Eskaton Lodge Granite Bay

Allegation investigated: -Staff do not ensure the kitchen is safe and in good repair

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director, Meggin Cortez, to deliver complaint investigation findings regarding the above stated allegation. During the course of the investigation, LPA conducted interviews, made observations, and obtained documentation pertinent to the investigation. ***********************************************Continued on LIC9099-C***************************************************** Substantiated Allegation: Staff do not ensure the kitchen is safe and in good repair On March 12, 2026, LPA toured the kitchen area with the Regional Director of Operations (RDO). LPA observed several maintenance concerns during the tour. The steam table had water dripping and was not working properly. Kitchen staff were not able to use the steam table. The refrigerator that stores dairy had a small puddle near the bottom. The garbage disposal was not working and there was a garbage bag underneath the sink to put food scraps. Lastly, the left side/hot water on the back sink did not work. Staff (S2, S4, and S5) indicated that the steam table has not been in good repair and working properly for an extended period. S4 and S5 indicated that the garbage disposal has not been working properly. Staff (S3) and S5 indicated that there was a puddle that formed near the refrigerator each day. S5 indicated that the hot water did not work on the left side of the back faucet in the kitchen. After LPA’s visit to the care home on March 12, 2026, the facility made repairs to the garbage disposal, steam table, hot water in the back double sink, and dishwasher gauge. The facility found that the puddle that would form near the refrigerator was from the condensation pan not being dumped out when needed, so no repair was required. The facility provided LPA with all repair documentation/invoices. During the May 29, 2026 visit, LPA toured the kitchen area and observed that all maintenance concerns had been addressed. Based on observations and interviews conducted, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiency is being cited on the attached 9099-D page. Exit interview conducted. A copy of the report and appeal rights provided. Allegation: Staff do not ensure fire drills are being conducted as required LPA obtained the fire drill logs from the facility indicating that the facility is conducting monthly fire drills with staff and rotating shifts each month. Facility also provided LPA with documentation that the facility held an in-service training on April 14, 2026 for emergency disaster preparedness. According to fire alarm company invoice, a service was provided on April 8, 2026 to ensure all alarms are functioning properly. Staff interviews indicated that they have participated in fire drills. Allegation: Staff do not ensure food is kept at the required temperature On March 12, 2026, LPA toured the kitchen area with the Regional Director of Operations (RDO). LPA observed that the freezer was within regulatory range at -17 degrees F and the refrigerator was within range at 39 degrees F. Interviews with staff indicated that they have never observed food being kept out of the required temperature range. Allegation: Staff do not ensure kitchen equipment is clean and sanitary During the tour of the kitchen on March 12, 2026, LPA observed the kitchen equipment was clean and sanitary. Interviews with staff (S1, S2, S3, S4, and S5) indicated that they have never observed the kitchen not being cleaned and sanitized, including equipment. Staff indicated that ensuring cleanliness in the kitchen is a part of their job while working in the kitchen and that cleaning/sanitizing is done regularly. Staff also indicated that dishes are sanitized and that the dishwasher water runs hot at the correct temperature to clean the dishes. LPA observed that the water to sanitize the dishes was within the regulatory range at 172 degrees F. Allegation: Facility is not ensuring volunteers are criminal record cleared Interview with the former Executive Director (ED), Kay Devault, indicated that they never had anyone working at the care home, including family, that were not criminal record cleared. Interviews with multiple staff indicated that they have never witnessed the former ED’s spouse working at the care home as a volunteer. Based on observations, interviews conducted, and documentation obtained although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, May 29, 2026 · control 59-AS-20260304094625

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Jun 12, 2026

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observations and interviews conducted, the facility did not ensure the kitchen was in good repair, which poses a potential health, safety, and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 29, 2026

