Lambert Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced required annual inspection. Upon arrival, LPA was greeted by Administrator (AD) Yanunee Asawadilokehai, to whom the purpose of the visit was explained. LPA and the staff toured the interior and exterior of the facility. During the visit, the air conditioning units were operating.The facility is a four-bedroom home with a two-car attached garage. At the time of the visit, there were four residents in care. Both resident bathrooms were clean and operational. Hot water measured between 118.0 and 117.2 degrees Fahrenheit. The kitchen was clean and organized, with at least a two-day supply of perishable foods and a seven-day supply of non-perishable foods available. Knives and cleaning supplies were locked in an exterior cabinet and were inaccessible to residents. The kitchen fire extinguisher was fully charged, and the four-burner gas stove lit without assistance.Residents’ bedrooms were inspected and observed to contain the required furnishings. The living room contained a couch, chairs, and a television for resident use. LPA and staff toured the backyard and observed a covered patio with seating. No bodies of water were present. The exit gate was operational. A shed with two rooms, used to store tools, furniture, and supplies, was locked. No obstacles or hazards were observed in the yard. The garage, used for storage of extra supplies, food, and water, was locked and inaccessible to residents.LPA reviewed residents’ files and associated medications with no discrepancies observed. LPA also reviewed three staff files, all of which were up to date. Smoke and carbon monoxide detectors were tested and found to be operational. The first aid kit contained all required items. According to facility records, the most recent fire drill was conducted in October 2025, and the fire extinguisher was purchased on October 2, 2025.No deficiencies were observed during this visit. An exit interview was conducted, and a copy of the report was provided to the facility.the state’s words, verbatim · CDSS document, Nov 25, 2025

Allegation investigated: Staff did not dispense medications

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, was greeted, and granted entry by staff on duty, who informed facility administrator (AD) Yaniee Asawadilo about visit. During the investigation, LPA Rodriguez toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that staff did not dispense medications. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that staff are to document when medications are given to each resident via medication distribution log. Continued on LIC9099-C... Substantiated The 1 resident interview stated that there is “enough food” at the facility and provided confirmation that staff will offer snacks throughout the day. 1 out of 1 staff interview did not corroborate with the allegation by stating that three meals are provided to each resident daily, and snacks are also provided. LPA observed that the facility had a 2-day supply of perishable foods and 7-day supply of non-perishable foods, of which included fruits, vegetables, dairy, proteins and carbs. It was alleged that staff left residents unattended. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. The 1 resident interview provided confirmation that there is always a staff on duty. Per record review, facility has a staff member scheduled every day. During the tour of the facility, LPA observed that the facility is a two-level structure and observed that there is a live-in caregiver residing on the second floor at tall times. It was alleged that staff did not safeguard residents personal property. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation by stating that they are responsible for their own property, and the remaining 2 residents declined in wanting to be interviewed. Per record review, all three residents declined in wanting facility to conduct an inventory check-list of their belongings. 1 out of 1 staff interview stated that the facility is not responsible for the resident’s belongings. It was alleged that staff are not providing grooming assistance. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that 2 out of the 3 current residents are able to bathe, and dress themselves, without needing assistance, of which this was confirmed by both their physician reports. Resident 1 (R1) however, is bedridden, and requires assistance with bathing, dressing and grooming. During the tour of the facility, LPA observed staff on duty changing and bathing R1. All residents were observed to be clean. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with AD Asawadilo. A copy of this report was explained, and appeal rights were provided during the visit.. However, per record review, LPA observed that the medication log was incomplete due to some days not being filled out, despite residents being on a daily medication. Staff on duty were unable to provide confirmation to LPA if the medication was given to resident. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, the preponderance of evidence standard has been met, therefore the allegation is SUBSTANTIATED. An exit interview was conducted with AD Asawadilo. A copy of this report and appeal rights were provided and explained.the state’s words, verbatim · CDSS document, Aug 29, 2025 · control 22-AS-20220808114712

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465 · Plan of correction due date: Aug 29, 2025

87465 Incidental Medical and Dental Care (c)...facility staff...shall... (3) ...record...each dose... in the resident's record. This requirement is not met and evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had incomplete documentation of medications given to each resident. Facility administrator was unable to provide confirmation whether or not medications were given. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 29, 2025

Plan of correction: As a plan of correction (POC), facility administrator will provide an in-service training to all staff on how to document medications, will ensure all medications logs for current residents are up to date, and provide proof of POC to assigned LPA on or by 9/1/25.

