Westminster Terrace

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: - Staff do not ensure the facility is clean and sanitary - Facility is malodorous - Staff do not provide adequate food service

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by Executive Director (ED) Carmen Galicia and explained the reason for the visit. The Department received a complaint on December 1, 2025. LPA Tea spoke to residents and facility staff and reviewed and collected pertinent documents and information. It was alleged that staff did not ensure the facility is clean and sanitary. While some residents expressed concerns regarding carpet cleanliness, particularly noting stains and a desire for improved floor care, LPA observations found that the first-floor carpets were clean, and carpets on the second and third floors showed noticeable improvement over the course of the investigation. (Complaint Investigation Report continued on LIC9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 26, 2026 · control 22-AS-20251201133927

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not provide adequate food service. Residents are not treated with treated with respect and dignity. Residents are not given a comfortable dining accommodation.

On February 19, 2026, Licensing Program Analyst (LPA) Sabrina Calzada contacted Administrator, Carmen Galicia, to deliver investigative findings to a complaint received on May 17, 2024. During the investigation, the dining room and kitchen were toured on multiple occasions, resident interviews were conducted, and documentation was reviewed. The results of the investigation are as follows: Allegation: Staff did not provide adequate food service. The allegation states that at the April 29, 2024 Resident Council meeting, it was unanimously agreed that the kitchen is not properly serving the residents, and residents are dissatisfied with the kitchen and food service. Residents complained that hot food was not served hot, and cold food was served at room temperature. *cont on 9099C-1. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 19, 2026 · control 22-AS-20240517164547

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff leaves residents soiled for extended periods. Staff does not respond to resident calls for assistance in a timely manner.

On February 11, 2026, Licensing Program Analyst (LPA) Sabrina Calzada contacted Administrator, Carmen Galicia, to deliver investigative findings to a complaint received on December 18, 2023. During the investigation, multiple staff and resident (R1) were interviewed and documentation that was obtained was reviewed. The results of the investigation are as follows: Allegation: Staff leaves residents soiled for extended periods. The complaint alleges that staff (S1) does not provide incontinent care at the end of their "am" shift, and residents must wait to be changed by incoming staff on the "pm" shift. *cont on 9099C-1.. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 11, 2026 · control 22-AS-20231218143445

Allegation investigated: - Staff did not follow doctor's orders - Staff mismanaged resident's medications - Staff did not administer resident medication as prescribed

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conduct a complaint investigation. LPA Tea was greeted and granted entry by Executive Director (ED) Carmen Galicia and explained the reason for the visit. The department received a complaint on January 30, 2026, and LPA Tea conducted the initial 10-day visit a week later on February 6, 2026. LPA Tea spoke to residents and facility staff and reviewed and collected pertinent documents and information. It was alleged that staff did not follow doctor’s order. The investigation determined the following: The facility received a physician’s order indicating that Resident 1 (R1) was to self-administer medication. Executive Director (ED) Carmen Galicia and Health & Wellness Director (HWD) Veronica Mata (Complaint Investigation continued on LIC9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 6, 2026 · control 22-AS-20260130122738

Allegation investigated: Facility staff failed to address a resident's prohibited health condition adequately

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint filed with the Regional Office. LPA was greeted and granted entry by the Concierge at 1pm. LPA met with Carmen Galicia, Executive Director (ED) and explained the purpose of the visit. LPA obtained documentation for Resident #1 (R1) which include: Unusual Incident Reports, Hospital discharge paperwork, Face Sheet and Emergency Info, Physician's Report dated 10/24/2024, Service Plan dated 04/02/2024 and a copy of the Assisted Living Waiver. It was alleged that Facility staff failed to address a resident's prohibited health condition adequately. LPA reviewed the Unusual Incident Reports submitted to the Department on 12/10/2025. On 12/05/2025 R1 was sent out of the community at 3pm due to continuous nose bleed. R1 was assessed at Emergency Room and returned to the facility on the same day with no new orders. (Continued on LIC 9099-C) Unfoundedthe state’s words, verbatim · CDSS document, Dec 18, 2025 · control 22-AS-20251216155721

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: - Staff did not provide adequate medication assistance to resdient in care - Staff did not attend to resident's call in a timely manner - Staff did not safeguard resident's personal belongings

