Hartnell Home Care.
Hartnell Home Care is Ranked in the top 39% of California memory care with 22 CDSS citations on record; last inspected Oct 2025.
Six-Bed Memory Care Home in Union City, reviewed on public record.
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Compared to 152 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
among peers to rank.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
Hartnell Home Care has 22 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
22 deficiencies on record. Each bar is a month with a citation.
Finding distribution
22 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Hartnell Home Care's record and state requirements.
State records show 8 Type A deficiencies indicating actual harm to residents — what were the specific circumstances of these citations, and what corrective actions were implemented?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The facility has been cited twice under §87705 or §87706 for dementia-care requirements — what were the specific deficiencies, and how has staff training or supervision changed as a result?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Four complaints have been filed with CDSS during the inspection period — what were the subjects of those complaints, and which were substantiated?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
22 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2025-10-02Other VisitNo findings
Plain-language summary
On October 2, 2025, inspectors conducted an unannounced visit to follow up on a resident's status and found the facility had no residents present. Staff reported they had been given until October 4, 2025 to vacate the facility.
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On 10/2/2025 at 3:00 pm, Licensing Program Analysts (LPAs) K. Nguyen and P. Manalo conducted an unannounced Case Management visit to follow up on R1 status. LPAs met with care staff and Renato Tisico, explaining the purpose of the visit. LPA spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. LPA toured the facility and observed that the facility do not have any resident. LPAs interviewed staff 1(S1) stated that ADM gave them until Saturday morning 10/4/25 to move out of the facility. An exit interview is conducted, and a copy of this report is provided.
2025-09-25Other VisitNo findings
Plain-language summary
On September 25, 2025, a state licensing representative made an unannounced visit to check on a resident's status and found the facility was working to place that resident in another care setting, though identifying a suitable facility had been difficult due to the resident's monthly payment rate. The facility was currently operating with only this one resident, and the state representative left messages attempting to contact the resident's family to discuss the situation.
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On 9/25/2025 at 3:55 pm, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management visit to follow up on R1 status. LPA met with care staff and Renato Tisico, explaining the purpose of the visit. LPA spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. LPA toured the facility and observed that the facility only has R1 residing at the facility. LPA tried to reach out to the R1 family multiple times and left messages. LPA spoke with ADM regrading R1 status. ADM stated that they are actively searching for facilities, however the monthly rate that R1 pay is too low. An exit interview is conducted, and a copy of this report is provided via email.
2025-09-16Other VisitNo findings
Plain-language summary
On September 16, 2025, a state licensing analyst made an unannounced visit to deliver a formal letter to the facility's owner but was unable to reach them in person. The analyst met with the facility's administrator and care staff, toured the facility, and left a copy of the letter with staff; the facility had one resident at the time of the visit. No violations or concerns were documented during this visit.
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On 9/16/2025 at 1:30 pm, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management visit to deliver a formal letter to the Licensee; however, LPA could not reach the licensee. LPA met with care staff and Renato Tisico, explaining the purpose of the visit. LPA spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. LPA toured the facility and observed that the facility only has R1 residing at the facility. LPA tried to reach out to the R1 family multiple times and left messages. LPA provides a copy of the letter Intended to Licensee to Renato care staff. An exit interview is conducted, and a copy of this report is provided.
2025-09-10Other VisitNo findings
Plain-language summary
On September 10, 2025, an unannounced health and safety inspection found that the facility had one resident receiving weekly home health services. The inspector toured the facility, attempted multiple times to reach the resident's family to discuss findings, and conducted an exit interview with staff.
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On 9/10/2025 at 9:00 am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management visit for an health and safety checked. LPA met with care staff and Renato Tisico, explaining the purpose of the visit. LPAs spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. LPA toured facility and observed that facility only have R1 residing at the facility. R1 is receiving home health services (once a week). LPA tried to reached out to R1 family multiplies times, and left messages. An exit interview is conducted copy of this report is provided.
2025-09-04Other VisitNo findings
Plain-language summary
On September 4, 2025, an unannounced case management inspection was conducted to check the facility's health and safety practices. The inspector toured the facility, spoke with staff and the one resident living there, and provided the resident's family member with resources and information about facility placement. No violations were found.
