Melrose Villas

On Tuesday, 12/10/2024, Licensing Program Analyst, (LPA) Raymond Comer, conducted the initial10-day complaint visit at the facility. At 10:05 am, LPA met with facility representative, Saul Aranda, and the purpose of the visit was disclosed. A physical plant tour of the facility was conducted. No health and safety issues were observed. Allegation: Licensee is not addressing pests at the facility- The Reporting Party (RP) alleges that faciity is not addressing incidents of bed bugs and roaches observed in resident bedrooms. [LIC 9099-C Continued]--- Unsubstantiated— CDSS inspection report, December 10, 2024 · control 31-AS-20241204111738

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced complaint investigation visit to investigate the above allegation. LPA Smith met with Alexis Peralta (Human Resources Director) and disclosed the purpose of the visit. Staff yells at residents To investigate this allegation LPA requested facility documents,and conducted interviews with staff and resident between 11:05 -1pm. LPA interviews with six (6) of six (6) staff revealed they have not yelled at residents or witness any staff yelling at residents in care. Staff #4 (S4) and Staff # 6 (S6) revealed staff and residents have a bound of respect. Staff #2 (S2) revealed have yelled and talk firmly to a vendor that had disrespected residents in the past but have not yelled at the residents. Staff # 1 (S1) and (S2) revealed staff may talk louder to residents with impaired hearing. UnsubstantiatedRead the full finding— CDSS inspection report, January 30, 2024 · control 31-AS-20240123102907

Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to this facility to investigate the above allegations. LPA met with lead staff, Alexcis Peralta, and explained the reason for the visit. --- Facility staff are restraining clients. It was alleged that staff restrain residents using a four-pin restraint mechanism. To investigate the allegation on 11/15/2023, LPA Duguma made observations during the physical plant tour, interviewed three (03) staff from 11:00 AM - 12:00 PM and six (06) residents from 1:00 PM – 2:30 PM. During the unannounced visit, LPA did not witness any residents in restraints. (CONT. on LIC 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, November 15, 2023 · control 31-AS-20210510121903

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced complaint investigation visit for the above noted allegations. LPA Valenzuela met with Human Resources Director, Alexis Peralta and explained the reason for the visit. It was reported that due to inadequate supervision resident wander away from the facility. It was alleged that a male resident in their late thirties was wandering away from the facility at night. To investigate this allegation on 10/17/2023 between 3:45pm and 4:00pm, staff interviews were initiated. Interviews revealed that a resident with dementia walked out of the main building and into the patio. Staff found resident #1 (R1) on the facility premises, in the patio area. In the other adjacent facility there are no residents present who are under 65 years of age. In addition LPA conducted a physical plant tour between 12:30pm and 1:00pm and made a note that the facility has alarms and camaras around the facility premises. If a resident exited aRead the full finding— CDSS inspection report, October 17, 2023 · control 31-AS-20231012185644

Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced complaint investigation visit for the above noted allegation. LPA Valenzuela met with Human Resources Director, Alexis Peralta and explained the reason for the visit. It was reported that staff did not ensure facility was free from bed bugs. To investigate this allegation on 10/17/2023 between 12:00pm and 12:30pm, staff interviews were initiated. Interviews revealed that facility does have a bed bud investation in room 221A. In order to get rid of the bed bugs the facility replaced all the furniture including the mattresses, and washed all the clothes and linens in the shared room, but the bed bugs continued to be presesnt. Between 12:30pm and 01:00pm, LPA toured the facility and went inside room 221A. LPA did observe bed bugs on the walls and one bug on the bed. Staff told LPA that a fumigating company was scheduled to come today to provide an estimate. Continue on 9099-C SubstantiatedRead the full finding— CDSS inspection report, October 17, 2023 · control 31-AS-20231009092803

