Rncare House @ East Roseville

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 3/18/26 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with Administrator who assisted with the visit. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. Food supplies meet requirements. . LPA reviewed 2 resident files. Files are complete. PRN administration records need to be in place. R1 and R2 needs and services are to be updated and reviewed with residents or representatives. LPA reviewed 2 staff file. Facility records and staff interview found that staff present has not participated in quarterly emergency drills and that staff training requirements are not met for the past 12 months. Training resource information is provided. LPA discussed with staff the possible need for a signal system for R1 to call for assistance. Licensee will submit a copy of current liability insurance certificate. Deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.the state’s words, verbatim · CDSS document, Mar 18, 2026

Type of visit: POC

*Amended 9/11/25* On 9/11/25, at 9:40 AM, LPA Mknelly returned to amend a report previously written on 9/9/25. Licensing Program Analyst (LPA) Kevin Mknelly, conducted a plan of correction visit while and met with Edward Estante , caregiver. On 8/26/25, the department issued two citations in complaint findings. The citations had plans of correction (POCs) due by 9/2/25. LPA found that plans of corrections were submitted by email on 8/26/25. Civil penalties issued, on 9/9/25, for the late POCs will be deleted. As a result of today’s inspection, no additional deficiencies were noted. Report reviewed. Copy of report.the state’s words, verbatim · CDSS document, Sep 9, 2025

Allegation investigated: Licensee unlawfully evicted resident. Licensee did not issue a timely refund to resident.

On 8/26/25, Licensing Program Analyst (LPA) Kevin Mknelly spoke to designee, Hazel Estante, to deliver complaint findings for the above allegation. LPA reviewed resident records, facility records and conducted interviews. LPA finds that the allegations cited above are substantiated. and personal property damage. Records showed that R1 was admitted on 3/27/25. Physician report for R1, dated 3/26/25, stated R1 has mild cognitive impairment and failed to record a primary diagnosis for requiring assisted living. Pre- placement appraisal, dated 3/27/25, however, notes impaired decision making due to dementia and Substantiated post CVA, episodes of confusion/ forgetfulness. Identified care needs include- personal care, incontinence, medication, observation/ supervision and elopement risk. Appraisal Needs and Services Plan, dated 3/27/25, noted R1 previously resided in memory care at another facility. Review of R1’s records failed to find information as defined in updated regulations, effective 1/1/25, for intervention strategies/ techniques for behavioral expressions- in this case confusion, agitation and elopements. Following the 4/7/25 incident, R1 was found to have a UTI, they were medically stabilized. R1’s representative was notified by facility Administrator on 4/8/25 that due to R1’s aggressive episode and injury of staff, R1 may not return to the facility. R1 was relocated to another licensed care home. As R1 was not reassessed and offered the possibility of returning to this facility, R1 was involuntarily discharged without an eviction notice. R1’s representative requested reimbursement for fees paid for the remainder of April 2025 following the involuntary discharge. The representative was initially told that calculations for the reimbursement will be based on staff injury care and property damage costs. Admission agreement regulation does not allow for such deductions for reimbursement. Reimbursements are also required to be paid within 15 days of the resident belongings removed from the home. As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (A)This poses an immediate Health and Safety risk to clients/residents in care. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with designee . Copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Aug 26, 2025 · control 59-AS-20250626141112

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(20 · Plan of correction due date: Sep 2, 2025

Additional Personal Rights of Residents in Privately Operated Facilities (a)(20) To be protected from involuntary transfers, discharges, and evictions. This requirement was not met based on records and statements. This posed a risk to resident’s rights.the state’s words, verbatim · CDSS document, Aug 26, 2025

Plan of correction: POC- licensee will submit a procedure for reappraisal and arrangement for transfer when a resident is deemed to require a higher level of care. POC due 9/2/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87505(g)(5)(A) · Plan of correction due date: Sep 2, 2025

Admission Agreements (g)5) Refund conditions. (A) Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned…A refund of any fees … within 15 days after the personal property is removed. This requirement was not met based on records and statements. This posed a risk to resident’s rights. This requirement was not met based on records and statements. This posed a risk to resident’s rights.the state’s words, verbatim · CDSS document, Aug 26, 2025

Plan of correction: POC- an accounting of fees paid, daily rate (based on 30 day month), and calculation of refund owed as well as proof of reconciling money owed if applicable. POC due 9/2/25.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 4/10/25 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with Administrator who assisted with the visit. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. Food supplies meet requirements. . LPA and administrator discussed updated regulations, emergency drills and restricted conditions. LPA reviewed 3 resident files. Files are complete. LPA reviewed 2 staff files.LPA provided advisement. Staff record S1s- application, health screen and training to be submitted by 4/13/25. Licensee was notified of fees due by 4/30/25. No deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.the state’s words, verbatim · CDSS document, Apr 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 11/7/23 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with Administrator who assisted with the visit. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is very clean and residents stated they are happy with care. Food supplies meet requirements. LPA advised hall light bulbs be replaced. LPA provided advisement. LPA reviewed 6 resident files. Files are complete. LPA provided advisement. LPA reviewed 2 staff files. Files are complete. LPA provided advisement. LPA requested the following documents be submitted to update the facility file: LIS 500, LIC 308s for staff responsible when admin is not present and Infection Control Plan Licensee was notified of fees due by 4/30/24. No deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.the state’s words, verbatim · CDSS document, Apr 17, 2024

The state marks this report as 5 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.