Caloaks Senior Living

Type of visit: Case Management - Incident

On 08/27/2026, Licensing Program Analyst (LPA) Beena Singh arrived at the facility unannounced to conduct a Case Management Visit for a staff to resident incident. Facility submitted an unusual incident report on This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office on 08/22/2026. LPA met with Facility Administrator Timothy Dela Cruz and stated purpose of the visit. During today's visit, Licensing Program Analyst (LPA) Singh discussed an incident with staff that occurred during the night shift involving Resident 1 (R#1) and Staff Member 1 (S#1). According to R#1, S#1 turned off the room lights and told R#1 to "shut up and go to sleep" while pushing R#1 back into bed after R#1 asked for the lights to be turned back on. Although R#1 reported no physical injuries from the push, they stated they were left shaken and crying until Staff Member 2 (S#2) came to the room to calm them. R#1 also stated that S#1 is consistently rude and aggressive, recounting a prior incident from a few months earlier when S#1 refused to provide a blanket for R#1's cold feet, claiming to be too busy. While R#1 expressed that all other caregivers are kind and helpful, they noted that S#1 specifically treats them with hostility. LPA Singh did a walk through of the facility and no imminent danger was observed, no health and safety concerns. Staff#1 was not available for interview, S#1 works night shift. LPA Singh interviewed Staff and residents. R#2 and R#3 stated that they heard R#1 and S#1 altercation and R#1 screaming while Staff#1 was there. Facility reported this incident to Community Care Licensing Department(CCLD) and law enforcement. Based upon this information and in accordance with Title 22 Regulations, a citation is being issued as detailed on the attached LIC 809D. An exit interview was conducted where this report LIC809, LIC 809D and appeal rights, reviewed, discussed and provided to Facility Administrator Timothy Dela Cruz,the state’s words, verbatim · CDSS document, Aug 27, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.(1)(2) · Plan of correction due date: Aug 28, 2026

87468(1)(2) Personal Rights: Under Title 22,Section 87468.1,87468.2,Residents retain fundamental rights to personal dignity,privacy, and respectful treatment. Staff behavior that humiliates or disrespects a resident these core rights. Based on record review,Interviews and observations, the licensee did not comply with section cited above by not ensuring that Staff are treating residents with fundamental rights to personal dignity,privacy, and respectful treatment all the time.the state’s words, verbatim · CDSS document, Aug 27, 2026

Plan of correction: Licensee/Staff will be trained on Title 22 regulations: Personal Rights. Send written acknowledgement and signed by the Licensee and all Staff.

Type of visit: Case Management - Legal/Non-compliance

On 08/04/2026, at 12:26 PM, Licensing Program Analyst (LPA) Beena Singh arrived at the facility, unannounced to conduct a Case Management- Legal/Non-Compliance visit. LPA Singh identified herself and met with Facility Administrator Timothy Dela Cruz, Licensee Amelia Aladin was informed of the visit. LPA informed Licensee/Administrator Aladin and Facility Administrator TIMOTHY DELA CRUZ that this visit is being conducted to follow-up on the facility’s compliance with Health & Safety Code Section 1569.38. Health & Safety Code 1569.38 requires the licensee to post a written notice and the accusation notice received must be posted in a conspicuous location in the facility and shall remain posted until the deficiencies that gave rise to the accusation notice are resolved. During the tour of the facility on 08/04/2026, LPA Singh observed that the accusation and written notice that the facility received were posted, as required by law, at the front office window near the main entrance of the facility and inside the facility near the Activity Area, Medication Room and Dining Room. During today’s visit, LPAs observed and/or licensee Amelia Aladin and Facility Administrator Timothy Dela Cruz verbally confirmed that: 1.) The accusations: #6224046403 and #6224046403B, were posted at the facility, as required by law since 02/26/2025. 2.) Written notice in at least 14-point type were posted in a conspicuous location in the facility since 02/26/2025. An exit interview was conducted and no deficiency will be issued today, where this report, LIC809, was discussed with Licensee Amelia Aladin and Facility Administrator Timothy Dela Cruz, and copies were provided to Facility Administrator Timothy Dela Cruz at the end of this visit.the state’s words, verbatim · CDSS document, Aug 4, 2026

Type of visit: Case Management - Other

On 06/15/2026, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to do a case management- Complaint received by the department- Licensee did not provide resident with an admissions agreement. LPA Singh met with a Staff, and was granted entry into the facility. Facility Licensee/Administrator Amelia Aladin arrived during this visit. The investigation conducted by LPA Singh consisted of interviews and records review. LPA Singh interviewed R#2 and Social worker reported to the department Complaint number-56-AS-20260611164029 has a different name and there are two resident with the same first name. LPA Singh interviewed R#2 and R#2 stated that they have not been given paper work for the admission agreement and no paper work has been signed by the resident#2 but when LPA Singh showed the admission agreement, R#2 told LPA Singh that they do remember signing the admission agreement. Licensee has provided the Admission agreement, Physician Report and bank invoice to LPA Singh during this visit to the facility. During the record review, Licensing Program Analyst (LPA) Singh found that the admission agreement and the physician report had both been signed by Resident #2. 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 (LIC9099) was discussed and provided to Facility Executive Director Amelia Aladin at the end of this visit.the state’s words, verbatim · CDSS document, Jun 15, 2026

