Dignity Care Home #1

Allegation investigated: Staff sexually abused resident. Staff poked resident with a sharp object. Staff administered resident unprescribed medications. Staff did not provide nutritious food options to resident. Staff did not accord resident privacy. Staff did not allow resident to leave facility.

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an unannounced subsequent complaint investigation visit regarding the above allegation. LPA met with administrator, Raymond Viray and explained the reason for the visit. On 11.21.2025, LPA Ngo-Castaneda conducted an initial complaint visit, LPA interviewed staff and residents at the facility, toured the facility, and requested copies of the staff roster, resident roster, and records relevant to the investigation. On 11.29.2025, the department representative interviewed Resident #1 (R1), the party responsible, and staff. Allegation: Staff sexually abused resident. Continue to LIC 9099-C Unsubstantiated It is alleged that staff touched resident’s body inappropriately. Document review of police report dated 11.15.2025 notes the following information: Date of incident 9.11.2025. Officers responded to statements of a resident claiming to have been sexually assaulted the case was closed without further investigation. The department interviewed staff and residents at the facility, who revealed that they feel safe and have no issue and have no complaints about S1 and have not witnessed inappropriate behaviors. The department obtained information that S1 was working in a different location on 9.11.2025 which is the date alleged the incident happened. As well as that there were documents provided to proof S1 was working somewhere that day. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Allegation: Staff poked resident with a sharp object. It was alleged that the Licensee poked the R1 with a sharp object in care. During the initial visit, an interview with the Licensee revealed that the incident never occurred and the Licensee denied the allegation. An interview with staff revealed that they would never poke the residents. Furthermore, during the initial visit, interviews with residents confirmed that no staff members ever poked or touched R1 with any object. Residents also informed LPA Ngo-Castaneda that they did not witness any incidents with R1. Based on the interviews during the initial visit, this allegation is Unsubstantiated at this time. Allegation: Staff administered resident unprescribed medications. It was alleged that facility staff administers R1 unprescribed medications. Interview with the administrator denied the allegation. Interview with staff revealed that they always follow physician prescriptions and would never give residents unprescribed medications. Interview with six (6) residents denied the allegation, adding they've never been administered medication that wasn't prescribed. Continue to LIC 9099-C LPA observed medication to be all accounted for all residents; LPA did not observe surplus or shortage of medication. LPA reviewed six (6) out of six (6) residents’ medications, no unprescribed medication was observed. R1 had a total number of seven (7) medications which had a physician’s prescription. Based on interviews, observation, and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Allegation: Staff did not provide nutritious food options to resident. It was alleged that staff did not provide nutritious food options to R1. During LPA on 11.21.2025, LPA observed a nutritious breakfast for residents. The breakfast plate had two (2) poached eggs, a cup of fruits that had: banana, blueberries, strawberries, kiwi, a sliced toast, and a cup of milk. During lunch, LPA observed residents' plates to have Swedish meatballs, steam broccoli, mash sweet potatoes, and buttered pasta. LPA interview with six (6) resident and reviewed the facility menu. Breakfast, lunch and dinner menu includes a healthy and nutritious variety of vegetables, fruits, protein and a treat. The residents interviewed did not have any concerns/complaints about the food served at the facility. All residents interviewed felt that the facility serves sufficient amounts of protein and vegetables with their meals. Based on interviews, observation, and record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Allegation: Staff did not accord resident privacy. It was alleged staff did not respect R1's privacy. Staff would come in and out of the room. During LPA visits on 11.21.2025 and 8.27.2026, LPA did not observe staff entering the resident's bedroom without knocking. LPA interviewed six (6) residents, who revealed staff knock on the door before they enter, and their privacy is respected. Interview with staff revealed that they always knock on the resident's bedroom door before entering, they are trained to respect residents' privacy. Based on interviews, observation, and training record review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. continue to LIC 9099-C Allegation: Staff did not allow resident to leave facility. It was alleged that staff did not allow R1 to leave the facility. R1 wanted to leave the facility. Staff revealed that R1 wanted to leave the facility and go back to their home. Interview with staff revealed that R1 wants to leave the facility, but needs to be assisted by staff. R1 wanted to leave the facility and go back to their own home. Staff stated that per the doctor’s report dated 4.18.2025, R1 cannot leave the facility unassisted. Therefore, they made sure that R1 is leaving with staff assistance. Residents interviewed during investigation revealed that they are not restrained from leaving the facility. Based on observation, interviews, and record review, there is insufficient evidence to support the allegation that staff inappropriately restrained residents. Therefore, the allegation is deemed Unsubstantiated at this time. Exit interview was conducted with, and a copy of this report was provided to the Licensee.the state’s words, verbatim · CDSS document, Aug 27, 2026 · control 31-AS-20251120102643

