Trudez Home Care

Allegation investigated: Staff inappropriately cut resident's toe nails without POA's consent Staff did not provide resident with personal accommodations Staff did not notify resident's POA of incidents Staff did not issue resident a refund

At approximately 1:00 p.m. on 06/17/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit. To investigate the allegations above, LPA conducted an initial visit on 03/05/26 and toured the facility inside and out at 9:50 a.m., interviewed staff and residents between 10:00 a.m. and 12:00 p.m., and conducted a record review of pertinent records at 11:15 a.m. LPA obtained hospital records on 03/15/26 and home health records on 04/17/26. Today, LPA reviewed medical records and invoices at 1:00 p.m. and toured the facility at 2:45 p.m. Regarding the allegation "Staff inappropriately cut resident's toe nails without POA's consent" it was alleged a Witness (W1) observed Resident #1 (R1) with bloody toes. Interview with Staff #1 (S1) at 10:30 a.m. and Staff #2 (S2) at 10:45 a.m. on 03/05/26 revealed staff did not cut R1’s toenails. Staff noted R1 had a podiatrist referral for all nail care. Unsubstantiated R1 was discharged and did not receive medical attention for their heel until they were hospitalized in November 2025. Record review of R1’s home health records revealed their heel wound was last measured on 10/31/24 to be a Stage 2 pressure injury. Interview with Staff #1 (S1) at 10:30 a.m. on 03/05/26 revealed staff followed physician orders to care for R1’s wound. However, R1 was noncompliant with repositioning and maintained pressure on the heel which interrupted the healing process. Review of medical records from the hospital revealed they were admitted to the hospital on 12/04/25 with an unstageable pressure injury on their heel. Based on interviews and record review, staff neglect led to R1’s pressure injury. Therefore, the allegation is deemed SUBSTANTIATED at this time. A deficiency is cited on the corresponding LIC 9099-D page. A $500 immediate civil penalty is assessed today for a violation resulting in injury to R1. The licensee was informed that additional civil penalties might be assessed based on Health and Safety Code 1569.49(e) or (f), or 1548(e) or (f), 1568.0822(e) or (f). No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Appeal rights discussed. Copy of report provided. Interview with the administrator at 11:00 a.m. on 03/05/26 revealed R1 would bang their feet on the edge of their bed, causing the foot to bleed slightly. Interviews with three (03) out of three (03) residents between 11:00 a.m. and 12:00 p.m. on 03/05/26 revealed staff had not cut any of their toenails. At 12:00 p.m. on 03/05/26, LPA observed resident toenails to be in good condition. Based on interviews and observations, there is insufficient evidence to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not provide resident with personal accommodations" it was alleged the facility charged R1 for a hospital bed to accommodate their large size. Interview with the administrator revealed they suggested a hospital bed so staff could appropriately care for R1 due to their large size. Multiple staff hurt their backs trying to lift R1 on their standard bed provided by the facility. The hospital bed helped elevate R1 for incontinence care and relieved pressure on R1’s skin. The administrator noted they did not charge R1 or demand that they have a hospital bed. Record review revealed no pertinent information to the investigation. Facility tour on 03/05/26 revealed three (03) out of three (03) residents had beds in good repair. Based on interviews and observations, there is insufficient evidence to verify the allegation. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not notify resident's POA of incidents" it was alleged R1’s responsible person was not notified of a Stage 2 pressure injury on their heel. Interview with the administrator revealed R1’s responsible person was informed of all necessary updates from the facility regarding R1’s care. Record review of R1’s medical assessment, home health notes, and hospital notes revealed R1 was admitted to the facility with a Stage 2 pressure injury on their heel. R1 also had a history of pressure injuries and skin integrity issues due to diabetes. R1’s heel was last measured to be a Stage 2 injury on 10/31/24. R1’s heel injury was determined to be unstageable after they were hospitalized and no longer a resident. Based on interviews and record review, facility staff reported all necessary updates to R1’s responsible person. R1’s change of condition was determined after they left the facility. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. Regarding the allegation "Staff did not issue resident a refund" it was alleged the facility did not refund R1’s rent for their last month as a resident. Interview with the administrator revealed R1’s last day in the facility was 12/05/25. The administrator refunded R1 in the amount of $1610.50. The administrator also provided proof of payment to R1. Record review of R1’s admission agreement revealed the facility’s policy on refunds would be prorating. Record review of R1’s invoices revealed R1 was charged $2300 for 11/21/25 – 12/21/25. Based on interviews and record review, the administrator provided a refund in the approximate prorated rate to R1 in the amount of $1610.50 from 12/05/25 – 12/21/25. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. No immediate health or safety concerns observed during today’s visit. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 17, 2026 · control 31-AS-20260227093402

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87615(a) · Plan of correction due date: Jun 18, 2026

87615 Prohibited Health Conditions (a) Persons who... have a health condition including, but not limited to, those specified below shall not be admitted or retained in a residential care facility for the elderly: (1) Stage 3 and 4 pressure injuries. This requirement was not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above by retaining Resident #1 (R1) with an unstageable pressure injury which posed an immediate risk to the Health, Safety, or Personal Rights of persons in care.the state’s words, verbatim · CDSS document, Jun 17, 2026

Plan of correction: Licensee agreed to provide an in-service training on the cited section by the POC due date.

