A Faithful Home Of Covina

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 inappropriately speak to resident Staff do not follow infection control protocol

Licensing Program Analyst (LPA) Vaid conducted an intial unannounced vist to the facility, LPA Vaid was allowed entry by Administrator Glen Oriemo. LPA Vaid discussed the purpose of the visit with Administrator. LPA Vaid collected and reviewed the following document, staff roster, residents roster, residents' face sheet, physicians report dated 04/08/2025, infection control plan reviewed and dated 01/15/2026, R1 vitals log sheet dated 02/2026, physician’s orders for one prescribed medication dated 12/12/2025 and one PRN medication dated 02/01/2026. Interviewed staff, residents. Toured the facility with Administrator and did not observe any health and safety concerns. Regarding the allegation: Staff inappropriately speak to resident. It is alleged that the facility staff are speaking to residents in an inappropriate manner. CONTINUED ON 9099C................ Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 17, 2026 · control 28-AS-20260213111631

Allegation investigated: Resident not accorded privacy by staff during telephone conversations Facility refused to accept resident back after hospitalization Staff not observing residents for changes in condition

Licensing Program Analyst (LPA) Alberto Lopez made an unannounced complaint visit to investigate the above allegations. LPA met with lead House Manager Glenn Oriemo and discussed the purpose of the visit. The investigation consisted of LPA reviewing and obtaining copies of staff and resident rosters, R1 Physicians Report, R1 discharge paperwork dated 12/28/2025, R1 face sheet and other pertinent documents, Interviewing three (3) staff (S#1 – S#3) and three (3) residents (R#1 – R#3). The investigation revealed allegation: Resident not accorded privacy by staff during telephone conversations. It is alleged that staff are not providing privacy to residents and listen to their phone conversations. LPA interviewed three (3) staff, and all three (3) staff denied the allegation. One staff member stated they are too busy to listen to residents’ conversations. LPA interviewed three (3) residents and two (2) of the three (3) residents could not corroborate the allegation. One (1) resident statedthe state’s words, verbatim · CDSS document, Jan 6, 2026 · control 28-AS-20251231103626

Allegation investigated: Staff are not ensuring that resident's hygiene needs are being met while in care. Staff do not ensure that residents are provided clean linens while in care. Staff do not ensure that resident is being provided comfortable accomodations while in care. Staff do not ensure that resident is being provided safe accomodations while in care. Licensee does not ensure that staff are adequately trained.

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to address the allegations listed above. LPA met with Pol Palomares, DSP for the facility, and explained the purpose of the visit. Assistant Administrator Glen Oriemo arrived shortly thereafter. The investigation consisted of the following: LPA conducted a tour of the facility including all resident bedrooms and the bathroom, interviewed residents #1 - 4 (R1 - R4), Staff #1 - 3 (S1 - S3), Witness #1 (W1), and also obtained the weekly shower schedule, linen change schedule, and copy of the admission agreement for residents, along with the staff trainings for the staff members. LPA attempted to interview Resident #5 (R5), however they were hospitalized at the time of the visit. The investigation revealed the following: In regards to the allegation that "Staff are not ensureing that resident's hygiene needs are being met, it is alleged that residents are not being assisted with showering, washing residethe state’s words, verbatim · CDSS document, Dec 23, 2025 · control 28-AS-20251218170054

Allegation investigated: Staff left residents unattended Staff are mismanaging residents medications Staff are not meeting residents needs at night Staff inappropriately turned off residents call lights at night Staff are not providing a comfortable temperature for residents Staff doesn't treat resident with dignity Staff are not providing adequate food service to residents Staff are inappropriately charging residents for assistance Staff did not ensure the facility was free of pests Staff did not ensure residents room was kept clean

Licensing Program Analyst (LPA) Glenn Trueman conducted a subsequent complaint visit to the facility and was met by Caregiver Mary Jane Oriemo and the purpose of the visit was discussed. The initial visit was conducted on 07/01/25 and included the following: Licensing Program Analyst (LPA) Glenn Trueman conducted an initial 10-day complaint visit to the facility and was met by Caregiver Jane Oriemo and the purpose of the visit was discussed. Shortly thereafter Assistant Administrator Glenn Oriemo and Administrator Jeanine Palomares arrived. LPA Trueman reviewed Resident R1's file and requested, Admissions Agreement. Physician's Report, Appraisal Needs and Services Plan, Emergency ID Face Sheet and MAR's Log for June 2025. Staff and Resident Roster to be submitted. Interviews were conducted with Resident R1 and R2. Attempts were unsuccessful to interview Resident R3 and Resident R4 who didn't respond to questioning. Interview was conducted with Administrator telephonically. Interviews wthe state’s words, verbatim · CDSS document, Dec 19, 2025 · control 28-AS-20250625121930

