Smith Road Assisted Living

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not providing medication as prescribed

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Caregiver, Veronica Jackson, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation included staff and witness interviews, as well as a review of records. On January 28, 2025, Community Care Licensing received a complaint alleging that staff are not providing medication as prescribed. It was alleged medication was not being dispensed to Resident #1 as prescribed, including at appropriate times and dosage. Interview with Licensee Ma Satchel Lecita stated that R1 denies the medication and staff notated refusals on Medication Logs. The licensee reported she advised R1 to bring a ten-day supply of medication, however, R1 arrived with almost none. The licensee reported R1 did not have a primary physician upon admissions so they assisted R1 with locating a physician throughthe state’s words, verbatim · CDSS document, Dec 17, 2025 · control 18-AS-20250128082056

Allegation investigated: Staff neglect resulted in resident death.

Licensing Program Analysts (LPA), Armando Perez and Robert Campbell, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez spoke with Licensee Ma Satchel Lecita over telephone and explained both the purpose of the visit and the details of the allegation. Licensee authorized for caregiver Edith Campos to review report. The investigation included staff and witness interviews, as well as a review of records. Resident #1 was unable to be interviewed due to their passing. On April 17, 2025, Community Care Licensing Division (CCLD) received a complaint alleging that neglect by facility staff, contributed to the death of R1. It was alleged that facility staff failed to properly administer prescribed medications, resulting in a decline in R1’s health and death, during a subsequent hospital stay. Additionally, it was alleged that actions caused by facility staff led R1 to miss medical appointments essential to their health. Cothe state’s words, verbatim · CDSS document, Dec 16, 2025 · control 18-AS-20250417111719

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not report an incident involving resident in care as required.

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit to deliver findings on the allegation listed above. LPA Abdoulaye was greeted and granted entrance by staff Veronica Jackson. LPA identified himself and discussed the purpose of the visit. It was alleged staff did not report an incident involving a resident in care as required. LPA conducted an interview with the licensee who confirmed they did not report an incident occurring on 07/31/2024, involving Resident 1 (R1), to the Long Term Care Ombudsman (LTCO) within the time frame required by law. A review of the Unusual Incident/Injury Report dated 08/01/2024 revealed the LTCO was notified on 08/19/2024. This corroborates the time frame required by law was not met. Based on interviews and records review, the allegation that staff did not report an incident involving a resident as required was determined to be substantiated. A substantiated finding means the allegation is valid because the preponderance of thethe state’s words, verbatim · CDSS document, Aug 8, 2025 · control 18-AS-20240826183736

Allegation investigated: Staff did not provide food to resident in care Staff denied visitation to resident in care

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA Perez met with House Manager, Carisa Estrelles, where the LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of interviews with staff and witnesses and file reviews. On December 31, 2024, Community Care Licensing received a complaint alleging facility staff did not provide food to resident in care and denied visitation to resident. Throughout the investigation, LPA interviewed staff and residents and obtained supportive documentation to aid in determining the findings of the noted allegations. The Department interviewed Resident #1; however, the information obtained did not support of the allegations. LPA attempted to conduct a subsequent interview with R1, but R1 passed away in March 2025. No additional information was able to be obtained due to R1’s passing. Continuedthe state’s words, verbatim · CDSS document, Jul 31, 2025 · control 18-AS-20241231082009

Allegation investigated: Facility staff hit resident Facility staff are not providing adequate food service Facility staff are not dispensing medications as precribed.

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Administrator, Ma Satchel Lecita, where the LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of interviews with staff and residents, and a review of records. On May 28, 2025, Community Care Licensing received a complaint alleging facility staff hit resident, facility staff are not providing adequate food service and facility staff are not dispensing medications as prescribed. It was alleged Resident 1 (R1) was physically assaulted by a male facility staff member. Resident interviews were conducted. The interviews revealed a male staff entered the room and began striking R1 for being too loud. It was reported there was a witness (W1) to the incident. Continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 28, 2025 · control 18-AS-20250528091327

Allegation investigated: Facility has failed to provide assistance with bathing and other hygiene needs. Facility does not respond to resident's request for assistance Residents are forced to eat in the dining room