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to deliver findings on 05/17/2023. Upon arrival LPA LaQueena Lacy met staff Alexcis Peralta and explained the purpose of this visit. It is alleged that resident #1 (R1) is being intimidated and yelled at by another resident. To investigate the above allegation LPA Abeye Duguma interviewed staff and residents on 09/09/2022. LPA Lacy conducted additional interviews with staff and residents at approximately 2:15pm- 3:50pm on 01/11/2023. Interviews with five (05) out of (07) seven residents confirmed they have not been prevented from having relationships/friendships with other residents and have not been restricted from communicating with other residents. They have not witnessed any residents being abused, yelled at, or harassed at the facility by another resident, and have not been told by another resident that they are being abused or harassed. During the investigation, interviews with staffRead the full finding— CDSS inspection report, May 17, 2023 · control 31-AS-20220908141544

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to deliver findings on 05/17/2023 at 10:45am. Upon arrival LPA LaQueena Lacy met staff Alexcis Peralta and explained the purpose of this visit. #1. Resident was left in soiled diapers for an extended amount of time. It is alleged that residents are left in soiled diapers. To investigate the above allegation LPA conducted interviews with staff and residents on 01/11/2023 at approximately 2:15pm- 3:50pm. Four out of six residents interviewed are incontinent. Interviews with three (03) out of four (04) incontinent residents confirm they do not wait for long periods of time when needing assistance with a diaper change, and staff comes during the day and night to check if they need to be changed. During the investigation staff affirm that they conduct diaper checks every two hours or more often depending on the need of the resident. Continued on 9099C. UnsubstantiatedRead the full finding— CDSS inspection report, May 17, 2023 · control 31-AS-20220607160122

Licensing Program Analyst (LPA) LaQueena Lacy conducted a subsequent complaint visit for the above allegation on 05/17/2023 at 10:45am to deliver investigative findings. LPA Lacy met with staff Alexcis Peralta and explained the purpose of the visit. It is alleged that resident #1 (R1) was sexually abused by staff #1 (S1). S1 threw R1 to the floor and got on top of them. To investigate the above allegation LPA requested documents relevant to the investigation on 08/26/2022. Interviews conducted with residents on 08/26/2022 between 3:00pm- 3:45pm revealed that five (05) out of (05) residents have not witnessed or been told by another resident that R1 have been sexually abused by staff. Residents stated that they have not witnessed staff hit any residents in care and staff treat them well and assist them when they need help. During the investigation, interviews with staff #2 (S2) on 01/26/2022 at 10:00am revealed they witnessed the incident between R1 and S1 and observed R1 grab S1 arm anRead the full finding— CDSS inspection report, May 17, 2023 · control 31-AS-20220125084840

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to deliver findings on 05/17/2023. Upon arrival LPA LaQueena Lacy met staff Alexcis Peralta and explained the purpose of this visit. #1. Facility has insufficient staffing for the residents. It is alleged that after 10pm there were no staff at the facility to watch the residents. To investigate the above allegation, on 08/10/2022 LPA requested documents relevant to the investigation at 3:38pm. LPA interviewed staff and resident on 08/10/2022 at approximately 2:18pm and 01/11/2023 at approximately 2:15pm- 3:50pm. Interviews with six (06) out of six (06) residents confirm that at least two (02) staff members work at night, and staff is available when they need assistance. Interviews with staff confirm that managers are on call 24hours and cover shifts when needed. Continued on 9099C. UnsubstantiatedRead the full finding— CDSS inspection report, May 17, 2023 · control 31-AS-20220408145205

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to deliver findings on 05/17/2023. Upon arrival LPA LaQueena Lacy met staff Alexcis Peralta and explained the purpose of this visit. It is alleged that witness #1 (W1) witnessed R1 being sexually abused by a staff member at the facility. To investigate the above allegation, on 01/11/2023 LPA requested documents relevant to the investigation at 12:30pm. LPA began interviews with staff and residents at approximately 2:15pm- 3:50pm and additional interviews with staff and residents on 01/13/2023 at approximately 11:45am. Interviews with five (05) out of (05) resident revealed they have not witnessed any staff members sexually assaulting or touching any residents inappropriately. They have not been told by any residents that they are being sexually abused or inappropriately touched by any staff members. Cotinued on 9099C. UnsubstantiatedRead the full finding— CDSS inspection report, May 17, 2023 · control 31-AS-20230111112945

