Flowers Family Care 2

Allegation investigated: Staff refused to allow visitor entrance into the facility Due to neglect or physical abuse, resident has bruises/skin tears Staff does not meet medical needs of resident

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on an investigation completed by the Department. LPA was greeted and granted entry into the facility by Administrator (AD) Jonathan Martinez. During the investigation, the Department interviewed staff and witnesses as well as reviewed and obtained documentation such as Admission Agreement, Physician Report (LIC602), Identification and Emergency Information, Appraisal/Needs and Services Plan, Resident Roster, and Staff schedule. The Department has investigated the complaint alleging that staff refused to allow visitor entrance into the facility. Resident 1 (R1) was admitted to the facility on March 17, 2026. R1’s Physician Report dated March 16, 2026, lists R1 as having a diagnosis of Dementia. During the interviews with individuals three of five interviewed denied the allegations. CONTINUED ON LIC9099-C... Unsubstantiated During the investigation LPA reviewed the Flowers Family Care 2 Admission Agreement dated March 17, 2026, for R1. Per Admission Agreement, under visiting policy it states family and friends are encouraged to visit from 10:00 a.m. to 6:00 p.m. Admission Agreement states every effort will be made to accommodate special request for visitations at any time if the visitation does not violate another resident’s personal rights. During the initial visit, LPA knocked on the front door, identified himself and was allowed entrance into the facility. During the interviews with staff, Staff 1 (S1) reported that family and nurses are always allowed entrance to visit the residents. S2 stated that visits are allowed between 10:00 a.m. to 6:00 p.m. During the interviews the AD reported that family members and nurses are always allowed entrance to visit the residents during visiting hours. Regarding the allegation that due to neglect or physical abuse, residents have bruises/skin tears, the following was revealed: During the investigation LPA reviewed the Appraisal/Needs and Services Plan dated May 20, 2026, for R1. Per Appraisal/Needs and Services Plan it states R1 can walk but they are not very steady on their feet. During the initial visit on June 15, 2026, LPA tour the facility and did not observe bruises and/or skin tears on four of six residents. During the interviews with staff, S1 reported that the residents do not have bruises and/or skin tears due to neglect or physical abuse. S2 reported that staff do not neglect or abuse the residents and stated that the residents do not have bruises or skin tears. During the interviews the AD stated that staff do not neglect and/or physically abuse the residents. Regarding the allegation that staff does not meet the medical needs of resident, the following was revealed: During the investigation LPA reviewed the Appraisal/Needs and Services Plan for R1. Appraisal/Needs and Services Plan states Physical Therapy two times per month from Hoag Home Health. Per Appraisal/Needs and Services Plan states that nurses visit once per week. During the interviews with staff, S1 reported that the nurse visits R1 one time per week. S2 stated that R1 is visited by the nurse and reported that staff will call 911 during a medical emergency. During the interviews the AD reported that staff are meeting the residents’ medical needs. The AD stated that staff communicate and follow the nurse’s instructions regarding the residents medical needs. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to insufficient evidence. Therefore, all above allegations mentioned have been deemed to be UNSUBSTANTIATED. An exit interview was conducted and copy of this report was explained and provided during the visit with AD Martinez.the state’s words, verbatim · CDSS document, Sep 18, 2026 · control 22-AS-20260609114008

Type of visit: Required - 1 Year

On December 9, 2025, 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. Licensee Jonathan Martinez was notified via telephone and later arrived to assist with the inspection. LPA observed that Jonathan Martinez has a valid Administrator certificate which expires on March 8, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six residents, of which five may be non-ambulatory and one may be bedridden, and has a hospice waiver for six. The facility is a single story home which consist of four resident bedrooms, two of which are shared, two shared resident bathrooms, a living room, a dining room, a storage room, a family room, a sun room, a kitchen, and an attached two car garage. LPA, accompanied by the LI, conducted a tour of the interior portions of the facility. On today's visit, LPA observed four residents in care. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the four resident bedrooms and observed them to be clear of any 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 a hallway closet. LPA inspected the two shared resident bathrooms and observed them to be clean. Resident bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 120 and 123 degrees Fahrenheit. LPA observed the facility has a two day perishable and a seven day non-perishable food supply in the kitchen. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. CONTINUED ON LIC809-C LPA observed two fire extinguishers to be mounted in the facility which were observed to be charged and up to date on service. 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 12, 2025. LPA observed the centrally stored medication to be kept in a locked cabinet located in the kitchen. LPA observed there is also a First Aid kit stored in the locked cabinet which has all the required components. 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 and laundry. LPA observed chemicals and toxins to be stored in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the LI, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be clear of any obstructions or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates to be self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all four resident files. LPA observed there were no Pre-Admission Appraisals on file for all four residents in care. LPA reviewed the residents' medication and medication administration records. LPA reviewed four staff files. LPA observed that Staff #2 (S2), Staff #3 (S3), and Staff #4 (S4) do not have valid CPR training cards on file. LPA observed that Staff #1 (S1), Staff #2 (S2), and Staff #4 (S4) did not have a Health Screening report on file. LPA observed that zero out of the four staff completed the required initial forty hours of training. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-Ds. An exit interview was conducted with Licensee Jonathan Martinez. A copy of the report and Appeal Rights were provided.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: Prelicensing

