Lakes, The

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 do not treat resident with respect Staff do not answer residents calls for assistance timely

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPAs met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Regarding allegation #1, LPAs conducted interviews with five(5) staff, 4 of the 5 staff informed LPA they treat residents with respect, Executive Director has not heared complaints from residents that staff are treating residents disrespectfully. LPAs conducted eleven (11) resident interviews, 8 residents informed LPAs staff treat them with respect and do not make rude comments towards them, 3 residents informed LPAs staff have made rude comments towards them. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 9, 2025 · control 56-AS-20251202100018

Allegation investigated: Staff do not provide adequate food service Staff speaks inappropriately to residents

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPAs met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Regarding allegation #1, it is alleged the facility does not have enough snacks for residents in care. LPAs observed the facilities memory care to have enough snacks stored in their dining room kitchen. LPAs interviewed six (6) staff, all whom agreed facility has enough snacks for residents. Based on interviews if memory care is running low on food or snacks, staff can restock from the Assisted Living kitchen. LPAs interviewed six (6) residents, all whom agreed the facility provides enough snacks, and are never denied a snack upon request. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 25, 2025 · control 56-AS-20251124102135

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 does not ensure pathways are free of obstruction. Staff does not ensure facility is free of mold.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Regarding allegation #1: It is alleged that a charging vehicle obstructs the outside passageway. During Licensing Program Analyst’s (LPA’s) visit, no such vehicle was observed. The designated charging area used on Mondays, Wednesdays, and Fridays is located in the driveway and does not interfere with pedestrian access. LPA conducted a thorough tour of both the interior and exterior of the facility and observed no obstructions in any passageways. LPA interviewed three (3) staff members, all of whom confirmed that they routinely ensure all pathways remain clear. Two staff members noted that inside the facility while residents occasionally leave trash outside their doors, staff will promptly remove it and confirmed that such items do not obstructhe state’s words, verbatim · CDSS document, Nov 13, 2025 · control 56-AS-20251108205259

Allegation investigated: Staff do not timely respond to the residents alerts Staff do not provide adequate food service

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation and deliver findings on the above allegations. LPA met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Regarding allegation #1, LPA conducted interviews with four (4) staff, 3 out of 4 staff informed LPA they respond to call pendants within 3-10 minutes minimum, however if they are assisting other residents their response time can vary between 10-20 minutes max. LPA conducted interviews with six (6) residents, all 6 residents informed LPA they hardly use their call pendants; but the times they have staff attend in a timely manner. 4 out of 6 residents stated they have waited 5-20 minutes for staff to respond. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 20, 2025 · control 56-AS-20250817234904

Allegation investigated: Staff did not keep facility free of insects

Licensing Program Analyst (LPA) Magda Malcore and Licensing Program Manager (LPM) Karen Clemons conducted an unannounced complaint visit to the facility. LPA and LPM met with Executive Director, Cristina Ceballos, and discussed the purpose of the visit. The investigation consisted of observations and interviews with pertinent parties. Regarding the allegation, staff did not keep facility free of insects, LPA & LPM did not observe flies around dining areas and food. Interviews with four (4) staff and six (6) residents reveals there are no concerns with flies in the dining areas. Based on the Department's investigation, the allegation above is Unsubstantiated; meaning that 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. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 21, 2025 · control 56-AS-20250819121905

Allegation investigated: Staff did not ensure the facility was free of pests Staff did not ensure the facility bus was not in disrepair

On 8/06/2025 at 10:10 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to iniate the investigation and deliver the findings of the above allegations. LPA Serrano met with Executive Director Cristina Ceballos to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation #1: Staff did not ensure the facility was free of pests – Based on record review, observation/inspection of the facility, The facility has a contract with a pests company and provided invoice to show the services rendered. The facility provided the Department of Health recent inspection and gave the facility an A rating. Based on interviews, they all stated that they have not observed any rodents or any pests activity in the facility. LPA was unable to corroborate the allegation. *** Continuation in LIC9099C *** Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 6, 2025 · control 56-AS-20250729090914