On 04/05/2023 at 10:10 a.m. Licensing Program Representative (LPA) Evelin Rios conducted an unannounced complaint investigation at the location mentioned above. LPA was greeted by Staff #1 (S1) and granted access. Alexcis Peralta met LPA in the Lobby. LPA explained the reason for the visit. Administrator Kandice was not available for todays visit and designated Alexcis to sign this report. At 10:20 a.m. a physical plant tour was conducted to ensure no immediate health and safety issues were present. No immediate health and safety issues were noted. Allegation: Facility is not providing adequate supervision to residents in care. It is alleged that due to a lack of supervision a resident from the facility left the facility unsupervised and exposed themselves and masturbated in public. To investigate the above allegation LPA conducted interviews with Alexics, and 3 staff from 10:45 a.m. to 11:34 a.m. From 11:35 a.m. to 12:00 p.m. LPA interviewed 6 out 59 residents. (Continued on LIC9099-CRead the full finding— CDSS inspection report, April 5, 2023 · control 31-AS-20230330083726

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced ten (10) day complaint visit to the facility to investigate the above allegations. LPA met with staff Alexcis Peralta and explained the purpose for the visit. This agency has investigated the complaint alleging that staff #1 (S1) was financially abusing R1, and did not accord R1 privacy while on the phone. During the investigation it was determined that R1 does not live at Melrose Villas. R1 resides currently at the sister facility Melrose Chateau. We have found that the complaint was without a reasonable basis. We have therefore dismissed the complaint. No health and safety hazard is noted during this visit. Exit interview was conducted and copy of report was issued. UnfoundedRead the full finding— CDSS inspection report, December 28, 2022 · control 31-AS-20221223085910

Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to complete an investigation of the above noted allegations. Upon arrival LPA Lacy met staff Alexcis Peralta and explained the purpose of this visit. It is alleged that the facility smells like urine and poop. Upon arrival in the facility, LPA could smell a strong order of urine throughout the first floor of the facility. During this visit LPA conducted a physical plant tour at 10:56am. While conducting a physical plant tour, LPA questioned staff #1 (S1) regarding the odor in the facility. S1 responded, “I’ve observed staff cleaning resident’s rooms and changing the linens, I know they are cleaning”. The mattresses have been changed and plastic placed on them. During the physical plant tour, LPA observed the second floor to be free from odor of urine. During the investigation S1 informed LPA the first floor is mainly housing incontinent residents. LPA interviewed the administrator at 12:21Read the full finding— CDSS inspection report, August 5, 2022 · control 31-AS-20220607160122

Licensing Program Analyst (LPA) LaQueena Lacy conducted a subsequent complaint visit for the above allegation on 04/18/2022 at 11:10am for the purpose of delivering investigative findings. LPA Lacy met with Alexcis Peralta and explained the purpose of the visit. LPA Lacy conducted a physical plant tour at 11:21am, no immediate health and safety concerns observed. It is alleged that resident #1 (R1) was involuntarily moved to another facility. To investigate the above allegation, LPA conducted an initial complaint visit on 10/27/2021. LPA requested documents relevant to the investigation at 10:39am and began interviews with the Administrator and staff at approximately 10:41am. Interviews revealed that R1 was transferred from the facility due to exhibiting uncontrollable behaviors. Administrator indicated that R1 was placed in the facility by a placement agency operating under the Department of Health Services (DHS). Prior to relocation, a relocation request was submitted and approved byRead the full finding— CDSS inspection report, April 18, 2022 · control 31-AS-20211019153111

Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to this facility to deliver the findings for the above allegation. LPA met with Assistant Administrator Alexis Peralta and explained the reason for the visit. On 04/20/21, then LPA Margaryan conducted the initial complaint visit. During her visit, LPA Margaryan conducted physical plant tour at 11:30 AM, interviewed administrator and staff between 9:15 AM to 10:30 AM, requested facility documents at 11:00 AM. It was alleged that the resident #1 (R1) was admitted to the hospital where R1 was observed to have four (4) unstageable pressure injuries. The injuries were located on R1’s lower back, buttock, hip and shoulder. The investigation of the allegation was conducted by the Investigator Dennis Douglas from the Investigation Branch of the Community Care Licensing Division. (continued on LIC 9099-C) SubstantiatedRead the full finding— CDSS inspection report, February 17, 2022 · control 31-AS-20210416123631