Los Tiempos Senior Living #3

Type of visit: Required - 1 Year

On August 27, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Rosa Figueroa was present and assisted on today's visit. LPA observed that Rosa Figueroa has a valid Administrator certificate which expires on September 8, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has an approved hospice waiver for four residents. The facility is a single story home with five private resident bedrooms, three bathrooms, two of which are for residents, a living room, a dining room, a kitchen, a laundry room, and an attached two car garage. LPA, accompanied by the AD, conducted a tour of the interior portions of the facility. On today's visit, LPA observed five resident and two care giving staff present. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected all five resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in hallway cabinets. LPA inspected the two shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured 105.4 and 106.8 degrees Fahrenheit. LPA observed the facility has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. CONTINUED ON LIC809-C LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPA observed fire extinguishers to be mounted on the wall in the kitchen, in the dining room, and in the attached two car garage. Fire extinguishers were observed to be charged and serviced on June 1, 2026. LPA observed the centrally stored medication to be kept in a locked hallway closet. LPA observed the facility also has a first aid kit stored inside the same locked closet and it had all the required components. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their most recent emergency disaster drill on July 17, 2026. LPA observed the laundry room to be kept free of any hazards. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage. LPA observed additional chemicals and toxins to be stored in the garage. LPA also observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the AD, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be free of any obstruction or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates of the facility can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all five resident files. All the required documentation were present and current in the resident file reviewed. LPA reviewed the residents' medication and medication records. LPA reviewed four staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Rosa Figueroa and a copy of the report was provided at time of visit.the state’s words, verbatim · CDSS document, Aug 27, 2026

Allegation investigated: Licensee admitted a resident without their consent. Staff does not ensure that resident had reasonable access to a telephone. Staff are not ensuring that resident has access to their personal possessions.