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On 9/4/2025 at 9:00 am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management visit for an health and safety checked. LPA met with care staff and Renato Tisico, explaining the purpose of the visit. LPAs spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. LPA toured facility and observed that facility only have R1 residing at the facility. R2 moved out on 9/3/23 and R3 moved out on 8/30/25. LPA spoke with R1 brother and provided resources and education upon facility placement. An exit interview is conducted copy of this report is provided.
2025-08-25Other VisitNo findings
Plain-language summary
On August 25, 2025, state licensing staff made an unannounced visit to review the facility's care management practices and found missing or incomplete documents in resident files, including physician reports and care plans. The facility was assessed a $300 civil penalty for failing to correct these documentation issues between August 23 and August 25. An exit interview was conducted and the facility was informed of its right to appeal.
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On 8/25/2025 at 10:30 am, Licensing Program Analysts (LPAs) K. Nguyen and P. Manalo conducted an unannounced POC Case Management visit. LPAs met with care staff and Renato Tisico, explaining the purpose of the visit. LPAs spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. Upon reviewing R1 files, there are missing documents, including but not limited to: - Incomplete physician report - Needs and Service plan A civil penalty on today's date is assessed for $300 due to failure to correct from 8/23/25 to 8/25/25. An exit interview is conducted a copy of this report is provided with an appeal right.
2025-08-20Other VisitNo findings
Plain-language summary
On August 20, 2025, the state conducted an unannounced visit to verify that the facility had proper liability insurance coverage. The facility provided proof of active insurance valid through August 2026, and the state cleared this requirement.
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On 8/20/2025 at 3:30 pm, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced POC Case Management visit. LPA met with care staff, Renato Tisico, and explained the purpose of the visit. LPA spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. ADM was able to provide POC for liability insurance for this facility. The liability effective date for Hartnell is August 12, 2025, to August 12, 2026. LPA cleared the deficiency. An exit interview is conducted a copy of this report is provided.
2025-08-06Other VisitNo findings
Plain-language summary
On August 6, 2025, a state licensing official conducted an unannounced health and safety check at the facility. The inspector toured the building, spoke with staff, and observed two residents receiving care, finding no health or safety concerns.
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On 8/06/2025 at 9:00 am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management Health Check visit. LPA met with care staff, Renato Tisico, and explained the purpose of the visit. LPA spoke with Administrator (ADM) Victoria Puruganan via phone and received verbal permission for care staff to sign the report. During the health and safety check, LPA observed a total of 2 staff members assisting 2 residents at the facility. LPA toured the facility with care staff, including the bedrooms, kitchen, bathroom, and common areas. Residents in care appear to be safe, and there are no imminent health/safety concerns on today's date. No deficiencies were cited during the health and safety check. An exit interview was conducted, and a copy of this report was provided via email.
2025-07-31Other VisitNo findings
Plain-language summary
On July 31, 2025, inspectors made an unannounced follow-up visit to verify that the facility had corrected a previous violation related to staff training on indwelling urinary catheter care. The facility had not completed the required correction, and a $200 civil penalty was assessed as a result. The administrator was notified of the findings during an exit interview.
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On 07/31/2025 at 2:00 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a POC visit. LPA spoke with Administrator (ADM) Victoria Puruganan and explained the purpose of the visit via phone. ADM gave verbal permission for the Care staff, Renato L. Tisico, to sign the report. The administrator failed to provide POC during the POC visit. - 87623 Indwelling Urinary Catheter - §1569.625 Staff training ***An immediate $200.00 civil penalty will be assessed on today's date for failure to correct *** Exit interview conducted. A copy of the LIC421FC, this report, and appeal rights are provided.
2025-07-30Other VisitNo findings
Plain-language summary
On July 30, 2025, a licensing analyst conducted an unannounced case management visit to review residents' files and facility documentation. The analyst reviewed physician reports, identification, emergency information, and liability documentation for three residents. No violations were found.
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On 7/30/2025 at 10 am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Case Management visit to review residents’ (R) files. LPA informed Administrator, Victoria Puruganan, of the purpose of the visit. Victoria Puruganan arrived approximately 1 hour later. LPA obtained R1, R2, and R3 physician reports, identification, and emergency information. LPA obtained facility liability documentation. There is no deficiency during this visit. Exit interview conducted and a copy of this report provided.
