A Loving Arm Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Veronica Invierno during today's inspection. LPA toured facility with Administrator to ensure health and safety of residents in care. LPA toured 4 resident rooms, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health and safety violations were observed. LPA toured the backyard and all exits are accessible. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 2 of 6 resident files and 2 staff files. LPA reviewed medications of two residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance. Deficiencies are cited on 809-D. Copy of report and appeal rights provided. Exit interview conducted.the state’s words, verbatim · CDSS document, Aug 13, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Graham Gunby arrived on 01/08/2026 to conduct a case management visit. LPA met with caregiver Nelson Cueto who contacted the Administrator, Veronica Invierno. LPA requested documentation for a resident unrelated to this facility. Administrator was not currently present and will email documents to LPA. Exit interview conducted and a copy of the report was provided to Administrator.the state’s words, verbatim · CDSS document, Jan 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced and met with Administrator Veronica Invierno to conduct an annual inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed resident rooms, common area bathrooms, kitchen, and perimeter of care facility. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 112.2 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Smoke detectors and carbon monoxide detectors are operational in the care home. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA reviewed four (4) resident files, two (2) staff files and resident medications. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiencies are listed on 809-D page. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Signatures on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: Office

On 10/29/2024 at 02:00PM, an informal conference was conducted virtual via Microsoft Teams Meeting. The purpose of this informal conference meeting is to discuss the complaint findings on 09/19/24. Present in the meeting is, Licensing Program Manager (LPM) Troy Ordonez, Licensing Program Analyst (LPA) Bethany Mirlohi, Licensing Program Analyst (LPA) Cassandra Mikkelson and Licensee/Administrator Veronica Invierno. The purpose of the informal conference is to have open discussion concerning a complaint that was substantiated for a staff handling a resident in a rough manner and staff speaking to resident in an inappropriate manner. During this meeting the licensee was made aware that this Informal conference is a part of the Administrative Action process. The informal conference process was explained during this meeting. Issues discussed during the meeting were: Staffing concerns and training Administrator qualifications Recent deficiencies Facility records Personal accommodations and services To support the facility maintaining substantial compliance with Health and Safety Statute and Title 22 regulations, the Department is developing a plan with the licensee to address causes for concerns. Plan to address compliance concerns by 11/19/2024: 1. Training for staff to include reporting requirements, emergency protocols, and managing dementia behaviors. The department will provide additional case management visits and complete a referral to TSP (Technical Support Program). An exit interview was conducted with administrator. Copy of this report was provided to Administrator via email with request for return with signature.the state’s words, verbatim · CDSS document, Oct 29, 2024

Type of visit: POC

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a POC visit. LPA met with Administrator Veronica Invierno during today's inspection. During today's inspection LPA toured the facility, reviewed paperwork, and observed the POC's cited on 9/19/24 have been cleared. LPA provided administrator with letter of clearance and a copy of report was provided. Exit interview was conducted.the state’s words, verbatim · CDSS document, Oct 9, 2024

Allegation investigated: Staff handled resident in a rough manner. Staff spoke to resident in an inappropriate manner.

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to open complaint investigation. LPA met with Administrator Veronica Invierno during today's investigation. During today's investigation LPA interviewed staff and residents and reviewed resident documentation. Through interviews with resident and staff it was found that on Monday September 16th, Caregiver (C1) became upset with the administrator at approximately 9 am concerning payroll disagreements. Administrator confronted C1 on how C1 speaks to other residents and staff. Administrator took C1 to resident (R1) room to ask for R1's opinion. During that conversation, C1 began to yell at R1 and pushed R1 against the wall and took R1's face into her hands and shook R1's face. Continuation on 9099-C. Substantiated Administrator intervened and C1 was still yelling but retreated to their living area. R1 called the police after the incident. Due to the information gathered through interviews LPA finds allegation, "Staff handled resident in a rough manner" and "Staff spoke to resident in an inappropriate manner" to be substantiated. As a result of this investigation, LPA finds allegations 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. Deficiencies cited on 9099-D. Copy of report provided to the facility.the state’s words, verbatim · CDSS document, Sep 19, 2024 · control 59-AS-20240917090004

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Sep 20, 2024

87468.1 Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on interviews, the licensee did not protect resident rights which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 19, 2024

Plan of correction: Administrator has terminated employment of caregiver. Administrator to obtain training on resident personal rights from an outside agency. Copy of training that administrator has signed up for to be sent into CCL by 9/20/24.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Sep 20, 2024

