Hillcrest Residential Care #2

Allegation investigated: Licensee smoked marijuana inside the facility. Food service does not meet the needs of the residents. Staff are unable to meet the needs of the residents due to language barrier. Staff yelled at resident.

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of initiating the complaint investigation into the above allegations. LPA met with Licensee Eduardo Capistrano and explained the reason for the visit. During the course of the investigation, LPA toured the physical plant and successfully interviewed three of four residents, two staff, and one witness. LPA was unable to obtain a statement and qualify one resident due to their medical condition. LPA also obtained the following records for review: Face Sheets, Physcian's Reports, Personal Rights, Personnel Report Summary and training records for Staff #1 (S1). The investigation is as follows: Regarding the allegation, Licensee smoked marijuana inside the facility, it is alleged that the licensee smokes marijuana inside the facility at night causing the entire facility to become odorous. LPA conducted the tour of the physical plant. The second floor is occupied by the licensee and staff. LPA inspected all drawers and there were no evidence of marijuana. Based on the interviews, three out of three residents and two of two staff denied observing licensee smoking or smelling marijuana at night. Unsubstantiated Based on the review of the surveillance footage via the Ring app, LPA observed S1 lying down to sleep on the living room couch on May 7, 2026 at 1:55am and at 10:31pm on May 6, 2026. Therefore, based on LPA's observations, interviews which were conducted, and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation: Staff is sleeping on the couch in the living room are deemed substantiated. An exit interview was conducted with Licensee Eduardo Capistrano, and a copy of this report was provided via email at the end of the visit. Regarding the allegation, Food service does not meet the needs of the residents, it is alleged that the residents are fed the same thing every day for breakfast, oatmeal with banana, and are left to make their own meals for lunch and dinner. Based on one meal service at 11am, LPA observed residents were served steak, mash potato with gravy, steamed broccoli, and a side of peaches. Based on the interviews, two of three residents indicated not having concerns with food. Although both residents indicated that there not being a variety of meals, they were satisfied with all meals and found it to be sufficient in meal choices, serving size, quality, and nutrition. Both residents indicated that meals were prepped by the staff. One remaining resident could not recall details. Two of two staff did not corroborate the allegation indicating that meals are prepared by staff and breakfast is alternated between oatmeal, sandwich, or eggs with a side of fruit, water, and juice. Regarding the allegation, Staff are unable to meet the needs of the residents due to language barrier, it is alleged that S1 does not speak English interfering with the care which they are not able to provide to the residents. Based on LPA's observation, residents were observed relaxing. Based on the interviews, three of three residents and two of two staff denied the allegation. The three residents expressed satisfaction with their care. Although, S1 acknowledged not being proficient in English, S1 indicated that they are able to communicate daily tasks and needs of residents via simple, plain English and through gestures. Regarding the allegation, Staff yelled at resident, it is alleged that S1 yelled at a former resident. Based on the review of the face sheets, only one of the three residents resided at the facility at the time. Three of three residents denied S1 or any other staff yelling at them or other residents. Two of two staff did not corroborate with the allegation. Therefore, based on the observations made, interviews which were conducted, and the records that were reviewed, 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 following allegations: Licensee smoked marijuana inside the facility, Food service does not meet the needs of the residents, Staff are unable to meet the needs of the residents due to language barrier, and Staff yelled at resident are deemed UNSUBSTANTIATED. An exit interview was conducted with Licensee Eduardo Capistrano, and a copy of this report was provided via email at the end of the visit.the state’s words, verbatim · CDSS document, May 7, 2026 · control 22-AS-20260430132811

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a) · Plan of correction due date: May 15, 2026

87307 Personal Accomodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement was not met as evidenced by: Based on the review of the surveillance footage via the Ring app, S1 was observed sleeping on the facility couch in the living room on 5/7/26 at 1:55am and 10:31pm on 5/6/26.the state’s words, verbatim · CDSS document, May 7, 2026

Plan of correction: Administrator stated that S1 will no longer be sleeping on the facility couch effective 5/15/25 after Admin forwards proof of purchase of the call buttons which will be installed in each residents' rooms. Admin will also submit an acknowledgement of understanding to LPA via email by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jessica Cho made an unannounced Case Management visit for the purpose of issuing a deficiency after observing a violation in connection to Complaint Control Number:22-AS-20260430132811. LPA explained the reason for the visit to Licensee Eduardo Capistrano. During the investigation mentioned above, LPA reviewed the Ring surveillance footage and observed that all indoor/outdoor cameras have audio recording capabilities. A violation exits, and a deficiency is being cited on the attached LIC809-D. An exit interview was conducted with Licensee Eduardo Capistrano, and a copy of this report and the appeal rights were provided at exit.the state’s words, verbatim · CDSS document, May 7, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: May 18, 2026

