Emk Residential Care for Elderly

Allegation investigated: Staff yelled at resident Staff spoke inappropriately to resident Licensee illegally evicted resident

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with licensee Monico and explained the elements of the complaint. Allegation #1 - LPA Prieto interviewed staff #1 (S1) who states that she has not yelled at resident #1 (R1), not spoken to R1 inappropriately. LPA Prieto interviewed S2 who states that she has not yelled at R1, nor spoken to R1 inappropriately. LPA Prieto interviewed S3 who states that he has not yelled at R1, nor spoken to R1 inappropriately. S1, S2 and S3 have stated that R1 is the one who has spoken loudly and has had inappropriate behavior at the facility. Facility administrator (S3) stated that R1 voluntarily exited the facility and collected monies for the month of his exit in full. A video captured this exchange on the day of exit. A written statement was made and signed by R1 indicating that the exit of the facility is voluntary and no coercion to R1. The letter was signed 05/27/2026. Unsubstantiated Based on the information obtained there is not enough evidence that staff yelled at resident, staff spoke inappropriately to resident and Licensee illegally evicted resident. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Licensee Panaligan and a copy was left with the facility.the state’s words, verbatim · CDSS document, Jun 4, 2026 · control 56-AS-20260527083914

Type of visit: POC

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the facility to verify clearance of Plan of Correction from visit that was conducted on 11/16/2025. LPA Rico met with Licensee/ Administrator Marilou Panaligan and explained the purpose of the visit. The following Plan of Correction (POC)s were cleared at the time of the visit: The Licensee was cited on 11/16/2025 for Incidental Medical and Dental Care Services. During today’s visit, LPA Rico observed the facility had made corrections for all medication errors. An updated resident’s MAR was created along with the PRN. In addition, training was also provided to staff. Therefore, the POC was cleared at today's visit. The Licensee was cited on 11/16/2025 for Postural Supports. During today’s visit, LPA Rico observed the facility had made the corrections and obtained a physician order for resident’s bedrails. Therefore, the POC was cleared at today's visit. The Licensee was cited on 11/16/2025 for Maintenance and Operation. During today’s visit, LPA Rico observed the facility had made the corrections. The facility cabinets, floors, and bathroom were cleaned and organized, along with resident's personal items. Therefore, the POC was cleared at today's visit. The Licensee was cited on 11/16/2025 for Other Provisions. During today’s visit, LPA Rico observed the facility conducted an emergency fire drill and created emergency supplies readily available. In addition, the facility had cleared all emergency pathways. Therefore, the POC was cleared at today's visit. The Licensee was cited on 11/16/2025 for Hospice Care for Terminally Ill Residents. During today’s visit, LPA Rico observed the facility obtained resident’s hospice care plan for residents. Therefore, the POC was cleared at today's visit. Based on facility tour, record review and interviews, the facility Plan of Corrections has been cleared. An exit interview was conducted, and a copy of this report (LIC809) was discussed and provided to the Licensee/ Administrator Marilou Panaligan.the state’s words, verbatim · CDSS document, Dec 1, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Administrator/Licensee Marilou Panaligan and granted entry to the facility. Licensed capacity is (6) current census (6). LPA was accompanied by Administrator/Licensee Marilou Panaligan to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). The facility is maintained at a comfortable temperature. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. During facility tour, LPA Rico observed boxes and furniture blocking emergency exit for bedridden room. In addition, LPA observed the facility kitchen floor and cabinets dirty. LPA requested the facility to be deep clean, de- clutter and organize. Residents’ personal hygiene was not labeled. Lose toothbrushes were mixed with other residents items. Staff were unable to tell which personal items belong to what resident. LPA requested emergency food, water and supplies to be placed in a storage box to be made available. Furthermore, LPA Rico observed the facility had five out of the six residents with full bed rails. During record review the five residents did not have a physician order nor hospice care plan indicating they require full bed rails. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (6) resident file for admission agreements, updated physician reports, and needs and services plans. The licensee stated that R1 and R2 are part of hospice. Both residents did not have a hospice care plan nor completed hospice binder. During medication audit, LPA Rico observed staff had falsely all residents’ medication by documenting medications days in advance.. Blood Pressure for R3 and R4 was also falsely and documented days in advance. LPA observed lose medication in bin, and medications not locked away. Medication did not include starting day and end day. Furthermore, R3 medication was transfer to a Monday through Sunday container. In addition, R3 PRN medication was documented but the date/time and resident’s response were missing. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screening.Facility did not have their emergency drills updated. Last Emergency drill was conducted in September 30, 2024. Based on the observations made during today’s visit, (11) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator/Licensee Marilou Panaligan. Along with a copy of Appeal Rightsthe state’s words, verbatim · CDSS document, Nov 16, 2025