2025-07-17Other VisitType A · 1 finding
Plain-language summary
On July 17, 2025, licensing staff conducted an unannounced case management visit and found that three staff members had passed background clearance but were not properly registered in the facility's system. The facility was cited for this record-keeping violation and given the opportunity to correct it. Failure to fix the issue could result in financial penalties.
“Based on record review, licensee did not comply with the section cited above by not associating S1, S2 and S3 to the facility which poses a potential health and safety risk to the persons in care.”
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On 07/17/2025 at 5:30 PM, Licensing Program Analysts (LPAs) L. Alexander and K. Nguyen arrived unannounced to conduct a case management visit. LPAs met with Administrator, Victoria Puruganan, and explained the purpose for the visit. While LPA L. Alexander was at the facility for a complaint investigation (#15-AS-20250715161132), the following deficiency was observed. After reviewing Guardian system, LPA L. Alexander observed staff (S) S1, S2 and S3 was fingerprint cleared, but not associated to the facility. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted. A copy of this report, LIC421BG, and appeal rights provided.
2025-07-17Annual Compliance VisitNo findings
Plain-language summary
On July 17, 2025, inspectors made an unannounced visit to follow up on deficiencies found during a routine inspection the day before, and found that the facility had not corrected a fire safety problem involving a bedridden resident's bedroom by the required deadline. The facility was assessed a $500 penalty for missing the correction deadline and must submit documentation to show the fire safety issue has been resolved. The administrator was not present when inspectors arrived but arrived about an hour later.
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On 07/17/2025 at 4:30 PM, Licensing Program Analysts (LPAs) L. Alexander and K. Nguyen arrived unannounced to conduct a Plan of Correction (POC) visit. LPAs met with caregivers, Renato & Zenaida Tisico and explained the purpose of the visit. Zenaida phoned Administrator, Victoria Puruganan to inform. Victoria Puruganan arrived approximately 1 hour later. On 07/16/2025, LPAs conducted an Annual Inspection visit in which deficiencies were cited. The POC due date was 07/17/2025. Administrator failed to submit the POC by the due date and this is why LPAs came to make a POC visit. Deficiency not cleared: CCR 87202(a)(2) Fire Clearance: for having Resident, R2, in a bedroom without fire clearance for bedridden. Administrator will send LIC 200 and facility sketch to CCLD. Immediate Civil Penalties in the total amount of $500.00 is assessed today for failure to meet POC date for deficiency The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. A copy of this report, appeal rights provided and LIC421IM provided.
2025-07-17Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint about staffing levels at night was investigated through interviews with residents, staff, and review of schedules. Residents confirmed staff are present at night, and the facility has live-in care staff plus additional staff on call; the investigator found insufficient evidence to prove or disprove the complaint.
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During the investigation, LPAs reviewed the staff schedule (LIC500). LPAs reviewed the Residents' files. LPAs interviewed Resident 1 (R1), Resident 3 (R3), Administrator (ADM), Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), Staff 5 (S5), and Staff 6 (S6). R1 and R3 stated that there are always staff at the facility. R1 stated R1 heard from R1 room that staff are redirecting R3 back to R3 room, because R3 tends to yell and open other residents' rooms. R1 states “There are night staff at all times”. R3 states, “The facility does not have an issue with staff at night”. S1 and S2 are live-in care staff, and S1 is the main care staff for the night shift. LPAs interviewed S3, S4, S5, and S6 via phone; all stated that they are S1 and S2 staff relieved on their days off. Based on interviews, the facility is ensuring adequate staffing during the night shifts. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is unsubstantiated. An exit interview is conducted, and a copy of this report is provided.
2025-07-16Other VisitType A · 10 findings
Plain-language summary
During a routine annual inspection on July 16, 2025, inspectors found clutter stored in the garage and backyard (including ladders, mattress, and charcoal), and observed a urinary catheter left on the floor in one bedroom. The facility's living spaces—including bathrooms, bedrooms, lighting, temperature, and safety equipment like smoke detectors and fire extinguishers—were otherwise in acceptable condition, and the administrator's certificate is current through October 2026.
“Based on observation, interview, record review, the licensee did not comply with the section cited above in by not having a fire clearance for bedridden for R2 which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 07/17/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit the hospice care plan for R2. If R2 is not admitted to hospice a fire clearance is needed for bedridden.”
