Care Celine

On September 29, 2025, at 1:45 PM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Administrator (ADMIN) Cherry Aguila and explained the purpose of the visit. The facility is licensed to operate for six (6) nonambulatory residents and has a hospice waiver for six (6) residents. The facility is a two-story building located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, two (2) staff bedrooms, three (3) bathrooms, living area, dining area, kitchen, outdoor covered patio area, and an attached two car garage. LPA Kim toured inside and outside of the physical plant with ADMIN Aguila. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4, and Resident Room 5. Bathrooms were found clean and operational. The water temperature measured 121.6 degrees F to 129.3 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. Evaluation Report Continues on LIC 809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA Kim observed the facility to be sanitary and appropriately furnished at the time of 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 a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, emergency water, and emergency supplies were stored in the garage. During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714) 340-0754 remains available. First Aid kit had all the necessary elements. The facility has two (2) fire extinguishers that were charged, mounted in the living area and on the second floor next to the staff room that were serviced on September 4, 2025. Emergency drills are conducted quarterly and were last conducted on August 20, 2025. LPA Kim conducted an audit of resident files (R1-R6), staff files (S1-S3), and a medication and medication administration record that were all in order and complete. LPA Kim conducted interviews with one (1) staff and two (2) residents. A deficiency was cited during this inspection visit according to the California Code of Regulations (Title 22, Division 6, Chapter 8). LPA observed hot water temperature in shared resident bathroom measured at 121.6 degrees F and resident room #1 bathroom measured at 129.3 degrees F An exit interview was conducted, and a copy of this report, LIC811, and appeal rights were provided to Administrator Cherry Aguila.

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA met with Administrator Cherry Aguila and explained the reason for the visit. Facility is licensed to serve six (6) non-ambulatory residents and maintains an approved hospice waiver for six (6) residents. There are four (4) residents in care during today's visit with two caregivers on duty. The Administrator's Certificate for Cherry Aguila expires on November 11, 2024. LPA conducted a tour of the physical plant. This is a two story home in a residential neighborhood. The first floor consists of five resident bedrooms and two resident bathrooms. The second floor consists of two bedrooms and one bathroom which is occupied by one live-in staff. The second bedroom and bathroom is unoccupied. Residents do not occupy the second floor. LPA inspected all common areas including the attached two car garage. LPA observed the floor, bathrooms, and kitchen drawers require a deep cleaning. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for personal belongings were observed. Bathrooms were found to be operational. The water temperature measured at 108.0 and 110.0 degrees Fahrenheit. Toxins, disinfectants, and medications were secured and inaccessible, however the sharps were unsecured in the oven as the locking mechanism for the knife drawer was not working properly at the time of inspection. Locking mechanism was repaired during the visit. LPA observed sufficient two day supply of perishables and seven day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway free of obstruction. LPA observed sufficient seating and shading. There was no body of water. Several sheds in the yard were utilized as storage which were secured and inaccessible to residents. Facility maintains two fire extinguishers one on each floor. Last service date was on September 19, 2023. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 The auditory devices and smoke/carbon monoxide detectors were tested and operational except for one auditory device on the sliding door. LPA observed sufficient PPE and emergency disaster supplies including food/water in the garage. Emergency evacuation drills are not conducted quarterly and facility does not maintain a log documenting the drills. The first aid kit contains all necessary elements. LPA observed the required 'See Something, Say Something' (PUB475) poster in the correct size. Facility maintains a current liability insurance. A working facility telephone number, (714) 340-0754, remains available. The annual licensing fee of $495.00 was paid on September 8, 2024. LPA conducted an audit of four residents' files and two personnel files. Discrepancies were noted. Medications were audited for four residents. No discrepancies noted. Staff and resident interviews were also conducted. The following items were consulted with Administrator Aguila: to replace battery for one auditory device on the sliding door, label expiration dates for all dried food items, deep clean the pantry drawers, bathrooms, and the floor for both levels, repair the light in the stairway that was flickering, post "Oxygen In Use, No Smoking signs for one bedroom and on the main door, complete/organize resident/personnel records, ensure staff training records are completed and maintained, to ensure at least one on duty staff is CPR/First Aid certified, to conduct quarterly evacuation drills, and to maintain a log. Based on the observations made during today's visit, deficiencies are being cited as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. See the attached LIC9099-Ds. Advisory Notes are also being issued. An exit interview was conducted with Administrator Cherry Aguila and a copy of this report including the LIC9099-C & Ds, Advisories, and the Appeal Rights were sent via email at the end of the visit.