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by: Based on observation and review of the surveillance footages via the Ring app, all indoor and outdoor cameras have an audio component which poses a potential Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, May 7, 2026

Plan of correction: Administrator stated that the 3 indoor cameras and 2 outdoor cameras facing the patio seats will be removed on or before the POC due date. Administrator will notify LPA if new cameras with no audio capabilities are installed. Installations must be completed on or before the POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Crisanta "Cristy" Gozar. LPA met with Administrator (AD) Eduardo Capistrano and explained the purpose of the inspection. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a two-story home, consisting of five resident bedrooms, two bathrooms, and attached two-car garage on the first floor. The second story is used solely as staff quarters. All resident bedrooms had the required furnishings. LPA observed all residents’ beds had linens and blankets. LPA observed residents watching television in the living room and resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew and faucets and toilets were operational. Water temperature tested between 126.5 – 129.5 degrees Fahrenheit; a Deficiency was cited on today’s date. LPA observed the backyard has a shaded sitting area and the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations, however, kitchen door and exterior gate were locked. AD was advised regarding resident personal rights and removed both locks immediately; a Deficiency was cited on today’s date. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to have last been serviced on March 9, 2024; a Deficiency was cited on today’s date. Electric stove, microwave, laundry washer and dryer were all observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be accessible to residents in the kitchen; a Deficiency was cited on this date. Medication was observed to be centrally stored and locked. (Cont. LIC809-C) LPA reviewed three resident files and two staff files. One of three resident files did not include an examination for Communicable tuberculosis; a Deficiency was cited on today’s date. Two of two staff files did not contain any documentation for required annual staff training conducted in the past year and AD was unable to provide LPA with a copy of staff training conducted; a Deficiency was cited on today’s date. AD was also unable to provide LPA with a copy of current liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate. LPA interviewed residents and staff. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights was left at the facility.the state’s words, verbatim · CDSS document, Apr 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff, and explained the reason for the visit. The licensee was present upon arrival and the Administrator arrived about an hour later. During the inspection, LPA Haley observed a locked closet right next to the front door used to store resident medications and resident files. Under the staircase, there is a locked storage space for additional hygiene items for the residents. Resident bedrooms were clean, organized, and had the necessary elements and were in compliance with regulation guidelines. Resident bathrooms were clean and organized as well. Hot water temperatures were measured at 105 degrees Fahrenheit. Hazardous items are kept under the sink in a locked cabinet. The kitchen is kept locked at all times when staff is not present. A perishable and non-perishable food supply that meets regulation requirements was observed. Knives are kept hidden in the pantry. All four burners and the warmer on the stove were operational. No hazardous cleaning chemicals were observed under the sink. Between the kitchen and garage is a locked office area where staff files are kept. The garage remains locked and inaccessible to residents at all times. The garage was clean and organized. Two cars were parked in the garage. A refrigerator with plenty of perishable food items was observed as well as an emergency supply of water being stored in the garage. A laundry area equipped with a washer and dryer was observed. Continued on LIC809C The backyard was organized, and walkways were free of obstruction. A storage shed with facility supplies and hazardous cleaning chemicals was observed. A jacuzzi with a secured covering under a shaded patio area was observed. There’s a locked storage room with plenty of non-perishable food items for the residents. An emergency food supply was observed. There were plenty of accessories for facility use being stored in the locked storage room. Tables and chairs were observed in the backyard area. Smoke detectors, and the carbon monoxide detector tested operational. A fully charged fire extinguisher was observed mounted on the wall in the kitchen. Emergency evacuation drills were conducted monthly. The last evacuation drill was conducted March 5, 2025. During the inspection, 4 resident files were reviewed, 5 resident medications reviewed, and 3 staff files were reviewed during the visit. A deficiencies will be cited as a result of today’s visit. An exit interview conducted, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 10, 2025

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Mary J. Alvarado and was granted entry to the facility. The facility is a (4) bedroom (2.5) bathroom home and, with a kitchen/dining area, living room, and attached garage. Licensed capacity is (6) current census is (5). LPA was accompanied by Administrator Mary J. Alvarado to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Record Review: LPA reviewed (3) client files for admission agreements, updated physician reports, medications and needs and services plans. LPA conducted (2) medication audit. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Mary J. Alvaradothe state’s words, verbatim · CDSS document, Jul 18, 2024