Reesejoy Care Home II

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPAs met with staff, Cynthia Manala and Ferdinand Punsalang. They were both advised of the visit. At approximately 10:30am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. There is a carbon monoxide detector installed by the kitchen that functions properly. The fire extinguisher is located in the kitchen. It was purchased 10/05/25. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food properly stored. Knives were stored in a locked drawer in the kitchen. Bedrooms: There were six (6) bedrooms of which five (5) designated for residents' use, and one (1) room for staff. Three of the bedrooms (rooms #3, #4, #5) are private. Rooms #1 and #2 are shared. Rooms occupied by residents were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are four (4) bathrooms. Three (3) are designated for residents' use and one is for staff. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was between at 108 to 112 degrees Fahrenheit. Cleaning supplies are being stored in the hallway bathroom. Common Areas: These included the living room and dining area. The living room has sufficient seating with a coffee table and television. Thers is no fireplace. The dining table is large enough to seat up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. Floors and furniture were clean and maintained. Hallways and passageways were clear of any obstruction. Garage: Garage is attached to the home. Laundry area is in the garage, which is also used as storage and break room for staff. Garage is locked at all times. No resident access. Laundry Area: Laundry area is in the garage. Cleaning supplies and detergents maintained in the garage, which was kept locked during the inspection. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards. There is outdoor furniture appropriate for resident's use. There is no swimming pool or any other bodies of water. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are kept locked in a kitchen cabinet. Medication and Medication Records were reviewed for proper storage and documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a copy of the Report Issued.the state’s words, verbatim · CDSS document, Oct 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPAs met with the administrator, Roberto Ramirez, and explained the reason for the visit. At approximately 11:45am, with the assistance of the administrator, LPAs took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are battery operated. There is a carbon monoxide detector installed by the kitchen that functions properly. The fire extinguisher is located in the kitchen. It was purchased 10/07/24. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets. Bedrooms: There were six (6) bedrooms of which five (5) designated for residents' use, and one (1) room for staff. Three of the bedrooms (rooms #3, #4, #5) are private. Rooms #1 and #2 are shared. Rooms occupied by residents were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: There are four (4) bathrooms. Three (3) are designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was between at 105 to 109 degrees Fahrenheit. Cleaning supplies are being stored in the hallway bathroom. Common Areas: These included the living room and dining area. The living room has a couch, two recliners, television and coffee table. No fireplace. The dining room has a table large enough to seat up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. Floors and furniture were clean and maintained. Hallways and passageways were clear of any obstruction. Garage: Garage is attached to the home. It is locked and only used as storage. No resident access. Laundry Area: Laundry area is in the garage. Cleaning supplies and detergents maintained in the garage, which was kept locked during the inspection. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards. The laundry area and detergents are located in the garage which is kept locked and inaccessible. The garage is also used as storage area, and staff break room. . Resident Files: Resident files are kept in a cabinet in the living room. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: Staff records are kept in a cabinet in the living room. LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are kept locked in a kitchen cabinet. Medication and Medication Records were reviewed for proper storage and documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a copy of the Report Issued.the state’s words, verbatim · CDSS document, Dec 7, 2024

Allegation investigated: Administrator exposed himself to a resident Administrator offered unprescribed medication

Licensing Program Analysts (LPAs) Mariana Agban and Michael Cava conducted an unannounced subsequent complaint visit at this facility to investigate the above allegations. LPAs met with staff and explained the reason for the visit. LPAs requested copies of LIC 500 and Staff roster. At 1:45 PM LPAs 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. Allegation: Administrator exposed himself to a resident It was alleged that Administrator has exposed himself to R1. Administrator denied the allegation. Interviews with 4out of 5 residents denied the allegation. Interviews with 2 out of 2 staff members denied the allegation. Administrator stated that such behavior is not tolerated by himself or anyother staff. Furthermore, there were no witnesses that were identified to corroborate with the allegation. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (Continue on 9099C) Unsubstantiated Allegation: Administrator offered unprescribed medication. It was alleged that Administrator had offered R1 viagra on several occasions. Administrator denied the allegation. Interview with 4 out of 5 residents denied the allegation, adding they've never been administered medication that wasn't prescribed. Interview with Administrator revealed that although administrator uses viagra for their own medical condition, they haven't offered any unprescribed medication to R1 and or any of the other residents. Administrator explained the severity of offering unpresecribed medication to any of the residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted and a copy of this report delivered.the state’s words, verbatim · CDSS document, Apr 26, 2024 · control 31-AS-20210519164840

