About Care Assisted Living Center

Type of visit: Office

On 08/09/2026, an informal meeting was held at the Fresno Regional Office. The purpose of the informal meeting was to discuss recently identified concerns associated with the operation of the facility. The informal meeting process was explained during this meeting. The following were in attendance: · Juanita Gamez, Licensee Representative · Ronna Bailey-Kroll, Administrator Designee Facility Representative · Alexandria Walton, Licensing Program Manager · Brianna Miranda, Licensing Program Analyst The following concerns were addressed during the meeting: · Records · Medications · Physical Plant · Care and Supervision · Administrator Qualifications The facility will develop and submit a compliance plan detailing how the Licensee will bring the areas discussed into compliance by September 23, 2026. Citation will be reissued for Administrator Qualifications. Exit interview was conducted. A copy of this report was discussed and provided to Licensee Juanita Gamez, whose signature acknowledges receipt of this document.the state’s words, verbatim · CDSS document, Sep 9, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Oct 9, 2026

(a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement is not met as evidenced by: Based on observation, interview, and record review, the facility did not comply with the regulation listed above due to administrator being at the facility on Fridays, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 9, 2026

Plan of correction: Licensee will be hiring a qualified Administrator within the next 30- days. Verification will be provided to the Dept by POC due date.

Type of visit: POC

On August 26, 2026 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to conduct a visit to clear open Plan of Corrections (POC). LPA introduced themselves and was allowed entrance into the facility. LPA met with House Manager Daisy Cruz. During todays visit LPA cleared the following POCs: 87202(a)- Space heaters and extension cords were removed. 87303(f)- All trash can have lids. 87309(a)- Cleaning supplies were locked 87555(a)- Facility does not have expired food 87405(a)- Administrator provided current certification. (Remaining docs due by 8/31/2026) 87411(a)- Additional NOC staff have been added to the shifts. During todays visit LPA observed the following deficiencies: Multiple window sills to have debris Multiple closet door rails to have debris R1's toilet to be sitting to fecal matter R2 to have spider webs in window sill Non-slip mats in men's and women's bathrooms to have mold R1's Donepezil 10MG Tablet was marked as being given on August 15, 2026, and is in the bubble pack R1's bubble pack with medication Escitalopram 10MG Tablet is shown as being given through August 27, 2026 R3 is on oxygen and is located in Jerry's Place. There is no oxygen in use signs posted. Facility was not able to provide verification of written letter sent to the Local Fire Dept informing of the residents having oxygen. Administrator provided training verification for 8 of 15 staff members. Exit interview was conducted and a copy of this report LIC809, LIC809D, appeal rights, LIC421, and cleared POC letters was provided to House Manager Daisy Cruz.the state’s words, verbatim · CDSS document, Aug 26, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Aug 27, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, due to R1's missed medication showing as taken, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 26, 2026

Plan of correction: House Manager will go over resident's medications, and provided a statement indicating corrections. House Manager will follow-up with Licensee. Statement will be provided to the Dept by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.625(b)(2) · Plan of correction due date: Sep 11, 2026

(b) (2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Based on observation, interview, and record, the facility did not comply with the regulation listed above, due to providing 8 of 15 staff member's training verification not having completed hours of training, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 26, 2026

Plan of correction: House Manager will follow up with Licensee to have remaining staff complete training. Verification of training will be sent to the Dept by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Sep 4, 2026

(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, interview, and record, the facility did not comply with the regulation listed above, due to window sills having debris, spider webs, closet door rails with debris and non-slip mats moldy, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 26, 2026

Plan of correction: Areas will be address with Licensee and verification will be provided to the Dept by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87618(b)(3)(A) · Plan of correction due date: Sep 4, 2026

(b) In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (A) A report shall be made in writing to the local fire jurisdiction that oxygen is in use at the facility. This requirement is not met as evidenced by: Based on observation, interview, and record, the facility did not comply with the regulation listed above, Local Fire Dept was not informed in writing about residents with oxygen, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 26, 2026

Plan of correction: House Manager will have give the Local Fire Dept a written notice regarding oxygen use at the facility. Verification of written notice will be sent to the Dept by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87618(b)(3)(B) · Plan of correction due date: Sep 4, 2026

(b) In addition to Section 87611(b), the licensee shall be responsible for the following: (3) Ensuring that the use of oxygen equipment meets the following requirements: (B) "No Smoking-Oxygen in Use" signs shall be posted in the appropriate areas. This requirement is not met as evidenced by: Based on observation, interview, and record, the facility did not comply with the regulation listed above due to R3 not having a "Oxygen in Use Sign" posted, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 26, 2026

Plan of correction: House Manager will have signs posted in appropriate areas. Verification will be sent to the Dept by POC due date.

