374602775-1-24-2025-18-AS-DPAS-DD8VF8-20250124152332

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 374602775
Report Date: 01/24/2025
Date Signed: 01/24/2025 03:23:50 PM

Document Has Been Signed on 01/24/2025 03:23 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME:	EL NORTE HOME CARE CO.		FACILITY NUMBER:	374602775
ADMINISTRATOR/ DIRECTOR:	RAMIREZ, JOSE RICARDO		FACILITY TYPE:	740
ADDRESS:	1897 E. EL NORTE PKWY		TELEPHONE:	(858) 610-4098
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY: 7	TOTAL ENROLLED CHILDREN: 0	CENSUS: 7	DATE:	01/24/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:15 PM
MET WITH:	Helen Ramirez-Administrator		TIME VISIT/ INSPECTION COMPLETED:	04:00 PM

NARRATIVE

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Licensing Program Analyst (LPA) Debbie Palacios made an unannounced visit to he facility to conduct a 1 year required inspection. LPA was greeted and granted entry by Caregiver Merilyn Sison, LPA explained the purpose of the visit. Helen Ramirez and Jose Ricar Ramirez, Administrators arrived shortly after.

LPA conducted a tour of the interior and The facility is a single story home consisting of four (4) bedrooms, one (1) staff bedroom, 3 bathrooms, kitchen, living room, laundry room and an attached garage. The facility was observed to be clean, clutter, and free from obstructions in the passageways. The facility was observed to have personal protective equipment (PPE) supplies. The medications were observed to be locked and inaccessible to residents in care, and to be given as prescribed. There are no known guns or ammunition on the premises. LPA observed a hallway cabinet filled with clean towels, blankets, and linen, available for the clients. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. LPA observed knives and sharp instruments secured in locked cabinet in the Staff bedroom. Cleaning solutions and disinfectants are secured in a locked laundry room cabinet. The facility was observed to have multiple smoke and carbon monoxide detectors that were tested and observed to be operable. The facility has no record of emergency disaster drills being conducted on a quarterly basis. Deficiency cited.

LPA conducted a review of resident files and observed for the required documentation to be present. Staff record review, all staff present were observed to have obtained criminal record clearance and to be associated to the facility.

Based on today's visit citations were issued on the attached 809D, in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8).

An exit interview was conducted and a copy of this report, appeal rights, LIC9098-Proof of Corrections form, were provided.

Tricia Danielson	TELEPHONE: (951) -202-5067
Debbie Palacios	TELEPHONE: (951) 248-2222
	DATE: 01/24/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: EL NORTE HOME CARE CO.	FACILITY NUMBER: 374602775
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

HSC

1569.695(c)

(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
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/14/2025
	Plan of Correction
1 2 3 4	Licensee agrees to conduct a fire drill with staff and will submit proof of fire drill to LPA by the plan of correction date 02/14/2025. Licensee agrees to conduct quarterly fire drills for each staff.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Tricia Danielson	TELEPHONE: (951) -202-5067
Debbie Palacios	TELEPHONE: (951) 248-2222
	DATE: 01/24/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025

LIC809 (FAS) - (06/04)

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