Magnolia Place

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not follow reporting requirements Facility staff did not provide adequate supervision, resulting in a physical altercation between residents Facility staff did not adhere to admission agreement Facility staff did not ensure resident received diabetic care as needed Facility staff did not dispense medications as prescribed Facility staff did not ensure resident was treated with dignity

On 10/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit, and met with Memory Care Director Kristen Mcmillian and Director Resident Services Mandy House who stated Executive Director Mireya Melchor is unavailable to attend meeting. During the course of the investigation, the Department conducted interviews, toured the facility, and records were reviewed. Adequate staff were present during altercation between R1 and R2. Staff responded immediately to the incident. Incident was reported to the department in a timely manner. Based on records reviewed and interviews conducted, R1 had a one on one staff prior to residing at the facility. R1 continued one on one staff after residing at the facility. R1 is a diabetic that is on a regular diet with low salt diet. R1’s blood sugar was being checked according to doctor’s order. Interviews and records reviewed confirm, staffthe state’s words, verbatim · CDSS document, Oct 14, 2025 · control 24-AS-20250902110224

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff does not ensure facility is free of pests.

On 08/26/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA introduced self and stated the purpose fo the visit. LPA discussed the findings with Executive Director. During the course of the investigation, the department conducted interviews, received copies of records, and toured the facility. Based on interviews conducted and records reviewed, the facility immediately addressed bed bugs upon discovery and pest control service was contacted immediately. There was insufficient evidence to prove or disprove that staff does not ensure facility is free of pest. Therefore, the preponderance of evidence standard has not been met, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Executive Director, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 26, 2025 · control 24-AS-20250808163232

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not seek timely medical attention for resident’s fracture which resulted from an unwitnessed fall

On 07/22/25, Licensing Program Analyst (LPA) Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose visit, and met with Administrator Mike Chapman and Director Resident Services Mandy House. During the course of the investigation, the Department conducted interviews and reviewed records and based on review, the preponderance of evidence standard has been met, therefore the allegation alleging staff did not seek timely medical attention for resident’s fracture which resulted from an unwitnessed fall is SUBSTANTIATED. Based on records reviewed and interviews conducted, R1 had an unwitnessed fall and sustained fracture. R1 was taken to Urgent Care on 5/5/25 and returned to the facility. From 5/5/25 to 5/8/25, R1 complained of pain as documented on the facility’s progress report. No medical attention was sought until staff called emergency services on 5/13/25. Per California Code of Regulations, Title 22, Division 6, Chapterthe state’s words, verbatim · CDSS document, Jul 22, 2025 · control 24-AS-20250514165227

Allegation investigated: Staff neglect resulted in a resident sustaining fractures from consuming incorrect medication Staff did not seek timely medical attention for a resident

On 07/22/25, Licensing Program Analyst (LPA) Yang arrived unannounced to deliver complaint findings. LPA introduced self, stated the purpose visit, and met with Administrator Mike Chapman and Director Resident Services Mandy House. Based on interviews conducted and records reviewed, the Department was unable to locate information as to which resident at the facility these allegations are concerning. No additional information was provided to the department - Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies were issued. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 22, 2025 · control 24-AS-20250604113213

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff committed financial fraud against resident in care

On 03/11/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock. During the course of the investigation, the Department conducted interviews and reviewed records. Based on records reviewed and interviews conducted, there was insufficient evidence to prove or disprove that staff committed financial fraud against the resident in care. therefore, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 11, 2025 · control 24-AS-20241108131311

Allegation investigated: Licensee is not adequately addressing bed bug infestation at the facility. Licensee is not ensuring that resident is provided with a safe environment while in care.