Plan of correction: Facility has completed all repairs needed in the kitchen area. LPA verified documentation and observed the kitchen after repairs. POC has been completed.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Executive Director (ED), Meggin Cortez, to conduct a case management visit in relation to a separate inspection conducted on today’s date, May 29, 2026. Interview with former ED, Kay Devault, indicated that their minor child would provide volunteer assistance during events at the care home. Former ED indicated that their minor child went through the volunteer program that the facility offers and attended a virtual training. Former ED indicated that their minor child would set up decorations for holiday events, serve water or drinks, fold napkins, and help set up tables. Former ED indicated that their minor child did not work in the kitchen with food. Interviews with staff (S1, S2, S4, S5, and S6) indicated that they witnessed the former ED’s minor children serving food from the kitchen area to residents in the dining room. Staff (S3) indicated that they heard from a resident that the former ED’s minor children were helping in the kitchen area. Staff interviews also indicated that the former ED’s minor children were serving food when the facility was short staffed and not just at special events. According to the facility’s plan of operation, the facility’s Waitperson job summary indicates “the Waitperson is responsible for the set-up, delivery and clean-up of the meal period for which he/she is responsible.” Some of the essential job functions include: taking resident meal orders in accordance with prescribed diets, preferences, dislikes and food allergies in an accurate and courteous manner and provide service, and familiar with food service disaster plan. Additional information on the plan of operation indicated that the Waitperson is to work in accordance with established safety guidelines with emphasis on the use of proper body mechanics and safe work practices; wears appropriate safety gear. The Waitperson should attend and participate in appropriate ***********************************************Continued on LIC809-C************************************************** in-service and department meetings. The educational qualifications for a Waitperson is to be a high school graduate or equivalent G.E.D., preferred. They should also have completed the California Food Handler training. The facility did not have any documentation regarding any volunteer training completed by the former ED’s minor children. As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiency is listed on the 809-D page. Exit interview was conducted. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, May 29, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87208(a) · Plan of correction due date: Jun 12, 2026

87208 Plan of Operation (a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. This requirement is not met as evidenced by: Based on documentation obtained and interviews conducted, the facility did not ensure to operate in accordance with the terms specified in the plan of operations, which poses a potential health, safety, and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 29, 2026

Plan of correction: Facility will complete a statement of understanding regarding operation in accordance with the plan of operation and submit to LPA by the POC due date of 6/12/26. Facility provided LPA with new plan of operation, which is pending review.

Allegation investigated: Staff does not ensure that a resident in care is being fed.

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Meggin Cortez to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: *** Report continued on 9099-C*** Unfounded Staff does not ensure that a resident in care is being fed Interviews with Executive Director and Staff member S1 indicated that Resident R1 receives meals three times a day and requests the same thing each morning for breakfast. R1 wakes up later in the morning so staff have food prepared for when R1 is ready to eat. There are days where R1 does not eat as much while other days R1 eats more. Observations indicated that meals are prepared and available to R1. Staff were checking on R1 and R1’s call button was within reach to call for assistance. Records reviewed indicated that R1 is under the care of hospice. Hospice is monitoring R1’s decline and taking the appropriate steps to ensure R1 is safe and comfortable. Hospice staff and facility staff have noticed a decrease in food intake but R1 is still eating on a daily basis. Therefore, the allegation staff does not ensure that a resident in care is being fed is unfounded. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facilitythe state’s words, verbatim · CDSS document, May 13, 2026 · control 59-AS-20260413223438

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced and met with Executive Director Alicia Rist to conduct an annual inspection utilizing the inspection tool. LPA conducted an inspection of the care facility to ensure compliance with Title 22 regulations. LPA observed resident rooms, common area bathrooms, kitchen, dining areas, common areas, activities areas and perimeter of care facility. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. Care facility 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 facility. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed eight (8) resident files, five (5) staff files and resident medications. Facility has a current copy of certificate of liability insurance and LPA obtained a copy. As a result of this visit, no deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted with Executive Director.the state’s words, verbatim · CDSS document, Apr 22, 2026

