Sequoia Home

On 11/13/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the unannounced Annual 1-year required inspection. LPA Calandra was greeted by Jayson Hernandez, Administrator and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 1-story building with 3 bedrooms, 2 bathrooms, kitchen, living room, dining room, garage, and a backyard. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. The facility's first aid kit had the required items. The facility's smoke alarms and carbon monoxide detectors were observed to be in working order. All sharp objects, poisons, soap and detergents were locked and in-accessible to persons in care. LPA Calandra reviewed 2 resident files and 6 staff files. All were observed to be complete. A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. All Personal and Incidental (P & I) monies kept at the facility matched the records stored at the facility. During the visit, the following documents were collected: - Liability Insurance -Current LIC 500 No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Jayson Hernandez, Administrator and a copy of the report left at the facility.

On November 6, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 2:00 PM to conduct the unannounced Annual 1-year required inspection. LPA Calandra was greeted by Jayson Hernandez, Administrator and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 1-story building with 3 bedrooms, 2 bathrooms, kitchen, living room, dining room, garage, and a backyard. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. The facility's hot water temperature was measured within the required 105-120 degrees Fahrenheit. The facility's first aid kit had the required items. The facility's smoke alarms and carbon monoxide detectors were observed to be in working order. All sharp objects, poisons, soap and detergents were locked and in-accessible to persons in care. LPA Calandra reviewed 3 resident files and 5 staff files. All were observed to be complete. A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. All Personal and Incidental (P & I) monies kept at the facility matched the records stored at the facility. During the visit, the following documents were collected: - Liability Insurance -CNA Surety Bond -Current LIC 500 No deficiencies were cited during today's visit. An exit interview was conducted. This report was reviewed with Jayson Hernandez, Administrator and a copy of the report left at the facility.

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced prelicensing visit. LPA met with administrator Jayson Hernandez and explained the purpose of today's visit. During today's visit, LPA toured the facility with Jayson and made observations through out the facility and the exterior surrounding areas of the facility. LPA observed that there is no fireplace within the facility. The emergency exits around the facility are clear of obstructions and fences are not locked. Outdoor furniture in the front and backyard are in good condition for resident, staff, and visitor use. All resident rooms are furnished with the required furniture outlined in regulations. These items are in good repair. The facility ambient temperature is comfortable for residents and visitors. Bathrooms are observed as operational. Water is tested at all sinks at 105F and those faucets are operating properly. Fire extinguisher inspections tag is current showing 06/20/2023. Carbon monoxide and smoke detectors are hard wired through out the facility. Facility equipped with full sprinkler system through out. Medications are locked and knives are locked away appropriately. Cleaning supplies are locked as well. Food supplies are in place. Resident and staff files are reviewed as complete and current. Staff training is current. Facility does handle resident monies. These are audited and are current per logs reviewed money count. Surety bond is current expiring 11/18/2026. Administrator certificate expires 03/19/2024. Monthly fire drills are conducted and reviewed per log observed and major disaster drills are conducted quarterly per log. Comp III orientation was provided to the administrator. Pre-Licensing is complete. Licensure is recommended pending final approval from the Central Applications Bureau. Report is reviewed with the administrator Jayson and a copy of the report is provided. No citations issued.