Type of visit: Case Management - Deficiencies

In conjunction to the complaint number 31-AS-20210519164840 Licensing Program Analysts (LPAs) Mariana Agban and Michael Cava conducted a case management- Deficiencies visit. During the complaint investigation, LPAs conducted medication and Medication Records review for proper documentation for three (3) out 5 residents. LPAs could not complete an accurate medication count due to incomplete medication forms. LPAs also observed insufficient food, within for a total of 5 residents in care. On 04/11/2024 Interviews with 2 out of 5 residents revealed that there's no variety of food and that it's only based on Filipino cuisine. LPA Agban had issued Advisory Notes - Technical Assistance regarding food variety. LPA Agban had advised Administrator that meals shall consist an appropriate variety of foods. On today's visit interviews with 3 out 5 residents confirmed that staff don't offer variety of food. Exit Interview Conducted. Deficiencies Cited. Report Issuedthe state’s words, verbatim · CDSS document, Apr 26, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 85076(d)(1) · Plan of correction due date: May 4, 2024

85076 Food Service (d) The licensee shall meet the following food supply and storage requirements: (1) Supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days shall be maintained on the premise. This requirement is not met as evidence Based on teams observations, insufficient food, within the regulation was observed for a total of five residents in care. This poses an immediate health, safety, or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Apr 26, 2024

Plan of correction: The licensee shall purchase sufficient food, a copy of receipt and photo documentation of sufficient food shall be submitted by the POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87465(a)(5) · Plan of correction due date: Apr 27, 2024

Incidential Medical and Dental Care. The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on medications review, the licensee did not comply with the section cited above, as the LPAs could not complete an accurate medication count, which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Apr 26, 2024

Plan of correction: Within 24 hours, The licensee shall review 87465(a)(5) and submit a written memo of understanding to LPA by the POC date. The licensee will conducted training to address this section and submit proof of training to LPA by May 10, 2024.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87555(b)(5) · Plan of correction due date: May 3, 2024

87555 GENERAL FOOD SERVICE REQUIREMENTS (b) (5) Meals shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and food habits of residents. This requirement is not met as evidence Based on interviews, 3 out 5 residents confirmed that staff don't offer variety of food. This poses a potenital health, safety, or personal rights risk to clients in care.the state’s words, verbatim · CDSS document, Apr 26, 2024

Plan of correction: Administrator will make new weekly menus to insure that there is a variety of food being served. Administrator will submit copies of menu to LPA by the POC date.

Allegation investigated: Facility food supply is insufficient Facility is not regularly cleaned by staff

Lincensing Program Analyst (LPA) Mariana Agban conducted an unannounced subsequent complaint visit for the above allegations. LPA arrived at the facility and was granted access by staff. Administrator arrived shortly after and LPA explained the reason for the visit. LPA conducted a physical plan tour, to ensure health and safety of the residents are protected and is in compliance with Title 22 Regulations. Allegation: Facility food supply is insufficient It was alleged that there was not enough food in the facility. During the physical plant tour, LPA observed sufficient amount of perishable and non-perishable food at the facility; properly stored. LPA interviewed 2 residents, 2 staff members and the Administrator. Interview with the Administrator revealed that food has never been an issue at the facility. Administrator stated that staff are providing generous food portions. Administrator confirmed that all residents eat 3 meals a day and have snacks in between meals. (Continue on 9099C) Unsubstantiated Interview with the 2 residents out of 5 revealed that food supply is sufficient, however, it has no variety food. Based on interviews and observation, this allegation is Unsubstantiated at this time. Allegation: Facility is not regularly cleaned by staff It was alleged that the facility was not clean and facility toilet is broken. During the physical plant, LPA observed the facility to be clean. LPA inspected facility bathrooms and they were properly supplied and had functional fixtures. Interviewed 2 residents out of 5 revealed that staff are regularly clean the facility. Based on interviews and observations, the allegation is deemed Unsubstantiated at this time. Exit interview conducted a copy of this report signed and deliveredthe state’s words, verbatim · CDSS document, Apr 11, 2024 · control 31-AS-20210519164840

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Facility is in disrepair. Staff do not respond to resident's requests for assistance in a timely manner.

