Yvonne's Home Care Services

Type of visit: Required - 1 Year

On 06/30/25 at 10:30AM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct an annual required inspection. LPA met with Administrator Carolyn Daniels. Administrator has current administrator certificate# 7034379740 which expires on 08/04/2027. LPA toured the facility including but not limited to bedrooms, bathroom, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed and in working condition. Fire extinguishers were observed to be full and last serviced on 6/25/2026. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed a non-skid mat in the bathroom. There were adequate lights in each room. First Aid kit is complete. Last disaster drill was conducted on 06/02/2026. LPA reviewed 3 clients and 3 staff files. Staff files were complete. Resident files were complete. Staff were fingerprint cleared and associated to the facility. LPA reviewed a sample of client's medications during inspection. LPA measured hot water at 110.2 degrees F in the hallway bathroom. CONTINUE ON LIC 809C CONTINUE FROM LIC 809 Deficiencies observed during visit: Mattress needs to be replaced in bedroom #1 Provide a copy of updated documents by 7/17/2026:  LIC500- Personnel Report  Resident Roster  LIC308- Designation of Facility Responsibility  LIC610E- Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted with Carolyn Daniels. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 8, 2026

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff do not treat residents with respect Facility is malodorous Staff do not ensure residents hygiene needs are met

On 11/06/2025 at 1:15PM, Licensing Program Analysts (LPAs) Carol Fowler David Doidge arrived unannounced to deliver complaint findings for the allegations above. Upon arrival, LPA met with Jahi Spears, Caregiver and explained to her the reason for the visit. During the course of the investigation, the Department conducted a tour, interviewed 1 staff and 6 residents, LPA requested reviewed and received a copy of: LIC500 (Personnel report), facility roster, and one admission agreement. Administrator emailed a copy of the house rules. Substantiated CONTINUE OF LIC9099 Allegation: Staff do not treat residents with respect Investigation Finding: Substantiated Witness 1 reported that the facility staff doesn’t treat the clients with respect. During the investigation, while conducting a tour of the facility, the LPA observed staff speaking to a client in a disrespectful manner. Interviews with clients revealed that staff had, on occasion, used inappropriate language (cursing), spoken disrespectfully to clients, and displayed negative attitudes towards clients. Additionally, it was reported that some staff members raised their voices and became visibly upset instead of maintaining a calm and professional attitude towards clients. Therefore, this allegation is Substantiated. Allegation: Facility is malodorous Investigation Finding: Substantiated Witness 1 reported that the facility is malodorous. During the investigation LPA toured the facility and confirmed the presence of a malodorous smell. Staff interviews revealed that the facility is aware of the issue and working to address it. Staff also reported that the odor my be caused by clients saving cigarette butts or not maintaining proper personal hygiene. Client interviews indicated that staff often attribute the odor to clients hygiene habits. Some clients reported that the smell also originates from the bathroom area, as certain clients have been using the floor instead of the toilet, clients also stated that it’s a house with 6 guys and the place is not expected to smell the best. Therefore, this allegation is Substantiated. CONTINUE FROM LIC9099 Allegation: Staff do not ensure residents’ hygiene needs are met Investigation Finding: Substantiated Witness 1 reported that staff do not ensure clients’ hygiene needs are met. During the investigation, the LPA toured the facility and observed that the supply of hygiene products was insufficient for the number of clients in care. The facility inventory included two small travel-size toothpastes, six bars of soap, and no shampoo, lotion or powder. Interviews with staff confirmed that the facility has limited hygiene supplies available. Staff also reported that clients buy their own hygiene supplies. Interview with clients confirmed and further supported that hygiene products are not consistently provided by the facility. Therefore, this allegation is Substantiated. Based on the Department’s investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. CONTINUE FROM LIC9099A Allegation: Staff do not ensure the residents’ clothes are clean Investigation Finding: unsubstantiated Witness 1 reported that the facility is not ensuring that clients’ clothes are clean. LPA toured the facility and witnessed where the laundry is washed. Interview with staff revealed that the clients wash their clothes two to three times a week. Interview with clients revealed that the clients wash their clothes about 3 times a week. Therefore, this allegation is Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff did not give medications as prescribed is unsubstantiated. No deficiencies observed during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 6, 2025 · control 15-AS-20250725130825

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1 · Plan of correction due date: Nov 28, 2025

(a) Residents in all residential care facilities for the...l of the following personal rights: (1) To be accorded dignity in their personal... staff, residents, and other persons. This requirement was not met as evidence by: Based on interviews and observation, the Licensee did not comply with the section cited above by not speaking to residents with dignity and respect which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Administrator agreed to have staff training on personal rights/anger management with a CCLD approved vendor, submit proof of training for each staff including Administrator to the Department by the POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a)(b) · Plan of correction due date: Nov 28, 2025

