Elwyn California Ginger Home

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Marvin Matamis. During the visit, LPA observed 4 residents and 2 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 3 restrooms and 4 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. There was no obstruction to block the walkways. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 74 degrees F, and hot water temperature was measured to range from 114-116 degrees F in resident bathrooms. Fire extinguisher was serviced in September 17, 2025. The facility was equipped with centralized sprinkler system, which was last checked on May 6, 2025. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on October 19, 2025 LPA reviewed facility records for 3 staff and 3 residents. LPA reviewed 3 resident medications and centrally stored medication records. LPA reviewed 3 resident P&I records. Residents were participating in arts & crafts activity, then an trivia game during LPA's visit. Page 1 Out of 2. 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 ADM stated he is the new administrator for Elwyn California Ginger home since July 2025. LPA requested a copy of the following documents to process the change in administrator: 1.Board of resolutions letter, stating the Date the new administrator will begin working as Administrator and signed by the licensee, who is part of the corporation. 2. Administrators Certificate 3.LIC 501 4.Resume 5.LIC 500 6.LIC308 7. Valid Photo ID 8. LIC9182/ Or have the new Administrator designated, as administrator on Guardian. No deficiencies cited during today's visit. This report was reviewed with Administrator Marvin Matamis and a copy of the signed report was provided. Page 2 Out of 2. END OF REPORT.

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection focusing on infection control. LPA met with Administrator, Judy Reyes. During visit, LPA toured the facility with staff (S1) to include the living room, kitchen, dining room, resident rooms, bathrooms, garage, and backyard. Facility temperature maintained at 72 degrees Fahrenheit. All fire exit routes were free and clear of obstruction. All staff observed wearing a face mask. All staff present are fingerprint cleared and associated to the facility. Facility has a designated entry point for symptoms screening, temperature check, and sign-in. Hand sanitizer made available at entry along with Personal Protective Equipment (PPE) to include gloves and masks. LPA observed facility's PPE supplies. Bathrooms supplied with hand washing sign, hygiene products, and paper supplies. Trash can with lid observed throughout the facility. Facility staff clean and disinfect multiple times daily and as needed. Residents temperature and symptoms are monitored twice daily. Facility staff are trained in infection control. LPA reviewed the facility's procedures to isolation. Staff are N95 fit tested. The following posters observed to include but not limited to social distancing, cover your cough, hand washing, and symptoms of COVID-19. Documents requested to include the change of Administrator. LPA obtained the LIC610D, LIC500, and proof of Administrator Certification enrollment during visit. No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided. This report was reviewed with Judy Reyes and a copy of the report was provided.