Casa Esperanza

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mario Leon conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct an annual inspection. Community Care Licensing Division (CCLD) met with Evangeline Agatep - Administrator and the purpose of the visit was discussed. The facility is licensed to serve (6) non- ambulatory residents age 60 and over. Currently the facility is vendorized by Department of Health Services (DHS) Enriched Residential Care program. The facility has an approved hospice waiver for (2) residents. The facility does not handle any of the residents’ money. This home is a one story residential home, located in a neighborhood, consisting of the following: three (3) resident bedrooms, two (2) full bathrooms, living room, kitchen/dining area, laundry area and attached garage. There is an outdoor shaded patio area. CCLD toured the resident bedrooms which had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and non-skid mats were in place, water temperature measured between 115°F through 118°F (degrees Fahrenheit), remaining within title 22 regulations. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked during the time of today's visit. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. CCLD observed 2-days worth of perishable and 7-days non-perishable food supply. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged, last maintained 04/09/26. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Report continues, please see LIC809-C. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. There have been zero (0) deficiencies cited during today's visit. An exit interview was held with Evangeline Agatep - Administrator and a copy of this report was provided.the state’s words, verbatim · CDSS document, Apr 24, 2026

Allegation investigated: Staff engaged in inappropriate interactions in the presence of residents in care. Staff stole money from residents in care. Staff left residents in soiled bedding for an extended period of time. Staff did not provide adequate meals for residents in care. Staff sleep at the facility while on shift. Staff contaminated the food served to resident in care. Staff did not bathe residents in care.

