Cunningham Residential Care Home II

Allegation investigated: Staff leave resident in soiled diaper/clothing for an extended period of time. Staff are not feeding resident. Staff mismanage residents medications. Staff consumes alcohol at the facility impairing their ability to provide adequate care and supervision, which presents a risk to residents.

On 1/8/2026, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility to initiate a complaint investigation for the allegations stated above. LPA met with Facility Staff Reden Layman and granted entry to the facility. Facility Administrator-Alicia Cuningham was been contacted and arrived during the visit, LPA Singh explained the reason for the visit. During today’s visit, LPA Singh conducted interviews with residents, conducted interviews with staff, and requested documents. First Allegation: - Staff leave resident in soiled diaper/clothing for an extended period of time. LPA Singh interviewed Five (5) residents and two (2) staff. Five out of five residents interviewed reported that they are never left in soiled clothing and confirmed that staff consistently assist them with their hygiene needs. Two (2) staff members were interviewed, Two out of two staff stated that residents are provided with prompt hygiene assistance and are not left in soiled attire. The testimonial evidence from both residents and staff consistently refuted the allegation, indicating that the facility maintains appropriate hygiene standards. Unsubstantiated Second Allegation: - Staff are not feeding residents. LPA Singh interviewed five residents and two (2) staff. Five (5) out of five (5) residents and two (2) out of two (2) Staff stated that staff feed residents daily. During the investigation, Licensing Program Analyst (LPA) Singh conducted interviews with five residents and two staff members. Five out of five residents and two out od two staff interviewed consistently reported that staff actively monitor resident food intake to ensure they have eaten. Furthermore, the interviews confirmed that residents are provided with various meal choices, including homemade dishes and takeaway options. Third Allegation: -Staff mismanage residents’ medications. LPA Singh interviewed five residents and two (2) staff. In a series of interviews regarding facility operations, both residents and staff provided unanimous reports of proper medication management. Five(5) out of five residents and two (2) out of two staff members interviewed confirmed that medications are administered accurately and on schedule, with no instances of mismanagement reported. Fourth Allegation: - Staff consume alcohol at the facility impairing their ability to provide adequate care and supervision, which presents a risk to residents. LPA Singh interviewed five residents and two (2) staff. Five out of five residents and two (2) out of two staff members interviewed provided unanimous feedback regarding the facility's operations. The findings indicate a high standard of professional conduct and resident care. Five Residents confirmed that staff members do not consume alcohol while at the facility. Residents and staff collectively reported that the residents are well cared for and receive attentive supervision. Residents and family of R#1 stated a consistent and safe environment where staff maintain clear professional boundaries and prioritize the well-being of those in their charge. During the investigation, LPA Singh was not able to find sufficient evidence to corroborate the allegations that Staff leave resident in soiled diaper/clothing for an extended period of time, Staff are not feeding resident, Staff mismanage residents medications, Staff consumes alcohol at the facility impairing their ability to provide adequate care and supervision, which presents a risk to residents. LPA Singh interviewed Responsible party, family and staff stated that facility providing adequate care to R1 at the facility and denied the allegations listed above. Statements, records, and interviews obtained did not provide sufficient information to corroborate the allegation. Based on the evidence found during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted and this report LIC 9099, LIC 9099C was discussed and a copy was provided to Facility administrator Alicia Cunningham.the state’s words, verbatim · CDSS document, Jan 8, 2026 · control 56-AS-20260107090444