Allegation investigated: Facility staff verbally abusing resident Facility staff not assisting resident with their ADLs

Licensing Program Analyst (LPA) S Vaid conducted a subsequential complaint visit to the facility and was met by Direct staff Person(DSP)-Jane Oriemo. Glen Oriemo, assistant administrator, was notified and the purpose of the visit was discussed. On 6/17/2025, LPA Vaid requested, obtained and reviewed the following documents. Staff and resident rosters, physicians report, pre-placement appraisal, Needs and service plan, Emanate Health visit dated 6/16/25, admissions agreement, weekly linen changing schedule, weekly bathing schedule, AFHC COVID 19 cleaning and disinfection log, 06/01/25 to present. Contact number for Home Health agency. The investigation revealed: CONTINUED ON 9099C............ Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 28-AS-20250609100405

Allegation investigated: Staff do not ensure residents bedding is clean and orderly

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to investigate the allegations listed above. LPA met with Jenine Orimeo, administrator for the facility, and explained the purpose of the visit. The investigation consisted of the following: LPA obtained copies of the staff and resident roster, reviewed the medications and physician orders for Residents #1 - 5 (R1 - R5), obtained the admissions agreement for R1, obtained serious incident reports involving R1, hospital discharge paperwork for R1, interviewed R1 - R4, and also interviewed Staff #1 - 4 (S1 - S4). LPA attempted to interview R5, however they were not at the facility and at the facility at the time of the visit. The investigation revealed the following: In regards to the allegation that "Staff do not ensure residents bedding is clean and orderly," it is alleged that R1 has not had their bed sheets cleaned and that it has dried blood stains on it. Substantiatedthe state’s words, verbatim · CDSS document, Jun 3, 2025 · control 28-AS-20250527081606

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: Resident sustained pressure sore(s) while in care of staff. Staff not properly cleaning resident resulting in multiple UTI’s. Staff does not keep facility free from pests. Staff does not clean resident’s room. Staff did not assist resident in a timely manner. Staff not following resident’s meal plan. Staff did not properly prepare resident’s food. Resident sustained injury while in care. Staff does not notify resident’s authorized representative of changes in resident’s medical. Staff did not provide resident with proper toiletries causing resident skin to be irritated. Staff left hazard chemicals accessible to residents. Facility does not post menu. Staff does not have planned activities for residents.

Licensing Program Analyst (LPA) Tao conducted an unannounced subsequent complaint visit to investigate the complaint allegations listed above. During today’s visit, LPA met with staff#2 (S2), staff in charge. The purpose of today's visit was explained to S2 at the facility and Licensee Thang Duong over the phone. The initial investigation visit was conducted on 10/17/24 and the subsequent visit was conducted on 01/07/25. The investigation consisted of the following: interviews of staff from staff #1 (S1) through staff #3 (S3); interviews of residents from resident#2 (R2) to resident#6 (R6); attempted but unable to contact and interview resident#1 (R1); reviews of resident#1’s record, and physical plant was conducted. LPA obtained copies of staff/resident rosters and resident files of resident #1 (R1) with relevant information. The investigation revealed of the following: (-continued on LIC 9099C- pg 2) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 24, 2025 · control 28-AS-20241010120330

Allegation investigated: Staff is not accepting resident discharged from hospital.

Licensing Program Analyst (LPA) Tao conducted an unannounced subsequent complaint visit to investigate complaint allegation. LPA met and explained the purpose of today's visit to staff#3 (S3). The initial complaint visit was conducted on 11/14/24. The investigation consisted of the following: interviews of staff from staff #1 (S1) through staff #3 (S3); interviews of residents from resident#1 (R1) to resident#4 (R4); attempted but unable to interview resident#5 (R5); reviews of resident#1’s record, and physical plant was conducted. LPA obtained copies of staff/resident rosters; and resident files for resident #1 (R1) with relevant information. Regarding the allegation that staff is not accepting a resident discharged from hospital, it was alleged that staff did not accept resident#5 back to the facility after discharged from the hospital. The investigation revealed of the following: (-Continued on LIC 9099 C-) Substantiatedthe state’s words, verbatim · CDSS document, Nov 26, 2024 · control 28-AS-20241107171143

Allegation investigated: Staff did not arrange transportation for resident following doctors visit.