(a) The facility shall be clean, safe, sanitary and in good repair at all times. (b) Maintenance shall include provision of maintenance ... the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by: Based on observation, the Licensee did not comply with the section above by not keeping facility clean, safe, sanitary, and odor free which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Administrator agreed to have the entire facility deep cleaned, including but limited to carpets, floors, windowsills, curtains cleaned or replaced, and spiderwebs removed. The administrator also agreed to have all staff trained on buildings and grounds keeping the facility clean, safe, sanitary and odor free by a CCLD approved vendor and submit proof of training to the Department by the POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(D) · Plan of correction due date: Nov 28, 2025

(D) Hygiene items of general use such as soap and toilet paper. This requirement was not met as evidence by: Based on interview and observation, the Licensee did not comply with the section above by not having sufficient amount of hygiene supplies for the number of residents in the facility, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Nov 6, 2025

Plan of correction: Administrator agreed to purchase hygiene supplies and provide proof of purchase and pictures of supplies to the Department by the POC date.

Type of visit: Required - 1 Year

On 06/30/25 at 10AM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct an annual required inspection. LPA met with Care Staff Anthony Merida and explained the purpose of the visit. Administrator Carolyn Daniels arrived at 11:00AM. Administrator has current administrator certificate# 7034379740 which expires on 08/04/2025. LPA toured the facility including but not limited to bedrooms, bathroom, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed and in working condition. Fire extinguishers were observed to be full and last serviced on 02/01/2024. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed a non-skid mat in the bathroom. There were adequate lights in each room. First Aid kit is complete. No documentation on when the Last disaster drill was conducted. LPA reviewed 3 clients and 3 staff files. Staff files were complete. Resident files were not complete complete. Staff were fingerprint cleared and associated to the facility. LPA reviewed a sample of client's medications during inspection. LPA measured hot water at 107.6 degrees F in the hallway bathroom. CONTINUE ON LIC 809C CONTINUE FROM LIC 809 Deficiencies observed during visit: No emergency and disaster plan. No documentation of a disaster drill conducted. Expired fire extinguisher. soiled carpet throughout the facility, spider webs and dust on the curtains in the bedrooms and on side of a dresser in room number 2, bedroom doors need to be repainted, closet door in bedroom 1 need to be replaced and cleaned. bathroom sink, bathtub, floors need to be clean and disinfected, door needs to be repainted. kitchen counter has a tile missing on the counter top, freezer in the garage leaking and needs to be cleaned, kitchen chairs need to be cleaned and sanitized, refrigerator inside and out needs to be cleaned and sanitized, oven needs to be replaced. Weeds in the front, back and side yards need to be cut and removed incomplete resident records Provide a copy of updated documents by 7/08/2025:  LIC500- Personnel Report  Resident Roster  LIC308- Designation of Facility Responsibility  LIC610E- Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted with Carolyn Daniels. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 30, 2025

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

On 6/05/2024 at 11:48AM, Licensing Program Analyst (LPA), Carol Fowler arrived to conduct an unannounced continuation Pre-Licensing Inspection. LPA met with Administrator, Carolyn Daniels, and explained the purpose of the visit. LPA reviewed two (2) staff files. All were current. LPA conducted a Component Review, for the Pre-licensing Inspection which was conducted on 6/05/2024, with Carolyn Daniels, Administrator. LPA presented Component III power point during visit and discussed the regulations embodied in the power point. LPA observed the participant gained knowledge about running and maintaining the facility in accordance with regulations. Licensure is subject to final review and approval by the Centralized Applications Unit. Licensee is not to accept consumers until notified by Community Care Licensing that the license has been approved. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 5, 2024

Type of visit: Prelicensing

****THIS IS AN AMENDED REPORT**** On 6/05/2024 at 10:20am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced pre-licensing inspection (facility is in operation and changing facility type). LPA met with Jahi Spears, Caregiver. The facility has an approved fire safety clearance for six (6) ambulatory residents. During inspection LPA observed one (1) client in a bedroom, one (1) client in the community and all other residents were in the common area. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, back yard. The facility has a total of four (4) bedrooms and two (2) bathrooms, one bedroom and bathroom is occupied by staff. No bodies of water observed. There is sufficient lighting around the facility. Client’s rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms shower/tub was equipped with a nonskid mat. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 120 degrees Fahrenheit in shared clients' bathroom. Fire extinguisher was last serviced on 2/01/2024. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present and in working condition. Fire drill last conducted 1/19/2024. Continue on LIC 809C continue from LIC 809 LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted with Administrator and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 5, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Change of Facility Type Capacity: 6 Census (if any clients in care): 5 COMP II Participants: Carolyn Daniels Interview Method: Telephone interview On May 07, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 7, 2024