Allegation investigated: Staff did not provide a 60-day written notice to the resident or the residents' representative for increase in fees. Staff did not provide a detailed explanation of the additional services to be provided at the new level of care.

This report is being amended to address typographical errors and supersedes the amended report dated March 19, 2026. The findings remain the same. Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility, met with Helen Fegan, and explained the reason for the visit. LPA spoke with the administrator, Waldi Trudez, and she designated Fegan to sign and accept this report. -- Staff did not provide a 60-day written notice to the resident or the residents' representative for increase in fees. It was alleged that proper notification from the licensee regarding multiple rate increases of $50.00, $100.00 and $200.00 was not received. To investigate the above allegation, on March 19, 2026, LPA requested documents at around 10:00a.m. and interviewed one staff from 11:30a.m. – 12:30p.m. During interviews the investigation determined the Licensee was unable to provide proof of timely rate increase notification. Licensee stated facility refunded R1 in full. (CONT. LIC9099-C) Substantiated This continuation report is being amended to address typographical errors. The findings remain the same. ----Staff did not provide a detailed explanation of the additional services to be provided at the new level of care. It was alleged that resident did not receive a detailed explanation as to why the level is increasing. To investigate the above allegation, on March 19, 2026, LPA requested documents at around 10:00a.m. and interviewed one staff from 11:30a.m. – 12:30p.m. During interviews, the investigation determined the Licensee was unable to provide a reason or documentation as to why levels were increasing. During interviews, staff stated facility refunded R1 in full. Based on interviews, there is enough information to verify the allegations, therefore, the allegations are SUBSTANTIATED at this time. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D): No health and safety hazards noted during the visit. Exit interview conducted and a copy of the report was issued.the state’s words, verbatim · CDSS document, Mar 19, 2026 · control 31-AS-20251114153347

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(8) · Plan of correction due date: Mar 26, 2026

(a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs. This requirement is not met as evidenced by; Based on interview, facility did not meet with R1 or RP to discuss the details behind the most recent rate increases which poses a potential health safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Mar 19, 2026

Plan of correction: As discussed with Waldi Trudez, facility will submit proof of refund and a letter stating licensee has reviewed the cited regulation and that going forward will adhere to it.

Allegation investigated: Staff did not keep resident's records in a secure location

At approximately 9:45 a.m. on 03/05/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced complaint visit. LPA met with staff and disclosed the reason for the visit. Regarding the allegation "Staff did not keep resident's records in a secure location" it was alleged the records of Resident #1 (R1) were not kept confidential and kept on a bookshelf. To investigate the allegation, LPA toured the facility inside and out at 9:50 a.m. today, interviewed staff and residents between 10:00 a.m. and 12:00 p.m., and conducted a record review of pertinent records, including but not limited to an admission agreement, medical assessment, and care plan at 11:15 a.m. At approximately 10:10 a.m. today, LPA observed a locked file cabinet with confidential resident and staff files. Near the locked cabinet was an accessible shelf with medication administration records (MARs) and two (02) hospice files belonging to residents. Substantiated Interview with the licensee at approximately 10:45 a.m. today revealed the hospice nurse may have left out the hospice files. The licensee also believed Staff #1 (S1) left out the MARs while auditing them. Based on observations and interviews, the licensee did not ensure resident records remained confidential. Therefore, the allegation is deemed SUBSTANTIATED at this time. Deficiency issued on the corresponding LIC 9099-D page. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 5, 2026 · control 31-AS-20260227093402

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(c) · Plan of correction due date: Mar 16, 2026

87506 Resident Records (c) All information and records obtained from or regarding residents shall be confidential. This requirement was not met as evidenced by: Based on interviews and observations, the licensee did not comply with the section cited above by not ensuring the records of two (02) residents were kept confidential which posed a potential risk to the Health, Safety, or Personal Rights or persons in care.the state’s words, verbatim · CDSS document, Mar 5, 2026

Plan of correction: Licensee directed staff to lock up the files left out during the visit. Deficiency cleared.

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

At approximately 9:45 a.m. on 03/05/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit in conjunction with complaint visit for investigation #31-AS-20260227093402. LPA met with staff and disclosed the reason for the visit. During the complaint visit, LPA observed Staff #1 (S1) in the facility providing care and supervision to residents. S1 was not associated to the facility. Interview with the licensee at 1:45 p.m. today revealed S1 was not associated to the facility but had a criminal background clearance. The licensee stated S1 had worked in the home for one (01) month. At 2:00 p.m., LPA conducted a file review and did not find S1’s criminal background clearance. A deficiency is issued for S1 working in the facility for more than five (05) days without a criminal background clearance. A civil penalty in the amount of $500 is hereby assessed. Exit interview conducted. Appeal rights discussed. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 5, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Mar 6, 2026