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with staff, Ray Reyes and Dennis Montales, and advised them of the complaint. The administrator was notified over the telephone. Today's investigation consisted of interviews with staff and residents, a record review, and a physical plant inspection to insure the health and safety of the residents. Facility is in direpair/staff do not respond to resident's request in a timely manner: In regards to the allegation, it was reported that in the evening of, on or around 02/13/24, facility residents reported a smell of gas. Staff was notified, but informed resident that it will be addressed the next day. Late that night, into the early morning of 02/14/24, Resident 1 (R1) reported the smell of gas getting worse. Call for staff assistance was made, but there was a delay in staff response. Emergency responders (911) called, and the Fire Department responded to a gas leak. As a result of staff's late response, R1 experienced a headache, itchy throat and nose irritation. Prior to the investigation, LPA made contact with the Los Substantiated Angeles Fire Department (LAFD), Fire Prevention and Public Safety Bureau, who confirmed response to facility address was made for leaking natural gas on 02/14/24, between the hours of 2-3am. Interviews made at facility with staff and residents corroborated with the allegations. Per administrator, and staff, the advise made by LAFD, to replace the stove, has been made on 02/19/24, and a technician came out to inspect and service the leak on 02/14/24. Pictures of invoices for the purchase and service obtained. Based on the information obtained, the allegations of Facility is in disrepair and staff did not respond to resident's request in a timely manner is Substantiated. Citations issued on the 9099D. administered as prescribed when assessed at their medical appointment. Interview with the administrator confirmed that R1 wasn't administered Bumex/Bumetanide from February 14 to February 17 because it was ordered by their physician to hold prior to R1's dialysis scheduled for that week. In regards to R1's insulin, per administrator and staff, R1 is able to check their own blood sugar and inject their insulin on their own, with staff stand by only for supervision. Interviews with R1 confirms that Bumex was placed on hold per doctor's orders. R1 also confirmed that they are able to administer their own insulin, and check their blood sugar. R1 further stated that their medications is given to them as prescribed by their physician. R1 had no complaints with not getting assistance with their medications, as they confirmed with the LPA during their interview, that they get it as prescribed. LPA also interviewed the other four (4) residents, who expressed no complaints of not getting their medications as prescribed, or staff not being able to meet their needs. Based on the information obtained, there wasn't enough evidence to corroborate the allegations of Staff not administering resident their medications as prescribed and Staff not having the competency to meet the resident's needs. Therefore, the allegations is deemed Unsubstantiated at this time. Staff member is unable to communicate with resident due to language barrier: In regards to the allegation, it was reported that facility has new staff. Two were reported to not hearing well, and one does not speak English. No names were identified to the allegation. Interviews with two (2) of two staff, that were present during the investigation, deny the allegation. Both staff stated they haven't gotten any complaints or concerns from the residents about not being able to communicate with them. Interviews with five (5) of five residents do not corroborate with the allegation. Residents do admit staff speaks another language, but are still able to communicate with them in English. During LPA's interviews with staff, it was confirmed that staff does have an accent, and speak another language, but LPA was still able to communicate with them and understand their English. Based on the information obtained there was insufficient evidence to prove staff is unable to communicate with residents due to a language barrier. Therefore, the allegations is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Feb 22, 2024 · control 31-AS-20240216115813

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Feb 22, 2024

Maintenance and Operation: The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by Although arrangements were made tohave a technician address the smell of gas, and licensee purchased a new stove, per LAFD recommendations, efforts should have already been made to prevent the smell of gas from worsening, and affecting a resident in care.the state’s words, verbatim · CDSS document, Feb 22, 2024

