Bellamar Lancaster

On 02/03/2025 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced subsequent complaint visit. Upon arrival LPA met with the Executive Director, Kortnie Spitznogle and LPA explained the purpose of the visit. Entrance interview conducted. At approximately 10:24 a.m. LPA, along with a Director of Health and Wellness, Jesse Wong observed the transportation vehicle. According to Jesse the vehicle sits eight individuals not including the driver. LPA obtained a copy of the vans registration. Allegation: Staff do not provide adequate transportation service for the residents. It is alleged the facility does not have a properly licensed driver or adequate transportation for residents. To investigate this allegation LPA Rios conducted an unannounced subsequent visit on 03/28/2024, LPA obtained a copy of the desiganted driver's driver license and insurance identification card. LPA also conducted interviews 2:30 p.m. to 3:35 p.m. LPA with five (5) residentsRead the full finding— CDSS inspection report, February 3, 2025 · control 31-AS-20240228142941

On 01/06/2025 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced subsequent complaint visit. Upon arrival LPA met with the Executive Director, Kortnie Spitznogle and LPA explained the purpose of the visit. Entrance interview conducted. Allegation: Staff did not properly report an incident involving a resident. It is alleged resident #1(R1) had a fall within the facility, and struck their head but facility did not document the incident at the time. To investigate this allegation, LPA Rios reviewed the documents obtained by LPA Melissa Spaeth on 02/29/2024. LPA Rios also reviewed the death certificate and hospice medical records for R1 provided to Community Care Licensing Division (CCLD) on 04/25/24 from, Special Investigator Assistant, Rocio Flores. On todays visit LPA Rios requested a copy of the Unusual Incident Report involving R1 around 10/18/2023. LPA also reviewed the Death Report provided by the facility via fax on 01/18/2024. The faciliRead the full finding— CDSS inspection report, January 6, 2025 · control 31-AS-20240228142941

On 11/06/24 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced subsequent complaint visit. Upon arrival LPA met with the Administrator, Analilia Zaragoza and LPA explained the purpose of the visit was to continue the investigation on the above mentioned allegations. On 02/29/24 LPA Melissa Spaeth conducted a physical plant tour and gathered, the resident roster and staff work schedule. On 03/28/2024 LPA Rios conducted a subsequent visit that consisted of a physical plant tour, obtaining and reviewing copies of the facility's Activity Program Description, the Activity Calendar posted for the month and also conducted interviews with five (5) residents and four (4) staff. On 11/06/2024 LPA Rios reviewed resident #2 's (R2's) financial records in regards to facility payments and obtained copy of administrator certificate. (Continue to LIC9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, November 6, 2024 · control 31-AS-20240228142941

On 03/28/2024 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced subsequent complaint visit. Upon arrival LPA met with the Executive Director, Kortnie Spitznogle and LPA explained the purpose of the visit. Kortnie Spitznogle informed LPA that Analilia Zargoza is th current administrator. Entrance interview conducted. At approximately 2:00 p.m. Licensing Program Analyst (LPA) Evelin Rios, conducted a physical plant tour of the facility to ensure the health and safety of the residents in care. Before the physical plant tour LPA requested the resident roster, copies of staff #1's (S1) medication training, resident #2 (R2) record and insurance information for the facility's van. From 2:30 p.m. to 4:17 p.m. LPA conducted interviews with five (5) residents and four (4) staff. From approximately 3:35 p.m. LPA reviewed records gatherd on todays visit and documents gathered on the intial visit conducted by LPA Spaeth on 02/29/2024. (Continued on LIC909Read the full finding— CDSS inspection report, March 28, 2024 · control 31-AS-20240228142941

At 10:10am, Licensing Program Analysts (LPAs) Angela Panushkina and Huma Rahimi conducted an unannounced visit at this facility to deliver final findings. LPAs met with the Administrator and explained the reason for the visit. Initial visit was conducted by LPA Diaz on 02/06/2020. LPA conducted an interview with the Administrator, Staff #1 (S1) and Resident #1 (R1). LPA also requested copies of pertinent information which include, but not limited to Admission Agreement, Physician’s Report, Appraisal Needs and Services Plan, etc., relevant to the investigation. During today’s visit, LPAs requested resident and staff roster. At approximately 10:30am, 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 11:00am – 1:30pm, LPAs conducted an interview with the Administrator, Office Manager, Nurse, Memory Care Director, former Activity Director, one staff (1), one (1) MedTech, andRead the full finding— CDSS inspection report, February 27, 2024 · control 31-AS-20200131112457

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent complaint visit to finish investigation into the allegations above. LPA met with facility staff and explained the reason for this visit. Regarding the allegations above previous visits were conducted on 4/13/22 and 11/21/19 regarding the allegations above. On previous visits interviews were conducted with residents and staff and resident records were reviewed and copies of pertinent information was obtained. Lack of care and supervision resulted in multiple falls and injuries and Facility staff failed to seek medical attention for the residents in a timely manner It is alleged that in November of 2019 resident #1 (R1) had a fall inside the facility and staff did not properly pay attention to R1 and that facility did not seek medical attenion for R1 in a timely manner. The complainant was not able to give the full name of R1. LPA conducted interviews with facility staff and they checked facility records goRead the full finding— CDSS inspection report, May 4, 2022 · control 31-AS-20191115154931

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent complaint visit to investigate the allegations above. LPA met with the administrator and explained the reason for this visit. LPA conducted a physical plant tour to ensure no immediate health and safety issues. No health and safety issues were noted. Facility has insufficeint staff to meet resident's needs It is alleged that there is not enough staff to meet resident needs in the facility. LPA conducted interviews with residents and staff from approximately 11:15-1:30pm regarding this allegation. All residents and staff interviewed feel that the facility has enough staff and resident's needs are getting met by facility staff. Based on the information obtained through interviews this allegation is deemed Unsubstantiated at this time. UnsubstantiatedRead the full finding— CDSS inspection report, April 13, 2022 · control 31-AS-20191115154931