Hacienda Grande Senior Assisted Living

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff handled resident in a rough manner. Resident sustained an unexplained injury while in care. Staff not allowing a resident to use the restroom. Staff are not allowing a resident to use a medical device. Staff did not ensure resident was cleaned during diaper changes. Staff did not serve an adequate amount of food to residents in care. Staff did not prevent the facility from being unkempt. Staff illegally evicted a resident in care. Staff left residents in a soiled diaper for a long period of time.

On January 21, 2026, Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Lorenzona Medina, Administrator, and explained the purpose of the visit. LPA was granted entry to the facility. The investigation consisted of the following: On January 21,2026, the following documents were reviewed obtained as part of the investigation: Personnel Report (dated 11/14/2024), Resident Roster (dated 01/26/2026), Admission Agreement (dated 03/28/2023) Identification and Emergency Information (dated 03/28/2023), Physician’s Report (dated 03/28/2023), Medical Assessment (dated 03/28/2023), Medication Administration Records (MARs) (dated 07/01/2025-07/31/2025), Residential Appraisal & Needs and Services Plan (dated 09/25/2024), Functional Capability Assessment (dated 03/28/2023), Preplacement Appraisal Information (dated 03/299/2023), Personal Rights (dated 03/28/2023), Consent Forms (dated 03/28/2023), Menu (dated 0the state’s words, verbatim · CDSS document, Jan 21, 2026 · control 11-AS-20250707125514

Allegation investigated: Staff speak to resident inappropriately.

On 08/27/2025 Licensing Program Analyst (LPA) Troy Watson made an unannounced complaint visit to the above listed facility. LPA Watson was greeted by the Administrator Lorenzona Medina and explained the purpose of this visit is to investigate the allegation mentioned above. The investigation consisted of the following: LPA Watson conducted interviews with residents and staff. LPA Watson requested, obtained and reviewed the following documents: Resident Roster, Employee Roster, Physicians Reports, Resident Appraisals, and Incident Report, for Resident#1-Residents#6 (R1-R6). On 08/27/2025 LPA Watson conducted interviews with Residents #1 - Residents #6 (R1-R6) and Staff #1- Staff #6 (S1-S6). LPA Watson toured the facility with administrator Lorenzona Medina and observed the facility clean and in good repair. CONTINUED ON LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 27, 2025 · control 11-AS-20250820150324

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not prevent resident from engaging in inappropriate interactions with another resident in care.

*This report supersedes the investigation report dated 07/03/25. A subsequent visit was conducted on 08/07/2025 to clarify findings in the report. Although this report supersedes the previous report, the complaint investigation findings remain the same*. The department was greeted by Rodrigo Ramos, Licensee, and the purpose of the visit was explained. On 7/3/25, at 09:30am, the department conducted an initial complaint visit to the facility and was greeted by Lorenzona Elvie Medina, Administrator. Later joined by Rodrigo Ramos, Licensee. The department explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff/residents, and deliver findings for the allegation mentioned above. The investigation consisted of the following: The department investigated the allegation mentioned in this complaint; and conducted interviews with staff (S1-S5), and residents (R1-R7) from 9:30am-12:00pm. The department received the following documentthe state’s words, verbatim · CDSS document, Aug 7, 2025 · control 11-AS-20250624140329

Allegation investigated: Staff did not prevent resident from engaging in inappropriate interactions with another resident in care.

On 7/3/25, at 09:30am, the department conducted an initial complaint visit to the facility and was greeted by Lorenzona Elvie Medina, Administrator. Later joined by Rodrigo Ramos, Licensee. The department explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff/residents, and deliver findings for the allegation mentioned above. The investigation consisted of the following: The department investigated the allegation mentioned in this complaint; and conducted interviews with staff (S1-S5), and residents (R1-R7) from 9:30am-12:00pm. The department received the following documents: Resident Roster (Dated: No Date), Staff Roster (Dated: 11/14/2025), ID Emergency Information (Dated: 10/29/2018, 01/21/2020, 2/28/2021), Physicians Report (Dated: 12/13/2024,12/20/2024, 03/20/2025), Resident Appraisal Information (Dated:04/07/2025, 01/23/2024, 03/12/2024, 03/20/2025), Preplacement Appraisal (Dated: 03/12/2024) and Medication List (Dthe state’s words, verbatim · CDSS document, Jul 3, 2025 · control 11-AS-20250624140329

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff neglect resulted in a resident being hospitalized . Client did not receive medication as prescribed.