On 1/29/26, at 9:30am, the department conducted an initial complaint visit to the facility and was greeted by Evangeline Agatep, Administrator. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview staff and residents, and deliver findings for the allegations mentioned above. The investigation consisted of the following: The department investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S4) and residents (R1-R3). The department received the following documents: Resident Roster (Date: 05/08/2024), Staff Roster (Dated: 01/05/2025), Food Menu, Face Sheet/ID Emergency Information (Dated: 08/02/2023, 03/06/2025), Physician’s Report (Dated: 03/04/2025), Appraisal & Needs Service Plan (Dated: 03/06/2025, 01/31/2025), and Resident Personal Property and Valuables List (No Date) from the facility. Report Continued on LIC9099-C Unsubstantiated The investigation revealed the following: Allegation #1- Staff engaged in inappropriate interactions in the presence of residents in care. The details of the complaint alleged that the facility staff are engaging in inappropriate activities in the facility. It was reported that a resident witnessed staff having sex with another staff member in the kitchen in the middle of the night. On 1/29/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff engaged in inappropriate interactions in the presence of residents in care. All staff stated that they have never witnessed, been a part of, or heard of any staff member having sexual relations in the facility. They also stated that no staff has ever engaged in any inappropriate interactions in the presence of other residents. The department interviewed residents (R1-R3) about the allegation and 2 of 3 residents that were interviewed stated that they have not witnessed any staff member having sex with each other in the facility or saw any staff member engaging in any inappropriate activities. Based on interviews, there is insufficient evidence to support the allegation that Staff engaged in inappropriate interactions in the presence of residents in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Allegation #2- Staff stole money from residents in care. The details of the complaint alleged that the facility staff are stealing money from residents. It was reported that the facility staff are borrowing money from residents and stealing money out of their rooms. On 1/29/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff stole money from residents in care. All staff stated that they have not borrowed any money from any of the residents in the facility. Nor have they witnessed or heard of any other staff member stealing from the residents. The department interviewed residents (R1-R3) about the allegation and 2 of 3 residents that were interviewed stated that they have not witnessed any staff member stealing from them or other residents. 2 of 3 residents that were interviewed also stated that they have never loaned any money to staff nor have they asked to borrow money from them. The department reviewed the Resident Personal Property and Valuables List (No Date) and the Record of Clients/Residents Safeguarded Cash Resources (Dated: No Date) and did not observe any discrepancies. Resident R1 does not receive a P & I fund, and the personal items list was clothing related. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff stole money from residents in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Report Continued on LIC9099-C Allegation #3- Staff left residents in soiled bedding for an extended period of time. The details of the complaint alleged that the facility staff left residents in soiled bedding for an extended period of time. It was reported that staff allow residents to lay in feces all day without changing them into clean briefs. On 1/29/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff left residents in soiled bedding for an extended period of time. All staff stated that they have not witnessed or allowed any resident to remain in soiled bedding or soiled briefs for an extended period of time. They state that four residents are independent and do not need assistance with incontinence issues. While two other residents are on hospice and are changed or checked on three times per day and are changed as needed to make sure, they are dry. The department interviewed residents (R1-R3) about the allegation and 2 of 3 residents that were interviewed stated that they have not witnessed any resident who were left in soiled bedding or soiled briefs. The department took a tour of the facility and the residents room and did not observe or smell any issues with incontinence. Based on interviews and observations, there is insufficient evidence to support the allegation that Staff left residents in soiled bedding for an extended period of time. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Allegation #4- Staff did not provide adequate meals for residents in care. The details of the complaint alleged that the facility staff do not provide adequate meals for the residents. It was reported that staff are serving cold food and are not providing water or fruit for the residents. On 1/29/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff did not provide adequate meals for residents in care. All staff stated that the residents get three nutritious meals per day along with fruit, snacks, and fluids and are not deprived of anything. They also state that the facility has a water dispenser in the kitchen that is readily available to anyone who wants or needs water. The department interviewed residents (R1-R3) about the allegation and 2 of 3 residents that were interviewed stated that they get nutritious hot meals, fruit, water, juice, and snacks throughout the day. They also state that they are satisfied with the care and supervision provided by the staff. The department reviewed and observed the facility’s menu and observed that the residents are given a balanced diet that includes meat, poultry, vegetables, fish, grains, eggs, milk, cheese, and fruit. The department also observed the cook making a hot meal for the residents upon arrival for the investigation. Report Continued on LIC9099-C Based on observations, interviews and records reviewed, there is insufficient evidence to support the allegation that Staff did not provide adequate meals for residents in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Allegation #5- Staff sleep at the facility while on shift. The details of the complaint alleged that the facility staff sleep while they are on shift. It was reported that the staff are sleeping on the job when they should be taking care of the residents. On 1/29/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff sleep at the facility while on shift. All staff stated that they have never slept or witnessed any other staff member sleeping on the job when they should be working. They also stated that staff do take breaks and sit on the couch in the kitchen, but they never sleep in the facility. The department interviewed residents (R1-R3) about the allegation and 2 of 3 residents that were interviewed stated that they have not witnessed any of the staff sleeping on the job when they should be working. 2 of 3 residents that were interviewed also stated that there is always someone available when the need assistance. Based on interviews, there is insufficient evidence to support the allegation that Staff sleep at the facility while on shift. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Allegation #6- Staff contaminated the food served to resident in care. The details of the complaint alleged that the facility staff are contaminating food in the facility. It was reported that staff are serving food to the residents with hair in their food. On 1/29/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff contaminated the food served to resident in care. All staff stated that both cooks are sanitary and wear gloves when preparing meals and have never served any contaminated food to the residents. They also state that no one has reported or verified that they have received a meal that had hair in it. The department interviewed residents (R1-R3) about the allegation and 2 of 3 residents that were interviewed stated that they have not received any meal that was contaminated or had hair in it. They state that they are satisfied with the meals served by the staff. Based on interviews, there is insufficient evidence to support the allegation that Staff contaminated the food served to resident in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Report Continued on LIC9099-C Allegation #7- Staff did not bathe residents in care. The details of the complaint alleged that the facility staff are not bathing the residents in care. It was reported that staff allow the residents to lay in bed for extended periods of time without bathing them. On 1/29/2026, from 9:30am-2:00pm, the department interviewed staff (S1-S4) regarding the allegation. 4 of 4 staff denied the allegation that Staff did not bathe residents in care. All staff stated that four of their residents are independent and do not need assistance with showering or bathing. While two other residents are on hospice and are bathed twice a week by the hospice nurse, and at other times they are given sponge baths by the staff. The department interviewed residents (R1-R3) about the allegation and 3 of 3 residents that were interviewed stated that they have not had any issues with bathing because they are independent and can bathe and shower themselves. They also state that they have no knowledge of anyone being deprived of having a bath or shower. Based on interviews, there is insufficient evidence to support the allegation that Staff did not bathe residents in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. No citations were issued. An exit interview was conducted with Evangeline Agatep, Administrator, and a hard copy of this Complaint Investigation Report was provided.the state’s words, verbatim · CDSS document, Jan 29, 2026 · control 11-AS-20260120154209

Allegation investigated: Staff kicks resident’s personal belongings Staff spits in resident’s food Staff had sex in the facility within sight of resident