“Based on interview, record review, the licensee did not comply with the section cited above in by not having a health screening on file for S2 and S6 which poses a potential health and safety risk to persons in care. POC Due Date: 07/18/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit healh screening for S2 and S6 and a negative TB result for S6 to CCLD by POC due dtae.”
“Based on interview, record review, the licensee did not comply with the section cited above in by not having updated First Aid and CPR on file for S3, S4, S5 and S6 which posea potental health and safety risk to persons in care. POC Due Date: 07/18/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit First Aid/CPR Certificates to CCLD by POC due date.”
“Based on observation, the licensee did not comply with the section cited above in by not having the rear back yard cleared of ladders, wood, chair, mattress, book shelf, applicance panel which poses a potential health and safety risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit a photo to CCLD of items removed and back yard clean.”
“Based on observation, nterview, record review, the licensee did not comply with the section cited above in by not having documentation of R2's foley catheter which poses a potential health and safety risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit care plan that indicates a skilled health professional is caring for the catheter. In-Training for staff that will be emptying the cathetr bag. Updated Appraisal Needs and Services Plan that indicates any changes in conditions, what the skilled health professional will be doing and also staff. Documents along with supporting documents (i.e., home health or hospice care) shall be submitted to CCLD by POC due date.”
“Based on record review, the licensee did not comply with the section cited above in by not having 20 hrs annual staff training on file for S2-S6 including but not limited to dementia, postural support, restricted health conditions and hospice care which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit certificates or training transcripts for S2-S6 to CCLD by POC due date.”
“Based on observation, interview, record review, the licensee did not comply with the section cited above in by not having an updated Appraisal Needs and Services Plan for R3 on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit an updated re-appraisal for R3 incluing care plan, supporting documents from inter-disciplinary team including but not limited to Primary Care Physician, Psychiatrist, Case Manager, Social Worker, Responsible Party to CCLD by POC due date.”
“Based on interview, record review,, the licensee did not comply with the section cited above in by not having an updated Emergency Disaster Plan on file which poses an potential safety and presonal risk to residents in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Administrator agreed to update the Emergency Disaster Plan and submit to CCLD by POC due date.”
“Based on observation and record review, the licensee did not comply with the section cited above in by having doctor's on file for prescription and PRN for R1, R2 and R3 on file which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Administrator agreed to submit doctor's orders for R1, R2 and R3's prescription medications including but not limited to non-prescriptions (i.e., melantonin) to CCLD by POC due date.”
“This requirement is not met as evidenced by: Deficient Practice Statement 1 2 3 4 Based on record review, the licensee did not comply with the section cited above in by not conducting and having on file practiced fire drills which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/30/2025 Plan of Correction 1 2 3 4 Administrator will read the regulation, self-certify understanding and comply moving forward. In addition, send a copy of fire/earthquake drills for each shift to CCLD by POC due date.”
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On 07/16/2025 at 9:30 am, Licensing Program Analysts (LPAs) K. Nguyen and L. Alexander conducted an unannounced 1-Year Required inspection. LPAs met with Zenaide Tisico, the caregiver, and explained the purpose of the visit. Victoria Puruganan, Administrator, arrived at 11:00 am. The Administrator currently holds a certificate (#7005844740) that expires on October 24, 2026. The facility’s fire clearance was approved for six (6) non-ambulatory residents. Hospice waiver approved for two (2) residents. LPAs toured the facility with the caregiver, including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and backyard. The facility consists of five (5) total bedrooms which one (1) bedroom is occupied by staff, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPAs observed that lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 123 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide detectors were in operating condition during the visit. Fire extinguishers were last serviced on 12/20/2024. The Emergency Disaster Plan was posted. The first aid kit was observed to be complete. Report continues on LIC 809c... 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 reviewed three (3) residents' files and reviewed seven (7) staff files. LPAs observed the following deficiencies: At 10:54am paneling from appliances, book shelf and electronics located outside garage At 10:54am three (3) ladders, mattress, chair, bags of charcoal, wood located rear back yard At 10:57am one (1) resident laying in bedroom #3 with a urinary catheter laying on the floor LPA requested the following documents to be submitted to CCLD by 7/25/2025. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report (updated) · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal right provided
2025-05-07Other VisitType B · 1 finding
Plain-language summary
During an unannounced visit on May 7, 2025, inspectors discovered that the facility did not report a resident's death on March 29, 2025 to the state licensing agency, even though the resident was under hospice care. The administrator stated she believed the death did not need to be reported because the resident was in hospice, but state law requires all deaths to be reported regardless of circumstances. The facility was assessed a $250 civil penalty for this violation.