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Executive Director (ED) Carmen Galicia arrived shortly to assist with the visit. The Department received a complaint on May 21, 2025, and LPA Tea conducted the initial 10-day visit the following week on May 30, 2025. LPA Tea spoke to residents and facility staff and reviewed and collected pertinent documents and information. It was alleged that staff did not provide adequate medication assistance to residents in care. It was alleged that a resident did not receive their medication on time, specifically a purple steroid pill. The (Complaint Report continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 18, 2025 · control 22-AS-20250521082740

Allegation investigated: - Facility staff is interfering with resident council - Facility staff did not safeguard resident's personal belongings

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude and deliver findings for a complaint investigation. LPA Tea was greeted and granted entry by facility staff and explained the reason for the visit. Executive Director (ED) Carmen Galicia arrived shortly to assist with the visit. The Department received a complaint on May 20, 2025, and LPA Tea conducted the initial 10-day visit the following week on May 30, 2025. LPA Tea spoke to residents and facility staff and reviewed and collected pertinent documents and information. It was alleged that facility staff is interfering with resident council. The allegation elaborated that a staff was interfering in the resident council by stealing a notebook with the resident council meeting minutes and making copies and retaliating a resident for advocating for the residents. A witness assumed the (Complaint Report continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 18, 2025 · control 22-AS-20250520114226

Allegation investigated: - Staff are mismanaging resident's medications - Staff do not ensure resident's room is clean and sanitized

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude the investigation and to deliver findings for the allegations mentioned above. LPA Tea was greeted and granted entry into the facility by Executive Director (ED) Carmen Galicia and explained the reason for the visit. It was alleged that staff are mismanaging resident’s medication. During the investigation LPA interviewed residents and facility staff, checked and review resident files and charting. The investigation determined the following: It was reported that staff are not following the medication orders and directions prescribed for Resident 1(R1). Witnesses have stated that they know when R1 is not given their medication because R1 stays up at night, watching television and eating. ED Galicia and Wellness Director (WD) Brittainy Prieto explained to R1’s family that R1 has advanced dementia, and their health is gradually declining. They explain that R1 needs a higher level of care, suggestthe state’s words, verbatim · CDSS document, Apr 25, 2025 · control 22-AS-20250113124540

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: - Facility has a scabies infestation - Facility staff is not administering resident's medication as prescribed - Facility staff are not following the Infection Control Plan

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conclude the investigation and to deliver findings for the allegations mentioned above. LPA Tea was greeted and granted entry into the facility by Business Office Manager (BOM) Lakhena Lor and explained the reason for the visit. Executive Director (ED) Carmen Galicia arrived later to assist with the visit. It was alleged that facility has a scabies infestation. During the investigation LPA interviewed residents and facility staff, checked, and reviewed resident files and charting. The investigation determined the following: It was reported a resident had scabies and that there was a possible scabies infestation at the facility. Per investigation and review of records, LPA Tea determined only one resident, Resident 1 (R1) had been diagnosed with scabies from hospital discharge paperwork and was prescribed medication to treat for scabies. From information obtained there were a total of five residents whthe state’s words, verbatim · CDSS document, Feb 26, 2025 · control 22-AS-20250108143820

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility mismanaged resident's medication Facility has bedbugs

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Hanna Gough conducted an unannounced visit to deliver findings on the above allegations received on November 18, 2024. LPAs were greeted and granted entry into the facility and met with Executive Director (ED) Carmen Galicia. LPAs explained the reason for the visit. This Department has investigated the complaint alleging that facility mismanaged resident's medication. Resident 1 (R1) was admitted to the facility on October 24, 2024. Documents reviewed included the Physician Report (LIC602) dated November 18, 2024, for R1. Per Physician report R1’s diagnosis is Type 2 Diabetes. Regarding the allegation that facility mismanaged resident's medication, the following was revealed: During the investigation LPA reviewed documents including the Physician Report (LIC602A) dated September 27, 2024, for R1. Per Physician Report R1 is able to administer own prescribed medications. Per Physician Report (LIC602) dated November 18, 2024, R1 cathe state’s words, verbatim · CDSS document, Jan 17, 2025 · control 22-AS-20241118130839

