Norwich Elder Care

Type of visit: Case Management - Health Checks

On 7/9/26 at 2:00 pm Licensing Program Analyst (LPA) J. Leffall arrived unnancounced at the facility and was greeted by Staff (S1) Dorothy Brown. LPA was granted entry. The purpose of the visit is to conduct a Health and Safety check as a follow up on visit conducted on 7/3/26. 2 residents were present during visit. LPA toured facility and conducted a Health and Safety check. LPA observed adequate perishable and non-perishable food for both residents. All medications, chemicals and sharps were observed locked in closet, drawers and cabinets. 4 out of the 5 rooms were accessible and adequate for residents. Room 5 was observed locked and LPA was not able to enter. LPA confirmed all staff present on premises are fingerprint cleared and associated with facility per Guardian system. Water temperature was tested at 120.3 degrees F. Health and safety check completed. All deficiencies will be addressed with Licensee at an in office meeting held on a later date. Exit Interview conducted. A copy of this form was submitted to Staff whose signature confirms the receipt of this report.the state’s words, verbatim · CDSS document, Jul 9, 2026

Allegation investigated: Staff do not ensure that the facility maintains a working telephone at all times

On 7/3/26 at 11:00 pm Licensing Program Analyst (LPA) J. Leffall conducted an initial complaint visit to open and to deliver findings on above allegations. LPA met with Staff (S1) Glen Bilog who arrived at the facility at 4:00pm. The Department conducted interviews with staff. LPA attempted to contact RP. RP was not available. LPA left a message via voicemail. RP did not return LPA's call. LPA called facility phone and took a photo. Facility phone is operational. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unfounded. No deficiencies were issued. Exit interview conducted. A copy of this report was distributed to Staff which confirms signature of this report. Unfoundedthe state’s words, verbatim · CDSS document, Jul 3, 2026 · control 24-AS-20260625143331

Type of visit: Case Management - Health Checks

On 7/3/26 at 11:30 am. Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an initial complaint visit. LPA explained the purpose of the visit and was granted entry into the facility by Betty Brown. LPA asked Betty Brown to contact Administrator Leilani Aragon via telephone and let her know that the LPA was there to conduct a visit. Administrator advised she was out of town and would not be able to respond to assist with the visit and stated that Glenn Bilog should arrive at the facility to conduct the visit. LPA toured the facility and conducted and health and safety visit and observed the following deficiencies: Betty Brown identified herself as the House Manager and was the only staff at the facility. LPA reviewed the facility roster and Guardian, and found Betty Brown is not associated or fingerprint cleared. Civil Penalty will be assessed Staff Glenn Bilog, based on the facility roster is not cleared or associated to the facility. Civil penalty assessed. Bedroom 2 per the facility sketch is missing a dresser. Resident Room 4 and 5 are locked and inaccessible. Resident Room 1 has a sign stating employees only. Glenn states he resides in bedroom 1. Resident bathroom water temperature measured at 122.5 F. Report continued on LIC 809-C. LPA checked food supply. Food supply does not meet 2 day perishable and 7 day non perishable per Title 22. The facility has two AC units. The temperature of the facility is 78 and 84 degrees F. Medications were locked in a closet and inaccessible to residents. Once Staff arrived LPA was able to gain access to medications. Based on observation, 2 medications had a start date of 6/2/26. Centrally stored showed a start date of 6/2/26. Both Medication bottles showed a quantity of 15. Both bottles showed there were 4 pills left as of 7/3/26. Medication count not accurate. LPA took photos of medications. An in-office visit will be conducted at a later date with Licensee. Deficiencies are being cited and Immediate civil penalties issued on the attached 809-D and 421FC regarding lack of care and supervision, and persons not associated and cleared in facility. A copy of this report with Appeal Rights was distributed to Glenn Bilog whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Jul 3, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(26) · Plan of correction due date: Jul 4, 2026

General Food Service Requirements (b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. Based on records reviewed and interviews conducted, there were not a sufficient supply of food for residents, which poses an immediate Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee had sufficient food delivered at facility on 7/3/26.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87405(a) · Plan of correction due date: Jul 4, 2026

Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. Based on records reviewed and interviews conducted, there was not an Administrator present to provide care and supervision, which poses an immediate Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to have staff fingerprinted and associated to facility.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Jul 4, 2026

Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. Based on records reviewed and interviews conducted, there was not staff present to provide care and supervision, which poses an immediate Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to have staff fingerprinted and associated to facility.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87355(a) · Plan of correction due date: Jul 4, 2026

Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. Based on records reviewed and interviews conducted, persons were providing care and supervision without a criminal record clearance and was not associated with facility, which poses an immediate Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to have all staff criminal record cleared and associated to facility.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87356(a) · Plan of correction due date: Jul 4, 2026