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA Perez met with Administrator Ma Satchel Lecita, where the LPA explained the purpose of the visit. On February 11, 2025, Community Care Licensing received a complaint alleging the facility does not provide assistance with hygiene needs, facility staff does not respond to resident's request for assistance, and residents are forced to eat in the dining room. The investigation included interviews with staff and residents, and a review of documents obtained. It was alleged facility staff did not provide assistance with hygiene needs, including bathing and toileting, and that the staff did not respond to the resident’s request for assistance. It was reported Resident 1 (R1) would be left with a soiled adult brief and staff would not assist with toileting needs when R1 when requested. Continued on LIC 9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 24, 2025 · control 18-AS-20250211125221

Allegation investigated: Staff did not ensure that resident's toileting needs were met Staff did not ensure resident's medication was taken as prescribed.

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit to deliver findings for the allegations listed above. LPA Abdoulaye was greeted and granted entrance by Caregiver Edith Campos. LPA Abdoulaye Zerbo identified himself and discussed the purpose of the visit. It was alleged that staff did not ensure that resident's toileting needs were met . Concerns were raised that Resident 1 (R1) was left in soiled conditions for extended periods, resulting in rashes. During an interview, R1 reported being changed four to six times daily and whenever additional assistance was requested. Staff interviews confirmed this information. Further details revealed that R1 had appointments three to four times a week from 7 AM to 6 PM. Staff interviews also indicated that R1 was changed before leaving the facility and upon returning. However, it was noted that R1's diaper was not changed while away from the facility, which could explain the rash development. Information obtained fromthe state’s words, verbatim · CDSS document, Jul 18, 2025 · control 18-AS-20240712211908

Allegation investigated: Facility staff neglect resulted in resident sustaining bed sores Facility staff are not bathing resident Staff are financially abusing residents in care.

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit to deliver findings for the allegations listed above. LPA Abdoulaye was greeted and granted entrance by Caregiver Edith Campos. LPA Abdoulaye Zerbo identified himself and discussed the purpose of the visit. It was alleged that facility staff neglect resulted in Resident 1 (R1) sustaining bed sores. Concerns were made that R1 did not receive appropriate care, which resulted in R1 sustaining bedsores. A review of R1’s medical records, facility file, and care logs were completed. The information obtained revealed that R1 is regularly assisted by staff and is changed at least six times a day, as confirmed by staff members. Further information obtained from interviews revealed that R1 arrived at the facility with a spreadable health condition and not bed sores. Facility representatives stated after medical evaluation, it was determined that R1 would go to a Skilled Nursing Facility for further treatment. Facilitythe state’s words, verbatim · CDSS document, Jul 18, 2025 · control 18-AS-20240911142008

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee is not allowing resident to phone calls. Licensee does not allow resident to have visitors.

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced subsequent visit for additional investigation into the allegations listed above. LPA Abdoulaye was greeted and granted entrance by staff Veronica Jackson. LPA Abdoulaye Zerbo identified himself and discussed the purpose of the visit. It was alleged Staff did not allow resident to make and receive phone calls. Concerns were raised regarding staff not allowing residents to receive or make phone calls. During today’s visit, LPA observed a working phone in the office area and accessible to residents. LPA conducted interviews with multiple residents and information obtained revealed residents are allowed to use the phone and receive phone calls from family members, witnessed by R2 receiving a phone call at 12:45pm. Further information obtained revealed for residents unable to access the phone, staff will take the phone to them when requested. Continued 9099-C..... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 21, 2025 · control 18-AS-20240611165807

Allegation investigated: Staff does not ensure residents personal care needs are being met

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced subsequent visit for additional investigation into the allegation listed above. LPA Abdoulaye was greeted and granted entrance by staff Veronica Jackson. LPA Abdoulaye Zerbo identified himself and discussed the purpose of the visit. It was alleged Staff does not ensure residents personal care needs are being met. Concerns were made regarding resident‘s (R1) overgrown toenails and facility not meeting R1’s dental care. LPA conducted interviews and information obtained revealed R1’s insurance coverage did not carry dental care when R1 was admitted at the facility 5-30-24. R1’s Power of Attorney (POA) was informed, and an application was sent by POA to obtain dental insurance. The dental insurance card came on 04-01-25 and an appointment for dental care was obtained on 04-14-25. Further information obtained from record review revealed a pediatrist visited the facility on 08-4-24 to cut R1’s toenails. Continued 809-C.the state’s words, verbatim · CDSS document, May 21, 2025 · control 18-AS-20240806084343

Allegation investigated: Staff do not allow resident to make and receive phone calls.