On 09/19/2022, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Care Celine. The purpose of today's visit was to conduct a Required 1 Year focusing primarily on the Infection Control. At 11:30am, LPA Cho was greeted and allowed entry by Staff #1 (S1). Per the Facility Personnel Report Summary, S1 was not on the roster. S1 indicated that S1 was shadowing for training purposes. S1 informed Staff Remedios Manuel David who then greeted LPA and completed the Coronavirus 2019 (COVID-19) screening procedure. As of today, there are no active COVID-19 cases. Facility screens and documents temperatures for visitors on a sign in sheet. LPA observed the required COVID-19 precautionary signs posted throughout the facility. The Complaint Poster (PUB475) met the Department's size regulation. The facility is licensed for six non-ambulatory residents and has a hospice waiver for six. There are currently five residents living in the facility of which five are receiving hospice care. The Administrator's Certificate for Cherry Aguila expires on 11/11/2022. Around 11:43am, LPA Cho conducted a tour of the physical plant. Administrator (Admin) Cherry Aguila was returning from a grocery trip and arrived at the facility around 11:50am. LPA Cho immediately discussed the absence of S1's criminal record clearance. Admin was consulted the importance of having S1's fingerprint cleared prior to employment. Per Staff #2 (S2), S1 began shadowing on 09/19/2022 at 6:30am. At 11:56am, LPA observed S1 leaving the facility under the Admin's instruction. LPA reinitiated the tour with Admin Aguila. The two story home consists of five resident bedrooms and two resident bathrooms. There are two staff bedrooms on the second floor and one staff bathroom. The facility also has a living room, dining area, receiving area, kitchen, and an attached two car garage with a laundry area. The resident bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, showers were free of mold/mildew, and non-skid mats were in place. Resident bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA observed hand washing signs in all bathrooms. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA tested the hot water temperature in the resident bathrooms and the temperature measured at 122.3 degrees Fahrenheit in the Bathroom #1 and 122.5 degrees Fahrenheit in Bathroom #2. The water temperature was readjusted during the visit. LPA Cho inspected the kitchen along with Admin. Perishable and non-perishable food supplies were checked and adequately stocked at the time of the visit. The two fire extinguishers were charged and inspected on 07/08/2021. Admin stated two fire extinguishers will be purchased. The smoke/carbon monoxide detectors and auditory devices were tested and operational except the smoke detector on the second floor hallway as it was missing a cover. Medications, toxins, and sharps were locked and inaccessible to the residents. LPA Cho toured the outside grounds with the Admin and observed a three tier fountain with small amount of water. There was a locked shed that stored cleaning solutions. There was shading and sufficient seating for residents. Walkways around the home were clear of hazards, and two out of three exit gates were self-closing and self-latching. One out of three exit gates was missing a latch and did not close properly. There were no security bars or weapons on the premises. LPA Cho reviewed the Emergency and Disaster Plan for and Residential Care Facilities for the Elderly (LIC610E). Facility has back-up emergency food and water supply. The First Aid Kit met all the required components except a first aid manual, and the facility had sufficient PPEs. LPA consulted the following: to repair the side gate latch and smoke detector on the second floor, to install an auditory device on the exit door in the backyard, and to obtain two fire extinguishers and a current edition of a first aid manual. LPA Cho reminded the importance of staying abreast with CCLD's COVID-19 guidance by reviewing and printing the Provider Information Notices (PINs) as well as by attending the CCLD Informational Calls. The PINs can be accessed at: www.ccld.ca.gov . Based on the observations made during today's visit, a deficiency is cited in this review as per Title 22 Division 6 of the California Code of Regulations, therefore an immediate civil penalty is assessed. Advisory Notes (LIC9102) were issued during the visit. An exit interview was conducted with Administrator Cherry Aguila, and a copy of this report (LIC809, LIC809-C, LIC809-D, Civil Penalty Assessment LIC421, LIC9102s, and the appeal rights) were provided.