On 02/06/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation. LPA introduced self, stated the purpose of the visit, and met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock. During the course of the investigation, LPA conducted interviews, received copies of records, and toured the facility in memory care unit. Based on interviews conducted and records reviewed, the facility immediately treated the bed bugs found in resident’s room and scheduled pest control service to treat bed bugs. There was insufficient evidence to prove or disprove that resident is not provided with a safe environment while in care. Therefore, the preponderance of evidence standard has not been met, the above allegations are found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to the Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 6, 2025 · control 24-AS-20250204104020

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide resident with the correct refund

On 05/29/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an initial complaint investigation. LPA introduce self, stated the purpose of the visit, and met with Administrator Paul Anderson, Director of Residential Services Shellie Whitlock, and Office Manager Kourtney Fangmeyer. During the course of the investigation, interviews were conducted, and records were reviewed. R1 and R2 has a moved in date of 02/27/24 and had moved out on 03/23/24. On 03/06/24, R1 made a payment of $11,807.00 towards R1 and R2’s community fee and rent for the month of March. The facility issued and mailed refunded check to the resident for the remaining dates of March after the resident moved out including 80% of the community fee. Based on records reviewed and interviews which were conducted, the preponderance of evidence standard has not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was providedthe state’s words, verbatim · CDSS document, May 29, 2024 · control 24-AS-20240522090454

Allegation investigated: Facility staff are not dispensing medications to the residents as prescribed

On 03/19/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA stated the purpose of the visit and met with Administrator Paul Anderson and Director of Residential Services Shellie Whitlock During the course of the investigation, LPA toured the facility, reviewed records, and conducted interviews. Based on records reviewed and observation medications were not administered as instructed by doctor's order. Based on records reviewed and observation, 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 6 are being cited on the attached Lic 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this report confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Mar 19, 2024 · control 24-AS-20240220184101

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility did not provide resident records to residents authorized representative.

On 01/31/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator Paul Anderson, Director of Residential Services Shellie Whitlock, and Director Kristen McMillian. During the course of the investigation, the Department conducted interviews and reviewed records. R1’s records were requested on 01/15/24 and the facility contacted the reporting party (RP) on 1/17/24 regarding the requested records. R1’s records were confirmed received by the RP. Based on interviews conducted, the preponderance of evidence standard has not been met, therefore the above allegation is found to be UNSUBSTANTIATED. An exit interview was conducted. A copy of this report was provided to Administrator, whose signature confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 31, 2024 · control 24-AS-20240117135418

Allegation investigated: Staff is financially abusing resident in care.

On 01/04/24, Licensing Program Analyst (LPA) M.Yang arrived unannounced to deliver finding on the above allegation. LPA introduced self, stated the purpose of the visit, and requested to meet with Administrator Paul Anderson. LPA met with Memory Care Director Kristen McMillian and Acting Director of Resident Services (DRS) Palvire Bassi who stated Administrator is unavailable to attend meeting. During the course of the investigation, the Department conducted interviews and reviewed records. Transportation is included in R1's monthly statement. For every transportation that requires the facility to provide a one on one escort for the resident for outing, the facility charges an additional $40 an hour. Resident received notice of facility additional charge when S1 was required to escort R1 at the bank when S1 transported R1 to the bank. The facility charged R1 an additional $40 when S1 escorted R1. Based on interviews conducted and records reviewed, the preponderance of evidence standardthe state’s words, verbatim · CDSS document, Jan 4, 2024 · control 24-AS-20231128155556

Allegation investigated: Staff hit residents arm Staff forcibly pulled a residents hair Staff speak inappropriately to residents in care

On 08/17/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to deliver complaint findings on the above allegations. LPA introduced self, stated the purpose of the visit, and met with Director of Residential Services Shellie Whitlock and Administrator Paul Anderson. During the course of the investigation record were reviewed and interviews were conducted. S1 had hit R1 and R2’s arm to get the residents’ attention. S1 spoke inappropriately to R1 and R3 when assisting the residents. S1 had pulled R2’s hair when R2 was trying to get out of the commonly used bathroom. Based on record reviewed and interviews conducted, the preponderance of evidence standard has been met,therefore, the above allegations are found to be SUBSTANTIATED. Under California Code of Regulations, Title 22, are being cited on the attached LIC 9099D. An exit interview was conducted, and a copy of this report and appeal rights was provided to Administrator, whose signature confirm receipt of this report. Subthe state’s words, verbatim · CDSS document, Aug 17, 2023 · control 24-AS-20230705155208