Amable Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with Caregiver Katie Carruthers and explained reason for visit. Administrator Stephanie Gonzalez arrived shortly. Facility is licensed to serve age range 60 and over. Approved for six (6) residents, of which four (4) may be non-ambulatory. Waiver granted for hospice care for three (3). The facility is a single-story home: 3 bedrooms, 2 bathrooms, living room, dining area, kitchen with laundry area, office area, backyard, front yard and attached garage located in Downey, CA. LPA toured the facility and observed the following: Each resident bedroom has the required furniture and bedding. Extra linen and towels were observed in hallway drawers. The Smoke detectors and carbon monoxide detectors were observed throughout the facility and were working properly during inspection. The facility has two (2) fire extinguishers which are kept in entry way and office area. LPA explained to Administrator that a receipt with purchase date needs to be kept for extinguishers if not being checked annually. Two bottles of washing detergent, bottle of bleach, and a bottle of cleaning spray were observed to be accessible in laundry room. Cleaning supplies and sharps are locked in kitchen drawers. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Facility was observed to have sufficient supply of 2 days perishable & 7 days non-perishable foods. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The resident bathrooms have the required grabs bars and non-skid mats. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents outside in backyard. Passageways and exits are free of obstruction. SEE LIC 809C Four (4) staff files were reviewed and included criminal clearance record, and health screening with TB. Five (5) resident files were reviewed. All files for residents included current physician reports and appraisal needs and service plans. Fire/earthquake drill was conducted July of 2026. The medications are centrally stored and locked in a cabinet in kitchen. LPA reviewed medications for three (3) residents. LPA observed one medication error. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided to Stephanie Gonzalez.the state’s words, verbatim · CDSS document, Sep 29, 2026

We haven’t transcribed this report yet. The complete document is on the state’s site.

Allegation investigated: Staff does not ensure residents are kept free of physical forms of abuse while in care Residents sustained multiple bruising while in care

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced complaint visit to deliver findings on the allegations listed above. LPA met with Caregiver Maryuri Ortiz and spoke with Administrator Stephaine Gonzalez via phone call and explained the purpose of the visit. The investigation consisted of the following: On 6/16/26 LPA conducted a health and safety check, interviewed 5 Staff (S1-S5), 5 Residents (R1-R5) and 1 Witness (W1), obtained copies of Face Sheets for 5 Residents in care, requested Administrator to email copies of R1's Physician Report and Face Sheet/Emergency Information sheet, 5 Residents Physician Reports, Contact information for R5's Hospice Nurse and charting notes, and phone numbers for additional staff to be interviewed. On 6/18/26 LPA received all requested documentation and reviewed the documents. On 7/1/26 LPA conducted phone interviews with 1 Staff (S6) and 3 Witnesses (W2-W4). During today’s 7/2/26 visit LPA delivered findings for the reported allegations and conducted a Case Management visit on separate report to issue a citation on facility not submitting incident reports as required per the title 22 regulations. (Continued on LIC9099-C) Unsubstantiated The investigation revealed the following: Allegation: Staff does not ensure residents are kept free of physical forms of abuse while in care It is alleged that S2 is physically abusing C1 and C2 by taking them to the restroom and hitting them where others cannot see. LPA interviewed 6 Staff and 4 out of 6 staff denied the allegation and stated that they have not seen any staff physically or verbally abuse any of the residents in care. LPA interviewed 5 Residents and 3 of the 5 residents denied the allegation and stated they are not abused and staff treat them ok, interviews with 2 of the 5 residents were not successful due to cognitive impairment. LPA interviewed 4 Witnesses and denied the allegation, each stated that they visit the facility frequently and have not observed any of the staff be physically aggressive with the residents or raise their voice at any of the residents during their visits Allegation: Residents sustained multiple bruising while in care It is alleged that R1 and R2 have bruises on their hands, arms, and legs, and is believed to be a result of the alleged abuse from S2. During the health and safety check conducted during initial visit, LPA did not observe any bruising on R1 or R2, R4 had a bruise on the inner part of their elbow but it was explained by R4, Staff and R4’s responsible party W2 that R4 had gone to the doctor earlier that day to have blood drawn and the bruise was from the needle that was used to draw blood. LPA interviewed 5 residents and 3 out of the 5 residents stated they have not sustained bruising due to staff negligence, interviews with 2 of the 5 residents were not successful due to cognitive impairment. LPA interviewed 4 Witnesses and denied the allegation, each stated that they visit the facility frequently and have not observed any questionable bruising from their relative that resides at the facility. Each witness stated that although they may have noticed bruising it is not unusual to see the types of bruises on their relative as it is part of their medical condition and that they have had close communication with facility administrator to monitor and pinpoint where or how the bruising occurred, witnesses additionally stated they do not feel or have had any concern of staff being too rough with the residents or concerns of staff physically harming the residents. Based on statements and interviews conducted with staff, residents and witnesses, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 2, 2026 · control 28-AS-20260610163941

