Aaa's Elderly Care

Allegation investigated: Staff kicked resident.

On 5/20/2026 at approximately 9:30 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced initial complaint visit to the facility. LPA was greeted by staff and stated the reason for their visit. The Administrator, Maricel Reyes arrived shortly after to assist with today’s visit. To investigate the allegation(s), at approximately 10:00 AM, LPA conducted a physical plant tour. By 10:30 AM, LPA requested relevant documentation such as but not limited to: Physician’s Report, Medication List, and Staff roster. From 11:00 AM to 12:30 PM, LPA attempted interviews with six (6) residents (R1-R6), two (2) staff members (S1-S2), and conducted record review. (continue to LIC 9099-C) Unsubstantiated Regarding the allegation: Staff kicked resident. It was alleged that S2 had struck R1. To investigate the allegation, LPA attempted interviews with six (6) residents and two (2) staff members. LPA attempted to interview R1, but they no longer reside at the facility and could not be contacted. LPA attempted to interview R2, R3, and R4 but due to their inability to validate the questions being asked, LPA terminated the interviews. LPA attempted to interview R5 and R6 but they were asleep. LPA’s interview with S1 revealed that R1 had called them on (5/18/2026) to tell them they lied about S2 striking them. Per S1, R1 became upset with S2 for not taking them out to smoke a cigarette. Additionally, S1 revealed, R1 would have hallucinations. LPA’s interview with S2 revealed that they have not hit or mistreated any residents. When questioned if R1 was struck by S2, both S1 and S2 denied the allegation. LPA conducted a record review of R1’s Physician’s Report. LPA’s record review of the Physician’s Report revealed R1 was prescribed various medications due to their diagnosis. A web search of R1’s medication, revealed some of their medications to cause side effects such as, “….hallucinations, psychosis, and severe mood changes”. During LPA’s physical plant tour, LPA observed S2 to be assisting residents. In addition, LPA’s observation of residents’ interactions with S2 did not show any signs of them being in distress or discomfort surrounding S2’s presence at the facility. Based on interviews, record review, and observation there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No immediate health and safety issues observed during the day of the visit. Exit interview was conducted and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, May 20, 2026 · control 31-AS-20260513105954

Type of visit: Case Management - Deficiencies

On 05/20/2026 at approximately 09:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted a Case Management visit during their initial complaint visit (Control# 31-AS-20260513105954) and the following deficiencies were observed. Upon LPA’s visit. LPA requested pertinent documentation pertaining to the complaint visit they were investigating. When LPA requested Resident 1 (R1) file, the Administrator could not provide them with their file. When LPA requested the staff and resident roster, the Administrator could not provide LPA with the requested documentation. LPA observed the Administrator to print the forms for staff and resident roster and begin to fill them out. Additionally, LPA observed the Administrator and a staff member (S2) to look for R1’s file to no success. Per the Administrator they could not locate R1’s file. The Administrator was able to locate R1’s Physician’s Report and medication after reviewing their email correspondence but the file of R1 still remained missing. Citation issued, please refer to 809-D. No other immediate health and safety issues observed during the day of the visit. Exit interview was conducted, appeal rights given, and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, May 20, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a)(e) · Plan of correction due date: Jun 3, 2026

87506 Resident Records. (a)The licensee shall ensure...current record is maintained for each resident. (e)...records...shall be retained for a minimum of three (3) years following termination of service to the resident. This requirment was not met evidenced by: Based on interviews, record review and observations, the Administrator was unable to find R1's file. Additionally the Administrator did not have current resident and staff rosters available which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 20, 2026