Licensing Program Analyst (LPA) Tao conducted an unannounced complaint visit to investigate the complaint allegation. During today’s visit, LPA met and explained the purpose of today's visit to administrator assistant, Elizah Arganosa. The investigation consisted of the following: interviews of staff from staff #1 (S1) through staff #3 (S3); interviews of residents from resident#1 (R1) to resident#4 (R4); reviews of resident#1’s record, and physical plant was conducted. LPA obtained copies of staff/resident rosters; and resident files for resident #1 (R1) with relevant information. Regarding to the allegation, staff did not arrange transportation for resident following doctors' visit, it was alleged that staff failed to arrange transportation for a resident to return to the facility after doctor’s appointment. The investigation revealed of the following: (- Continued on LIC 9099 C-) Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 14, 2024 · control 28-AS-20241105194857

Allegation investigated: . Staff not providing resident with meals in a timely manner. 2. Staff does not provide nutritious meals to residents. 3. Staff deprived resident of additional servings of food. 4. Staff discriminates against resident.

Licensing Program Analyst (LPA) Cynthia Chan conducted the complaint investigation on the allegations listed above. LPA arrived unannounced and met with Staff, Roldan Kiseo. Administrator, Steven Duong, arrived shortly after to assist with the visit. The purpose of the visit was explained. LPA obtained copies of the staff and resident rosters, toured the facility, and interviewed Staff and Residents. The investigation revealed the following: Allegations - Staff not providing resident with meals in a timely manner, Staff do not provide nutritious meals to residents, and Staff deprived resident of additional servings of food. The administrator and staff were interviewed regarding the food service provided to residents. They stated that residents are served 3 meals a day and provided with snacks. Breakfast is served to them depending on their wake-up times. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 5, 2024 · control 28-AS-20241028162318

Allegation investigated: Staff did not allow resident visiting at the facility.

Licensing Program Analyst (LPA Alberto Lopez conducted an unannounced complaint investigation for the allegation listed above. LPA met with Glenn Oriemo, Lead Caregiver. LPA explained the purpose of today's complaint investigation visit. The investigation consisted of the following: LPA obtained staff roster, resident roster, visiting log for 10/2024, Facility Visiting Policy, DSS clearance for W1, interviewed four (4) residents ((R#1-R#4), One (1) resident was sleeping, three (3) staff (S#1-S#3), and interviewed two (2) Witness (W#1-W#2), and conducted a tour of physical plant. The investigation revealed: Regarding allegation: Staff did not allow resident visiting at the facility. It is alleged that W2 arrived at the facility to visit on 10/23/2024 and was not allowed entry into the facility. LPA interviewed three (3) staff and all three (3) denied the allegation. S1 stated that W2 has never been refused entry to facility. (Continued on 9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 28, 2024 · control 28-AS-20241024085450

Allegation investigated: Facility has leaking water. Facility equipment pose a hazard to residents. Staff does not ensure call button accessible to resident.

Licensing Program Analyst (LPA) Tao conducted an unannounced complaint investigation for the allegations listed above. LPA met Elizah Arganosa, administrator assistant. LPA explained the purpose of today's complaint investigation visit. The investigation consisted of the following: LPAs obtained staff roster, resident roster, interviewed resident#1 (R1) and resident#2 (R2), interviewed staff #1 (S1) and conducted a physical plant. The investigation revealed the following: In regard of allegation that facility has leaking water, it was alleged that a pipe outside the front door that is leaking water. LPA interviewed staff and staff corroborated the allegation. LPA toured the facility and observed a pipe outside the front door was leaking water during the visit. The facility was not in good repair. (-continued in LIC 9099C-) Substantiatedthe state’s words, verbatim · CDSS document, Oct 17, 2024 · control 28-AS-20241010120330

Allegation investigated: Staff did not ensure resident was receiving adequate fluid intake while in care. Staff do not ensure resident is provided bathing assistance. Staff do not ensure resident is provided clean clothing. Staff do not ensure resident is provided with toileting assistance. Staff did not ensure an adequate care needs assessment plan was conducted for resident in care. Facility is not following doctor order for medications. Faciliity is not adivsing residents responsible party of residents health status. Facility staff are failing to store resident items in resident’s room in a safe manner. Faciliity did not accept resident back ot facility upon discharge from hospital.