Allegation investigated: -Facility staff are not answering communications from resident’s family

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Regional Director of Operations, Alicia Rist, to deliver complaint investigation findings regarding the above stated allegation. During the course of the investigation, LPA conducted interviews and obtained documentation pertinent to the investigation. ***********************************************Continued on LIC9099-C************************************************ Unsubstantiated Interviews with the Resident Care Director (RCD) and former Executive Director (ED), Kay Devault, indicated that they have not had any voice messages from any other family members of resident (R1). The former ED indicated that they provided their cell phone number to family members of residents at the care home, so they can contact the ED anytime. Interview with staff (S1) indicated that they have only heard of and seen R1's responsible party and were not aware of any other family members. Interviews with RCD, S1, and former ED indicated that the facility communicated frequently with R1's responsible party. Interview with R1's responsible party indicated that they were at the facility almost everyday and communicating with facility staff. Based on interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, Mar 12, 2026 · control 59-AS-20260219102741

Allegation investigated: -Staff did not ensure reporting requirements were followed

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with Dina Jones, Activities Director, to open a complaint and deliver complaint investigation findings. LPA also spoke with the Executive Director (ED), Kay Devault, by phone. During today's visit, LPA conducted interviews and obtained documentation pertinent to the investigation. LPA obtained a copy of the Unusual Incident/Injury Report LIC624 that was sent to the former LPA on September 3, 2025 indicating that the facility found bed bugs in resident (R1's) room on the same date. The LIC624 indicated that R1's family was notified as well as their primary care physician. Facility removed all of R1's clothing from their room and laundered at a high temperature. R1 was moved to a respite room until room is cleared of bed bugs. The ED provided LPA with email communications with R1's family and power of attorney indicating that they are aware of the situation. The facility provided LPA with the minutes from the resident counsel meeting, dated September 11, 2025, indicating that there was a discussion ***********************************************Continued on LIC9099-C*************************************************** Unfounded regarding pest concerns and the ongoing pest control services. The facility provided LPA a copy of a letter that was sent to all residents and families on September 11, 2025 indicating that the facility has an anticipated community inspection for pests on September 25, 2025 and September 26, 2025. ED provided LPA with several invoices and service requests indicating services conducted in the facility to ensure the pest issue is resolved. Based on records reviewed and interviews conducted, the above allegation is found to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. No deficiencies are being cited. Exit interview conducted. A copy of report was provided.the state’s words, verbatim · CDSS document, Sep 18, 2025 · control 59-AS-20250911141050

Allegation investigated: Staff are not meeting residents needs

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Dina Jones, Life Enrichment Director to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: *** Report continued on 9099-C*** Unfounded Staff are not meeting residents needs Interviews conducted with Executive Director and Resident Care Coordinator indicated that staff are meeting residents care needs. Staff are monitoring all residents to ensure safety and assist with activities of daily living (ADL) as needed. Interview conducted with Resident R1 indicated that they feel their care needs are being met and R1 has no concerns regarding their care needs or facility staff. Records reviewed indicated that staff are checking on each resident multiple times daily whether they are in their rooms or in common areas. Resident R1 is receiving hospice care and is checked on multiple times daily by care staff and med-techs at the facility (two medication passes and four check ins daily) along with hospice nurses who come two or three times weekly. Facility staff are assisting R1 based on their needs and services plan. Call button logs reviewed indicated that facility staff are answering calls for assistance in a timely manner. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted. Copy of report was given to facility.the state’s words, verbatim · CDSS document, Jul 23, 2025 · control 59-AS-20250630142224

