YVONNE'S HOME CARE SERVICES

Official classification

Type B

Official code

87307(a)(3)(A)

Regulation authority

CCR

What the official deficiency says

(A) A bed for each resident, except that married couples may be provided with one appropriate sized bed. Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. Fillings and covers for mattresses and pillows shall be flame retardant. Rubber sheeting shall be provided when necessary. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above by having a mattress that needs to be replaced which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/20/2026 Plan of Correction Administrator agreed to replace the mattress in bedroom #1 and submit photos to the Department by the POC date.

Official classification

Type B

Official code

87468.1

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the...l of the following personal rights: (1) To be accorded dignity in their personal... staff, residents, and other persons. This requirement was not met as evidence by: Based on interviews and observation, the Licensee did not comply with the section cited above by not speaking to residents with dignity and respect which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to have staff training on personal rights/anger management with a CCLD approved vendor, submit proof of training for each staff including Administrator to the Department by the POC date.

Deadline recorded: Nov 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)(b)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. (b) Maintenance shall include provision of maintenance ... the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by: Based on observation, the Licensee did not comply with the section above by not keeping facility clean, safe, sanitary, and odor free which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to have the entire facility deep cleaned, including but limited to carpets, floors, windowsills, curtains cleaned or replaced, and spiderwebs removed. The administrator also agreed to have all staff trained on buildings and grounds keeping the facility clean, safe, sanitary and odor free by a CCLD approved vendor and submit proof of training to the Department by the POC date.

Deadline recorded: Nov 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87307(D)

Regulation authority

CCR

What the official deficiency says

(D) Hygiene items of general use such as soap and toilet paper. This requirement was not met as evidence by: Based on interview and observation, the Licensee did not comply with the section above by not having sufficient amount of hygiene supplies for the number of residents in the facility, which poses a potential health and safety risk to persons in care.

Official plan of correction

Administrator agreed to purchase hygiene supplies and provide proof of purchase and pictures of supplies to the Department by the POC date.

Deadline recorded: Nov 28, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

1569.695(a)

Regulation authority

HSC

What the official deficiency says

(a)In addition to any other requirement of this chapter, a residential care facility for the elderly shall have an emergency and disaster plan that shall include, but not be limited to, all of the following: This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above by not having an emergency and disaster plan which poses an immediate health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/02/2025 Plan of Correction Administrator agreed to complete for and provide a copy to the department via email by the POC date.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on interview and record review, the licensee did not comply with the section cited above by not conducting or having documentation of drills which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 07/02/2025 Plan of Correction Administrator agreed to conduct an emergency disaster drill for each shift and provide a copy of the documentation with signatures to the department by the POC date.

Official classification

Type B

Official code

87203

Regulation authority

CCR

What the official deficiency says

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in by not having fire extinguishers updated with current fire tags which poses a potential health and safety risk to persons in care..

Official plan of correction

POC Due Date: 07/02/2025 Plan of Correction Administrator agreed to send a copy of receipt and photo of updated fire tags to department by POC due date.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the administrator did not comply with the section above by having soiled carpet throughout the facility, spider webs and dust on the curtains in the bedrooms and on side of a dresser in room number 2, bedroom doors need to be repainted, closet door in bedroom 1 need to be replaced and cleaned. bathroom sink, bathtub, floors need to be clean and disinfected, door needs to be repainted. kitchen counter has a tile missing on the countertop, freezer in the garage leaking and needs to be cleaned, kitchen chairs need to be cleaned and sanitized, refrigerator inside and out needs to be cleaned and sanitized, oven needs to be replaced. Weeds in the front, back and side yards need to be cut and removed.

Official plan of correction

POC Due Date: 07/18/2025 Plan of Correction Administrator agreed to have all items corrected and photos provided to the department by the POC date.

Official classification

Type B

Official code

87506(b)

Regulation authority

CCR

What the official deficiency says

87506(b) (b) Each resident's record shall contain at least the following information: This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the administrator did not comply with the section cited above by having incomplete resident records which poses a potential health and safety risk to persons in care..

Official plan of correction

POC Due Date: 07/18/2025 Plan of Correction Administrator agrees to update and complete all resident records, self certify and send a sample of a complete file to the department by the POC date.