On 01/09/25 Licensing Program Analysts (LPAs) Villegas and Day conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Administrator (A1) Lorenzona Medina as the purpose of today’s visit was explained. The investigation consisted of the following: On 02/07/24 LPA obtained a copy of the staff and residents rosters, conducted a tour, there were no immediate health and safety concerns, conducted a medication review, conducted interview with staff 1 (S1), and obtained copies of the following: Resident #1 (R1) complete file, incident report dated 01/29/24, order summary report dated 01/04/24, communication log for 01/04/24 and 01/28/24, and medication technician communication log dated 01/25/24 and 01/29/24.On 01/09/25 LPAs obtained a copy of the resident and staff rosters, on 01/09/25 between 10am- 10:45 am LPAs conducted interviews with residents #2-6 (R2-R6), and between 11am- 11:15am LPAs conducted interview with Administrator (A1). Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 9, 2025 · control 11-AS-20240205224822

Allegation investigated: Unlawful eviction. Facility staff open resident's mail without permission.

On 10/23/24, at 9:35am, Licensing Program Analysts (LPAs) Perry Scott and Wendy Gibbs conducted an initial complaint visit to the facility and was greeted by Lorenzona Medina (S2), Administrator, and Rodrigo Ramos (S1), Licensee. LPAs explained the purpose of this visit is to conduct interviews, gather facility files, and render findings in the complaint. The investigation consisted of the following: LPA investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S3) and residents (R1-R6). Additionally, LPA obtained the following facility documents: Resident Roster (Dated: 1/04/2024), Staff Roster (Dated: 1/10/2024), Admission Agreement (Dated: 07/25/2024), Eviction Notice (Dated: 9/11/2024) Copy of Check (Dated: 08/26/2024 & 08/30/2024) Physicians Report (Dated: 07/20/2024), ID/Emergency Information (Dated: 07/25/2024), Flex Notes (Dated: 08/14/24, 09/20/24, and10/09/24), Medication Administration Record Receipt of Meds (Dated:10/08/24), Rent Invoithe state’s words, verbatim · CDSS document, Oct 23, 2024 · control 11-AS-20241014150005

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff are opening residents mail. Facility staff are asking residents for money outside of monthly rent fees.

On 03/06/24 at 9:00 a.m. licensing program analyst (LPA) Lizeth Villegas conducted an initial complaint visit regarding the allegations above. LPA met with Administrator Lorenzona Medina as the purpose of the visit was explained. LPA later met with Licensee Rodrigo Ramos. The investigation consisted of the following: On 03/06/24 LPA obtained copies of the following Resident #1, #7, and #8's (R1,R7,R8) identification and emergency information form, physician report, admission agreement, rent invoices for January-March 2024, and a list of all residents who can manage their own mail. On 03/06/24 LPA interviewed Administrator (AD), Licensee (L1), staff #1-3 (S1-S3), and Residents # 2-6 (R2-R6). The investigation revealed the following: Allegation: Facility staff are opening resident’s mail. It is being alleged that facility staff have opened mail from social security without consent prior to providing the mail to the resident. On 03/06/24 LPA interviewed AD regarding the above allegation,the state’s words, verbatim · CDSS document, Mar 6, 2024 · control 11-AS-20240229165254

Allegation investigated: Due to staff neglect resident developed a pressure injury while in care.

On 09/07/23 at 12:00pm Licensing program analyst (LPA) Villegas and Licesing program manager (LPM) Hammond initiated a complaint investigation regarding the above allegations. LPA and LPM met with Administrator Lorenzona Medina as the purpose of the visit was explained. During todays visit LPA and LPM obtained copies of resident roster and staff roster, toured the physical plant and conducted an interview with Administrator/Licensee Rodrigo Ramos (A1). The details of the complaint allegation do not match information recevied during investigation. LPA and LPM conducted interview with Administrator/Licensee Rodrigo Ramos to inquire if Resident 1 (R1) ever resided at facility, Administrator stated there has not been a resident by the name at the facility. LPA and LPM asked administrator if there is or has been any Registered nurse employeed by the name of "Manny", Administrator reported there was a Manny employed but was a cook. LPA and LPM reviewed resident roster and did not observe R1'the state’s words, verbatim · CDSS document, Sep 7, 2023 · control 11-AS-20230906083302

Allegation investigated: Staff did not ensure resident was taking prescribed medications. Facility did not notify resident's responsible party of a change in resident's medical condition. Facility staff failed to properly address residents change in condition.

On 05/06/243 at 1:00pm m, Licensing Program Analyst (LPA) Lizeth Villegas conducted a subsequent complaint visit to render investigation finding. LPA met with Administrator Shalani Ramos and the purpose of today’s visit was explained. The investigation consisted of the following: On 08/17/23 LPA interviewed Administrator, staff #1-3 (S1-S3), interviewed residents # 2-6 (R2-R6) and Witness #1 on 08/22/23. LPA is unable to interview resident #1 during the investigation. LPA obtained copies of the following for R1's; Emergency Identification form, Pre placement appraisal, physician’s report, med lists, Conservatorship paperwork, email interactions between facility and responsible party, physician orders, staff and resident rosters. On 08/17/23 LPA conducted a medication review of 8 resident medications. The investigation revealed the following: Allegation- Staff did not ensure resident was taking prescribed medications. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 7, 2023 · control 11-AS-20230811161937