Allegation investigated: Staff did not provide adequate supervision resulting in residents engaging in a physical altercation and resident sustaining an injury.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Based on interviews with staff and residents, it was determined that Resident 1(R1) sustained an injury due to a fall caused by their sandals. At the time of the incident, Staff 1 (S1) was in the dining room with Resident 2(R2) when R1 entered, shouting, which led to both R1 and R2 becoming agitated. S1 promptly redirected R1 out of the dining room. While walking backward, R1's sandal caught on the floor, causing them to fall and hit their head. S1 immediately responded, providing assistance to R1 and calling 911. Based on observation, interviews, and pertinent documents the allegation is unsubstantiated. An Unsubstantiated complaint means, that although the allegation may have happened or is valid, there is not a preponderance of evidence tothe state’s words, verbatim · CDSS document, May 20, 2025 · control 56-AS-20250516152555

Allegation investigated: Resident sustained unexplained bruising.

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Interviews conducted with staff, residents, and outside parties revealed that around 4/18/25, Resident 1 (R1) sustained unexplained bruising. After an internal investigation, and interviews with staff; staff suspect Resident 2 (R2) attempted to remove R1’s doll and may have caused the unexplained bruising. Due to both residents being in memory care there is not enough evidence to prove how R1 sustained the unexplained bruising. Based on observation, interviews, and pertinent documents the allegation is unsubstantiated. An Unsubstantiated complaint means, that 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. An exit interviewthe state’s words, verbatim · CDSS document, Apr 24, 2025 · control 56-AS-20250421152622

Allegation investigated: Staff do not provide adequate food service Staff are not meeting the residents needs while in care Staff do not properly maintain the facility's laundry equipment

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. Regarding Allegation #1 LPA conducted interviews with four (4) staff members, all of whom confirmed that the facility provides adequate food service. 2 out of the 4 staff stated they have personally sampled the food and found it to be both edible and nutritious. Additionally, interviews with eight (8) residents revealed that, while some expressed personal preferences regarding the food, such as concerns about it being too salty, all residents agreed the food is nutritious. Regarding Allegation #2 LPA interviewed four (4) staff members, all of whom confirmed that the residents' care needs are being met. Interviews with eight (8) residents indicated that two (2) of them consider themselves independent, while six (6) residents affirmed that theithe state’s words, verbatim · CDSS document, Apr 16, 2025 · control 56-AS-20250414145149

Allegation investigated: Resident pushed by unknown person.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Business Office Manager Araceli Peters, and discussed the purpose of the visit. Interviews conducted with staff, resident, and outside parties revealed that on 3/12/25, Resident 1 (R1) wandered into another resident’s room attempting to use the restroom. Resident 2 (R2) noticed R1 in their room and became agitated, resulting in pushing R1 to leave from their restroom/room. Staff intervened and R1 was taken to the doctor/hospital and returned to the facility the same day with a head hematoma. R1 was unavailable to be interviewed, due to sleeping. Staff informed LPA, R1 does not like to be woken up too early. Based on observation, interviews with facility staff and resident the allegation is unsubstantiated. An Unsubstantiated complaint means, that although the allegation may have happened or is valid, there is not a prepthe state’s words, verbatim · CDSS document, Mar 19, 2025 · control 56-AS-20250312144905

Allegation investigated: Staff stole multiple residents personal property

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Executive Director Cristina Ceballos, and discussed the purpose of the visit. It is alleged that over the past years, multiple residents have reported theft and loss of personal property. An investigation was conducted by Department staff, which included interviews with residents and relevant facility staff to gather information. The interviews revealed that several items were stolen from residents at different times. According to the Administrator, an internal investigation was conducted involving both residents and staff that uncovered several residents personal items were missing. Although no specific individual was identified as responsible for the stolen items, the frequent incidents suggest a need for the licensee to implement measures to better protect residents personal belongings. Substantiatedthe state’s words, verbatim · CDSS document, Feb 6, 2025 · control 56-AS-20250130150819

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.