“Based on files review and interviews conducted administrator did not comply with the section cited above by not following reporting requirements which poses an immediate health and safety risk to persons in care. R1 pass away on 3/29/25 and was no being reported to licensing.”
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On 5/7/2025 at 11am Licensing Program Analysts (LPA) K. Nguyen conducted an unannounced Case Management visit because on 5/6/25 LPA received information by the Regional Office upon the Administrator did not report or submit a death report to licensing. LPA were greeted by care staff Evangeline Fernadez and explained the purpose of the visit. LPA asked to contact Administrator (ADM), Victoria Puruganan via telephone. ADM was not able to meet LPA and asked for Jezrael Pascual to assist LPA and sign the report. LPA confirmed with ADM at around 1:34pm R1 passed away on 3/29/2025 under hospice care, but did not report to licensing because ADM stated that she thought that if the resident is under hospice care, then she doesn’t need to report. ***An immediate $250.00 civil penalty will be assessed on today's date for reported violation within 12month*** Exit interview conducted. A copy of the LIC421FC, this report and appeal rights provided.
2024-12-17Other VisitType A · 1 finding
Plain-language summary
During a complaint investigation on December 17, 2024, inspectors found a chain lock attached to an inside door that could prevent residents from leaving—a violation of California safety regulations. The facility was advised to remove the chain lock and informed that failure to correct this could result in penalties. An exit interview was conducted and the facility received a copy of the report with information about appeal rights.
“Based on observation, Licensee did not comply with the section cited above by having a door chain latch at front door which poses an immediate health and safety risk to the persons in care.”
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On 12/17/2024 at 10:20 AM Licensing Program Analysts (LPAs) L. Alexander and K. Nguyen arrived unannounced to conduct a Case Management visit. LPAs met with Caregivers, Paciencia, Winnie and Cesar. House Manager, Jezrael Pascual , arrived approximately, 1 hour later. Administrator, Victoria Puruganan was not available. While LPA L. Alexander and K. Nguyen was conducting a complaint investigation (15-AS-20241213161313 ) on 12/17/2024. During investigation LPAs observed a chain lock attached to the inside door. LPAs advised caregivers that a chain lock can't not be attached and hooked on the doors in preventing residents from leaving out the door. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided
2024-12-17Annual Compliance VisitNo findings
Plain-language summary
During a complaint investigation, inspectors found that the facility did not maintain the required one-week supply of non-perishable food on hand. The facility was asked to submit weekly grocery receipts and photos of food supplies to the state starting December 23, 2024, but no violation was cited at this time. An exit interview was conducted with facility staff.
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During an complaint investigation (15-AS-20241213161313) LPAs K. Nguyen and L. Alexander observed that facility do not have a minimum of one week non- perishables food supply. LPAs tried to contact Administrator, but was not able due to phone went to voicemail. ADM gave permission for Jezrael to sign the report. LPAs requested Administrator to submit on weekly basic of groceries receipt and photo of all food supplies to CCLD starting from the week 12/23/24: No deficiency were cited at this time. Exit interview is conducted and a copy of this report is provided.
2024-12-17Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
This was a complaint investigation into whether staff were failing to help residents when needed. Investigators interviewed residents and staff and found no evidence to support the complaint—the residents interviewed said they received assistance when they needed it, and staff confirmed they help with bathing, changing clothes, cooking, and laundry.
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Allegation: Facility staff are not providing assistance to residents when needed- Unsubstantiated During the course of investigation, LPAs reviewed files and conducted interviews with residents/ staffs. LPAs observed three residents and three staffs at the facility. It was alleged Facility staff are not providing assistance to residents when needed, however LPAs interviewed residents two out of two indicated that staff are providing them with assistance they need, and when they needed. LPAs interviewed three staff 3 out of 3 stated they assisted residents with, bathing, changing, cooking, laundry, Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview is conducted and a copy of this report is provided.