On April 29, 2026, Licensing Program Analysts (LPAs) Eboni Bentley and Jessica Cho arrived at the facility unannounced for the purpose of conducting a subsequent complaint investigation and delivering findings for the above allegations. LPAs were greeted, introduced selves, and were granted entry after stating the purpose of the visit to staff. Licensee/Administrator (Admin) Rosa Janeth Figueroa was contacted via telephone and arrived shortly to assist with the visit. During the course of the investigation, LPAs reviewed and obtained copies of facility documents including Resident Roster, Staff Roster, Resident Emergency Info & Contact Sheets, Physician's Reports, Personal Rights, and signed Admission Agreement for Resident #1 (R1). Interviews were successfully conducted with three residents, four staff, and five witnesses, however LPAs were unable to obtain statements for the three remaining residents due to their medical condition. CONTINUE TO LIC9099-C...... Unfounded Two out of three witnesses present on January 23rd and confirmed via the sign in log, denied the allegation, stating R1 had an oxygen concentrator at the facility and hearing aids on the day of move in. When interviewed, R1 stated they could not recall if the oxygen concentrator was present at the facility on January 23rd or if the hearing aids were working properly on the same date. Per review of the Physician’s Report (LIC602) dated January 26, 2026, R1 is diagnosed with Mild Cognitive Impairment, which affects their memory. LPAs observed R1’s hearing aids were operational as R1 was able to hear clearly during the interview and R1 later confirmed. Per R1’s Medical Assessment/Physician’s Report (LIC602) dated January 26, 2026, the hearing aids were serviced one day after the medical assessment. Regarding the allegation, Staff are not allowing resident to go on outings, it is alleged that R1’s friends and caregiver were no longer allowed to take R1 out of the facility for their personal appointment as of Wednesday, January 28, 2026. Based on the interviews, one out of six residents corroborated while the two residents denied the allegation. LPA was unable take statements for the remaining three residents due to their medical condition. Administrator Rosa Figueroa indicated that R1’s friends and caregiver were restricted from taking R1 out of the facility at the request of R1’s POA, and therefore the outing was denied. Based on the review of the California Power of Attorney (POA) for Health Care and Health Care Instruction Form dated, July 1, 2020, R1 appointed an agent to handle their health care and signed the Uniform Statutory Form POA on November 12, 2025. During an interview, R1’s POA stated outings were restricted with R1’s friends and caregiver due to safety concerns. Regarding the allegation, Staff are not allowing resident to have visitors, it is alleged that R1 was no longer allowed to have visits from R1’s friends and caregiver as of Wednesday, January 28, 2026. Based on the interviews, one out of six residents corroborated while the two residents denied the allegation. LPA was unable to take statements for the remaining three residents due to their medical condition. Based on the review of the visitor log, LPA verified that R1’s friend visited R1 on January 23, 2026, and January 24, 2026. R1’s caregiver visited on January 24, 2026. Administrator Rosa Figueroa indicated that R1’s friends and caregiver were restricted from visiting R1 at the request of R1’s POA, and therefore visitation was denied. During an interview, R1’s POA stated visits were restricted with R1’s friends and caregiver due to safety concerns. CONTINUE TO LIC9099-C...... Based on observations, interviews, and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are deemed UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report, and LIC811 were provided to Administrator Rosa Janeth Figueroa. The investigation revealed the following: Regarding the allegation, Licensee admitted a resident without their consent, it is alleged that Licensee/Administrator Figueroa coerced R1 to move in without their consent by deceiving R1, stating that they were staying at the facility on the day of move-in. R1 moved into the facility on January 23, 2026, per Admission Agreement dated January 17, 2026. Based on the review of the California Power of Attorney (POA) for Health Care and Health Care Instruction Form dated, July 1, 2020, R1 appointed an agent to handle their health care and signed the Uniform Statutory Form POA on November 12, 2025. According to R1, R1 appointed the same POA to pay their bills and handle all their financial affairs. Four out of five witnesses interviewed denied the allegation, stating R1 was admitted to the facility by POA and family member. Witnesses stated, R1 knew the licensee for several years prior to being admitted, and the licensee did not coerce R1 into moving into the facility. During the interview, R1 stated their POA moved them into the facility, and the licensee did not coerce them into moving into the facility without their consent. R1 stated they like the facility, staff take good care of them, and everyone is nice. R1 also stated they trust the POA. Regarding the allegation, Staff does not ensure that resident had reasonable access to a telephone, it is alleged that R1’s family member had taken R1’s personal cell phone and staff are not ensuring that R1 had access to a telephone the day R1 moved in. During the tour, LPAs observed a working facility telephone number, (714) 964-6310, to be operational. R1 was also observed to have their personal cell phone during the visit. R1 denied the allegation, indicating that the phone was in their possession the day R1 moved into the facility. Regarding the allegation, Staff are not ensuring that resident has access to their personal possessions, it is alleged that staff did not ensure resident had access to their personal possessions when moving in from previous facility. Based on the interviews, three out of six residents denied the allegation, stating staff were not responsible for, nor involved in transporting their personal belongings to the facility. LPAs were unable to take statements for the remaining three residents due to their medical condition. During the interview, R1 stated that it was their POA and family’s responsibility to bring their personal belongings from their condo. R1 confirmed all their personal belongings from the previous facility have been brought to the current facility. CONTINUE TO LIC9099-C...... Five out of five witnesses denied the allegation stating staff were not involved in transporting the residents’ personal belongings to the facility, and confirmed R1’s oxygen concentrator and cell phone were brought to the facility by the witnesses. Witness #2 (W2) stated they brought the oxygen concentrator when R1 moved in on January 23, 2026, and this is corroborated by a review of the visitor log. Witness #3 (W3) stated they brought the cell phone to the facility on January 24, 2026, which is corroborated by a review of the visitor log. Witness #5 (W5), stated they brought R1’s computer to the new facility on January 26, 2026, and this is corroborated by the visitor log. Therefore, the department has determined that the staff did not prevent access of R1’s personal belongings as it was the responsibility of the witnesses to bring R1’s possessions from the previous to the current facility. This agency has investigated the complaint alleging, Licensee admitted a resident without their consent, Staff does not ensure that resident had reasonable access to a telephone, and Staff are not ensuring that resident has access to their personal possessions. We have found that the complaint was UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report, and LIC811 were provided to Administrator Rosa Janeth Figueroa.the state’s words, verbatim · CDSS document, Apr 29, 2026 · control 22-AS-20260226163914

Type of visit: Case Management - Deficiencies

On April 29, 2026, Licensing Program Analysts (LPAs) Eboni Bentley and Jessica Cho conducted a case management deficiency visit after observing a deficiency while conducting complaint visit: 22-AS-20260226163914. Per record review of the Fire Clearance approved on May 21, 2015, the facility made changes to the physical plant without notifying the Department following an annual inspection visit conducted by LPA Bentley on September 2, 2025. Per interview with Administrator Rosa Janeth Figueroa stated, the facility added an office in the garage of the facility, following the 2025 annual inspection and did not notify the Department or provide any documentation. During today's visit, LPAs observed a recently constructed office space with interior walls and a door. A deficiency was cited as per Title 22 Division 6 Chapter 8. CIVIL PENALTY ASSESSED. An exit interview was conducted, and a copy of this report, LIC809-D, LIC421IM, and appeal rights were provided to Administrator Rosa Janeth Figueroa.the state’s words, verbatim · CDSS document, Apr 29, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Apr 30, 2026

87202 Fire Clearance (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. This requirement was not met as evidenced by: Based on observations and interviews, an office was built in the garage not approved by the current fire clearance, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 29, 2026

Plan of correction: Licensee stated that they will request a new fire clearance inspection in writing, submit a LIC200, and provide a copy of the current and new facility sketch to the Department by POC due date.