Plan of correction: The Licensee/Administrator will review the regulation and email LPA Segovia a statement of understanding by POC due date. Additionally, the administrator will email LPA Segovia the LIC 500. POC due date: 6/03/2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit on 9/19/2025 and was greeted by staff members Salik Charley and Mary Martin. LPA stated the purpose of the visit was to conduct an annual inspection. The staff confirmed there are five residents. The facility is licensed for six (6) non-ambulatory, bedridden residents. The Licensee Adrian Reyes arrived at 10:10 am LPA Spaeth and the caregiver toured the facility at 10:00 am until 10:30 am Common Areas – The living room and family room contained comfortable seating. A dining room table with chairs are located in the kitchen. The family room contained a television. Kitchen - LPA Spaeth observed a two day supply of perishable food and a seven day supply of non-perishable foods. The knives and cleaning solutions were locked in a cabinet. The fire extinguisher is located in the kitchen and is operable. Medication - LPA observed the resident medications and PPE supplies were safely locked in a kitchen cabinet. LPA observed the first aid kit. Resident Rooms: The resident rooms were furnished with a bed, linens, night stand, lamp and chair. The rooms were neat and clean. Continued 809-C Garage//Washer & Dryer – The laundry room contained the washer/dryer. The door leading to the garage was locked. Additional cleaning supplies and the laundry detergent were not securely locked. An additional refrigerator is located in the garage and contained additional food items. Staff Room: The staff room was not locked but there were no safety issues to report. Bathrooms: There are two (2) bathrooms in the facility. The bathrooms contained hand soap, paper towels, grab bars, and trash can. A slip resistant mat was missing in one of the bathrooms. LPA observed cleaning supplies were not safely locked in a cabinet. LPA observed the staff member removed the cleaning supplies and locked in a cabinet. At 11:15 am, a slip resistant mat was placed in the bathroom. Water Temperature: The water temperature was tested at 10:15 am and was 110 degrees F. Hallway Closet - LPA observed the clean linens were located in a cabinet. Surrounding Grounds: LPA observed the gate to the wooden fence on the side of the facility was broken. The Licensee confirmed the gate will be repaired. Smoke/Carbon Monoxide Detectors: The smoke and carbon monoxide detectors were tested at 10:20 am and were operable. LPA Spaeth reviewed the resident and staff files from 11:10 am until 12:15 pm. There were no issues with the resident and staff files. Based upon Title 22 Regulations, the following deficiencies are substantiated. (See 809-D page). Exit interview conducted, appeal rights discussed, and a copy of the signed report was giventhe state’s words, verbatim · CDSS document, Sep 19, 2025

Allegation investigated: Staff do not feed residents food of quantity Due to lack of supervision, resident has fallen multiple times resulting in injuries Staff are asking resident for money

On 10/17/2024 Licensing Program Analyst (LPA) Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA Spaeth met with the Administrator, Maricel Reyes. LPA explained the purpose of this visit was to deliver the findings. The investigation consisted of the following: On 10/16/2024, LPA conducted an initial visit, toured the facility, reviewed resident’s files, interviewed three (R1, R2, R3) out of the four residents, interviewed three out of the five staff members, and the Administrator. LPA received copies of the resident’s documents, the resident roster, and staff schedule. Regarding the allegation: Staff do not feed residents quality food. It’s alleged residents are only served hot dogs, eggs, bologna and served alcohol. R1-R3 confirmed they receive three meals a day along with Continued on 9099-C Unsubstantiated snacks. R1-R3 stated the food is nutritious and of good quality. R1-R3 also stated they do not receive alcohol from staff. S4 was unavailable for an interview. S1-S3 stated nutritious meals are prepared each day and staff do not serve alcohol. The Administrator denied this has occurred. LPA Spaeth received a copy of the menu and observed a variety of food being served to the residents. Regarding the allegation: Due to lack of supervision, resident has fallen multiple times resulting in injuries. It’s alleged a resident has fallen various times and has bruises due to staff leaving a resident outside unattended. R1-R3 stated they have not fallen and have no injuries. S1-S3 stated the residents are not left alone outside and have not fallen. S4 was unavailable for an interview. The Administrator denied this occurred. Regarding the allegation: Staff are asking resident for money. It’s being alleged that the staff are asking a resident for money. R1-R3 confirmed this has not occurred. R4 was unavailable for an interview. S1-S3 stated they would never ask the residents for money. The Administrator denied this occurred. Based on the interviews of the residents and staff, the allegations are unsubstantiated. Exit interview was conducted and a copy of the report was giventhe state’s words, verbatim · CDSS document, Oct 18, 2024 · control 31-AS-20241009145523