Criminal Record Exemption (a) The Department shall notify a licensee to act immediately to terminate the employment of, remove from the facility or bar from entering the facility any person described in Sections 87356(a)(1) through (5) below while the Department considers granting or denying an exemption. Upon notification, the licensee shall comply with the notice. Based on records reviewed and interviews conducted, persons were providing care and supervision without a criminal record clearance and was not associated with facility, which poses an immediate Health & Safety risk to the residentsthe state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to have all staff criminal record cleared and associated to facility.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87303(e)(2) · Plan of correction due date: Jul 4, 2026

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). Based on records reviewed and interviews conducted, water temperature was higher than the requirement of 122.5 degrees F in bathroom 1, which poses an immediate Health & Safety risk to the residentsthe state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to adjust water heater and test water to ensure it meets Title 22 regulations of a temperature ranging from 105-120 degrees F.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a) · Plan of correction due date: Jul 4, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. Based on records reviewed and interviews conducted, 2 medications had a start date of 6/2/26. Centrally stored showed a start date of 6/2/26. Both Medication bottles showed a quantity of 15. Both bottles showed there were 4 pills left as of 7/3/26. Medication count not accurate which poses an immediate Health & Safety risk to the residents.Based on observation,the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to complete medication training and submit completion documents to CCLD by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87208(a)(7)(A) · Plan of correction due date: Jul 17, 2026

Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following: (7) Sketches, showing dimensions, of the following: (A) Building(s) to be occupied, including a floor plan that describes the capacities of the buildings for the uses intended and a designation of the rooms to be used for nonambulatory residents and for bedridden residents, other than for a temporary illness or recovery from surgery as specified in Sections 87606(d) and (e) Based on records reviewed and interviews conducted, LPA was unable to observe a written Plan of Operation, which poses a potential Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to have written Plan of Operation and submit to CCLD by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(a) · Plan of correction due date: Jul 17, 2026

Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based on records reviewed and interviews conducted, LPA was unable to observe a written resident records, which poses a potential Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to submit all resident records to CCLD by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(3)(B) · Plan of correction due date: Jul 17, 2026

Personal Accommodations and Services (3) Equipment and supplies necessary for personal care and maintenance of adequate hygiene practice shall be readily available to each resident. The resident may provide the following items; however, if the resident is unable or chooses not to provide them, the licensee shall assure provision of: (B)Bedroom furniture, which shall include, for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. Based on records reviewed and interviews conducted, resident bedroom 3 did not contain a dresser with at least 2 drawers, which poses an immediate Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jul 3, 2026

Plan of correction: Licensee agrees to provide a dresser with at least 2 drawers in resident bedroom 2, and submit photos to CCLD by POC due date.

Type of visit: Prelicensing

An announced Prelicensing - continuation visit was conducted on the date above by Licensing Program Analyst (LPA) K. McClurg. LPA met with Co-Administrator (CoAdmin) Glenn Bilog. LPA greeted CoAdmin & was allowed to proceed with visit. The purpose of today's visit was to verify that the 2 outstanding items had been corrected. Both items reviewed & observed to have been corrected by this visit: Toilet & shower area in back bathroom do not have grab bars - CORRECTED. GRAB BARS IN ALL TOILET & SHOWER AREAS. Side gates are is not self-closing & self-latching. West side gate will not open completely. -CORRECTED. WEST GATE OPENS COMPLETELY. SIDE GATES SELF-CLOSING & SELF-LATCHING. Exit interview conduced with CoAdmin. Report provided. CAB notified of today's visit & correction of all observed deficiencies. "Pre-Licensing deficiencies have been resolved. Pre-Licensing is now complete."the state’s words, verbatim · CDSS document, Nov 20, 2025

