Twin Oaks Home Care Assistance

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and with staff, Sharita Ferguson, and stated the reason for today's inspection. Administrator Designee, Georgiana Nath, arrived shortly along with Administrator Floarea Stoica. The facility is licensed for (1) ambulatory, (4) non-ambulatory and (1) bedridden resident and is approved for (4) hospice residents. Currently there is (1) resident on hospice. LPA observed (2) residents present today and was advised a resident under hospice passed recently. LPA and Administrator toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms, (1) shared resident bedroom, (2) resident bathrooms, kitchen, office, and staff room. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, skid-resistant flooring and hygiene supplies. There is sufficient 2+ day perishable food, including fresh produce, and 7+ day non-perishable food. Sharps/toxins are locked in the kitchen and medications are secured nearby. There is a small locked box for medications in the refrigerator. Hot water measured 111*F in the kitchen and the inside temperature measured 77*F. Fire extinguisher last serviced on 3/12/26. Smoke/monoxide alarms work. Exits have auditory alerts and there are no blockages to any exits. There is access to the front area from both the patio. Annual fees due 5/20/26. (2) resident and (4) staff files were reviewed. Files were organized and contained current documentation. Medications were reviewed for (1) resident- no discrepancies noted. All staff are cleared/associated and have completed required training. The facility reported a change in administrators, and Administrator Designee, Georgiana Nath has been acting as Administrator since May 2025- written request to be submitted to the Department by 3/20/26. Current RCFE Administrator Cert #7031377740 (exp 8/2/27). LPA requested current copy of liability insurance and LIC308, LIC500 by 3/26/26. There were no deficiencies observed. Exit interview. Copy of report provided to the Administrator Designee.the state’s words, verbatim · CDSS document, Mar 19, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection, met with Georgiana Nath, Administrator Designee, and stated the reason for today's inspection. The facility is licensed for (1) ambulatory, (4) non-ambulatory and (1) bedridden resident and is approved for (2) hospice residents. Currently there is (1) resident on hospice. Care staff, Maria Venzeac, was present in the common area with (1) resident who was receiving a pedicure/manicure from a licensed manicurist. LPA and Administrator toured the interior/exterior of the facility including the common areas, (4) private resident bedrooms, (1) shared resident bedroom, (2) resident bathrooms, kitchen, laundry and staff room. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels, and a 20-second hand-washing poster. There is a complete First Aid kit. There is sufficient 2+ day perishable food, including fresh produce, and 7+ day non-perishable food. Sharps/toxins are locked in the kitchen and medications are secured in a separate area. Hot water measured 105*F in the kitchen and the inside temperature measured 75*F. Fire extinguishers were last serviced on 3/28/25. Smoke/monoxide alarms are in working order. There are sufficient linens/towels/blankets/PPE/incontinent supplies. There are (2) open unlocked exits and outdoor covered seating. There are no pools/ponds. LPA reviewed (2) resident files and (4) staff. Files were organized, complete and contained current documentation. Medications were reviewed for (1) resident- medications administered match orders and are being documented, including PRN dosages. All staff are cleared/associated and (3) staff have current RCFE Administrator Certifications. Staff have completed required initial training and have current First Aid/CPR certifications. Discussed updates to Dementia Care Plan of Operations- to be obtained. LPA requested current LIC500 and LIC308 by 5/6/25. There were no deficiencies observed. Exit interview. Copy of report provided to the Administrator Designee.the state’s words, verbatim · CDSS document, Apr 29, 2025

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a post-licensing inspection. LPA met with Floarea Stoica, Administrator, and stated the reason for today's inspection. The facility was recently licensed for (6) residents- (1) ambulatory, (4) non-ambulatory and (1) resident may be bedridden. Currently there is (1) resident. The first resident moved in on 10/22/24. Georgiana Nath, Administrator Designee, arrived around 4:15 pm. LPA and Administrator toured the interior and exterior of the facility including the common areas, (4) private resident bedrooms, (1) shared resident bedroom, (2) resident bathrooms, kitchen, and laundry. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels, and a 20-second hand-washing poster. Vacant rooms have the required furniture. There is sufficient 2+ day perishable food, including fresh produce, and 7+ day non-perishable food. Sharps are locked in the kitchen. Hot water measured 112*F in the kitchen and the inside temperature measured 73*F. Fire extinguishers were last serviced on 2/20/24, and the smoke/monoxide alarms are in working order. There are sufficient linens/towels/blankets and PPE supplies.There are night-lights in the common hallways and required postings are also displayed. LPA reviewed (1) of (1) resident files and found it to be organized, complete and contain current documentation. Medications are being documented, including PRN dosages. All staff are cleared and associated and have current RCFE Administrator certifications. The Administrator of record has current First Aid/CPR and her RCFE Certificate #6067066740-exp 8/23/25. There were no deficiencies cited in this report . Exit interview. Copy of report provided to the Administrator.the state’s words, verbatim · CDSS document, Jan 22, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to conduct a scheduled pre-licensing inspection. LPA met with Floarea Stoica, Administrator and Florin Stoica, Assistant Administrator. There is a pending license for (6) residents- (1) resident may be bedridden, (3) may be non-ambulatory and (1) may be ambulatory. There are currently no residents present as this location is not currently licensed. LPA and Administrator toured the interior and exterior of the facility including the common areas, (4) private resident bedrooms (1) shared resident bedroom, (2) resident bathrooms, staff rooms, kitchen, laundry and garage. The facility has been recently remodeled, and there is complete front and back yard landscape. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels. Administrator to post a 20-second hand-washing poster at each sink. LPA observed 7+ day non-perishable food, and sufficient dishes, flatware and cooking pans in the kitchen. The freezer/refrigerator temps are 0*F/40*F respectively. Sharps, toxins and medications are locked in the kitchen. There are additional locked toxins in the laundry room. Hot water measured 116*F in the kitchen and the inside temperature measured 74*F. Fire extinguishers were last serviced on 2/20/24, and the smoke/monoxide alarms are in working order. There is a complete First Aid kit, PPE/paper supplies, and sufficient linens/towels/blankets. There are flashlights and night lights on hand. There is (1) room that is completely furnished. There are various required postings posted, including the Emergency Disaster Plan and Theft & Loss Policy. There are games/activities and an operating land line. All exit doors have alarms. There is a covered patio with a table and chairs and one exit gate in the backyard. Visiting hours are posted. Administrator will add a visitor sign-in table. LPA observed folders to be used for staff and resident files and discussed the required forms also. Discussed staff training program and provided a copy of Health and Safety Code 1569.625 and 1569.69. LPA will provide information on the Guardian system by email. Component III was reviewed during today’s inspection. Pre-Licensing is complete and this facility has no deficiencies. Exit interview. Copy of report left at facility. LPA to notify to the Centralized Applications Bureau.the state’s words, verbatim · CDSS document, May 13, 2024