Walnut Garden Too

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 1:08PM. The LPA met with Administrator Arlene Ceballos. The Licensee Izhak Illouz arrived at approximately 2:25PM. Entrance interview conducted. Beginning at 1:11PM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS/RESTROOMS: There are seven (7) total bedrooms; six (6) private resident bedrooms and one (1) locked staff bedroom. Bedrooms #3, #4, and #5 have direct exits to the outside, and Bedroom #3 is cleared for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens are stored in a dresser located in the hallway. There are six (6) total restrooms in the facility: five (5) private resident restrooms and one (1) common restroom. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured between 110.5 degrees F and 118.2 degrees F. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. Required postings were located on the entryway wall. LPA observed a screened fireplace in the living room. The facility maintained a comfortable temperature throughout the visit. Nightlights were observed throughout the facility. OUTDOOR AREA: The surrounding grounds had multiple shaded patio areas equipped with furniture in good condition for resident and visitor use. LPA observed one (1) water fountain that was surrounded by garden plants and shrubs. There were two (2) emergency exits located on both sides of the facility with a self-latching mechanism. All exits and passageways were free of obstructions. The LPA observed one (1) shed in the backyard that contained general storage and extra facility supplies. There was one (1) carport/Additional Dwelling Unit (ADU) which was converted into an office and staff room with an attached shed/closet that contained general storage and emergency water. The sheds and office remain locked and inaccessible to residents in care. KITCHEN: The LPA observed knives stored inaccessible in a locked drawer. Cleaning supplies were stored inaccessible and locked under the sink. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. Medications are stored in a locked cabinet near the rear exit doors as well as the laundry machines in good condition. RECORDS: Record review began at 1:35PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Emergency disaster drills are conducted quarterly, with the last documented drill on 04/07/2026. Smoke and carbon monoxide detectors were tested at 2:15PM and were operational. Fire extinguishers were observed throughout the facility and were last serviced on 01/05/2026. MEDICATIONS: Medication review began at 2:21PM. Medications are kept inaccessible in the kitchen. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.the state’s words, verbatim · CDSS document, Jun 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 8:46AM. The LPA was greeted by Administrator Arlene Ceballos, informed them of the reason for the visit, and they proceeded to notify the Licensee Izhak Illouz. Licensee arrived at 9:50AM. Entrance interview conducted. Beginning at 8:54AM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a single story residential home. The following was observed: BEDROOMS/RESTROOMS: There are seven (7) total bedrooms; six (6) private resident bedrooms and one (1) locked staff bedroom. Bedrooms #3, #4, and #5 have direct exits to the outside, and Bedroom #3 is cleared for bedridden residents. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens are stored in a dresser located in the hallway. There are six (6) total restrooms in the facility: five (5) attached private resident restrooms and one (1) common restroom located in the hallway. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured between 113.2 degrees F and 115.3 degrees F which is within the required range per regulation. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. Required postings were located on the entryway wall. LPA observed a screened fireplace in the living room. The facility maintained a comfortable temperature throughout the visit. Fire extinguishers were observed throughout the facility and was last serviced on 01/03/2025. OUTDOOR AREA: The surrounding grounds had multiple shaded patio areas equipped with furniture in good condition for resident and visitor use. LPA observed one (1) water fountain that was surrounded by garden plants and shrubs. There were two emergency exits located on both sides of the facility with a self-latching mechanism. All exits and passageways were free of obstructions. The LPA observed one (1) shed in the backyard that contained general storage and extra facility supplies. There was one (1) carport which was converted into an office, with an attached shed/closet that contained general storage and emergency water. The sheds and office remain locked and inaccessible to residents in care. KITCHEN: The LPA observed knives stored inaccessible in a locked drawer between the stove and sink. Cleaning supplies were stored inaccessible and locked under the sink. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food within regulation. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. Grocery shopping occurs every Monday and Tuesday. Medications are stored in a locked cabinet near the rear exit doors as well as the laundry machines, which was observed to be operational during the visit. RECORDS: Record review began at 9:32AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Emergency disaster drills are conducted quarterly, with the last documented drill on 04/10/2025. Smoke and carbon monoxide detectors were tested at 10:00AM and were operational. Additionally, the facility does monthly smoke/fire alarm checks and replaces batteries if necessary. MEDICATIONS: Medication review began at 10:05AM. Medications are centrally stored and kept inaccessible in the kitchen. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. Two (2) staff and two (2) residents were interviewed. No complaints noted. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.the state’s words, verbatim · CDSS document, Jun 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection. The LPA was greeted by staff and informed them of the reason for the visit. Licensee Izhak Illous arrived shortly thereafter. The LPA and the licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The two (2) fire extinguishers were fully charged and were last serviced on 2/06/2024. The LPA observed required postings throughout the common space, and bathrooms. BEDROOMS: There are (6) six bedrooms designated for resident use and (1) one bedroom designated for staff use. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.There was a linen cabinet in the hallway with extra towels and linens. KITCHEN: Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Continues on lIC 809C... BATHROOMS: Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. There is a side gate for client use and is single-latched. No bodies of water noted. The washer and dryer are located in the kitchen area. Cleaning supplies and disinfectants are kept in locked cabinets. Due to time constraints, LPA Urena will return on another date to complete the Annual inspection. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jun 20, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced case management visit to deliver the amended complaint reports LIC9099, LIC9099-C, LIC9099-D and :LIC421M - Immediate Civil Penalty Assessment - Immediate $500 and Repeat Violations. LPA Yee met with Izhak Ilouz, Administrator. and the reason for today's visit was explained. The investigation for complaint #29-AS-20230721162950, received on 7/21/23, was conducted by LPA Angel Ascencio on 7/28/23. Based on LPA Ascencio's investigation, the allegation that the facility was operating over capacity was substantiated. The facility is licensed for 5 Non-Ambulatory and 1 bedridden resident based on the fire clearance approved by the fire department. The Licensee took on the 7th resident and placed them in a converted alternate dwelling unit(ADU) located at the same address as the facility. The ADU was not inspected by the fire department and a fire clearance was never obtained for the ADU to be used as a bedroom. On 7/28/23 the facility was cited for this deficiency under Title 22, Section 87468.2(a)(1) - Additional Personal Rights of Residents in Privately Operated Facilities (a)(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. The citation was corrected and cited under: Fire Clearance: All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Exit interview was conducted with the Administrator, Appeals Rights discussed and a copy was given.the state’s words, verbatim · CDSS document, Oct 31, 2023