal Protective Equipment (PPE) stored in the garage. File Review LPA reviewed the files for the four (4) residents and observed they had the required documents. LPA reviewed the administrator and three (3) staff files and found they contained the required documents, certification, and training. The administrator’s Administrator Certificate is valid till 11/20/24. LPA reviewed the liability insurance through ACORD valid till 10/28/24. During file review, LPA observed licensing fees are current. During today’s LPA did not observe or cite any deficiencies. An exit interview was conducted with Administrator Designee, Charesa Reyes , and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 6, 2024

Type of visit: Required - 1 Year

On 11/15/2023 at around 9:15 AM, Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with the Administrator Charesa Reyes. LPA explained the purpose of the visit and was accompanied by a Caregiver inside and outside the facility during this inspection. This facility is licensed to serve 6 non-ambulatory residents, of which 6 may be bedridden, and 6 residents may be in hospice care. A total of 4 ambulatory residents are currently residing in this facility. 2 are ambulatory residents and 2 are non-ambulatory residents. The Annual Licensing Fees are current. The home consists of 6 resident bedrooms, 3 resident bathrooms, 1 staff bedroom, 1 staff bathroom, 1 living room, 1 entrance/dining room, 1 kitchen, 3 car garage, 1 laundry room, 1 linen room, and 1 backyard patio area with shaded seating. Outside grounds were toured and no bodies of water were observed. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept in a locked storage cabinet. LPA observed that medications were safe, locked, and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. Last fire and earthquake drill was conducted on 10/30/2023. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. A new fire extinguisher was observed near the kitchen area. 6 out of 6 resident’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. LPA tested hot water temperature in resident bathroom sinks, and it measured between 138 to 143.4 Fahrenheit. This facility provides residents with hygiene products such as feminine napkins, non-medicated soap, toilet paper, toothbrush, toothpaste, and comb. 4 resident records were reviewed and, 4 out of 4 resident records had Admission Agreements, Medical Assessments, Consent Forms, Weight Record, Emergency Information, Appraisal & Needs Service Plan, Tuberculosis Test, Centrally Stored Medication Destruction Record, and Personal Rights. 4 staff records were reviewed, 4 out of 4 staff records had current First Aid Certificates, Criminal Record Clearances, Job Applications, Tuberculosis Test, Facility Training/Drills, and signed Employee Rights. Deficiencies are being cited based on LPA observation in accordance with the California Code of Regulations, Title 22, see LIC809D. A violation regarding hot water temperature measuring above 120 Fahrenheit. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator.the state’s words, verbatim · CDSS document, Nov 15, 2023