Elders Inn on Webster

Type of visit: Required - 1 Year

On 01/07/2026 at 9:50 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Rolinda Noquillio and explained the purpose of the visit. LPA toured the facility including but not limited to 6 residents’ apartments, bathrooms,activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 72 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 106.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 03/05/2025. Emergency Disaster Plan was last posted on 12/01/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/2025. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications.The following documents were reviewed during the visit: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan, Liability Insurance and Current Administrator’s Certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 7, 2026

Allegation investigated: Staff are blocking the required posted notifications from the residents

On 12/18/2025 at 12:20pm, Licensing Program Analyst (LPA), L. Hall arrived unannounced to conduct a 10-day initial complaint visit and deliver complaint findings for the allegation above. LPA met with Rolinda Noquillo, Administrator, and explained the reason for the visit. Allegation: Staff are blocking the required posted notifications from the residents During the course of the investigation LPA interviewed S1, reviewed picture that was submitted with complaint, and observed area where the required posted notification is posted. The picture submitted showed a plant obstructing the Ombudsman and RCFE complaint poster. LPA observed during today's visit that the notifications were no longer obstructed. Continued on LIC9099C. Substantiated Continued from LIC9099C. Based on LPA’s interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC9099D. Exit interview conducted. A copy of the appeal rights and this report provided.the state’s words, verbatim · CDSS document, Dec 18, 2025 · control 15-AS-20251210111026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468(c) · Plan of correction due date: Dec 25, 2025

(c) Licensees shall... post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. This requirement was not met as evidence by: Based on interview and record review the Licensee did not comply with the section cited above in having the required notifications unblocked, which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 18, 2025

Plan of correction: Administrator removed plant from obstructing required notifications prior to visit. Deficiency cleared.

Type of visit: Required - 1 Year

On 1/22/25, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Rolinda Noquillo, Administrator and explained the purpose of the visit. LPA toured the facility including but not limited to 5 residents’ apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. The hot water temperature in a residents’ shared bathroom was measured at 109.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 2/28/24. Emergency Disaster Plan was last posted on 1/22/25. First aid kit was observed to be complete. Fire drill was last conducted on 12/20/24. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 22, 2025

Allegation investigated: Uncleared staff providing care to residents

On 10/24/24 at 2:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to deliver findings in regard to the allegation above. LPA met with Rolinda Noquillo, Administrator and explained the purpose of the visit. During the investigation it was determined that S2 does not have fingerprint clearance. During the visit Licensee called S2 told him not to report to work. S2 is not to return to the facility until his background exemption has been granted. Based on LPA observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted, a copy of this report and appeal rights provided. Substantiatedthe state’s words, verbatim · CDSS document, Oct 24, 2024 · control 15-AS-20241015103505

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(d)(3) · Plan of correction due date: Oct 24, 2024

) All individuals subject to criminal record review shall be fingerprinted and sign a Criminal Record Statement... (3) The licensee shall submit these fingerprints... for the purpose of searching the records... prior to the individual's employment, residence, or initial presence in the facility. This requirement was not met as evidence by: Based on record review the Licensee did not comply with the section cited above. S2 was not fingerprinted before working at facility which poses a potential immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Oct 24, 2024

Plan of correction: S2 was called and told not to report to work. S2 will remain off work until appeal is granted.

Allegation investigated: Staff yell at residents

On 10/24/24 at 2:00 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to deliver findings in regard to the allegation above. LPA met with Rolinda Noquillo, Administrator and explained the purpose of the visit. During the visit LPA Interviewed 4 facility staff and 5 facility residents. Staff reported that they receive training in the proper way to speak to the residents. The training also including resident rights. All staff reported that they have never heard any staff yell or speak inappropriately to the residents. ***report continues on LIC9099C*** Unsubstantiated ***report continues from LIC9099*** Residents interviewed told LPA that they have never been yelled at or spoken to inappropriately by the staff. They all said that the staff treat them with respect. This agency has investigated the complaint alleging staff yell at residents. We have found that the complaint was unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 24, 2024 · control 15-AS-20241015103505

Type of visit: Required - 1 Year

On 2/13/24 at 10:30 AM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Stephen Zimmerman and explained the purpose of the visit. The facility’s fire clearance was approved for 60 clients. LPA toured facility including but not limited to resident apartments, bathrooms, kitchen, common area and outdoor patio. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ bathroom was measured at 107.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 2/14/23. Emergency Disaster Plan was last posted on 1/10/24. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 1/05/24. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 13, 2024