87355 Criminal Record Clearance (e) All individuals... shall prior to working... (2) Obtain a California clearance... as required by the Department. This requirement was not met as evidenced by: Based on interviews and file review, the licensee did not comply with the section cited above by not ensuring not ensuring Staff #1 (S1) had a criminal background clearance and association to the facilityl which posed an immediate risk to the Health, Safety, or Personal Rights or persons in care.the state’s words, verbatim · CDSS document, Mar 5, 2026

Plan of correction: Licensee instructed their adminstrator designee to associate S1 to the faciltiy today. Licensee to send proof of association by 03/07/26 before S1 can return to work.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Eileen Calderon for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 10:00 AM and the following was noted: The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for storage. The facility is fire cleared for five (05) non-ambulatory. The facility is currently occupying three (03) residents. The facility has a total of four (04) bedrooms of which three (03) are for residents and two (02) bathrooms. The living and dining room are neat and clean. The residents' rooms are furnished with appropriate lighting system. Hallways are well lit. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. (continued on LIC 809-C) The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 117.8°F. There was enough clean linen available. Towels and washcloths are not shared. Residents have enough personal hygiene product provided by the licensee. The facility maintains a comfortable temperature at 72°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged and last inspected 03/28/2025. Laundry detergents, cleaning agents and other toxins are locked away. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. During staff file review, LPA noted First Aid CPR training certificates have expired for both caregivers on site. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): No other health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Dec 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Eileen Calderon for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 9:45 AM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of four (04) bedrooms of which three (03) are for residents and two (02) bathrooms. The facility is fire cleared for five (05) non-ambulatory. The facility is currently occupying four (04) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for storage. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 74°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged and last inspected 04/29/2024. (continued on LIC 809-C) The residents' rooms are furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 112.3°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. During the physical plant tour, LPA observed three beds with full or half railing. Of the two beds in room #4, one was full and the other half railing. The bed in room #3 is half railing only. LPA requested a written order from a physician indicating the need for the postural support, however, staff was unable to furnish such documents. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): No other health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Dec 29, 2024

Allegation investigated: Resident's responsible party was not informed of a change in resident's care. Facility mismanaged resident's medications.

At 3:00pm, Licensing Program Analysts (LPAs) Angela Panushkina and Michael Cava conducted an unannounced subsequent visit to deliver final findings. LPAs met with the staff, Eileen Calderon, and explained the reason for the visit. During the initial visit, conducted on 12/01/21, by LPA Panushkina interviews and records review were made. At 10:05am, LPAs requested resident and staff roster. At 10:10am, LPAs requested copies of pertinent information which include, but not limited to Physician’s Report, Centrally stored Medication and Destruction Records (CSMDR), relevant to the investigation. At approximately 10:15am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations. Between 10:20am – 12:00pm, LPA conducted an interviewed the Administrator and two (2) staff members. Continue on LIC9099-C Unsubstantiated Resident's responsible party was not informed of a change in resident's care. It was alleged that the R1’s responsible party was not informed that R1 was prescribed an antidepressant when placed to this facility. To investigate this allegation, LPA conducted an interview with the Administrator and two (2) staff members and was informed that the facility always follows doctor’s orders. In addition, two (2) staff members also informed LPA that R1 was not prescribed antidepressant upon admission and a copy of all prescribed medications were provided to R1’s responsible party. Moreover, LPA conducted review of R1’s Centrally stored Medication and Destruction Records (CSMDR) and did not observe R1 being prescribed with an antidepressant. Therefore, based on interviews and record reviews this allegation is deemed Unsubstantiated at this time. Facility mismanaged resident's medications. It was alleged that the facility received an order for R1’s doctor for a new prescription, Citalopram 10MG, and did not notify R1’s responsible party. To investigate this allegation, LPA conducted an interview with the Administrator and two (2) staff members, and all parties interviewed denied the above allegation. Two staff members interviewed denied ever receiving and or administering that medication to R1. Moreover, LPA conducted review of R1’s Centrally stored Medication and Destruction Records (CSMDR) and did not observe R1 being prescribed Citalopram upon admission nor thereafter. Therefore, based on interviews and record reviews this allegation is deemed Unsubstantiated at this time. No Deficiency cited. Exit interview conducted and copy of this report signed and issued.the state’s words, verbatim · CDSS document, May 6, 2024 · control 31-AS-20211122143349

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with caregiver, Elizabeth Calderon, for a Required One (01) Year visit. LPA explained the reason for the visit. LPA spoke with the co-administrator, Waldi Lopez, and she designated Elizabeth Calderon to sign and accept the report. A tour of the physical plant was conducted at 12:40 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of four (04) bedrooms of which three (03) are for residents and two (02) bathrooms. The facility is fire cleared for five (05) non-ambulatory. The facility is currently occupying three (03) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for laundry and storage. Laundry detergents, cleaning agents and other toxins are locked away. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 72°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located between the kitchen and dining area, observed to be full and last inspected on 06/05/2023. (continued on LIC 809-C) The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. The hot water temperature was measured at 117.1°F. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. LPA observed medication and first aid kit to be locked and inaccessible to residents. No health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Jan 6, 2024