2024-07-24Other VisitNo findings
Plain-language summary
A routine one-year inspection was conducted on July 24, 2024, and the facility passed without any violations. The inspector found the home to be properly maintained with adequate lighting, functioning smoke and carbon monoxide detectors, working grab bars in bathrooms, and complete resident and staff files.
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On 07/24/2024 at 9:45am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced 1-Year required inspection. LPA met with Nelai Punzalan, Caregiver, and explained the purpose of the visit. Victoria Puruganan, Administrator was not available during the inspection. Jezrael Pascual, Facility Manager later arrived at 12:10pm. The Administrator currently holds a certificate (#6019519740) that expires on 10/24/2024. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA got verbal permission for Facility Manager to sign the report. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) total bedrooms which one (1) bedroom is occupied by staff, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguishers were last serviced on 08/16/2023. Emergency Disaster Plan was posted. First aid kit was observed to be complete. LPA reviewed five (2) residents file and four (2) staff files the files reviewed were complete. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
2024-06-17Annual Compliance VisitNo findings
Plain-language summary
During an unannounced visit, a state inspector served an immediate exclusion order preventing a staff member from working at the facility. The administrator confirmed that this staff member had not been present at the facility since 2014 and was involved in illegal cases at that time. The facility was provided with a copy of the exclusion order.
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LPA K. Nguyen conducted an unannounced case management visit to serve an immediate exclusion order to staff S1. LPA K. Nguyen first spoke privately with Administrator/ Licensee, Victoria Puruganan to explain the situation - providing her with a copy of the Order to Executive Director of Immediate Exclusion. According to Administrator/ Licensee S1 never came back in the facility from the time that he was involved in some illegal cases sometime in 2014. Administrator/ Licensee never seen S1 since 2014. LPA K. Nguyen reviewed this report with Administrator/ Licensee, and a copy of this report is provided via email.
2024-06-06Complaint InvestigationSubstantiatedType B · 2 findings
Plain-language summary
A complaint investigation found that the facility failed to report incidents as required by law—staff assumed other team members were handling reports, and supervisors assumed reports had been made when they had not. The facility acknowledged the problem during the investigation and agreed to correct it. The state has cited the facility for this violation and requires a plan of correction.
“Based on inteviews, the licensee did not comply with the section cited above by not having the administrator at the facility for a sufficient number of hours which poses an immediate health and safety risk to persons in care.”
“Based on intervews conducted licensee/adminisrator did not comply with the section cited above by not not follow reporting requirements which poses an immediate health and safety risk to persons in care”
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Allegation: Staff do not follow reporting requirements: Substantiated Based on interview conducted S1 and S2 indicated that some reports are no being reported to CCLD, due to S2 assuming that the Individual staff are doing the reporting. According to S1 times that incident happened but the staff that are put in charge did not report, and AD is assuming that the report had been made. Based on LPA interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22. Deficiencies are being cited on the attached LIC 9099D. LPA discuss plan of correction to AD, and AD agree to the finding of the allegation over the phone. Exit interview was conducted with facility manager. A report and appeal rights was provided via email.
2024-01-16Annual Compliance VisitType A · 7 findings
Plain-language summary
A routine inspection on January 16, 2024 found several health and safety problems: medication left unlocked in the dining room and kitchen, tools and cleaning supplies stored in an unlocked drawer, a resident physically restrained in a bedroom, and a locked gate on the property. The facility also had freezer-burned meat in improper storage, hot water that exceeded safe temperatures, and stored hazardous items like paint and wood planks in an unlocked cabinet; a $500 civil penalty was issued for the locked gate.
“Based on observation, the licensee did not comply with the section cited above by having water temperature 146.8 which poses an immediate health and safety risk to persons in care. POC Due Date: 01/17/2024 Plan of Correction 1 2 3 4 Administrator agreed to turn down the hot water heater and provide CCLD with a video of hot water sample by POC date.”
“Based on observation, the licensee did not comply with the section cited above having WD-40, hammer screw driver, scissors, fabreze air freshener, purell disinfectant, and screw drivers in unlocked drawers located in the kitchen, dining room and office area which poses an immediate health and safety risk to persons in care. POC Due Date: 01/17/2024 Plan of Correction 1 2 3 4 Administrator agreed to lock and keep WD-40, hammer screw driver, Tylenol, melatonin cough and cold medication, scissors, fabreze air freshener, purell disinfectant, and screw drivers locked at all times. Caregiver locked item in a locked cabinet. Deficiency cleared during visit.”