Type of visit: Prelicensing

An announced Prelicensing - continuation visit was conducted on the date above by Licensing Program Analyst (LPA) K. McClurg. LPA met with Co-Administrator (CoAdmin) Glenn Bilog. LPA greeted CoAdmin & was allowed to proceed with visit. In addition to items as stated on previous visit 10/14/25 LIC809 it was determined that: Bedroom #4 does not meet California building standards & requirements to be classified as a "bedroom". This room, while having an exterior door, has no windows to the outside to allow for natural light & for ventilation. This was reviewed & discussed with Admin by telephone. The Admin has decided to reduce facility capacity by the one (1) for room #4 & will use the room as a storeroom, etc., & will not use as a bedroom. May install window in the future. To notify Community Care Licensing (CCL) if & when. - CORRECTED. PAPERWORK SUBMITTED TO CAB TO REDUCE CAPACITY & IDENTIFY ROOM FOR USE OTHER THAN A BEDROOM, I.E., STORAGE, ETC. Main bathroom (hall bath) entry does not allow sufficient clearance for a walker or wheelchair to gain access to toilet. It also does not allow a 2nd person to be present to provide assistance. Blocked access for residents & for staff due to how door opens inward & insufficient room to maneuver. Door swings in & does not provide adequate room to meet the needs of a non-ambulatory resident w/ physical limitation or need to use mechanical aid. The door does not provide room to close to access toilet, or to exit toilet area. LPA walked this area during initial visit 10/14/25) & demonstrated how even without any mechanical aid that the door as is created an issue of access & access for staff assistance as well. This was reviewed & discussed with Admin by telephone. According to Admin, current door will be removed & replaced with solid door that allows for the mobility, while maintaining privacy, for non-ambulatory residents. - CORRECTED. SUFFICIENT ROOM TO INSTALL SLIDING BARN DOOR ALLOWING FULL ACCESS TO HALL BATHROOM & DOES NOT INTERFERE WITH HALL PASSAGEWAY KEEPING ALL PASSAGEWAYS CLEAR & FREE OF OBSTRUCTION. Remaining items for review from previous visit 10/14/25: Living room has adequate lighting. Seating in Living room insufficient to accommodate 6 residents. - CORRECTED. SEATING FOR 6 AVAILABLE. Facility does not have mattress pads on the premises. - CORRECTED. Hot water in resident back bathroom tested & measured at 131 degrees F - CORRECTED - TESTED & MEASURED @ 109 DEGREES F. Toilet & shower area in back bathroom do not have grab bars - INCOMPLETE: GRAB BAR IN MASTER BATH SHOWER REQUIRED. (Toilet corrected). Side gates are is not self-closing & self-latching. West side gate will not open completely. - INCOMPLETE. WEST SIDE GATE NOT SELF-CLOSING. NOT SELF LATCHING - to make corrections as needed on East gate as well. Adding from previous visit 10/14/25: Backyard fencing has exposed pop-out nails in wood & miscellaneous nails on ground. - CORRECTED - IMMEDIATELY EXPOSED METAL BOLTS, 3" SCREWS; ETC. REMOVED. Exit interview conduced with CoAdmin. CoAdmin agreed to have final corrections made by date below. LPA to be notified prior to or by due date that corrections have been completed & are ready to be inspected. Component III was conducted during initial visit 10/14/25. CAB notified of today's visit & pending deficiencies to be resolved by due date. "Pre-Licensing is incomplete with deficiencies to be resolved by Thursday, November 20, 2025".the state’s words, verbatim · CDSS document, Nov 17, 2025

Type of visit: Prelicensing

An announced Pre-Licensing/Component III (Pre/CompIII) visit was conducted on the date above by Licensing Program Analysts K. McClurg & M. Vega. LPA's met with Administrator (Admin) Leilani "Lani" Aragon, introduced selves, provided business cards, stated purpose of visit & was allowed entry. Facility telephone number: (559) 319-6988. No bodies of water on the premises, such as pools, spas, fountains, etc. No fireplaces or wood burning stoves on the premises. Facility Fire Cleared for all Non-Ambulatory with room #4 Fire Cleared for 1 Bedridden. Facility map updated to correctly identify room #4 (bedridden) & show back patio as covered. This facility does not have delayed egress; This facility does not have a secured perimeter; RE: Hospice Waiver: Admin indicated during this visit that they would like to have a Hospice waiver. Admin agreed to submit Hospice waiver request to Centralized Application Bureau (CAB) immediately, prior to facility being licensed. (Continued) (Continued) Physical plant toured. Kitchen, Dining, & Living Kitchen appeared to be clean with appliances at appropriate temperatures. Kitchen area has trash can with a tight fitting lid. Locked area to secure knives & stove knobs & make inaccessible when not in use. Dining room sufficiently furnished with adequate lighting. Living room has adequate lighting. Seating in Living room insufficient to accommodate 6 residents. Bedrooms & Bathrooms Resident bedrooms sufficiently furnished with adequate lighting Facility does not have mattress pads on the premises. Bathroom fixtures operational & appear to be clean. Hot water in resident back bathroom tested & measured at 131 degrees F. Toilet & shower area in back bathroom do not have grab bars Facility has dedicated area to secure & maintain resident & staff records as well as medications & medication records. Operational auditory alarms on all exits. Smoke detectors tested & operational Carbon monoxide detector operational; Interior & exterior passageways free of obstructions. (Continued) Garage & Yard Areas Garage area has laundry equipment that appeared to be clean & in working order. Storage cabinets with ability to lock available to make contents inaccessible. Front & backyard areas appeared to be maintained w/ absence of miscellaneous debris. Side gates are is not self-closing & self-latching. West side gate will not open completely. "Pre-Licensing is incomplete with deficiencies to be resolved by Monday,October 20, 2025. A follow up Pre-licensure LIC809 will be generated upon resolution of deficiencies." Exit interview conducted with Admin. Copy of report provided. CAB notified, prior to end of visit, that inspection has been conducted & ready for review.the state’s words, verbatim · CDSS document, Oct 14, 2025