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Facility Evaluation Report

ST. Jude's Elder Care III, San Dimas04/25/2025Licence 198601631

Capacity6
Census4
Date signed04/25/2025 05:24:55 PM
Name of licensing program analystKimberly Ramirez
Name of licensing program managerTony Vasallo
The inspector’s account

Licensing Program Analyst (LPA) Kimberly Ramirez and LPA Sakinah Madyun conducted an annual inspection visit on 04/25/2025 and was greeted by Caregiver Maria Alberto. LPAs identified themselves and explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected four (4) resident rooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed no-slip coating in showers. LPA Ramirez observed seated shower chairs in bathrooms. LPAs observed kitchen cabinets above microwave and stove to be sticky with residue. LPA Ramirez will issue Type B deficiency based on this observation. LPA Ramirez observed video surveillance in common areas.

Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. LPAs observed a container of overflow medications refills stored in lower food pantry cabinet and pantry was observed to be unlocked. LPA Ramirez will issue Type A deficiency based on this observation. Staff removed overflow medications and placed in centrally stored mediations cabinet after LPA Ramirez advised staff of observation. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C).

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction