Cedarhill Manor Ii

On August 20, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregivers, Roberto Gozon and Alain David and LPA explained the purpose of the visit. LPA toured the facility inside and outside including the bedrooms (2 shared bed rooms), 1 full- bathrooms, kitchen, common areas and 1 staff room and a storage room on the 2nd floor. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 105-106 degrees Fahrenheit.. Central stored medication, toxins and sharps objects were locked and inaccessible to residents. A review of (3) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. Emergency drills were reviewed and to be adequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last serviced on 10/23/2024. No deficient is cited today. This report is reviewed and discussed with the caregiver. A copy is provided.

On September 3, 2024, Licensing Program Analyst (LPA) Murial Han conducted an unannounced plan of correction visit. LPA met with caregiver, Norma Solis and explained the purpose of today's visit. During today's visit, LPA toured the facility and tested the hot water temperature in the kitchen and the bathroom and LPA observed the temperatures were measured at 108- 109 degrees Fahrenheit. The follow deficiency from the annual inspection on 8/27/2024 is cleared: 87303(e)(2) (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This report is reviewed and discussed with the caregiver and a copy is provided.

On October 4, 2023 Licensing Program Analysts (LPA), Murial Han and John Calandra conducted a case management visit to complete the post-licensing inspection. When LPAs arrived at the facility, there was no one answer the door bell, therefore, LPAs rang the door bell of Cedarhill Manor which was located next door and caregiver Arlene Olivar answered the door and LPAs explained the purpose of the visit. Caregiver stated that there was no residents at the other facility and the administrators were not present. Caregiver proceeded with opening the door to Cedarhill Manor II and also got in contact with the administrator on the phone. LPAs toured the facility and did not observe any residents and spoke with administrator and explained the purpose of the visit. Administrator stated that facility was recently vendorized by GGRC and is now ready to start admitting residents. LPAs reminded administrator to notify CCL when 1st resident is admitted for CCL to proceed with the post-licensing inspection. This report is reviewed and discussed with administrator over the phone. A copy will be provided to administrator via email who will sign and send it back to LPAs by the end of the day, 10/4/2023.

LPAs Calandra and Jeung reviewed items referenced on 7/12/23 during initial pre-licensing visit. The following items have been addressed: 1. Hot water temperature tested at 110 degrees in bathroom sink and is maintained between 105 and 120 degrees F. (Section 87303 Maintenance and Operation) 2. Seven-day supply of non-perishable canned vegetables is maintained (Section 87555 General Food Service) 3. COVID signs, including hand washing reminder in bathroom, are posted prominently. 4. Thirty-day supply of personal protective equipment (PPE)--gloves, hand sanitizers, gowns, masks, N95s--is maintained. Component III orientation was conducted with administrators on 7/12/23. Facility meets physical plant requirements of Title 22 regulations for RCFEs. Immediate licensure is recommended pending approval by Central Applications Unit analyst. Facility phone number is 650/242-5740.

Applicant CHM Group LLC--represented by administrators Christopher and Marie Jan Cayabyab--has applied for RCFE licensure for 4 ambulatory elderly, aged 60 and older. Fire clearance has been approved. LPA Jeung toured facility and grounds of this 2 bedroom 2-story duplex. Common areas--living/dining room, kitchen, and 2 client bedrooms and full bathroom--are on the ground level. On the upper level, there is a large room and closet, which will be used for storage or by staff. The outside area consists of level paved driveways; there is no enclosure. Medications and toxins will be secured in metal file cabinet in living room and in under sink cabinet in kitchen. Washer and dryer are in the basement level, accessed from outside at rear of building. Emergency signal system consists of battery operated pendants for each resident, bathroom and kitchen, which transfer audible alarm to main unit on upper level. Food preparation and service items are present, as well as non-perishable fruits and protein. Combination smoke/carbon monoxide detectors are present and tested. Supplies of bed and bath linens and hygiene products are observed. Hot water temperature tested. Facility sketch is consistent with facility floor plan observed, and utility shut-off locations are accurately stated on LIC610D. Revised page 3 of Emergency Disaster Plan and facility sketch are provided to LPA. The following items are observed and must be addressed prior to licensure: 1. Hot water temperature tested at 130 degrees in bathroom sink and must be maintained between 105 and 120 degrees F. (Section 87303 Maintenance and Operation) 2. Seven-day supply of non-perishable canned vegetables must be maintained (Section 87555 General Food Service) 3. COVID signs, including hand washing reminder in bathroom, should be posted prominently. 4. Thirty-day supply of personal protective equipment (PPE)--gloves, hand sanitizers, gowns, masks, N95s--should be maintained. Applicants will contact LPA upon completion of above items, so a follow up visit can be scheduled. Component III orientation is conducted with administrators. Facility phone number is 650/242-5740.