Type of visit: Required - 1 Year

On 11/03/2025 at 9:15 AM, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Beena Singh met with Staff-Reden Layman and was granted entry to the facility. At the time of the visit there were two (2) staff present, and four (4) residents present. Facility Administrator Alicia Cunningham was contacted and arrived during the visit. The facility is a seven (7) bedroom, three (3) bathroom home with a kitchen/dining area, living room and garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of twelve (12) residents of which (6) can be non-ambulatory residents and six (6) ambulatory residents. The facility has two (2) Hospice Waiver and side chain links may be locked in evenings. The current census is four (4) residents. LPA Beena Singh was accompanied by Facility- Administrator Alicia Cunningham 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). LPA Beena Singh observed no obstructions to outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident 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 non-skid mat or strips in the resident bathrooms. LPA Beena Singh observed sufficient furniture and lighting throughout the facility. LPA Beena Singh measured and observed the water temperatures in the bathroom to be at 117 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Personal rights and the Ombudsman poster, CCL complaint poster disaster plan were posted in a common area. Moreover, during the tour of the facility, LPA observed that there was a designated storage space for resident/staff files and a cabinet with the resident’s medications locked. Food Service: Seven (7) days non-perishable food and three (3) days perishable food supply were observed at the facility. Care & Supervision: The facility has an administrator present in the facility. LPA Beena Singh observed enough staff to provide care and supervision to the residents in care. Record Review: LPA reviewed four (4) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete with updated physician’s reports, admissions agreements, and Pre-placement appraisals and Appraisal/Needs and Services Plan. LPA reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA found that all staffs have CPR training, staff are properly trained in medication, dementia care, and basic training required for an RCFE. Liability Insurance Valid through 05/2025-05/2026. Fire/Earthquake/Disaster Drill was conducted on 09/11/2025. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report were discussed and provided to Facility Administrator Alicia Cunningham.the state’s words, verbatim · CDSS document, Nov 3, 2025

Allegation investigated: First Allegation: Staff did not keep the facility free from bug infestation.

On 02/20/2025 at 11:34 AM, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver the findings of the above allegation. LPA Singh was greeted and granted entrance by a staff member and LPA Singh met with Facility Staff Redden Casela Layman. LPA Singh identified herself and discussed the purpose of the visit and the elements of the allegation with Staff Reden Casela Layman The investigation was conducted by LPA Beena Singh. The investigation consisted of observation and interviews with relevant parties. The allegation indicates that staff did not keep the facility free from bug infestation. During the investigation, LPA Singh did not find evidence to corroborate the allegation. Interviews with Client#1s family also indicated that this facility is very clean, Client#1 loves this place and family stated that they have never seen any roaches or bugs while visiting the facility or Client#1 has never reported seeing any bugs infestation in this facility. Unsubstantiated Interviews with six (6) of ten (10) residents indicated that they did not see any roaches in the facility. During the facility visit on 11/07/2024 and 01/23/2025. LPA Singh toured the facility and observed resident’s bedrooms, lounge, Kitchen, and dining area were clean and free of any bugs or roaches’ infestation. Based on the evidence, the allegation that staff did not keep the facility free from bug infestation is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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 at this time. An exit interview was conducted where this report, LIC9099, LIC9099C were discussed and provided to Staff Redden Casela Layman.the state’s words, verbatim · CDSS document, Feb 20, 2025 · control 56-AS-20250123084659

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Beena Singh met with Staff and was granted entry to the facility. At the time of the visit there were three (3) staff present, and six (6) residents present. Administrator Alicia Cunningham was contacted and arrived during the visit. The facility is a seven (7) bedroom, three (3) bathroom home with a kitchen/dining area, living room and garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of twelve (12) residents of which (6) can be non-ambulatory residents and six (6) ambulatory residents. The facility has two (2) Hospice Waiver and side chain links may be locked in evenings. The current census is ten (10) residents. LPA Beena Singh was accompanied by Staff #2 (S2) 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). LPA Beena Singh observed no obstructions to outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident 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 non-skid mat or strips in the resident bathrooms. LPA Beena Singh observed sufficient furniture and lighting throughout the facility. LPA Beena Singh measured and observed the water temperatures in the bathroom to be at 115 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Personal rights and the Ombudsman poster, CCL complaint poster disaster plan were posted in a common area. Moreover, during the tour of the facility, LPA observed that there was a designated storage space for resident/staff files and a cabinet with the resident’s medications locked. Food Service: Seven (7) days non-perishable food and three (3) days perishable food supply were observed at the facility. Care & Supervision: The facility has an administrator present in the facility. LPA Beena Singh observed enough staff to provide care and supervision to the residents in care. Record Review: LPA reviewed ten (10) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete with updated physician’s reports, admissions agreements, and Pre-placement appraisals and Appraisal/Needs and Services Plan. LPA reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA found that all staffs have CPR training, staff are properly trained in medication, dementia care, and basic training required for an RCFE. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report were discussed and provided to Administrator Alicia Cunningham.the state’s words, verbatim · CDSS document, Nov 7, 2024