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted by Raymond Viray who is the administrator and was explained the reason for the visit. At 10:25 AM, with the assistance of designee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 10:38 AM the smoke alarms were tested are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the office and kitchen. The charge date is 1.15.2026. During the visit the facility is at 74 degrees Fahrenheit. The facility is fire cleared for five (05) non-ambulatory residents. Hospice waiver for four (4); one maybe bedridden. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen below the sink. Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1, bedroom #2, bedroom #3, bedroom #4 are all private used for residents, the bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Bedroom #5 is shared. Bedroom #2 is currently vacant. Continue to LIC 809-C Bathrooms: There are three (3) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105.8 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #1. Hot water temperature was measured at 105.4 degrees Fahrenheit for bathroom #2 located across bedroom #2. There was enough clean linen available in the cabinets in the hallway. Bathroom #3 is located at the end of the hallway by the office that is designated only for staff. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does have a swimming pool it is fence up and lock. Swimming pool is drained, covered, and block off. The garage is detached and is converted into a storage. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and is located outside the garage. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Continue to LIC 809-C Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current appraisal. Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Aug 27, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted by Mark Golipatan who is the designee and was explained the reason for the visit. At 10:45 AM, with the assistance of designee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 10:20 AM the smoke alarms were tested are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the office and kitchen. The charge date is 1/07/2025. During the visit the facility is at 74 degrees Fahrenheit. The facility is fire cleared for five (05) non-ambulatory residents. Hospice waiver for four (4); one maybe bedridden. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen below the sink. Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1, bedroom #2, bedroom #3, bedroom #4 are all private used for residents, the bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Bedroom #5 is shared. Continue to LIC 809-C Bathrooms: There are three (3) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 111.6 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #1. Hot water temperature was measured at 110.6 degrees Fahrenheit for bathroom #2 located across bedroom #2. There was enough clean linen available in the cabinets in the hallway. Bathroom #3 is located at the end of the hallway by the office that is designated only for staff. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does have a swimming pool it is fence up and lock. Swimming pool is drained, covered, and block off. The garage is detached and is converted into a storage. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and is located outside the garage. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Continue to LIC 809-C Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current appraisal. Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Jul 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted by Raymond Viray who is the licensee and was explained the reason for the visit. At 11:45 AM, with the assistance of license, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the office and kitchen. The charge date is 2/27/2024. During the visit the facility is at 77 degrees Fahrenheit. The facility is fire cleared for five (05) non-ambulatory residents. Hospice waiver for four (4); one maybe bedridden. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen below the sink. Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1, bedroom #2, bedroom #3, bedroom #4 are all private used for residents, the bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Bedroom #5 is shared. Bathrooms: There are two (2) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105.1 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #1. Continue to LIC 809-C Hot water temperature was measured at 106.1 degrees Fahrenheit for bathroom #2 located across bedroom #2. There was enough clean linen available in the cabinets in the hallway. Bathroom #3 is located at the end of the hallway by the office that is designated only for staff. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does have a swimming pool it is fence up and lock. The garage is detached and is converted into a storage. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and is located outside the garage. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Continue to LIC 809-C Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current appraisal. Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Jul 10, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted with staff Mark Golipatan and was advised for the reason of the visit. At 12:12 PM Raymond Viray who is the license met with LPA at 12:22, explained the reason for the visit. At 12:23 PM, with the assistance of license, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are operational that are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen. The charge date is 2/27/2024. During the visit the facility is at 72 degrees Fahrenheit. The facility is fire cleared for five (05) non-ambulatory residents. Hospice waiver for four (4); one maybe bedridden. Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen below the sink. Bedrooms: There were five (5) bedrooms designated for residents' use. Bedroom #1, bedroom #2, bedroom #3, bedroom #4 are all private used for residents, the bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Bedroom #5 is shared. Bathrooms: There are two (2) bathroom designated for residents' use. The bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 114.6 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #1. Continue to LIC 809-C Bathroom #2 is across bedroom #2. There was enough clean linen available in the cabinets in the hallway. Bathroom #3 is located at the end of the hallway that is designated only for staff. Common Areas: LPA toured all common areas of the facility. These included the living room and dining area for residents. The common areas were properly furnished. Residents dining table fits enough for six (6). LPA observed common areas to be very clean and tidy. LPA observed the floors to be in very good condition. No obstructions and or tripping hazards throughout the facility. Furniture in common area was observed to be in good repair. There are no issues with Fire Clearance. Office is located beside bathroom #3. Infection control: Facility mitigation plan to make sure licensee was following current infection control recommendations. LPA obtain a copy and reviewed the infection control plan during this visit. Surrounding Grounds: Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does have a swimming pool it is fence up and lock. The garage is detached and is converted into a storage. Laundry service: There is enough linen available to change weekly or more if need. Cleaning supplies are being stored in a locked cabinet in the laundry area and is located outside the garage. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Records were checked for expired or missing certificates and clearances: LPA conducted a file review of staff for criminal record clearances and current First Aid. The administrator file was reviewed for current first aid, fingerprint clearance, administrator certificate, and HIV/AIDS and TB training. Medications are in a centrally stored and locked place, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the clients’ doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and is current. Continue to LIC 809-C Resident records were reviewed for requirements and legibility: LPA reviewed client’s files for current appraisal. Planned activities are offered. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.the state’s words, verbatim · CDSS document, Feb 27, 2024