Plan of correction: (continued).. This posed a potential health and safety risk to residents in care. Licensee did arrange for a technician to check out the stove, burner and gas leak on 02/14/24, and eventually replaced the old stove, purchasing a new stove on 02/19/24, per LAFD recommendation. Copies of these invoices obtained during the day of the investigation. No further corrections needed at this time.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Feb 29, 2024

Personnel Requirements - General: Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidenced by: Information received confirming that there was a staff delay in a response to a resident's need when the smell of gas was worsening in the early morning of 02/14/24, resulting in R1 to experieince headache, itchy throat and nose irritation. This posed a potential health and safety risk to the resident in care.the state’s words, verbatim · CDSS document, Feb 22, 2024

Plan of correction: Although arrangements were made to address the smell of gas, efforts were not made to assist R1 immediately the morning of 02/14/14. As POC, licensee will have staff review this section of the regulations, and self-certify that they have read and understood this section of the regulations. POC is due to the licensing agency by 02/29/24.

Allegation investigated: Staff is not following resident's dietary plan. Staff is withholding resident's medication. Staff is not providing utensils when serving meals to a resident in care.

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegations. LPA met with staff, Carmelita Aliga, and advised her of the complaint. Today's investigation consisted of resident and staff interviews, a review of facility records, a review of the facility food service and inspection of the physical plant. Staff is not following resient's dietary plan: In regards to the allegation, it was alleged that Resident 1 (R1) requires a special diet, but staff is using too much salt on R1's food and serving food that R1 cannot have. Interviews with staff and residents made at approximately 9:15am to 10:30am. Interviews with staff deny the allegation. Interviews with two of two residents also do not corroborate with the allegation. Interview with R1 reveal that they have a special meal, prepared and delivered to them weekly from Project Angel Food. These meals consists of Unsubstantiated either chicken, turkey or shredded pork, vegetables, green beans or peas. Meals are specifically ordered by R1 or their family member, and delivered to the facility every Monday, that is good for the week. Also, alternate meals are prepared for R1, but denies steak or food with high sodium is ever served to them. At approximately 10:40am to 11:40am, a review of facility records were made. Record review reveal that R1 does require a low sodium and diabetic diet, which according to staff, they follow. At approximately 12pm, staff demonstrated to the LPA a meal (lunch) served to R1, and a list of dietary restrictions to R1, that is posted in the kitchen. A copy of this list of restrictions obtained, and a picture of the meal taken. Based on the information provided during the day's visit, there was insufficient evidence to prove that R1's dietary plan is not being followed. Therefore, the allegation is deemed Unsubstantiated at this time. Staff is withholding resident's medication: In regards to the allegation, it was reported that staff has withheld R1's water pill for an entire week. No dates specified when this incident occurred. Interview with a third party could not confirm or specify any dates if this medication was not given as prescribed. Interview with R1 could not confirm the time and day of when their medicine wasn't given to them as prescribed. LPA reviewed R1's medication records for October and November 2023, and did not observe any discrepancies. Copies of these records were obtained. Interviews with two of two residents deny the allegation, stating they've been getting their medications as prescribed. No complaints or concerns raised by these residents. Based on the information obtained there was insufficient evidence to prove that R1's medications were withheld. Therefore, the allegation is deemed Unsubstantiated at this time. Staff is not providing utensils when serving meals to a resident in care: In regards to the allegation it was alleged that R1 was served meals without utensils. Interviews with staff deny the allegation. Interview with R1 revealed that this had occurred once as far that they can recall, but couldn't recall when, and has not happened since. Interviews with two of two residents also deny the allegation. These residents stated they are provided and satisfied with a complete meal, and confirm utensils are included when meals are served. At approximately 12:00pm, LPA inspected the food service and observed utensils provided on the trays when meals were being served for the day. A picture was taken. Based on the information obtained, there was insufficient evidence to prove utensils not provided when meals are served to the residents. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Dec 1, 2023 · control 31-AS-20231121123001