Visalia Senior Living Care

Type of visit: Required - 1 Year

On 07/11/26 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Care Giver, Demtria Ribuca and Helen Jabian, explained reason for visit and was permitted entry into the facility. Administrator, Angela Ramos was contacted and arrived a short time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 5 of 5 residents present during todays visit.1 resident currently receiving hospice services at this time. The facility is a 4 bedroom/2 bath facility. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Fire extinguisher last serviced 01/06/26. Last fire drill on conducted on 06/10/26. Resident rooms observed to have the required furnishings and with adequate lighting. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: Supplements observed on kitchen table and in refrigerator unsecured. Chemicals observed in garage and laundry room unlocked and accessible. Freezer in garage in need of cleaning. Food observed in garage freezer and pantry in kitchen observed not properly stored or dated. 3 of 5 residents observed with full bed rails without a prescription. Bedroom fan light observed without light bulbs and exposed sockets. Knife and lighter observed in kitchen drawer next to stove unlocked and accessible. Pizza and other food items requiring refrigeration observed in pantry. Bedroom window screen observed torn and in need of repair. ViBack yard gate and side gate listed as a fire exit observed locked and inaccessible. Medication prescribed is not listed on the MARS being used by the facility. CONT... CONT... Proper hand hygiene not observed with staff and resident care. Insulin medication observed in kitchen refrigerator on shelf unlocked and accessible. Fire door from living room to hallway was observed propped open with a chair. Due to IT issues Licensee will be called in for an office meeting. If warranted, deficiencies will be issued in office. Deficiency for Fire clearance issued during visit on LIC809D. If not corrected, deficiency will have an immediate impact to residents in care. *****An immediate civil penalty in the amount of $500 assessed*****. LPA requested the following documents to be submitted to CCL by 07/17/26: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) and a current copy of liability insurance in order to update the facility file. Exit interview was conducted with Administrator, Angela. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided to Administrator.the state’s words, verbatim · CDSS document, Jul 11, 2026

Type of visit: Required - 1 Year

Today, Licensing Program Analyst L. Xiong arrived at the facility unannounced to conduct the Annual Inspection. LPA met with staff Demetria Ribuca and Administrator/Licensee Angela Ramos and inform her the purpose of the visit. LPA toured the facility with staff. Facility appeared clean with no obstruction or fire clearance issues. All common areas have adequate seating and lighting. Resident bedrooms toured, rooms observed to have all required accommodations. Kitchen toured, LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available for residents. Smoke detector and carbon monoxide detectors observed operational during inspection. Fire extinguisher present with a service date of 01/2025. Water temperature observed to measure at 105 degrees F. No deficiencies were observed.the state’s words, verbatim · CDSS document, Jul 30, 2025

Type of visit: Required - 1 Year

Today, Licensing Program Analyst L. Xiong arrived at the facility unannounced to conduct the Annual Inspection. LPA met with Administrator/Licensee Angela Ramos and inform her the purpose of the visit. LPA toured the facility with staff. Facility appeared clean with no obstruction or fire clearance issues. All common areas have adequate seating and lighting. Resident bedrooms toured, rooms observed to have all required accommodations. Kitchen toured, LPA observed a 2-day supply of perishable and a 7-day supply of non-perishable food available for residents. Smoke detector and carbon monoxide detectors observed operational during inspection. Fire extinguisher present with a service date of 01/2024. Water temperature observed to measure at 105 degrees F. No deficiencies were observed.the state’s words, verbatim · CDSS document, Jul 31, 2024

Allegation investigated: Staff do not ensure that resident is being administered medications as prescribed. Staff are not able to understand resident’s care needs due to language barrier.

Licensing Program Analyst (LPA) K. Kaur arrived at the facility for a subsequent visit to deliver findings. LPA met with Licensee Angela Ramos and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation findings. The Department investigated the allegations listed above. Based on interviews and record review the facility did not have accurate centrally stored records and Resident had been relocated at the time of initial licensing visit. Although some staff may have a language barrier; two staff are on duty per licensee. Based these records the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore these allegations are unsubstantiated Unsubstantiatedthe state’s words, verbatim · CDSS document, May 21, 2024 · control 24-AS-20240306090245

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.