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced case management visit to issue a citation that was observed during a complaint investigation dated 6/16/26. LPA met with Caregiver Maryuri Ortiz and spoke with Administrator Stephaine Gonzalez via phone call and explained the purpose of the visit. During the complaint visit dated 6/16/26 for complaint number, LPA observed Incident Reports filed in resident files that were never sent to the department, after conversation with Administrator it was revealed that the incident reports for incidents dated 4/5/26, 6/3/26, 6/4/26, 6/6/26 and 6/10/26 were not sent due to not knowing that it was needed to be sent. LPA read the regulation to Administrator and reminded Administrator that any incident that threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence. LPA received copies of the incident reports on 6/23/26, incident reports dated 6/4 and 6/10 detailed observations of questionable bruising on a resident and a police investigation regarding alleged physical abuse by staff. Abuse allegations were investigated during the complaint visit and findings were unsubstantiated. However, due to incident reports not being provided to licensing within the required timeframe a citation will be issued today. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiency observed will be documented on the attached LIC809-D. Exit interview held and a copy of the report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 2, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Jul 16, 2026

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not met as evidence by: During the complaint visit dated 6/16/26 LPA observed Incident Reports filed in resident files that were never sent to the department, after conversation with Administrator it was revealed that the incident reports for incidents dated 4/5/26, 6/3/26, 6/4/26, 6/6/26 and 6/10/26 were not sent due to not knowing that it was needed to be sent and LPA received copies of incident reports on 6/23/26 via email. Incident report dated 4/5 detailed a resident hospitalization and Home Health Services, incident report dated 6/4 detailed observations of questionable bruising on a resident and incident report dated 6/10/26 detailed a police investigation regarding alleged physical abuse by staff, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 2, 2026

Plan of correction: Administrator/Licensee to review the regulation cited in its entirety and provide a copy of the completed and signed POC Form LIC9098 as an agreement that the regulation was reviewed and will be followed moving forward. Additionally, a training on reporting requirements is to be conducted with all staff and a copy of the training log with participant signatures is to be emailed to LPA by the POC due date. tena.herrera@dss.ca.gov

Type of visit: Prelicensing

Licensing Program Analysts (LPAs) Tena Herrera and Gabriela Castro conducted an announced pre-licensed visit and met with Licensee/Administrator Stephanie Gonzalez for the purpose of conducting a Pre-Licensing Inspection / Component III visit. The facility has an approved fire clearance to be licensed to serve 6 Adults ages 60 and over. The facility is a single story home: 3 bedrooms, 2 bathrooms, living room, dining area, kitchen with laundry area, office area, backyard, front yard and attached garage located in Downey, CA. The physical plant was toured inside and out alongside Stephanie Gonzalez. Pre-Licensed Inspection Tool was used. The following was observed/inspected · Bedrooms are equipped with one bed, night-stand, chair, sufficient lighting, appropriate closet and drawer space. · All beds had the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. · Bedrooms are large enough to allow for easy passage between and comfortable for usage of beds and other required items of furniture. · Sufficient supply of linens available to permit weekly changing and are stored in storage cabinet. · Sufficient personal hygiene supply available, laundry machine (wash/dryer) observed. · The 2 bathrooms have working toilets/wash basin, and shower. Shower is missing non-slip mat. water temperature was within range · Smoke Detectors and Carbon monoxide detectors are interconnected approved in the Fire Clearance. · Two (2) Fire extinguishers observed and charged. · Cleaning solutions and sharps are securely locked in kitchen and inaccessible to residents. · Kitchen cabinets, refrigerator/freezer, oven, microwave, dishwasher are in working condition, clean and sanitary. (Continued on 809-C) · Food Menu Samples observed. · Sufficient dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. · There is a designated space for Medications to be locked and inaccessible to residents. · Client and Staff files will be stored electronically and Administrator showed LPAs how files will be stored · First Aid Kit was observed with manual. · Physical plant is in good repair and building and grounds are free from hazards, window screens are in good condition. · There is a shaded area provided in the backyard to accommodate clients, no bodies of water observed. · The residence is equipped with central air and heating, temperature remains at comfortable temp. · Facility cell phone line operable, facility number: 562-291-0495 · Variety of activity supplies for clients observed. · Liability Insurance has not yet been purchased but administrator confirmed they will purchase the insurance prior to admitting first resident. Component III was also completed at the time of the visit and all required documents for Licensing were discussed. Facility has met the physical plant requirements/ inspection as required per California Code of Regulations Title 22 Division 6. An exit interview was conducted, and a copy of this report has been furnished to the Applicants. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Oct 9, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: GONZALEZ, STEPHANIE - Licensee/Administrator Interview Method: Telephone interview On 09/12/2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Sep 11, 2025