Allegation investigated: Resident in care was not provided meals in a timely manner. Staff did not provide proper medication assistance to resident in care.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding the allegations made in this complaint. LPA Prieto met with Ms See and explained the elements of the complaint. Allegation #1 - LPA interviewed resident #1 (R1), R2, R3, R4 at the facility, all stating that they are receiving three (3) meals a day and those meals are being served in a timely manner. Interview with staff #1 (S1), states that meals are served during appropriate hours for breakfast , lunch and dinner. Allegation #2 - LPA interviewed resident #1 (R1), R2, R3, R4 at the facility, all stating that they are having their medication dispensed accordingly and as prescribed. S1 states all medication are being dispensed accordingly and as prescribed. Unsubstantiated Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Ms See and a copy was left with the facility.the state’s words, verbatim · CDSS document, Sep 25, 2025 · control 56-AS-20231226135432

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Javier Prieto made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Monico Panaligan, administrator and was granted entry to the facility. At the time of the visit there was three (3) staff present, and three (3) residents were present. The facility is a four (4) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, and detached garage. Licensed capacity is (6) current census (6). LPA was accompanied by licensee Panaligan, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be in compliance. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Alarms were tested and found to be in working order. Water temperature measured 125.5 degrees at today's inspection. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inside lock box inaccessible to clients. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department Record Review: LPA reviewed six (6) resident's records. Resident #1 (R1) did not have a Physician's Report with a negative TB result during time of inspection. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC 809, LIC 809D and appeal rights) were discussed and provided to Mr Panaligan and a copy was left with the facility.the state’s words, verbatim · CDSS document, Dec 6, 2024

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Javier Prieto made an unannounced visit to the facility. The purpose of the visit was to conduct a required continued comprehensive annual inspection LPA met with Christian See, Designated Facility Representative and was granted entry to the facility. At the time of the visit there was two (2) staff present, and six (6) residents were present. The facility is a five (5) bedroom, three (3), bathroom home, with a kitchen/dining area, living room. Licensed capacity is (6) current census of six (6). LPA was accompanied by Mr See to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms which measured 116.5 degrees F and 124.5 degrees F, respectively. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Smoke detectors were tested and three (3) were found not to be in working order, as well as one non-functioning carbon monoxide detector. Water temperature in the kitchen area measured 133.7 degrees at today's inspection. *****Continued on LIC 809C ******* Posters such as personal rights, ombusman poster, and the disaster plan were posted in a common area. The CCL complaint poster was not posted at time of inspection. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inside lock box inaccessible to clients. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Client and Staff File Review: Six (6) resident files were reviewed during today's inspection. No Physician's report was observed for resident #2 (R2) and no Appraisal was observed for R4 and R6. Staff #1 (S1) file did not have a tuberculosis clearance and S2 file did not show the date of tuberculosis clearance nor the form of form of test, whether it be skin test or x-ray. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Care & Supervision: Facility does not have sufficient wake staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC 809 and LIC 809C and LIC 809D) was discussed, signed by both LPA Prieto and Mr See and a copy was left with the facility, along with the appeal rights.the state’s words, verbatim · CDSS document, Dec 8, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Javier Prieto and LPA Anna Buena arrive to the facility to conduct an unannounced annual inspection. LPA's were greeted by staff Christian See and allowed entry. Inspection consisted of file review, staff interviews, documentation and facility tour. Due to time restraints a continuation of this inspection is needed.the state’s words, verbatim · CDSS document, Dec 7, 2023