“Based on observation, the licensee did not comply with the section cited above by having Tylenol, melatonin, cough and cold medication in unlocked drawers in resident room #1, dining room drawer and kitchen drawer which poses an immediate health and safety to persons in care. POC Due Date: 01/17/2024 Plan of Correction 1 2 3 4 Administrator agreed to keep Tylenol, melatonin, cough and cold medication locked at all times. Administrator also agreed to read and understand the regulation and provide CCLD with self certification by the POC date”
“Based on observation, the licensee did not comply with the section cited above having meat stored in the freezer in thin produce bags which was freezer burnt and can't be consumed which poses a potential health and safety risk to persons in care. POC Due Date: 01/23/2024 Plan of Correction 1 2 3 4 Administrator agreed to discard freezer burnt food items which were discovered during inspection. Administrator will purchase additional meat and submit photos, conduct an in-service training on food handling and storage, a copy of the in-service training log will be sent to CCLD via email by POC date.”
“Based on observation, the licensee did not comply with the section cited above having a bed frame, box spring, microwave, bedrails, weights, nets, paint, ladder and wood planks in the backyard sideyard and behind an unlocked storage unit which poses a potential health and safety risk to persons in care. POC Due Date: 01/26/2024 Plan of Correction 1 2 3 4 Administrator agreed to hall away the bed frame, box spring, microwave, bedrails, weights, nets, paint, ladder and wood planks in the backyard sideyard and behind an unlocked storage unit by the POC date and provide CCLD with photos.”
“Based on observation and interviews, the licensee did not comply with the section cited above by having a dresser blocking a resident in the room which poses an immediate health and safety risk to persons in care. POC Due Date: 01/19/2024 Plan of Correction 1 2 3 4 Administrator shall 1) provide training to staff regarding section cited. 2) provide a log of training with description of training, date, name, and signatures of all staff who received training. 3) Provide a signed statement/certification from Administrator prohibiting the use of such restraints within facility by POC due date.”
“Based on observation, the licensee did not comply with the section cited above having a locked perimeter fence which poses an immediate health and safety risk to persons in care. POC Due Date: 01/19/2024 Plan of Correction 1 2 3 4 Administrator shall 1) provide training to staff regarding section cited. 2) provide a log of training with description of training, date, name, and signatures of all staff who received training. by POC due date. Facility is being assess $500 civil penalty for todays visit.”
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On 01/16/2024 at 10:00am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Evangeline Fernandez, Caregiver, and explained the purpose of the visit. Victoria Puruganan, Administrator arrived at 11:40am. The Administrator currently holds a certificate (#6019519740) that expires on 10/24/2024. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) total bedrooms which one (1) bedroom is occupied by staff, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 146.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguishers were last serviced on 08/16/2023. Emergency Disaster Plan was posted. First aid kit was observed to be complete. LPA reviewed five (5) residents file and four (4) staff files the files reviewed were complete. Continued on LIC809C. 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 Continue from LIC 809 LPA observed the following deficiencies: · At 10:05am, LPA observed freezer burnt meat stored in thin produce bags. · At 10:07am, LPA observed medication in an unlocked drawer in the dining room and kitchen. · At 10:10am, LPA observed WD-40, a hammer, screw drivers, scissors in an unlocked drawer. · At 10:13am, LPA observed medication in the water temperature in the bathroom 146.8. · At 10:15am, LPA observed a resident restrained in a bedroom. · At 10:20am, LPA observed box spring, ladder, paint, wood planks, microwave, weights, nets, bricks and a unlocked storage cabinet. · At 10:23am, LPA observed a pad lock on the gate. LPA requested the following documents to be submitted to CCLD by 1/23/2024. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report (updated) · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance Continued on LIC809C. 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 Continued from LIC809C. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate $500.00 civil penalty will be assessed on today's date for locked gate.* Exit interview conducted. A copy of the LIC421BG, this report and appeal rights provided.
1 older inspection from 2021 are not shown in the free view.
1 older inspection from 2021 are not shown in the free view.
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