Inspection Reports for Yannica Guest Home I
2329 Diamond Oaks St, Stockton, CA 95206, USA, CA, 95206
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
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
| Name | Title | Context |
|---|---|---|
| Noel Wolf Petersen | Licensing Program Analyst | Conducted the inspection |
| Michael Bilger | Licensing Program Analyst | Conducted the inspection |
| Maxima Martin | Licensee | Met 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Michell Obtinalla | Administrator | Named as facility administrator with current administrator certificate. |
| Maxima Martin | Licensee | Met with Licensing Program Analyst during inspection. |
| Renee Campbell | Licensing Program Analyst | Conducted the annual inspection and authored the report. |
| Lisa Rios | Licensing Program Manager | Supervisor 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Ruth Wallace | Licensing Program Analyst | Conducted the inspection and issued findings |
| Maxima Martin | Administrator | Met with Licensing Program Analyst during inspection |
| Stephen Richardson | Licensing Program Manager | Supervisor 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
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Made the unannounced POC visit to verify correction of citations. |
| Stephenie Doub | Licensing Program Manager | Named 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Maxima Martin | Administrator | Facility 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
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the unannounced POC visit |
| Maxima Martin | Administrator | Facility 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the inspection and cited the medication deficiency |
| Maxima Martin | Administrator | Facility administrator met during inspection |
| Stephenie Doub | Licensing Program Manager | Supervisor 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
| Name | Title | Context |
|---|---|---|
| Albert Johnson | Licensing Program Analyst | Conducted the annual inspection and observed compliance with regulations. |
| Maxima Martin | Administrator | Facility administrator met with the Licensing Program Analyst during the inspection. |
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