El Descanso Retirement Home

Licensing Program Analyst (LPA) Vaid conducted an initial visit and was met by facility manager-Escarling Godoyvega, LPA Vaid and manager Godoyvega toured the facility and did not observe any health and safety concerns. Administrator Clemencia Bousheri was notified and arrived shortly after, and the reason for the visit was discussed. LPA Vaid collect the following document: Staff roster dated 02/05/2026 and resident roster dated 02/10/2026. LPA took head count of residents in care, LPA Vaid counted number of beds in the facility. LPA interviewed residents and staff. Regarding the allegation: Facility is operating beyond the limits of the licensed capacity. It is alleged that the El Descanso Retirement Home is operating beyond its’ 15 persons’ capacity by allowing more residents into the facility than the capacity allows. CONTINUED ON 9099C............ UnsubstantiatedRead the full finding— CDSS inspection report, March 23, 2026 · control 28-AS-20260317095152

Licensing Program Analyst (LPA) Tao conducted a subsequent unannounced visit to continue the investigation and deliver the complaint finding of the allegations at the facility today. LPA explained the purpose of today's visit to Alberto Galvan, administrator assistant, who assisted with this visit. On 09/29/22, LPA Tao conducted the initial unannounced investigation at the facility. LPA met with Clemencia Bousheri, Administrator during the visit. LPA conducted a Health and Safety check at the facility and obtained resident#1’ records. On 10/13/22, a subsequent visit was conducted by Investigator Brian Slatic for an investigation. Investigator interviewed administrator, resident#1 (R1), resident#1’s responsible party, and Ombudsman. IB reviewed R1’s facility file and related documentation. (- continued in LIC 9099 C-) UnsubstantiatedRead the full finding— CDSS inspection report, January 19, 2024 · control 28-AS-20220928154009

Licensing Program Analyst (LPA) Tao conducted an initial unannounced investigation regarding the above-mentioned allegations at the facility today. LPA explained the purpose of today's visit to Alberto Galvan, administrator assistant, who assisted with this visit. Investigation consisted of the following: interviews of staff from Staff #1 (S1) through Staff #4 (S4); interviews of resident from resident#1 (R1) through resident#4 (R4); reviewed resident#1’s record reviews, and a facility tour. LPA obtained copies of the staff /resident rosters and R1’s resident records with relevant information. In regard of the allegation resident sustained an injury due to staff neglect, it was alleged that a resident had a bruise on resident’s right eye. The investigation revealed the following: Per resident interviews, all residents from R1 to R4 could not corroborate the allegation. (-continued in LIC 9099 C-) UnsubstantiatedRead the full finding— CDSS inspection report, January 19, 2024 · control 28-AS-20240118114620

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced complaint investigation visit regarding the above allegations. LPA met with Escarling Godoy caregiver and explained the reason for the visit. Administrator Clemencia Bousheri arrived 15 minutes after. The investigation consisted of the following: On 11/3/21 LPA Flores conducted a health and safety check of the facility which consisted of a tour of the facility with Geovanny Mora facility's caregiver no deficiencies were noted during the visit and requested a copy of the staff and resident roster. On 6/2/22 LPA Flores interviewed resident #1(R1),#2(R2),#3(R3),#4(R4),#5(R5), administrator, and staff,#2(S2),#3(S3),#4(S4),#5(S5) and requested copies of physician's report, identification and emergency information, appraisal needs and care plan for R1,R2,R3,R4,R5, nurse/caregiver notes for R1, trainings on incontinence care, transfer, personal rights and behaviors for the past year for S2,S3,S4,S5. (CONTINUED ON LIC (9099Read the full finding— CDSS inspection report, June 2, 2022 · control 28-AS-20211102102416