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregiver. The Administrator Maricel Reyes arrived at 9:35 am.. LPA stated the purpose of the visit was to conduct an annual inspection. The Administrator arrived at 10:55 am. The staff confirmed there are three residents. The facility is licensed for six (6) non-ambulatory, bedridden residents. LPA Spaeth and the caregiver toured the facility at 9:15 am until 9:55 am Common Areas – The living room and family room contained comfortable seating. A dining room table with chairs are located in the kitchen. The family room contained a television. Kitchen - LPA Spaeth observed a two day supply of perishable food and a seven day supply of non-perishable foods. The knives and cleaning solutions were underneath the kitchen sink and was not locked. LPA observed the caregiver locked the cabinet at 9:17 am.. The fire extinguisher is located in the kitchen and is operable. Medication - LPA observed the resident medications and PPE supplies were safely locked in a kitchen cabinet. LPA observed an unlocked kitchen cabinet which was not locked and contained a previous residen's medication. LPA observed the Administrator removed the medication and disposed of the medication. LPA observed the first aid kit. Garage//Washer & Dryer – The laundry room contained the washer/dryer. The door leading to the garage was not locked. Additional cleaning supplies and the laundry detergent were not securely locked. LPA observed the cabinet was locked during the visit. An additional refrigerator is located in the garage and contained additional food items. Continued on 809-C Resident Rooms: The resident rooms were furnished with a bed, linens, night stand, lamp and chair. The rooms were neat and clean. Staff Room: The staff room was not locked. LPA observed over the counter medication in the room. LPA Spaeth observed the medication was removed from the room. Bathrooms: There are two (2) bathrooms in the facility. The bathrooms contained hand soap, paper towels, grab bars, trash can, and slip resistant mats. The water temperature was recorded to be 105.0 Degrees F. Hallway Closet - LPA observed the clean linens were located in a cabinet. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. The side gate of the house was closed and was not locked. Comfortable seating is also located in the backyard. Smoke/Carbon Monoxide Detectors: The smoke and carbon monoxide detectors were tested at 9:50 am and were operable. LPA Spaeth reviewed the resident and staff files at 10:15 am until 10:53 am.. LPA reviewed the medications at 10:50 am until 11:00 am There were no issues with the resident and staff files. Based upon Title 22 Regulations, the following deficiencies are substantiated. (See 809-D page). Exit interview conducted, appeal rights discussed, and a copy of the signed report was giventhe state’s words, verbatim · CDSS document, Sep 20, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the two caregivers. LPA stated the purpose of the visit was to conduct an annual inspection. The Administrator arrived at 10:55 am. The staff confirmed there are three residents. The facility is licensed for six (6) non-ambulatory, bedridden residents. LPA Spaeth and the caregiver toured the facility at 10:10 am until 11:19 am. Common Areas – The living room and family room contained comfortable seating. A dining room table with chairs are located in the kitchen. The family room contained a television. Kitchen - LPA Spaeth observed a two day supply of perishable food and a seven day supply of non-perishable foods. The knives and cleaning solutions were securely locked underneath the kitchen sink. The fire extinguisher is located in the kitchen and is operable. Medication - LPA observed the resident medications, first aid kit, and PPE supplies were safely locked in a kitchen cabinet.. Garage//Washer & Dryer – The laundry room was locked and contained the washer/dryer. The door leading to the garage was locked. The garage contained the laundry detergent and an additional refrigerator. Continued on 809-C Resident Rooms: The resident rooms were furnished with a bed, linens, night stand, lamp and chair. The rooms were neat and clean. Bathrooms: There are two (2) bathrooms in the facility. The bathrooms contained hand soap, paper towels, grab bars, trash can, and slip resistant mats. The water temperature was recorded to be 134.0 Degrees F. Hallway Closet - LPA observed the clean linens were located in a cabinet. Surrounding Grounds: There were no visible hazards, and passageways were free from obstruction. The side gate of the house was closed and was not locked. Comfortable seating is also located in the backyard. Smoke/Carbon Monoxide Detectors: The smoke and carbon monoxide detectors were tested at 11:15 am and were operable. LPA Spaeth reviewed the resident and staff files at 11:40 am until 12:30 pm. LPA reviewed the medications at 1:00 pm. Based upon Title 22 Regulations, the following deficiency is substantiated. (See 809-D page). Exit interview conducted, appeal rights discussed, and a copy of the signed report was giventhe state’s words, verbatim · CDSS document, Mar 14, 2024