Type of visit: Case Management - Other

On June 19, 2026 Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct a case management visit. LPA's initial visit was to conduct an investigation from complaint #24-AS-20260618094853. During the visit LPA found the following deficiencies: Space heaters being used throughout the facility. Space heaters being used with extension cords (warnings state space heaters should not be used with extension cords) Outdoor deck and exit to not be properly cleared if facility needs to evacuate. Unlocked cabinet with laundry detergent & cleaning products In Jerry's House cleaning supplies and disinfectants accessible to residents. Food not properly label Expired spinach in refrigerator Soiled briefs and pads not being disposed of in a manner that does not pose a risk to other's health & safety. Deficiencies observed were cited during today's visit per California Code of Regulations, Title 22. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Sheenal Herenandez- Administratorthe state’s words, verbatim · CDSS document, Jun 19, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Jun 22, 2026

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, due to LPA observing space heaters, space heaters plugged into extension cords, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2026

Plan of correction: Administrator will remove space heaters and extension cords. Verification will be sent to the Dept by POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87303(f) · Plan of correction due date: Jun 22, 2026

(f) All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, due to LPA observing solid briefs and pads throw in trash can with no lids & hanging out of trash cans, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2026

Plan of correction: Facility will replace trash with proper top. Verification will provide verification to the Dept.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Jun 22, 2026

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, due to laundry area having unlocked cabinet with laundry soap and other cleaning supplies, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2026

Plan of correction: Facility will do in-service and lock up disinfectants and cleaning supplies. Verification will be sent to the Dept by POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87555(a) · Plan of correction due date: Jun 22, 2026

(a) The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, due LPA observing expired spinach, bacon and chorizo to be opened and not dated, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2026

Plan of correction: Facility will review food and throw expired food items. Verification will be sent to the Dept by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daiquiri Boyd conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator (AD) Sheenal Prasad, Continual Administrator's Certification expires 05/08/2026. There are currently 10 residents who reside at this home and there is 4 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire extinguishers were serviced on 9/12/2025. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 112 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies have designated, locked cabinets, inaccessible to residents. LPA reviewed 3 resident files, and 3 staff files. The area outside of the Room 6 exit is not used by residents, but is used for storage and as an emergency exit. The are outside of the Room 6 exit has two storage sheds that do not contain any hazardous items. LPA observed a large amount of discarded items, such as old wheelchairs, a broken dresser, and various miscellaneous items intended to be disposed of, in the area. The deck outside of the door was 80 percent full with items that were intended to be disposed of as well. LPA found an open bottle of PineSol in the men's shower, which is not a locked area. The deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. (continued on next page) LPA requested the following documents: LIC 500 Personnel Report, and current proof of Liability Insurance to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Administrator Sheenal Prasad, and copy of report left at facilitythe state’s words, verbatim · CDSS document, Jan 6, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Daiquiri Boyd made an unannounced Case Management visit to the facility. LPA Boyd was at the facility to address a recent report that the fire sprinkler system at the facility is not working. Sheenal Prasad, Administrator(AD) met with LPA upon arrival to the facility. AD explained to LPA that they saw water gushing out from the side of the building by the alley on 10/09/2025. AD stated that they then called CalAm to address the water issue and they were told that they could not help the facility because it not a city water pipe. CalAm is a City of Seaside entity that addresses water lines. AD then called California Fire Protection Inc. so that they could then assess the problem of the water leak. California Fire Protection stated that it was an underground water pipe that broke. About Care received an estimate to fix the pipes and the repairs are to be made on 10/21/2025. California Fire Protection is in contact with Seaside Fire Dept. Chief as to the repairs. Seaside Fire Dept. has come to the facility twice to inspect and ensure that they are following protocols and to make sure they are in contact with California Fire Protection to fix the issue. There is no disruption of water service to the facility. Visit concluded.the state’s words, verbatim · CDSS document, Oct 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator Sheenal Prasad, Continual Administrator's Certification expires 05/08/2026. There are currently 10 residents who reside at this home and there is 3 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 119 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible. LPA reviewed 4 resident files, and 4 staff files. LPA observed dirty laundry piled in hall outside resident room. Staff 1's 503 Health Screening Report is not signed or dated. Resident 3's medical assessment is not updated annually as required. The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Administrator Sheenal Prasad, and copy of report left at facilitythe state’s words, verbatim · CDSS document, Dec 16, 2024