Strawberry Cottage

On 09/09/2025 Licensing Program Analysts (LPA) Evelin Rios conducted an unannounced subsequent complaint visit for the above mentioned allegation. LPA met with Monica Gory, the administrator and explained the purpose of the visit. An entrance interview was conducted with the administrator. Present in the home was staff #1 (S1) and two (02) out of three (03) residents. A third resident arrived at approximately 2:15PM. Allegation: Staff did not provide resident with a 60 day rent increase notice. It was alleged that Resident #1’s (R1’s) responsible party received a notification of rate increase on 02/06/2025 with effective date 01/01/2025. To investigate the allegation LPA Rios conducted an initial visit on 02/25/2025. During initial visit LPA conducted an interview with the administrator and staff present. From approximately 10:54 a.m. to 1:26 p.m., LPA reviewed resident records and obtained documents such as but not limited to R1’s admission agreement, Assisted Living Waiver documentatRead the full finding— CDSS inspection report, September 9, 2025 · control 31-AS-20250221124252

On 09/10/2024 Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced subsequent visit to deliver the determination on the above allegations. LPA was greeted by Staff #4 (S4) who granted access. S4 contacted the administrator, Monica Gory to let them know LPA was at the facility. Administrator met LPA shortly after. LPA explained the purpose of the visit. At 1:40 p.m. LPA conducted a physical plant tour to ensure the health and safety of the residents in care. On 01/12/2024 LPA Rios conducted an unannounced initial complaint visit for the above allegations. During the initial visit LPA conducted a physical plant tour, interviews with staff #1 (S1), the administrator designee at the time Ricky De Sahagun and staff #2 (S2). LPA also conducted interviews with three (3) out of six (6) residents at the facility able to respond to LPA’s questions. LPA reviewed and obtained copies of the staff calendar, meal calendar and staff’s daily notes. (Continued onRead the full finding— CDSS inspection report, September 10, 2024 · control 31-AS-20240103165416

On 02/12/2024 Licensing Program Analysts (LPA) Evelin Rios arrived at the facility to conduct an unannounced subsequent visit to deliver the determination on the above allegations. LPA was greeted by Staff #1 (S1) who granted access. S1 contacted the administrator David Taylor and administrator designee Monica Gory to let them know LPA was at the facility. Administrator and administrator designee met LPA shortly after. LPA explained the purpose of the visit. At 1:00 p.m. LPA conducted a physical plant tour to ensure the health and safety of the residents in care. Allegation #1: Staff mishandling resident medication. It was alleged staff have given resident #1 (R1) an incorrect dosage of medication on different occasions. To investigate the allegation LPA Rios conducted an initial visit on 01/12/2024, during this visit LPA interviewed residents and staff from approximately 11:50 a.m. to 3:00 p.m. LPA also reviewed six (6) of six (6) Centrally Stored Medication and Destruction Records (CRead the full finding— CDSS inspection report, February 12, 2024 · control 31-AS-20240103165416

On 09/14/2023 Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced complaint visit for the above allegations. LPA arrived at the facility at 10:00 a.m. and was greeted by Staff #1 (S1) who granted access. S1 called the Administrator Designee Hailam P. Taylor. Administrator David Taylor was unavailable. Hailam met LPA shortly after. Hailam contacted Administrator David Taylor via telephone and LPA explained to Administrator Designee Hailam and the Administrator David Taylor the purpose of the visit. Hailam will sign todays report. An entrance interview was conducted. At 10:15 a.m. LPA conducted a physical plant tour to ensure the health and safety of the residents in care. From 10:30 a.m. to 12:00 p.m. LPA conducted interviews with Administrator and Staff #2 (S2) over the phone. LPA conducted interviews with Administrator designee, S1 and three (3) out of six (6) residents at the facility. From 12:00 p.m. to 2:44 p.m. LPA reviewed resident records and obtained documentsRead the full finding— CDSS inspection report, September 13, 2023 · control 31-AS-20230908152350

On 06/14/2023 Licensing Program Analysts (LPAs) Evelin Rios and Melissa Ruiz conducted an announced subsequent complaint visit for the above allegation. LPAs arrived at the facility at 10:00 a.m. and were greeted by staff#1 (S1) who granted access. S1 called the Administrator David James Taylor. Administrator met LPAs shortly after and informed David about the purpose of the visit. Staff do not ensure safety measures for resident(s) in care. It is alleged a staff #2 (S2) dog chased resident#1 (R1) to their room. To investigate this allegation LPA Rios conducted initial interviews with residents and staff on 05/02/2023 from 2:00 p.m. to 2:50 p.m. and from 5:45 p.m. to 6:32 p.m. LPA reviewed resident records and obtained documents relevant to this investigation. On 05/03/2023 Licensing Program Analyst (LPA) Rios conducted a follow-up interview with resident#1 at 10:21 a.m. (LIC9099-C continued on to next page) UnsubstantiatedRead the full finding— CDSS inspection report, June 14, 2023 · control 31-AS-20230427111039