The state marks this report as 5 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 12/13/2023 at 09:00 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Staff #2 (S2), was granted entry to the facility. At the time of the visit there were three (3) staff present, and six (6) residents present. Administrator Alicia Cunningham was contacted and arrived during the visit. The facility is a seven (7) bedroom, three (3) bathroom home with a kitchen/dining area, living room and garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of twelve (12) residents of which (6) can be non-ambulatory residents and six (6) ambulatory residents. The facility has two (2) Hospice Waiver and side chain links may be locked in evenings. The current census is ten (10) residents. LPA Brown was accompanied by Staff #2 (S2) 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). LPA Brown observed no obstructions to outdoor passageways. The facility is maintained at a comfortable temperature. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed non-skid mat or strips in the resident bathrooms. Also, LPA Brown observed Resident #5 (R5) with full bed rails and Administrator Alicia Cunningham reported to LPA Brown that R5 is not on Hospice Care and no written order from the physician was observed indicating the need for postural support/full bed rail. LPA Brown observed no exception letter submitted and approved by Community Care Licensing Division (CCLD) for R5's full bed rails. Deficiency will be issued. ***Continuation in LIC809C *** To add to that, LPA Brown observed Resident #1 (R1), Resident #2 (R2), and Resident #9 (R9) have half bed rails but no written order from R1, R2 and R9 physician indicating the need for postural support explaining R1, R2 and R9 needed assistance for mobility maintained in R1, R2 and R9 record. Deficiencies will be issued. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 116 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Personal rights and the Ombudsman poster were observed but no CCL complaint poster and the no disaster plan were posted in a common area. Deficiencies will be issued. LPA Brown observed no available Monthly Activity Calendar at the facility. Deficiencies will be issued. Moreover, during the tour of the facility, LPA Brown observed that there was a designated storage space for resident/staff files. There is a cabinet with the majority of the resident’s medications locked. However, LPA Brown found medications pre-poured in a partitioned container for the day, up to bedtime medication for each resident at the facility. LPA Brown explained that no medications shall be pre-poured and transferred between containers. The facility will be issued deficiencies for pre-pouring residents medications for the day up to bedtime as this pose immediate health, safety and personal rights risks to residents in care. Food Service: Seven (7) days non-perishable food and three (3) days perishable food supply were observed at the facility. Care & Supervision: The facility has an administrator present in the facility. LPA Brown observed sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA reviewed ten (10) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete for eight (8) residents with updated physician’s reports, admissions agreements, and Pre-placement appraisals and Appraisal/Needs and Services Plan. However, LPA Brown observed missing Appraisal/Needs and Services Plan for Resident #7 (R7) and Resident #8 (R8). Deficiency will be issued. LPA reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA found that all staffs have CPR training, staff are properly trained in medication, dementia care, and basic training required for an RCFE. However, LPA Brown observed Staff #3 (S3) criminal background clearance was not transferred to the facility. S3 reported to LPA Brown that S3 started working at the facility 11/28/2023. ***Continuation in LIC809C *** LPA Brown informed Administrator Cunningham that deficiency will be issued and civil penalty of $500.00 will be issued during the visit as this pose potential health, safety and personal rights risk to residents in care. Furthermore, LPA Brown observed no Fire Drill and Earthquake Drill Log or record at the facility and no Infection Control Plan at the facility. Deficiencies will be issued. Also, LPA Brown observed no current edition of a first aid manual approved by American Red Cross, the American Medical Association or a state or federal health agency at the facility. Technical Violation will be issued. Medications/Medication Administration Records (MARs) records were audited and LPA Brown observed that medications were dispensed for R1 and R9 without record, no December 2023 MAR available for R1 and R9. LPA Brown requested for any record that the facility have for dispensing R1 and R9 December 2023 medications per R1 and R9 physician's order but S3 and Administrator Cunningham reported to LPA Brown that no available record of dispensed medication per R1 and R9 at the facility. Deficiency will be issued. Based on the observations made during today’s visit, eleven (11) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D, LIC421BG, LIC9102 forms, and Appeal Rights were discussed and provided to Administrator Alicia Cunningham.the state’s words, verbatim · CDSS document, Dec 13, 2023

The state marks this report as 54 pages; the online copy we transcribed has 10. You can request the full file from the county licensing office.