Inspection Reports for Yannica Guest Home I

2329 Diamond Oaks St, Stockton, CA 95206, USA, CA, 95206

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Deficiencies per Year

4 3 2 1 0
2021
2022
2023
2024
2025
High Moderate

Census Over Time

0 3 6 9 12 Jul '21 Feb '22 Feb '23 Oct '23 Nov '24 Apr '25
Census Capacity
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 0 Apr 25, 2025
Visit Reason
The visit was an unannounced annual inspection to evaluate compliance with licensing requirements for a Residential Care Facility for Elderly adults.
Findings
The facility was found to be clean, in good repair, and compliant with regulations regarding physical plant, safety equipment, food storage, medication storage, and client care documentation. Staff and client records were complete and in compliance, and client needs were met as specified.
Report Facts
Residents on hospice: 4 Residents with dementia: 4 Bedridden residents: 1 Residents utilizing home health care worker services: 2 Perishable food supply: 2 Non-perishable food supply: 7
Employees Mentioned
NameTitleContext
Noel Wolf PetersenLicensing Program AnalystConducted the inspection
Michael BilgerLicensing Program AnalystConducted the inspection
Maxima MartinLicenseeMet with inspectors during the visit
Inspection Report Annual Inspection Census: 6 Capacity: 6 Deficiencies: 1 Nov 15, 2024
Visit Reason
The inspection was an annual unannounced visit conducted to evaluate compliance with licensing regulations for the Yannica Guest Home facility.
Findings
The facility was generally well maintained with no structural changes, functioning safety equipment, and adequate food supplies. However, one staff file was incomplete, lacking fingerprint clearance, which posed an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
One staff file was incomplete, lacking fingerprint clearance and not associated with the facility, violating criminal record clearance requirements.Type A
Report Facts
Civil penalty amount: 500 Plan of Correction Due Date: Nov 22, 2024
Employees Mentioned
NameTitleContext
Michell ObtinallaAdministratorNamed as facility administrator with current administrator certificate.
Maxima MartinLicenseeMet with Licensing Program Analyst during inspection.
Renee CampbellLicensing Program AnalystConducted the annual inspection and authored the report.
Lisa RiosLicensing Program ManagerSupervisor overseeing the inspection.
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 1 Feb 6, 2024
Visit Reason
Licensing Program Analyst Ruth Wallace conducted an unannounced required 1 year annual inspection visit to evaluate compliance with facility regulations.
Findings
The inspection found the facility generally compliant with physical plant and safety requirements, but the facility failed to conduct quarterly fire/disaster drills for each shift as required, resulting in an immediate civil penalty of $500.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Facility did not conduct a drill at least quarterly for each shift, posing an immediate health, safety or personal rights risk to persons in care.Type A
Report Facts
Immediate civil penalty: 500 Capacity: 6 Census: 5
Employees Mentioned
NameTitleContext
Ruth WallaceLicensing Program AnalystConducted the inspection and issued findings
Maxima MartinAdministratorMet with Licensing Program Analyst during inspection
Stephen RichardsonLicensing Program ManagerSupervisor of Licensing Program Analyst
Inspection Report Complaint Investigation Census: 5 Capacity: 6 Deficiencies: 0 Oct 5, 2023
Visit Reason
The visit was an unannounced case management inspection conducted in response to an incident report regarding a resident who left the facility without authorization.
Findings
The resident (R-1) was reported AWOL since 9/11/23 with no return. The physician's report did not clarify if the resident was allowed to leave unassisted. Police confirmed the resident can leave if not conserved. No deficiencies were cited during this visit.
Complaint Details
The visit was triggered by an incident report about a resident leaving the facility unassisted. The complaint was investigated and no deficiencies were found.
Report Facts
Capacity: 6 Census: 5
Employees Mentioned
NameTitleContext
Albert JohnsonLicensing Program AnalystConducted the case management visit and mentioned in the narrative
Inspection Report Plan of Correction Census: 5 Capacity: 6 Deficiencies: 0 Mar 3, 2023
Visit Reason