On 12/20/2024 Licensing Program Analyst (LPA's) William Vanegas, Alvaro Ramirez, and Brandon Lopez made an announced visit for the purposes of a follow up pre licensing visit, Upon arrival LPA's were greeted by Licensee and were granted entrance into the facility. At 8:35AM LPA's began a tour of the home and observed the following corrections were made. Licensee fixed broken wood panel in the backyard, fixed broken window in dining room, screened fire place, corrected water temperature, and the water tested to be at 112.3 Degrees F. Licensee also fixed sliding door in resident room #2. Licensee also obtained trash cans that have a sealed covering over them. Licensee also screened all windows in dining rooms and in common areas, resident rooms now have screens on them as well. Component III was completed with Licensee and they were advised that component II will be done by centralized application's bureau (CAB). An exit interview was completed and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Dec 20, 2024

Type of visit: Prelicensing

On 12/03/2024 Licensing Program Analyst's (LPA's) William Vanegas and Rose Ruppert made an announced visit for the purposes of pre-licensing. LPA's were greeted and granted entrance to the facility by administrator (AD) Jonathan Martinez. Upon entry we explained the nature of our visit and began a facility tour at 8:40 AM, LPA's observed the following. This is a one story house with four resident bedrooms, one live in staff bedroom, this facility also has two bathrooms one staff/visitor bathroom, and one shared resident bathroom. Resident bathrooms were observed to have a water temperature of 87.4-127.3 degrees F. LPA's advised that water needs to be between 105-120 Degrees F. Facility has a fire place that was observed to not have a screen around it. Facility also has an attached two car garage with a washer and dryer inside the garage. Washer and dryer were tested to be operational and all laundry detergents were secured and locked. AD tested microwave, dishwasher, and gas stover burners, and they all tested operational. Facility's backyard was observed to have a seated shaded area, and has a small shed with no hazards in it. Exit routes were observed to be free of debris, and side doors are self latching and are not locked. LPA's observed a broken wood panel along the side fence. LPA's also observed a window with a crack on it in the dining room. LPA's observed a sliding door in resident room #2 to have difficulty being opened and advised AD, that it needs to be fixed for the safety of the resident's. All resident bedrooms were observed to have the required furnishings such as lamps, chest drawer's, beds, and linens that appeared to be in good condition meaning no tears, or strains. Resident bedrooms had enough closet and storage space. Resident rooms were observed to not have any screens on the windows. Resident bathroom was observed to be free of debris and mildew, bathrooms had slip-resistant matt and grab bars. Toilet was tested to be functional and in good repair. Fire alarms, and carbon monoxide detectors were tested and tested operational. AD demonstrated first aid kit to LPA's and it had all required items in it, however AD did not have a fist aid manual. Most required postings were posted on the wall of the main entrance including PUB475 however it was not the required size, personal rights, and right to resident council were posted, however the ombudsman posting was not posted. CONTINUED ON LIC809C LPA's observed a locked cabinet that AD plans to store and secure medications, they are inaccessible to residents in care. LPA's observed a supply of 2 day perishable foods, and a 7 day supply of nonperishable food to be on hand. LPA's also observed a sufficient amount of emergency water for the resident's that will be in care. LPA's observed trash cans to not have tight fitting caps on them, and advised AD that they need trash cans with tight fitting caps on them. LPA's observed board games, puzzles, and magazines that will be used for activities for the resident's who will be in care. LPA's noted enough space to participate in those activities indoors and outdoors. LPA's notified AD that a follow up visit will need to be conducted in order to give them time to make the proper corrections in order to fall into compliance of Tittle 22. LPA's conducted an Exit interview and a copy of this report was provided to Licensee.the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Interview Method: Telephone interview On 11/19/2024, applicant/administrator participated in COMP II. Identification of the applicant / administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant / administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting Pre-licensing readinessthe state’s words, verbatim · CDSS document, Nov 19, 2024