Ismaela's Home Care, Inc.

LPA interviewed resident #1(R1) and resident #2 (R2) who stated that after a visit from the LPA and the Ombudsman, they were told by staff in a threatened manner, "Bye Bye". In addition, both of these residents related this information to a State Official. After the investigation, this allegation is deemed to be substantiated. Regarding to the allegation of- staff member yelled at resident in care- the reporting party stated that when resident #1 (R1) asked the staff about the medication, the staff telling R1 "I am busy" and yelled at R1. As part of the investigation, LPA interviewed staff #1 (S1), and R1 and another resident. According to S1, they never yelled at R1 and other residents. S1 stated that R1 was recently hospitalized and returned to the facility with a lot of new medication and changes with the current ones. R1 was persistent and asked about the changes of all the medications before S1 had a chance to review them with the hospital nurse so S1 told R1 to wait but never yelled at R1. . LPA interviewed R1 who stated that he/she was afraid of S1 and S1 yelled at R1 and other residents. LPA interviewed R2 who stated that S1 got angry one day during dinner and yelled at R1. Residents also reported to a State Official that S1 got angry and yelled at them. After the investigation, this allegation is deemed to be substantiated. Based on interviews, record reviews, and observations during the investigation, the preponderance of evidence standard has been met. Therefore, this allegation was determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report was discussed with the licensee; a copy is provided with Appeal Rights provided. 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 interviewed R1 who stated that S1 initially got angry and yelled at S1 when S1 asked about the medication changes (this was addressed on LIC 9099) but later S1 explained it to R1 after speaking to the hospital nurse. R1 also stated that S1 is very knowledgeable with R1's medication. Based on these observations, and interviews the above allegation is deemed to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated. The report is reviewed and discussed with the Licensee. A copy is provided.

On March 6, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with licensee, Florinda Guinto and explained the purpose of the visit. The administrator, Charito Rafael arrived at the end of the inspection. The Licensee provide a toured of the facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured the facility inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort. On the main floor, LPA observed total of 5 bedrooms (2 staff rooms and 3 shared resident rooms) and on the lower level, LPA observed a big bedroom with a bath/shower room inside. Hot water temperature in the kitchen, and bathroom was measured at 105-136 degree F. Extra linen was present. Medications were locked and inaccessible to residents. 2 days for perishables and & 7 days non-perishable were observed to be present. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. The following information/form is requested to be submitted to CCLD BY 3/7/2025: - Proof of current Liability Insurance Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with licensee and administrator. A copy of this report and the appeal rights were provided.

On March 26, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with licensee, Florinda Guinto and explained the purpose of the visit. LPA toured facility and grounds. On the main level, 3 bedrooms are occupied by 5 residents--one has a private bathroom--and 2 rooms are occupied by staff with one bed in each--one has a private bathroom. There is a common bathroom for residents and another common bathroom for staff. In the backyard, there is a room used by staff and another room for the former administrator which is level with the backyard. No accessible bodies of water or fire safety hazards observed. Medications is stored appropriately and inaccessible to resident. Toxins and sharps are observed to be unlocked and accessible to residents. A comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. There are 5 residents present, and 2 staff. LPA reviewed 4 resident and 4 staff files. Hot water temperature is measured at 108- 115 degrees F. Fire extinguisher was last checked on 5/9/2023. Charito Rafael is a certified RCFE administrator for the facility. 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 The following information/forms are requested to be submitted to CCLD BY 3/28/24: - A written letter from the Licensee appointing Charito Rafael as the administrator - Proof of the renewal Administrator Certification application submitted for Charito Rafael - Proof of current Liability Insurance - Designation of Facility Responsibility (LIC308) Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with licensee. A copy of this report and the appeal rights were provided.