Allegation investigated: Staff are mismanaging resident's medication

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, was greeted, and granted entry by staff on duty, who informed facility administrator (AD) Yaniee Asawadilo about visit. During the investigation, LPA Rodriguez toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that staff are mismanaging resident's medication. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that the facility documents medications given to each resident, and that the pharmacy will provide extra medications for residents. Substantiated LPA observed that the facility had a 2-day supply of perishable foods and 7-day supply of non-perishable foods, of which included fruits, vegetables, dairy, proteins and carbs. It was alleged that staff left resident in soiled diapers for extended periods of time. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that 2 out of the 3 current residents are able to go to the bathroom unassisted, of which this was confirmed by both their physician reports. Upon entering the facility, LPA observed staff on duty changing resident 1 (R1) diapers. LPA observed R1 to be clean and changed. It was alleged that staff are not showering resident in a timely manner. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by stating that 2 out of the 3 current residents are able to shower unassisted, of which this was confirmed by both their physician reports. It was also confirmed by staff that R3 will get a bath two to three times a week due to being bedridden, while the other 2 residents shower on their own. During LPAs visit to the facility, LPA observed staff on duty giving R3 a bed bath. It was alleged that staff made inappropriate comments towards resident. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation, however disclosed that there was a previous resident who would make inappropriate comments but denied of staff making inappropriate comments to residents. Per record review, facility submitted incident reports regarding a previous resident, reporting about inappropriate comments and behaviors. LPA also observed that staff completed trainings on resident personal rights and caring for residents. Continued on LIC9099-C... It was alleged that staff failed to intervene when resident was being verbally abused. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. The 1 resident interview reported satisfaction with the facility and with the staff, and denied of being a victim of, or observing verbal abuse. 1 out of 1 staff interview did not corroborate with the allegation. Per record review, staff are trained on mandated reporting and on the varying forms of abuse. It was alleged that facility is over capacity. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. 1 out of 1 staff interview did not corroborate with the allegation by providing confirmation of the licensed capacity of the facility. LPA conducted a record review and did not observe that the facility had requested for any increase to the capacity. For this visit, LPA observed 3 residents in care, of which the facility is licensed for 6. Per record review, the facility stayed within their license capacity of only having 6 or less residents. It was alleged that staff left residents unattended. LPA conducted 1 out of 1 resident interview, of which did not corroborate with the allegation, and the remaining 2 residents declined in wanting to be interviewed. The 1 resident interview provided confirmation that there is always a staff on duty. Per record review, facility has a staff member scheduled every day. During the tour of the facility, LPA observed that the facility is a two-level structure and observed that there is a live-in caregiver residing on the second floor at tall times. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, these allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with AD Asawadilo, A copy of this report was provided and explained. Per documentation review, it was observed that there were 2 residents who had a medication distribution record of which some days were documented, and other days were not, therefore, making it incomplete, and AD Asawadilo was unable to confirm if the medications were given or not. LPA observed the facility medication cabinet, and observed multiple medications for the current residents were expired. LPA also observed multiple oral and topical medications that were expired, and labeled for previous residents, such as Nystatin ointment. LPA also observed that the extra medications for the current and previous residents were all mixed together on a shelf, and disorganized. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, the preponderance of evidence standard has been met, therefore the allegation is SUBSTANTIATED. An exit interview was conducted with AD Asawadilo. A copy of this report and appeal rights were provided and explained.the state’s words, verbatim · CDSS document, Aug 29, 2025 · control 22-AS-20220711084817

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(6) · Plan of correction due date: Aug 29, 2025

87465 Incidental Medical and Dental Care (a) A plan for incidental medical...care shall be... in... compliance with the following: (6) When requested by the... Department, a record...shall be maintained by the facility. This requirement is not met as evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had incomplete documentaion of medications given to each resident. Facility adminsitrator was unable to provide confirmation whther or not medications were given. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Aug 29, 2025

Plan of correction: As a plan of correction (POC), facility administrator will provide an in-service training to all staff on how to document medications, and provide proof of POC to assigned LPA on or by 9/1/25.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(4) · Plan of correction due date: Aug 29, 2025

87465Incidental Medical and Dental Care (h) The following requirements shall apply... (4) All centrally stored medications shall be labeled and maintained in compliance with state and federal laws. This requirement is not met as evidence by: Based on LPAs interviews, review of documents obtained and observations, facility had multiple oral and topical medications that were expired. It was also observed that on two shelves in the medication pantry, the facility mixed both the current and past residents medications. Facility administrator provided confirmation that the expired ointment, is stilll being used on resident. This poses an immediate health and safety risk to residnets in care.the state’s words, verbatim · CDSS document, Aug 29, 2025

