Woodbury Guest Home

Type of visit: Required - 1 Year

On 04/09/2026 at 08:00 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Woodbury Guest Home facility. LPA Calderon was allowed entry into the facility by Administrator Jehn Demafelix. Facility is to operate a Residential Care Facility for 6 Elderly residents 60 years or older. Currently, there are Zero (0) residents residing in the facility. The facility has a hospice waiver for 3 residents. LPA Calderon explained to Administrator Demafelix the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. LPA Calderon inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 10/04/2025. The one-story residential home consists of six (6) client bedrooms, three (3) client bathrooms, living room, dining room, kitchen, staff room, office area, washer and dryer/ storage area, backyard with table and chairs. No weapons are stored on the premises. Kitchen was inspected and observed to be clean and operational. Pending two-day supply perishable and seven-day supply of non-perishable foods in the facility. Emergency Water Storage is kitchen area. 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 105 degrees Fahrenheit, bathroom #2 hot water temperature properly measured at 104 degrees Fahrenheit, and bathroom #3 hot water temperature properly measured at 105 degrees Fahrenheit. Kitchen hot water temperature is properly measured at 108 degrees Fahrenheit. Facility (9) Carbon Monoxide and (9) Smoke Detectors hard wired operated 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. The facility has a working landline telephone. All toxins and knives are locked/secured and inaccessible to clients. Medications are pending clients and will be stored and in a locked storage cabinet. Facility 2 first aid kit is fully stocked with manuals checked and in order. Outside grounds were toured and there is no water feature observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. LPA Calderon noted the Administrator Jehn Demafelix Certification 7021644740 expiration date of 01/29/2028 was valid at time of inspection. The facility does not handle clients’ money/cash resources, and no surety bond is needed. Commercial General Liability Policy #01004091390 policy period from 11/01/2025 to 11/01/2026 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 observe deficiencies therefore citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Jehn Demafelix.the state’s words, verbatim · CDSS document, Apr 9, 2026

Type of visit: Annual/Random

On 1/18/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with JM Demafelix/Administrator. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) non-ambulatory residents ages 60 and above. Facility has an approved hospice waiver for (1) patient. (1) may be bedridden. The facility consists of (4) bedrooms, (2) full bathrooms, shaded back yard, front yard, laundry room and attached 2 garage. LPA Iniguez toured the physical plant with administrator. There were no bodies of water or obstructions on the premises. A total of (4) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected the carbon monoxide detectors combo were in operable conditions. The water temperature properly measured between (105°-120°F): Kitchen 111.7°F, Bathroom #1:108.7°F, Bathroom #2:109.4°F. Evaluation Report Continues LIC 809-C LPA Iniguez observed the facility to be clean and sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. A review of (4) staff personnel files were reviewed. At this time there are no residents living at the facility. LPA observed the facility's infection control practices. A copy of the liability insurance was provided to LPA during visit. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies therefore no citations were issued at this time. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to JM Demafelix /Administrator.the state’s words, verbatim · CDSS document, Jan 18, 2024