87468.1 Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidenced by: Based on interviews, the licensee did not protect resident rights which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 19, 2024

Plan of correction: Administrator has terminated employment of caregiver. Administrator to obtain training on resident personal rights from an outside agency. Copy of training that administrator has signed up for to be sent into CCL by 9/20/24.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to investigate a complaint. During the visit LPA met with Administrator Veronica Invierno. During the complaint investigation LPA observed the following deficiencies: Through interviews and observation LPA found that a closet was being utilized at a caregiver room. In addition, LPA found a room was built in the garage and being used as a bedroom. R1 did not have an admission agreement. Administrator had a new care staff working at the facility and they had no fingerprint clearance. Administrator did not handle a situation with a resident appropriately. Which is referenced in the complaint investigation. Administrator has not informed R1's primary care physician of incident or sought any type of medical attention for R1. Deficiencies have been cited on the 809-D. Civil penalties have been issues. Copy of report and appeal rights provided to Administrator.the state’s words, verbatim · CDSS document, Sep 19, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Sep 20, 2024

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or This requirement is not met as evidenced by: Based on interview and file review, the licensee did not comply with the section cited above as LPA observed C2 to be working without a criminal clearance which poses an immediate health, safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 19, 2024

Plan of correction: Administrator agrees to get C2 fingerprint cleared and associated prior to working at the facility again. Administrator to send into CCL a receipt showing fingerprints process was started for C2.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87405(d)(1) · Plan of correction due date: Sep 20, 2024

87405 Administrator - Qualifications and Duties (d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply.(1) Knowledge of the requirements for providing care and supervision appropriate to the residents. This requirement is not met as evidenced by: Based on interviews, the licensee did not take actions to provide appropriate care for resident in care which poses an immediate health, safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 19, 2024

Plan of correction: Administrator agrees to complete a training from an outside agency on administrator qualifications. Copy of training that administrator has signed up for to be sent into CCL by 9/20/24.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a) · Plan of correction due date: Oct 4, 2024

87307 Personal Accommodations and Services. (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement is not met as evidenced by: Based on interviews and observation, licensee had staff using a closet as a staff room and storage area in the garage as a staff room which poses a potential health and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 19, 2024

Plan of correction: Administrator agrees to get the facility staff areas cleared by the fire department. Administrator understands if the staff areas are not cleared by fire department, then the areas can not have staff living in closet or garage area. Administrator to write a statement of understanding and send into CCL by 10/04/2024.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87507(a) · Plan of correction due date: Oct 4, 2024

87507 Admission Agreements (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. This requirement is not met as evidenced by: Based on observations licensee did not have an admission agreement for R1 which poses a potential personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 19, 2024

Plan of correction: Administrator agrees to have an admission agreement completed for R1. Administrator to send into CCL a copy of the complete and signed admission agreement for R1 by 10/04/24.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87466(b) · Plan of correction due date: Sep 20, 2024

87466 Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any This requirement is not met as evidenced by: Based on interviews, licensee did not notify R1's physician of incident that occurred which poses an immediate health, safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 19, 2024

Plan of correction: Administrator to contact R1's physician and notify them of incident that occurred and a doctor appointment to be made. Administrator to provide LPA with R1's appointment date by 9/20/24.

Allegation investigated: Facility is not providing transportation for residents’ medical care

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to complete investigation into allegation listed above. LPA met with Administrator, Veronica Invierno, during today's inspection. During complaint investigation LPA conducted file reviews and interviews. LPA reviewed R1's admission agreement and it states, "Healthcare Appointments will be monitored, arranged, and transported by the facility or the resident's family or friend, as agreed on." Administrator stated the family agreed upon providing the transportation to R1's medical appointments, however nothing was agreed upon in writing. R1 missed several doctor appointments due to the family being unable to provide the transportation, and resident was then sent to the emergency room. Continuation on 9099-C. Unsubstantiated Administrator stated she now has arranged transportation service for all resident appointments to ensure resident to be seen by their doctor. Administrator stated she will be updating her admission agreements to reflect she can help with arrangements of transportation but is unable to provide the transportation. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview conducted.the state’s words, verbatim · CDSS document, Jul 1, 2024 · control 59-AS-20240523163205

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Veronica Invierno during today's inspection. LPA toured facility with Administrator to ensure health and safety of residents in care. LPA toured 4 resident rooms, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 3 of 6 resident files and 2 staff files. LPA reviewed medications of three residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Jul 1, 2024