Allegation investigated: Staff are charging residents for services not rendered

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Dina Jones, Life Enrichment Director to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: *** Report continued on 9099-C*** Unfounded Staff are charging residents for services not rendered Records reviewed indicated that residents and responsible party (RP) for residents are aware of the charges that will occur based on the admission agreement which is signed by each resident or RP prior to moving in to the facility. Within the admission agreement, the signer is made aware of meal tray services, how and when they are available and the prices based on when tray service is requested. Monthly statements reviewed for three residents who receive meal trays on a regular basis indicated that meals were rendered and paid. Interviews conducted indicated that facility staff have a log of who requests or receives meal trays each day and which residents attend meals in the dining hall. Some residents that reside in the facility have a daily “meal tray ticket” that indicates staff to bring their meal to their room as requested by that resident. The residents who have daily meal tray tickets are able to request that the meal not be brought to their room which staff will take the charge off the resident’s account. Interviews with residents receiving daily meal trays indicated that they are happy with receiving their meals in their rooms as requested and have had no concerns or issues with receiving meals, requesting meals or the charges to their accounts. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted. Copy of report was given to facility.the state’s words, verbatim · CDSS document, Jul 23, 2025 · control 59-AS-20250627092706

Type of visit: Required - 1 Year

On 3/27/2025 LPA Tryon visited the facility to conduct an annual inspection. LPA met with Executive Director Kimberly Delgado. The facility currently has 75 residents. LPA toured the facility including common areas, dining room, kitchen, food storage/ coolers, chemical storage, medication rooms, resident rooms/apartments, bathrooms, workout room, laundry, puzzle room,outside areas. The facility is large, clean and nicely furnished. The facility is beginning to renovate resident apartments as they are empty, and updating the kitchen. There are various areas available for activities. The dining room is large and spacious. LPA toured the kitchen and storage, Food supplies appear more than adequate to meet the requirement of 2 days perishable supplies and 7 days non-perishable. Food appeared to be stored appropriately, food appears to be varied and of good quality. The kitchen has special diets posted with photos of residents that match. LPA toured several resident apartments. Apartments vary from studios, to one bedrooms and several 2 bedroom units. Rooms are spacious and nicely decorated and clean. Bathrooms are clean with functional plumbing in good condition. The facility appears to have various activities for residents to participate in. LPA interviewed 1 residents and one staff. Resident interviewed seemed to be comfortable and enjoy living at the facility. LPA reviewed 7 resident files and 5 staff files. Files included required documents. LPA reviewed the CARE Tool with ED. At this time the facility appears to be in substantial compliance with the regulations. No deficiencies were cited at this visit. Exit interview conducted.the state’s words, verbatim · CDSS document, Mar 27, 2025

Type of visit: Required - 1 Year

On 3/21/2024 LPA Tryon visited the facility to conduct an annual inspection. LPA met with Resident Care Coordinator Kristy Ashley. The facility currently has 85 residents. LPA toured the facility including common areas, dining room, kitchen, food storage/ coolers, chemical storage, medication rooms, resident rooms/apartments, bathrooms, outside areas. The facility is large, clean and nicely furnished. There are various areas available for activities. The dining room is large and spacious. LPA toured the kitchen and storage, Food supplies appear more than adequate to meet the requirement of 2 days perishable supplies and 7 days non-perishable. Food appeared to be stored appropriately, food appears to be varied and of good quality. The facility is working with the resident counsel to come up with a menu that is enjoyed by the residents and healthy. LPA toured 6 resident rooms. Rooms are spacious and nicely decorated and clean. Bathrooms are clean with functional plumbing in good condition. The facility appears to have various activities for residents to participate in. LPA interviewed 3 residents and spoke with several others. Residents interviewed seemed to be comfortable and enjoy living at the facility. LPA interviewed 3 staff who appeared knowledgeable about the facility and procedures. LPA reviewed 5 resident files and 4 staff files. Files included required documents. LPA reviewed the CARE Tool with Ms. Ashley. At this time the facility appears to be in substantial compliance with the regulations. No deficiencies were cited at this visit. Exit interview conducted.the state’s words, verbatim · CDSS document, Mar 21, 2024