Most inspections found no deficiencies, with clean reports issued in 2021, 2023, and 2024, reflecting consistent compliance with safety and health standards. The most recent inspection on August 21, 2025, did identify some minor deficiencies, including outdated resident care plans, missing admission agreement updates about surveillance cameras, and lack of a doctor’s order for bed rails, along with technical issues like faucets spraying excessively and missed snacks between meals. An earlier inspection in August 2022 cited more serious concerns such as improper room use, insufficient staff supervision, failure to report incidents and hospice intake, and a $500 fine for a fire safety violation. Several complaint investigations were unsubstantiated or not present in the reports. Overall, the facility appears to have improved since 2022, with the latest report showing only minor, isolated issues.
The inspection was an unannounced Required - 1 Year annual inspection to evaluate compliance with licensing regulations and assess the facility's conditions and resident care.
Findings
The facility was generally found to be in compliance with safety and health regulations, including operational alarms, fire extinguisher service, and proper food handling. However, technical violations were issued for two faucets spraying water excessively and failure to provide snacks between meals. Deficiencies were cited for outdated resident care plans, missing admission agreement addendums regarding surveillance cameras, and lack of a doctor's order for half bed rails for one resident.
Severity Breakdown
Type B: 3
Deficiencies (3)
Description
Severity
One out of four residents' care plans were not updated as required.
Type B
Four out of four admission agreements were not updated to include use of surveillance cameras in common areas.
Type B
Failed to provide doctor's order for half bed rails for one resident.
Type B
Report Facts
Facility capacity: 6Resident census: 4Water temperature: 116.4Water temperature: 113.7Water temperature: 117.1Fire extinguisher service date: 2025Disaster drill date: Jun 27, 2025Administrator certificate expiration: Oct 5, 2025Plan of Correction due date: Aug 28, 2025
Employees Mentioned
Name
Title
Context
Lina Fojas
Administrator
Met during inspection and named in findings related to facility operations and deficiencies
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations for the C & F Senior Care Home Facility.
Findings
The facility was found to be clean, organized, and compliant with safety and health standards, including operational smoke and carbon monoxide detectors, fire extinguisher maintenance, and proper storage of medications and cleaning supplies. No citations were issued during the inspection.
Report Facts
Residents with hospice waiver: 3Fire extinguisher service date: Jun 21, 2024Fire drill date: Jul 1, 2024Water temperature range: 105Water temperature range: 120Staff CPR/1st aid expiration years: 2025Staff CPR/1st aid expiration years: 2026
The inspection was an unannounced Required - 1 Year annual inspection conducted to evaluate compliance with licensing regulations for the facility.
Findings
The facility was found organized, with all safety equipment operational and no obstructions. Resident and staff files were complete and organized, and medications were properly stored. No citations were issued during the inspection.
The inspection was an unannounced Required - 1 Year annual inspection focused on infection control procedures and practices at the Residential Care Facility for the Elderly.
Findings
The facility was found to have infection control practices in place, but several deficiencies were identified including improper use of a master bedroom closet as a staff bedroom, insufficient staff supervision related to resident safety, failure to report several resident incidents and a death report to Community Care Licensing, and failure to notify CCL of new hospice intake. A civil penalty of $500 was issued for a fire safety violation.
Severity Breakdown
Zero Tolerance: 1
Deficiencies (4)
Description
Severity
Master closet for resident R1 was being used as a staff bedroom with beds and personal belongings; a room adjacent to bedroom 1 was not identified as a bedroom and lacked fire clearance.
Zero Tolerance
Resident R1 had a reclining chair placed in front of their bed to prevent getting up, indicating insufficient staff supervision to meet resident needs.
—
Several incident reports and a death report for resident R2 were not submitted to Community Care Licensing as required.
—
Facility failed to notify Community Care Licensing within 5 days of initiation of hospice care for resident R2.
—
Report Facts
Civil penalty amount: 500Capacity: 6Census: 5Plan of Correction Due Date: Aug 24, 2022Plan of Correction Due Date: Aug 31, 2022Plan of Correction Due Date: Aug 29, 2022
Employees Mentioned
Name
Title
Context
Lina Fojas
Administrator
Met with Licensing Program Analyst during inspection; named in findings related to facility deficiencies
The inspection was conducted as a Required-1 year unannounced inspection to evaluate compliance with licensing regulations.
Findings
The facility was found to be in good condition with no deficiencies cited. The environment was safe, clean, and well maintained, with proper storage of medications, cleaning products, and food supplies. One minor issue was noted regarding an auditory alert device battery that needed replacement.