Plan of correction: As a plan of correction (POC), facility administrator will organize medication cabinet, and discard all expired medications, Facility is to ensure that all the medications present at the facility, are only for the current residents. Facility is to provide proof of POA to assigned LPA by 5pm on 8/29/2025.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by caregiver Maria Praedes after explaining the purpose of the visit. Administrator (AD) Yaninee Asawadilokchai was notified via telephone and later arrived to assist with the inspection. LPA observed the Administrator certificate was current and expires October 23, 2025. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents, of which one may be bedridden, with a hospice waiver for three. The facility is a two story home with the first floor consisting of four resident bedrooms, two resident bathrooms, a kitchen, living room and an attached garage. The second floor consists of one staff bedroom and bathroom. While waiting for the AD, LPA began review of the records. LPA reviewed three resident records. All the required documentation were present and current in the residents’ files reviewed. LPA reviewed three employee records. All employee’s present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. 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: LPA observed residents watching television in the living room and resting in their respective bedrooms. LPA observed three residents in care and three staff present. LPA observed the See Something Say Something Poster (PUB 475) mounted on the wall by the entry way. All resident bedrooms had the required furnishings, however two resident’s had hospital beds with ½ bed rails without a doctors order; a deficiency was cited on today’s date. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway storage closet. LIC 809C LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 119.4 and 119.8 degrees Fahrenheit. LPA toured the outside of the facility and observed outdoor passageways were free of obstruction. LPA observed the backyard had furniture for resident use. LPA observed a swimming pool with a fence around it with a self latching door inaccessible to residents in care. LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged and located by the garage entrance. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be locked and inaccessible to residents in garage and inaccessible to residents in care. Medication cabinet was observed to be locked and centrally stored in the kitchen however, Senna was being administered to resident without a doctors order; a deficiency was cited on today's date. LPA observed the First Aid Kit had all the required components with the exception of the first aid manual; a Technical Violation was issued on today’s date. LPA observed the facility is not conducting quarterly disaster drills; a deficiency was cited on today’s date. 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, Mar 11, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff unlawfully evicted a resident

On this day Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit to initiate visit on complaint investigation. LPA was granted entry by staff. LPA discussed purpose of the visit with Administrator Yaninee Asawadilokchai. During investigation LPA toured facility, conducted interviews with staff & witnesses and gathered pertinent documents such as admission agreement and medical records. It was alleged that "staff unlawfully evicted a resident". Based on information received from interviews and review of documents, investigation revealed that on 8/2/2024 a incident report for Resident 1 (R1) stated R1 went out to hospital per Physician’s orders. Discharge paperwork for St. Catherine Healthcare stated that R1 was to be discharged/transferred back to residential care facility Lambert Home Care on 8/21/24. Incident Report dated 8/30/24 states that R1 received new order to be sent out to Skilled Nursing facility for additional labs and physical therapy. CONTINUED ON 9099C Unsubstantiated Interview conducted with witness states that during R1’s discharge on 8/21/24 witness claims Facility stated they were not going to be accepting back R1 at first and then later confirmed they would accept R1. Facility discharge paperwork confirms R1 was accepted back to facility. Interviews conducted with staff confirmed that two of two staff stated R1 was sent back out to skilled nursing facility on 8/30/24 per Physician. Interview with Administrator stated that Physician mentioned to Administrator that R1’s family was informed of the new order. Interview with witness confirmed that family was made aware of Physician’s order for R1 to go back to skilled nursing for additional evaluation. Interviews with staff confirmed that no residents have been given eviction notices or denied entry back to facility. Interview with Resident 2 (R2) confirms they have never been asked to vacate facility or given eviction notice during their time in facility. As of today’s visit LPA was unable to interview R1 due to R1 was not present during visit and was confirmed to still be at skilled nursing facility. Interviews conducted with staff and witness confirm that arrangements for R1 are scheduled to be discharged from skilled nursing facility on 9/19/24. Interview with Administrator states that skilled nursing will arrange transportation for R1 back to facility. Based off information received, timeline of events and conflicting reports, the complaint allegation staff unlawfully evicted a resident is deemed UNSUBSTANTIATED, meaning although the allegations may have happened or is valid; there is not a preponderance of evidence to prove that the alleged violations occurred as reported. An exit interview was conducted and a copy of this report along with a LIC 811 confidential name list was left at the facility.the state’s words, verbatim · CDSS document, Sep 17, 2024 · control 22-AS-20240913124507