Assisted Lvg & Memory Care Home at Wildrose Ranch.

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with House Manager Rosemary Macadangdang and was granted entry to the facility. Licensed capacity is (6) current census (3). LPA was accompanied by Care Coordinator Rosemary Macadangdang to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA inspected water temperature to be 106 degrees Fahrenheit. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (2) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA reviewed (2) resident medications. No issues were observed. 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 also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Care Coordinator Rosemary Macadangdang.

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with House Manager Rosemary Macadangdang and was granted entry to the facility. Licensed capacity is (6) current census (2). LPA was accompanied by House Manager Rosemary Macadangdang to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA inspected water temperature to be 106 degrees Fahrenheit. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (2) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA reviewed (2) resident medications. No issues were observed. 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 also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Rosemary Macadangdang.

Licensing Program Analyst (LPA) Bianca Wolcott conducted an announced visit to the pending facility for the purpose of conducting the pre-licensing inspection. LPA met with applicant Romulo Garcia/ Administrator. LPA Wolcott, toured the facility inside and out. The pending application is for six (6) non-ambulatory residents in a Residential Care Facilities for the Elderly, where one (1) can be bedridden in room #3. Granted for Hospice Care for six (6) residents. No residents are currently living at facility. The following was observed, reviewed, and inspected: there are three (3) resident bedrooms and two (2) resident bathrooms. There are no bodies of water. The physical plant, in general, was in good repair. Buildings and grounds were free of hazards. Outdoor and indoor passageways were kept free of obstruction. There are charged fire extinguishers, operating smoke alarms, and carbon monoxide detectors. There is a locked area for cleaning supplies, medications, and sharps. Cleaning supplies were stored underneath the kitchen sink in a locked cabinet. Laundry room soap will be stored in the locked garage with additional chemicals. Medications will be stored in a locked kitchen cabinet. Sharps were stored in a locked drawer. LPA toured the resident bedrooms. Resident bedrooms had the required furniture, chair, bedding, and functional lighting. The facility had a supply of additional linen and extra hygiene items for the residents. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a menu available for review. The facility had a two (2) day supply of nonperishable food items and seven (7) day supply of nonperishable food items. Dishes, glasses, and utensils were in good condition. The facility had a designated area for staff and resident files in a locked cabinet. LPA toured the resident bathrooms. The bathrooms were operating in safe and sanitary conditions. LPA observed grab bars in the shower area. LPA measured the hot water temperature in the bathrooms. The hot water temperature measured 113 degrees F. Emergency disaster plans, personal rights, and complaint procedures were posted in a prominent area. The facility was equipped with a complete first aid kit (e.g. thermometer, tweezers, scissors, antiseptic, bandages, gauze). There is adequate seating in the common areas. Facility had activity calendar for the residents for review. Emergency lighting (e.g. flashlights) were also maintained. Component III slideshow was conducted with Romulo Garcia/ Administrator, and copy of report was provided.