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit to deliver findings on the allegation listed above. LPA Abdoulaye was greeted and granted entrance by staff Veronica Jackson. LPA identified himself and discussed the purpose of the visit. It was alleged staff did not allow resident to make and receive phone calls. LPA conducted resident interviews where 8 of 8 interviews revealed residents are allowed to use the facility phone to make calls and also receive phone calls. A relevant witness interview revealed they called the facility at least twice a month in June of 2024, July of 2024 and August 2024. The witness reported each time they called, they were told R1 was either sleeping or unavailable. R1 was interviewed and reported they have a personal phone to make and receive calls. Continued 9099-C...... Unsubstantiatedthe state’s words, verbatim · CDSS document, May 21, 2025 · control 18-AS-20240826183736

Allegation investigated: Staff did not notify responsible representative regarding incident involving resident.

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA Perez met with Administrator, Ma Satchel Lecita, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and witnesses and file reviews. On March 10, 2025, Community Care Licensing received a complaint alleging that staff did not notify responsible representative regarding an incident involving Resident. It was alleged that on March 8, 2025, Resident (R1) was transferred to the hospital for medical evaluation and assistance. It further alleged that staff did not report the hospitalization with R1’s designated responsible representative. Information obtained from Administrator, Ma Satchel Lecita stated that R1 did not provide a responsible party during the intake process. Administrator also denied that there was written or verbal instruction tothe state’s words, verbatim · CDSS document, May 13, 2025 · control 18-AS-20250310124409

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee wrongfully refused to allow resident to enter the facility

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Administrator, Ma Satchel Lecita, where LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and residents. On January 28, 2024, Community Care Licensing received a complaint alleging that licensee wrongfully refused to allow resident to enter the facility. It was reported that on January 30, 2025, C1 was not allowed entrance into the facility after returning from a medical appointment. LPA conducted interview with Administrator, and it was revealed that Administrator refused C1 entrance into the facility and instructed C1 to contact their responsible party to pick C1 up. According to Administrator, C1 was banging on the front door and yelling explicit language towards staff. The actions of C1 caused the other residents to become agitated. Athe state’s words, verbatim · CDSS document, Mar 14, 2025 · control 18-AS-20250128082056

Allegation investigated: Licensee wrongfully refused to allow resident to enter the facility

Licensing Program Analyst (LPA), Armando Perez, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Administrator, Ma Satchel Lecita, where LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of interviews with staff and residents. On January 28, 2024, Community Care Licensing received a complaint alleging that licensee wrongfully refused to allow resident to enter the facility. It was reported that on January 30, 2025, C1 was not allowed entrance into the facility after returning from a medical appointment. LPA conducted interview with Administrator, and it was revealed that Administrator refused C1 entrance into the facility and instructed C1 to contact their responsible party to pick C1 up. According to Administrator, C1 was banging on the front door and yelling explicit language towards staff. The actions of C1 caused the other residents to become agitated. Athe state’s words, verbatim · CDSS document, Mar 14, 2025 · control 18-AS-20250128082056

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Unlawful eviction.

On 1/31/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to deliver findings regarding the allegation listed above. LPA met with Caregiver, Juana Gonzalez who was informed of the purpose of the visit. Licensee, Ma Satchel Lecita arrived during the visit and was also informed of the purpose of the visit. Regarding the allegation, "Unlawful eviction" it was alleged that Resident 1 (R1) was given an eviction notice for non-compliance of house rules, but was not provided supporting facts of these concerns. Records reviewed indicated R1 was provided with a written eviction notice on 12/30/2024, which did not contain specific required facts including dates, places, witnessess and circumstances related to non-compliance of house rules. Licensee was interviewed and reported the supporting information was not provided to R1 in the eviction notice. Consultation of eviction regulations was provided to Licensee. Licensee has now expressed understandingthe state’s words, verbatim · CDSS document, Jan 31, 2025 · control 18-AS-20250115150201

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.