On 11/6/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced visit to this facility. LPA was met by the Administrator Assistant, Melanie Tallada and explained the purpose of the visit is to investigate and deliver findings for the allegations mentioned above. LPA was granted access to the facility. The investigation consisted of the following: On 10/2/25 LPA Shirley reviewed copies of the following records: Staff and Resident Roster, residents file, Employee’s Annual Training records, Identification and Emergency Information form, Physician’s Report, Appraisals Needs/Services plan, Admission Agreement, House Rules, Residents Personal Property and Valuables list. LPA Felisa Shirley conducted a tour of the facility. LPA Shirley interviewed Staff 1 – Staff-4 (S1 – S4), and Resident -1 – Resident -6 (R1-R6). The investigation revealed the following: Con'd on 9099-C Unsubstantiated Allegation: Staff kicks resident’s personal belongings It is being alleged that staff kicked R1’s personal belongings. On 10/2/25, LPA Felisa Shirley interviewed S1 and she stated that while cleaning R1’s room, she moved an item out of the way with her foot. Interview with S1, revealed that staff used foot to move an item on the floor while cleaning, but nothing was kicked. On 11/6/25, LPA Shirley reviewed staffs sign-in sheets for annual trainings on residents rights. LPA interviewed staff 1 – staff 4 (S-1 – S-4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 5 out of 6 denied the allegation, 1 confirmed the allegation. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff kicks resident’s personal belongings,” therefore, the allegation is unsubstantiated. Allegation: Staff spits in resident’s food It is being alleged that staff has spit in residents food. On 11/6/25, LPA Shirley spoke with the Administrator regarding the staffs food safety protocols which includes the coverings of residents meals when residents are not present. On 10/2/25, LPA Shirley observed that the facility has an open kitchen in which an individual can observe the food preparation. LPA Shirley also observed the staff covering the residents meals with a plastic cover whenever the resident left the table. LPA Shirley interviewed staff 1 – staff 4 (S-1 – S-4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 5 out of 6 denied the allegation, 1 was not sure. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff spits in resident’s food,” therefore, the allegation is unsubstantiated. Con'd on 9099-C Allegation: Staff had sex in the facility within sight of resident It is being alleged that R1 witnessed S1 and S2 having sexual intercourse in this facility. On 10/2/25, LPA Shirley interviewed staff 1 – staff 4 (S-1 – S-4). Of those interviewed 4 out of 4 denied the allegation. LPA interviewed resident 1 – resident 6 (R1 – R6). Of those who interviewed 5 out of 6 denied the allegation and 1 confirmed the allegation. Based on information gathered, LPA did not find sufficient evidence to support the allegation “Staff had sex in the facility within sight of resident,” therefore, the allegation is unsubstantiated. No deficiencies were cited for these allegations. An exit interview was conducted and a copy of this report was provided to the Assistant Administrator, Melanie Tallada.the state’s words, verbatim · CDSS document, Nov 6, 2025 · control 11-AS-20250930163648

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Evangeline Agatep, Administrator and the purpose of the visit was discussed. The facility is licensed to serve (6) non- ambulatory residents age 60 and over. Currently the facility is vendorized by Department of Health Services (DHS) Enriched Residential Care program. The facility has an approved hospice waiver for (2) residents. There is (1) resident diagnosed with dementia , There are (2) resident receiving Hospice services and there are No residents receiving Home health services.. The facility does not handle any of the residents’ money. This home is a one story home consisting of: (3) resident bedrooms, (2) Full bathroom, living room, kitchen/dining area, laundry area and attached garage. There is an outdoor shaded patio area. LPA toured the Resident bedrooms which had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 115 and 118F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. During todays visit LPA did not observe any deficiencies. Exit interview conducted with Evangeline Agatep, Administrator. A copy of this report was provided at time of visit.the state’s words, verbatim · CDSS document, Apr 17, 2025

Type of visit: Required - 1 Year

On 4/30/2024, Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required using the CARE Inspection Tool. LPA met with Evangeline Agatep /Licensee. LPA explained the purpose of today’s visit. The facility is licensed to serve (6) elderly adults ages 60 and above of which (6) can be non-ambulatory and (1) bedridden in bedroom #3 only. Facility has an approved hospice waiver for (2). The facility is a single-story structure located in a residential neighborhood. It consists of (3) bedrooms, (2) full bathrooms, shaded back yard, front yard, laundry room in the attached 2 car garage. LPA Iniguez toured the physical plant with Executive Director. There were no bodies of water or obstructions on the premises. A total of (3) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected (3) rooms and (2) bathrooms. Smoke and carbon monoxide are all operable conditions. The water temperature ranged from 113.5F° – 115.2F°. The room temperature ranged from 76F° – 78F°. Evaluation Report continues on LIC 809-C LPA Iniguez observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene were observed. Cleaning supplies, toxins, and sharps objects were stored and not accessible to residents in care. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. The last Fire/Disaster Drills were conducted on 4/10/24. A review of (3) residents' service files and (3) staff personnel files were maintained in order. LPA reviewed (3) Medication Administration Records (MARs) discrepancies were found. LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted throughout the facility. Facility Annual Fess not current as 4/6/24. LPA provided PIN: 418679 to licensee. Licensee stated she will pay them later today. Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 8. See details below: -Facility staff did not documented medication given for R#1, R#2, and R#3 on MARs April 2024. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Evangeline Agatep /Licensee.the state’s words, verbatim · CDSS document, Apr 30, 2024