Care Juliet 1

Licensing Program Analyst (LPA) Jessica Cho made an uannounced visit for the purpose to conduct a complaint investigation into the above allegation. LPA was greeted and granted entry by House Manager (HM) Juileta Cervania and stated the purpose of the visit. LPA also met with Caregivers Janella Cervania and Bayani Villarosa. LPA spoke to Administrator (Admin) Lester Del Rosario via a telephone call approximately 9:55am and received consent for HM to sign the report on his behalf. During the course of the investigation, LPA observed six residents in care, toured the physical plant including the patio, interviewed residents/staff, and obtained pertinent resident records. The following are the findings which involved observations, record review, and interviews: It was alleged that facility has fire hazards. LPA along with HM Cervania observed the presence of the Additional Dwelling Unit (ADU) located in the patio area and observed that it was being occupied by Caregiver #2 (C2) as their pRead the full finding— CDSS inspection report, July 21, 2023 · control 22-AS-20230714131232

Licensing Program Analyst (LPA) Jerome Haley made an unannounced initial 10-day visit regarding the complaint allegation listed above. LPA identified himself and explained the reason for the visit with staff who called Administraotr (AD) John Del Rosario via telephone who arrived a short time later. Before interviewing residents and staff to gather details, LPA Haley toured the interior and exterior of the facility with Staff 1 (S1). Regarding the allegations, “Untrained staff” The investigation revealed the following: During the initial visit May 1, 2023, LPA Haley toured the facility and conducted interviewes with the Administrator, 2 staff and 4 residents. During the interview with Staff 2 (S2), S2 stated he was new and he has not received/started any training yet. S2 did mention he's only shadowing right now and explained what he's learned. After the interview, LPA Haley asked AD Del Rosario about training for S2 and asked to review training records for S2. There were no trining reRead the full finding— CDSS inspection report, May 1, 2023 · control 22-AS-20230427090922

Licensing Program Analyst (LPA) Jerome Haley made an unannounced initial 10-day visit regarding the complaint allegations listed above. LPA identified himself and explained the reason for the visit with staff who called Administraotr (AD) John Del Rosario via telephone who arrived a short time later. Before interviewing residents and staff to gather details, LPA Haley toured the interior and exterior of the facility with Staff 1 (S1). Regarding the allegations, “Staff failed to provide a safe and comfortable environment for residents” The investigation revealed the following: During the initial visit May 1, 2023, LPA Haley toured the facility and observed all six residents in care. The facility was observed to be clean and well organized. During the visit LPA Haley interviewed AD Del Rosario, two staff, and four residents. 4 of 4 reisdents interviewed denied the allegation above. 2 of 2 staff and AD Del Rosario denied the allegation above. Continued on LIC9099C UnfoundedRead the full finding— CDSS inspection report, May 1, 2023 · control 22-AS-20230427090922

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Andrea Mendivil conducted an unannounced complaint visit to deliver findings on the above allegation received on 01/19/23. LPAs were greeted and granted entry into the facility and initially met with caregiver Julieta Cervania. LPAs explained the reason for the visit. Administrator (AD) Lester A. Del Rosario arrrived shortly after. This agency has investigated the complaint alleging that facility staff does not lock residents’ medications at the facility. LPA Ramirez conducted file reviews and interviews and obtained copies of pertinent documents. Regarding the allegation, the following was revealed: During the initial visit conducted on 01/26/23 and visit conducted on 02/03/23 LPA Ramirez observed resident’s medications to be centrally stored and locked inaccessible to others. Two of twelve individuals interviewed corroborated the allegation; However, six of twelve individuals reported medications get locked in the kitchen cabiRead the full finding— CDSS inspection report, February 3, 2023 · control 22-AS-20230119084106

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Andrea Mendivil conducted an unannounced complaint visit to deliver findings on the above allegation received on 01/19/23. LPAs were greeted and granted entry into the facility and initially met with caregiver Julieta Cervania. LPAs explained the reason for the visit. Administrator (AD) Lester A. Del Rosario arrrived shortly after. This agency has investigated the complaint alleging that facility staff mismanaged resident’s medications. LPA Ramirez conducted file reviews and interviews and obtained copies of pertinent documents. Regarding the allegation, the following was revealed: Four of six residents interviewed reported that the facility manages their medication. The remaining two residents interviewed either could not be qualified and/or refused to answer questions. Six of six resident files reviewed indicate that residents are not able to administer their own prescription medications. During the interviews Staff 1 (S1) repRead the full finding— CDSS inspection report, February 3, 2023 · control 22-AS-20230119084106

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Andrea Mendivil conducted an unannounced complaint visit to deliver findings on the above allegation received on 01/23/23. LPAs were greeted and granted entry into the facility and initially met with caregiver Julieta Cervania. LPAs explained the reason for the visit. Administrator (AD) Lester A. Del Rosario arrrived shortly after. This agency has investigated the complaint alleging that facility staff are forcing the residents to participate in undesired activities. LPA Ramirez conducted interviews and obtained copies of pertinent documents. Regarding the allegation, the following was revealed: Four of six residents interviewed reported that activities are “always voluntary” and “never” feel forced to participate in activities. The remaining two residents interviewed either could not be qualified and/or refused to answer questions. Four of four staff interviewed reported “never” witnessing residents being forced to participateRead the full finding— CDSS inspection report, February 3, 2023 · control 22-AS-20230123111444