***This report serves as an amendment and supersedes the original complaint investigation report created on 07/16/24. The findings remain as unsubstantiated. *** Licensing Program Analyst (LPA) Tao conducted a subsequent, unannounced complaint visit for delivering finding. The initial unannounced 10-day complaint visit was conducted on 11/15/23 and a subsequent visit was conducted on 07/16/24. During today’s visit, LPA met and explained the purpose of today's visit to administrator,. Investigation consisted of the following: interviews of staff from staff #1 (S1) through staff #3 (S3); interviews of residents from resident#1 (R1) to resident#4 (R4); attempted but unable to interview resident #5 (R5); reviews of resident#1’s record, and physical plant was conducted. LPA obtained copies of staff/resident rosters; and resident files for resident #1 (R1) with relevant information. (-continued in LIC 9099 C-) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 18, 2024 · control 28-AS-20231107092544

Allegation investigated: Staff did not ensure resident was receiving adequate fluid intake while in care. Staff do not ensure resident is provided bathing assistance. Staff do not ensure resident is provided clean clothing. Staff do not ensure resident is provided with toileting assistance. Staff did not ensure an adequate care needs assessment plan was conducted for resident in care. Facility is not following doctor orders for medications. Facility is not advising residents responsible party of resident’s health status. Facility did not accept resident back to the facility upon discharge from hospital.

Licensing Program Analyst (LPA) Tao conducted unannounced complaint investigation for the allegations listed above. During today’s visit, LPA met and explained the purpose of today's visit to administrator assistant, Elizah Arganosa. Investigation consisted of the following: interviews of staff from staff #1 (S1) through staff #3 (S3); interviews of residents from resident#1 (R1) to resident#4 (R4); attempted but unable to interview resident #5 (R5); reviews of resident#1’s record, and physical plant was conducted. LPA obtained copies of staff/resident rosters; and resident files for resident #1 (R1) with relevant information. The investigation revealed that: In regard to staff did not ensure resident was receiving adequate fluid intake while in care, it was alleged that residents were dehydrated due to not having sufficient fluid intake. (-continued in LIC 9099 C-) Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 16, 2024 · control 28-AS-20231107092544

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 slapped resident. Staff did not report incidents as required.

Licensing Program Analyst (LPA) Tao conducted unannounced complaint investigation for the allegations listed above. During today’s visit, LPA met and explained the purpose of today's visit to administrator, Elizah Arganosa. Investigation consisted of the following: interviews of staff from staff #1 (S1) through staff #3 (S3); interviews of residents from resident#1 (R1) to resident#4 (R4); attempted but failed to interview resident #5 (R5); failed to interview resident #6 (R6) since R6 was out; interview with visitor#1 (V1); reviews of resident#1’s record, and physical plant was conducted. LPA obtained copies of staff/resident rosters; and resident files for resident #1 (R1) with relevant information. (-continued in LIC 9099 C-) Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 2, 2024 · control 28-AS-20240328143029

Allegation investigated: . Residents in care have access to centrally stored medications. 2. Staff do not ensure the facility is kept clean. 3. Staff do not provide proper incontinence care to residents in care. 4. Staff are unable to communicate with residents in care. 5. Residents are not provided with proper food service. 6. Residents are not provided proper medication.

Licensing Program Analysts (LPAs) Cynthia Chan and Sanjay Vaid conducted a complaint investigation for the allegations listed above. LPAs arrived unannounced and met with Assistant Administrator, Elizah Arganosa. The purpose of this visit was explained. The investigation consisted of the following: LPAs toured the facility and collected documents such as staff roster, resident roster, and the food menu. LPAs reviewed medications and files for Residents #1 - #5 (R1 – R5). Interviews were conducted with the Administrator, assistant administrator, 2 Staff, and 3 Residents. The investigation revealed the following: 1. Allegation - Residents in care have access to centrally stored medications. It is alleged that there are creams and ointments placed in the resident room. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 28, 2023 · control 28-AS-20230821113638