Allegation investigated: Facility staff failed to provide a resident with privacy Residents are not accorded comfortable accommodations due to the use of air fresheners Retaliation and/or punitive measures are taken against some residents Facility call system is not answered in a timely manner

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on October 11, 2024. LPA was greeted and granted entry into the facility and met with Administrative Services Coordinator Ashanti Minor. Executive Director (ED) Carmen Galicia arrived shortly after. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility staff failed to provide a resident with privacy. Resident 1 (R1) was admitted to the facility on September 26, 2023. Documents reviewed included the Physician Report (LIC602) dated September 20, 2023 for R1. Per Physician report R1’s diagnosis is Stage 3 chronic kidney disease (CKD). Regarding the allegation that facility staff failed to provide a resident with privacy, the following was revealed: One of nine individuals interviewed confirmed the allegation. During the course of the interviews with residents, R2 reported that she has no issues withthe state’s words, verbatim · CDSS document, Jan 16, 2025 · control 22-AS-20241011163346

Allegation investigated: Staff did not ensure residents personal property was safely secured

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegations listed above and delivering findings to facility staff. LPA was greeted and granted entry by front desk staff after stating the purpose of the visit. Carmen Galicia, Administrator was present and assisted with the visit. The initial complaint investigation visit took place on September 24, 2024. During the visit, LPA requested and obtained the current facility census. Resident records including admission agreements, personal property inventories and theft and loss policy for 5 currently admitted individuals were requested and obtained. A copy of the facility's resident handbook was also provided. Follow up interviews conducted via telephone after the initial visit. CONTINUED ON FORM LIC9099-C Substantiatedthe state’s words, verbatim · CDSS document, Dec 5, 2024 · control 22-AS-20240918160103

Allegation investigated: Residents are not being provided with clean linen.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to follow up on the investigation into the six allegations listed above. LPA was greeted and granted entry by front desk staff after introducing himself and stating the purpose of the visit. Executive Director Carmen Galicia was present to assist. An initial visit wa conducted on June 13, 2024. LPA requested and obtained the facility's current resident census, conducted a tour of the facility, including the dining hall, kitchen, activities room, private dining and TV room in addition to a sample of eighteen different living units throughout the three levels. LPA conducted a total of eight resident interviews during the visit. Administrator provided LPA with pest control reports dated March 8, 2024 and June 12, 2024. During the follow up visit, an additional tour of the facility's dining hall was conducted as well as 8 staff interviews. CONTINUED ON FORM LIC9099-C Substantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2024 · control 22-AS-20240607161443

Allegation investigated: Residents are afraid to express themselves due to retaliation Facility is understaffed

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced 10-day visit to the facility for the complaint and to deliver the findings. LPA De Perio explained the purpose of today's visit and was greeted by Facility Administrator (AD) Carmen Galicia. During the investigation, LPA De Perio toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged that residents are afraid to express themselves due to retaliation. LPA De Perio conducted a total of 7 resident interviews, of which 7 out of 7 resident interviews did not corroborate with the allegation and denied of any forms of retaliation. 3 of the resident interviews specified that there is a resident council meeting held monthly, to present to facility management regarding concerns. Continued on LIC9099-C... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 6, 2024 · control 22-AS-20240501112436

Allegation investigated: Staff do not provide resident with laundry service Staff do not provide the resident with clean bed linen

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day inspection to begin the investigation into the allegations listed above. LPA met with Administrator Carmen Galicia and explained the reason for the visit. The investigation into the allegation, staff did not provide resident with laundry service revealed the following. It was alleged that Resident 1 (R1) wore blood stained clothing when family visited and the facility does not wash R1's clothing regularly. A review of records shows that R1's laundry service was stopped on January 1, 2024. The Administrator reported that only R1's responsible party can stop the laundry service. The Administrator reported that starting on March 8, 2024 they started doing R1's laundry once a week to assist R1. The Administrator reported that R1 had skin redness and the cause was reported to be Anthropod bites according to R1's doctor. The Administrator provided a copy of the letter from the doctor tothe state’s words, verbatim · CDSS document, Apr 22, 2024 · control 22-AS-20240412143259