An unannounced Plan of Correction (POC) visit was made to verify correction of citations issued during the annual licensing inspection conducted on 2023-02-24.
Findings
Deficiencies cited under Title 22 Regulations have been cleared. The licensee complied with the terms of the POC by the due date, and the facility was provided a POC cleared letter.
Employees Mentioned
NameTitleContext
Albert JohnsonLicensing Program AnalystMade the unannounced POC visit to verify correction of citations.
Stephenie DoubLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 2 Feb 24, 2023
Visit Reason
The Licensing Program Analyst arrived unannounced to conduct an annual inspection of the facility to evaluate compliance with regulations.
Findings
The inspection found the physical plant generally satisfactory but noted the exit in room three was blocked by a bed. Food supplies and water temperature were adequate. Medications were securely stored. However, outdated service plans were found for four of five residents and one staff member lacked a TB test. Citations were issued for these deficiencies.
Severity Breakdown
Type A: 1 Type B: 1
Deficiencies (2)
DescriptionSeverity
Staff did not have TB test results in her file.Type A
Four of five residents did not have an updated Needs/Services plan on file annually.Type B
Report Facts
Capacity: 6 Census: 5
Employees Mentioned
NameTitleContext
Albert JohnsonLicensing Program AnalystConducted the annual inspection and authored the report
Maxima MartinAdministratorFacility administrator named in the report
Inspection Report Follow-Up Census: 5 Capacity: 6 Deficiencies: 0 May 24, 2022
Visit Reason
An unannounced Plan of Correction (POC) visit was made to verify correction of citations issued during the annual licensing inspection conducted on 2022-02-17.
Findings
Deficiencies cited under Title 22 Regulations have been cleared. The licensee complied with the terms of the POC by the due date, and the facility was provided a POC cleared letter.
Report Facts
Capacity: 6 Census: 5
Employees Mentioned
NameTitleContext
Albert JohnsonLicensing Program AnalystConducted the unannounced POC visit
Maxima MartinAdministratorFacility administrator mentioned in the report
Inspection Report Renewal Census: 4 Capacity: 6 Deficiencies: 0 Feb 17, 2022
Visit Reason
The visit was a post licensing inspection included in the annual report for the facility.
Findings
The report states that the post licensing visit is included in the annual report for the inspection date. No specific deficiencies or findings are detailed in the report.
Inspection Report Annual Inspection Census: 4 Capacity: 6 Deficiencies: 1 Feb 17, 2022
Visit Reason
An unannounced annual inspection was conducted by the Licensing Program Analyst to evaluate compliance with regulations and assess the facility's physical plant and medication management.
Findings
The inspection found the facility generally compliant with physical plant requirements, including safety equipment and food supplies, but identified a deficiency related to missing medication for one resident (R1), which posed an immediate health and safety risk.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Missing medication for R1 which poses an immediate health and safety issue.Type A
Report Facts
Capacity: 6 Census: 4 Deficiencies cited: 1
Employees Mentioned
NameTitleContext
Albert JohnsonLicensing Program AnalystConducted the inspection and cited the medication deficiency
Maxima MartinAdministratorFacility administrator met during inspection
Stephenie DoubLicensing Program ManagerSupervisor overseeing the inspection
Inspection Report Annual Inspection Census: 5 Capacity: 6 Deficiencies: 0 Jul 23, 2021
Visit Reason
An unannounced annual inspection was conducted by Licensing Program Analyst Albert Johnson to evaluate compliance with licensing regulations.
Findings
The inspection found the facility to be in compliance with regulations including adequate furniture, lighting, food supplies, proper hot water temperature, operational fire extinguishers and smoke detectors, locked medication storage, complete first aid kit, and presence of carbon monoxide detectors. Advisories were given pursuant to Title 22 rules and Health and Safety Codes.
Employees Mentioned
NameTitleContext
Albert JohnsonLicensing Program AnalystConducted the annual inspection and observed compliance with regulations.
Maxima MartinAdministratorFacility administrator met with the Licensing Program Analyst during the inspection.

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