Caringbridge Inc..

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Administrator (AD) Christiana Stan at 8am and explained the purpose of the visit. LPA explained to AD that this visit is for the 2026 calendar year and introduced self as their new assigned LPA. The facility is a two story residential home in which the first floor has five bedrooms and three bathrooms for residents. One of the Adminstrators resides on the second floor in which residents do not have access. The facility has a fire clearance for five non-ambulatory and one ambulatory in which one resident may be bedridden. The facility has an approved hospice waiver for two. Currently the facility has a census of five residents; in which three receive hospice services. A deficiency was given on April 29, 2026 and the facility has submitted a letter to the Department on April 29 2026 for an increase of the hospice waiver. Per Department communications on May 26, 2026, AD will be notified of a decision once it has been made. During the visit LPA toured the exterior of the property and there were no hazards or obstructions in pathways. There is a covered shaded seating area and there is ample space for outdoor activities. There are two exterior gates for the property and a garden. One exterior gate is locked overnight but is unlocked during the day. LPA tested the hot water temperature in three of three resident bathrooms. The hot water temperature was between 109.5 to 113.3 degrees Fahrenheit. Bathrooms had non-skid flooring and grab bars. The PUB 475 See Something, Say Something poster was observed in the office and the fire extinguisher was charged and inspected on June 8, 2026. The facility's last fire drill was on June 10, 2026. LPA tested and inspected (continued 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 (Continued from LIC 809) carbon monoxide and smoke alarms audio alerts. Both alarms were operational and in working order. Kitchen appliances were operational and hazardous chemicals and sharps and knives were secured in locked drawers. The facility had two days of perishable supplies and seven days of non-perishable supplies on hand; with additional supplies in the garage. LPA observed resident bedrooms had the required furnishings and four of five residents had half-bed rail orders on file. The facility was clean and there were no odors detected and three of five residents were having breakfast at time of entry. Two of five residents were sleeping. LPA reviewed the centrally stored medication lists and audited medications. Per review, medications are being given as prescribed. A First Aid Kit had all of the required elements and the facility has a First Aid Manual. LPA reviewed two of two staff files and conducted a complete review of resident records. A caregiver was in training but was not cleared on Guardian. A $100 civil penalty will be assessed since the employee just began training on July 21, 2026. A Live Scan appointment is scheduled for 11am and Administrator was advised the trainee cannot be on the premises until background check has cleared on Guardian. The Administrator's Certificate is current and will expire on June 10, 2028. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Christiana Stan and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D, LIC 421BG and Appeal Rights.

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 was greeted and granted entry by Administrator Rodica Cristea after introducing self and stating the reason for the visit. Administrator Cristiana Stan arrived on site to assist with the inspection. Admin Stan has a valid certificate expiring on June 10, 2026. Admin Cristea has a certificate which expired on January 27, 2026 which has been renewed. The following was observed during the inspection: This is a two story property located in a residential neighborhood comprised of five resident bedrooms and three resident bathrooms on the first floor. The second floor is occupied by the administrator which the residents do not have access to. LPA observed six residents in care and two staff on duty. There are four residents under the care of hospice in which facility is not meeting the conditions and limitations specified on the license approved for a hospice of two. LPA toured the physical plant. The facility is clean and in good repair. All common areas were inspected including the attached two car garage. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 114.0, 116.0, and 116.4 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. 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 toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gates are operational, and there were sufficient seating and shading in the patio area. There are no bodies of water on premise. The first aid kit contains all necessary elements. The fire extinguisher was mounted, charged, and serviced on February 3, 2026. The auditory devices and dual functioning smoke/carbon monoxide detectors were tested and operational on both floors. Facility maintains emergency food and water in the garage. A working telephone (714-833-5589) was tested and remains available. Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size. LPA reviewed six resident and two personnel files in which no discrepancies were found. Medications were audited for three residents. No discrepancies were found with medication administration. However, staff were reminded to maintain an accurate record of medications. Present staff are background cleared and associated to the facility. Staff training is in process for this current year. Disaster drills are conducted quarterly as last known drill per log was conducted on March 12, 2026. LPA consulted on the following: to maintain an accurate record of medications at all times and to obtain a hospice waiver requesting an increase of four residents to provide continuous care for the hospice residents. Based on the observations made during today's visit, a deficiency is being cited and a Technical Violation is being issued. An exit interview was conducted with Administrators Cristiana Stan and Rodica Cristea, and a copy of this report including the appeals rights were provided at exit.