On 06/14/2023 Licensing Program Analysts (LPAs) Evelin Rios and Melissa Ruiz conducted an unannounced complaint visit for the above allegations. LPAs arrived at the facility at 10:00 a.m. and were greeted by staff#1 (S1) who granted access. S1 called the Administrator David James Taylor and met with LPA shortly after. LPAs informed him about the purpose of the visit. Allegation #1:Facility did not arrange, or assist in arranging, for necessary medical care for resident(s). It is alleged resident#1 (R1) has requested assistance with receiving a consistent replenishment of portable oxygen which facility has failed to obtain and furthermore has failed to make arrangements for R1 to see a physician per R1s request. To investigate this allegation LPA interviewed residents and administrator from 11:00 a.m. to 12:00 p.m. Interview with R1 revealed that about three months ago they had requested to see a physician for a health concern and according to R1, the administrator did not assist them wRead the full finding— CDSS inspection report, June 14, 2023 · control 31-AS-20230608131051

At 10:00 a.m., Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an unannounced subsequent complaint visit. LPA was greeted by staff and later met with Licensee, David Taylor. The purpose of the visit was explained, and an entrance interview was conducted. Allegation: Staff failed to administer resident's medication as prescribed. On 5/5/2022, LPAs Ruiz and Martinez conducted an initial visit. During this visit, LPAs conducted a random medication count for R1 from 11:30 a.m. – 12:00 p.m. and two medications Baclofen and Quetiapine Fumarate (Seroquel) were observed to be inconsistent with the medication instructions. The medication Baclofen was to be administered 3 times a day, and there were three separate bubble packs for morning, noon, and night. LPAs observed 2 pills in the a.m. packs for 5/5/22, and 5/3/22 and the Medication Administration and Record log (MAR) was signed by a staff member indicating that the medication was given on said dates. In additRead the full finding— CDSS inspection report, June 13, 2023 · control 31-AS-20220429094057

On 05/03/2023 Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced subsequent complaint visit for the above allegations. LPA arrived at the facility at 10:00 a.m. and was greeted by staff #1 (S1) who granted access. Ricky Desahagun called the facility as LPA was checking in and LPA informed Ricky about the purpose of the visit. Ricky met LPA shortly after. At 10:21 a.m. LPA conducted a follow-up interview with one out of six residents. At 10:36 a.m. LPA reviewed and obtained further documents relevant to this investigation. Allegation #1: Licensee does not dispense medication as prescribed to resident(s) in care. It is alleged Licensee has withheld prescribed medication from R1. To investigate this allegation on 05/02/2023 LPA observed Ricky count medication and LPA compared the count with Centrality Stored Medication Logs and Medication Administration Records (MAR). (Continued on LIC9099-C) SubstantiatedRead the full finding— CDSS inspection report, May 3, 2023 · control 31-AS-20230427111039

Licensing Program Analyst (LPA) Shira Stamps conducted an unannounced subsequent complaint visit for the above allegations. Entrance interview conducted with the Administrator. On 9/6/22, LPA collected documents and on 9/16/22 LPA conducted interviews and collection additional documents. Allegation: Staff fail to provide aid with daily living It is alleged that resident one (R1) is being neglected and not receiving proper care. It is alleged that R1’s issues with the toes are getting worse and staff do not clean R1’s toes or R1’s seat, and R1 believes that wound care is needed, and that R1 wants to be transferred to a new facility. Based on document review the facility provides basic services to all residents in care, and R1 had an assisted living waiver program service plan. R1 was also receiving hospice services. CONTINUED... UnsubstantiatedRead the full finding— CDSS inspection report, April 14, 2023 · control 31-AS-20200618160904

Licensing Program Analyst (LPA) Shira Stamps conducted an unannounced subsequent complaint visit for the above allegations. Entrance interview conducted with the Administrator. On 9/6/22, LPA collected documents and on 9/16/22 LPA conducted interviews and collection additional documents. Allegation: Resident is being illegally evicted It is alleged that the resident (R1) was rushed to the hospital, and the facility would not accept R1 back into the facility. Based on record review, it was found that R1 was discharged and notified on 6/12/20 that Hospice Care services could no longer meet the needs of R1, and it was recommended by Hospice that R1 go to a different type of facility such as a pain clinic due to R1’s increased demand for pain medications. It was noted that Hospice explained the plan to R1 and R1 verbalized understanding. On 6/16/20, an incident report was sent to Community Care Licensing (CCL) stating that R1 wanted to go to the hospital because of foot pain that was beingRead the full finding— CDSS inspection report, April 14, 2023 · control 31-AS-20200624133943