Type of visit: Case Management - Deficiencies

On March 5, 2026, Licensing Program Analysts (LPAs) Eboni Bentley and Jessica Cho conducted a case management deficiency visit after observing a deficiency while conducting complaint visit: 22-AS-20260226163914. Per record review, Staff #1 (S1) is not associated to the facility. Per interview with Administrator Rosa Janeth Figueroa stated, S1 began working at the facility as a caregiver on January 8, 2025 as a full-time caregiver and works 5 days per week. During today's visit, LPAs observed S1 working at the facility and providing care to residents in care. A deficiency was cited by Title 22 Division 6 Chapter 8. CIVIL PENALTY ASSESSED. An exit interview was conducted, and a copy of this report, LIC809-D, LIC811, and appeal rights were provided to Administrator Rosa Janeth Figueroa.the state’s words, verbatim · CDSS document, Mar 5, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(E)(3) · Plan of correction due date: Mar 6, 2026

87355 (e)(3) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance... This requirement is not met as evidenced by Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPAs reviewed S1’s record and found that they are not associated with the facility. This poses an immediate health, and safety, risk to persons in care.the state’s words, verbatim · CDSS document, Mar 5, 2026

Plan of correction: The Licensee stated they will associate S1 to the facility and submit a written statement of acknowledgement and understanding to CCLD via email by POC due date.

Type of visit: Required - 1 Year

On September 2, 2025, at 12:30pm, Licensing Program Analysts (LPAs) Jenifer Tirre and Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPAs were greeted and granted entry by Caregiver (CG) Janeth Meza and met with Administrator (AD) Rosa Figueroa and explained the purpose of the visit. The facility is licensed to operate for six (6) non-ambulatory residents and have a hospice waiver for four (4) residents. The building is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, three (3) bathrooms,, a living room area, dining area, kitchen, an outdoor covered seating area, and an attached two car garage. LPAs Tirre and Bentley toured inside and outside of the physical plant with AD Figueroa. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. The water temperature measured at 106.1 degrees F to 108 degrees F in bathrooms used by residents in care. A comfortable temperature of 74 degrees F was maintained in the facility. LPAs Tirre and Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency safety drills was last conducted on April 28, 2025 and conducted quarterly. First aid kit is maintained and contains all the necessary elements. CONTINUED ON 809C During the visit, LPAs Tirre and Bentley observed the facility's all mandated posters were posted. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-964-6310) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency food, emergency water, and emergency supplies were stored in the garage. The facility has two (2) fire extinguishers that were charged and serviced on July 9, 2025. Liability Insurance is effective 6/26/2025 and expires on 6/26/2026. LPAs Tirre and Bentley conducted an audit of six (6) resident files (R1-R6), five (5) staff files (S1-S5), and medication and medication administration review. LPAs Tirre and Bentley conducted two (2) staff interview and two (2) resident interviews. The following Deficiencies were cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted, LIC 809 D, LIC811, Civil Penalty, a copy of this report and appeal rights were provided to Administrator Rosa Figueroa.the state’s words, verbatim · CDSS document, Sep 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Joseph Alejandre and Samer Haddadin made an unannounced visit to conduct the required annual inspection. LPAs met with Licensee Janeth Figueroa and explained the reason for the visit. Facility is a one story home with 5 bedrooms, 3 bathrooms, living room, dining room, kitchen and an attached two car garage. Facility is licensed for 6 non-ambulatory residents and a hospice waiver for 4. LPA observed the see something, say something poster (PUB 475) is 8 1/2 by 11 inches. LPA observed the fireplace in the living room and the fireplace in the dining room are not screened. Licensee reported that the fireplaces are not in use. LPAs and the Licensee toured the facility. LPAs observed all resident rooms had the required furnishings and bed linens. All 3 bathrooms are clean and operational, grab bars are secure and non-slip mats in place. Hot water measured 108.0 to 109.8 degrees Fahrenheit. LPAs observed a clean supply of linens and towels in the hall closets. Smoke detectors/carbon monoxide detectors tested operational. The fire extinguisher in the living room and dining room are fully charged. LPAs observed the kitchen is clean and organized. The medication is kept locked in the closet. The kitchen stove lights unassisted. LPAs observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPAs observed the lock on the drawer for the knives and sharp objects is inoperable. The garage is used for storage and kept locked. LPAs and the Licensee toured the backyard. No bodies of water observed. There is a table with an umbrella and chairs to sit outside. Both exit gates are operational. No obstacles or hazards observed in the backyard. LPAs reviewed facility documents. There is no record of any emergency drills being conducted in 2024. LPAs reviewed 6 resident files and medications. LPAs observed the residents' medication is pre-poured and stored in plastic containers for tomorrow. LPAs observed Resident 3 (R3) does not have a current physician's report (LIC 602a). LPAs reviewed 3 staff files. 3 out of 3 staff files did not have verification for 20 hours of current annual training. All 3 staff have current CPR training. LPAs inspected the first aid kit. The first aid kit has all the required elements. LPA consulted with the Licensee regarding reporting requirements and safety requirements for RCFEs. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.the state’s words, verbatim · CDSS document, Sep 10, 2024

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.