Type of visit: Required - 1 Year

On 02/17/2025 at 8:50 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 Singh met with LVN/Resident Care Director Melissa Bridges and was granted entry to the facility. Licensee/Administrator Amelia Aladin was contacted, informed of the visit and arrived during the visit. At the time of the visit there were fifty-two (52) residents present and two (2) were out in the community The facility is a forty (40) bedroom with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of seventy-four (74) non-ambulatory residents, hospice waiver for ten (10) residents and eight (8) bedridden residents. The current census is fifty-two (52) residents. LPA Singh was accompanied by LVN/Resident Care Director Melissa Bridges 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 Singh 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, with non-slip mats. LPA observed sufficient furniture and lighting throughout the facility. Water temperature was within regulations. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. ***Continuation in LIC809C *** Posters such as personal rights, Ombudsman Poster, labor laws, and the disaster plan were posted in a common area CCLD complaint poster posted in the common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPA observed complete first aid kit and first aid book at the facility. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. LPA observed facility having Emergency food and water, and the required emergency supplies maintained at the facility. Kitchen was not clean and sanitary, deficiency will be issued. Care & Supervision: The facility has an appropriate number of staff present at the facility and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Singh reviewed five (5) resident files for admission agreements, updated physician reports, centrally stored medication list, pre-placement appraisals and needs and services plans. LPA Singh observed resident files reviewed were complete. LPA Singh reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPAs observed staff files reviewed were complete. Liability Insurance valid through 02/28/2025 to 02/28/2026. Fire drill/Earthquake drill conducted on 11/06/2025. 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 (LIC809),LIC 809C,LIC 809D and Appeal Rights were discussed and provided to LVN/Resident Care Director Melissa Bridges .the state’s words, verbatim · CDSS document, Feb 17, 2026

Allegation investigated: Due to lack of staff, resulted in unwitnessed fall and resident sustaining injuries.

On 1/20/2026, Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to initiate and deliver findings on a complaint alleging Due to lack of staff, resulted in unwitnessed fall and resident sustaining injuries. LPA Singh met with manager/LVN-Melissa Bridges, facility representative, and was granted entry into the facility. Facility Licensee/Administrator Amelia Aladin arrived during this visit. The investigation conducted by LPA Singh consisted of interviews and records review. Based on interviews with eight (8) out of eight (8) residents, none witnessed Resident #1’s fall in the hallway. However, Eight out of Eight residents indicated that staff ensure their safety, both day and night. Additionally, all eight residents interviewed stated that staff promptly call for emergency services, such as an ambulance, when needed, and provides good care to all residents in care Unsubstantiated Four (4) out four (4) staff reports, Resident #1 (R#1), who is known to be ambulatory and smokes, was returning to the facility after smoking, when he grabbed hallway side rails and began kneeling down. Upon being questioned by night shift staff, R#1 fell to the ground and appeared pale. Staff called 911, and while the ambulance was en route, R#1 stopped breathing. Following instructions from the 911 operator, staff initiated CPR. Paramedics arrive but was unable to revive R#1. Staff promptly informed family, police and death have been reported to the CDSS-CCLD. LPA Singh concluded that there was insufficient evidence to prove the allegation that Due to lack of staff, resulted in un-witnessed fall and resident sustaining injuries. Based on the evidence found during the investigation, the allegations listed Due to lack of staff, resulted in un-witnessed fall and resident sustaining injuries, is 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 (LIC9099) was discussed and provided to Facility manager/LVN-Melissa Bridges.the state’s words, verbatim · CDSS document, Jan 20, 2026 · control 56-AS-20260116093031

Allegation investigated: Staff did not seek timely medical care for resident. Staff did not provide adequate housekeeping services in resident’s room. Staff did not disinfect residents’ shared shower chair between use.

On 9/23/2025, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to deliver the findings to the above complaint allegations. LPA met with Facility staff-LVN-Melissa Bridges and stated the purpose of this visit. Facility administrator Amelia Aladin was informed of the visit and was not present at the facility due to an appointment. The investigation consisted of staff interviews, resident interviews, and a facility tour. During the complaint investigation: LPA toured the facility, conducted staff, resident, and outside party interviews. Reviewed facility and resident files and obtained copies of pertinent documents. In regard to the First allegation: Staff did not seek timely medical care for resident. During staff interviews Five (5)out of Five (5) staff members interviewed stated that they do provide timely medical care. They explained that facility nurse-LVN check residents during admission to the facility and refer them to their primary physicians if needed, and that emergency services are always contacted when a resident needs to be transported to a hospital and family, responsible parties are notified. Unsubstantiated During Residents interviews Eight (8) out of (8) residents interviewed also denied the allegation. They confirmed that staff members are always helpful and call for a nurse or ambulance when needed, ensuring they receive timely medical care. The interviews with both staff and residents consistently refute the allegation, suggesting that the facility's medical care procedures are being followed effectively. Second Allegation: Staff did not provide adequate housekeeping services in residents’ room In regard to allegation #2, LPA Singh inspected several areas of the facility. LPA Singh did not observe the facility staff did not provide adequate housekeeping services in resident’s room. LPA Singh interviewed staff, who all denied that the facility staff did not provide adequate housekeeping services in the resident’s room. Five (5)out of Five (5) staff stated that facility staff clean the facility on a daily basis. LPA Singh also interviewed residents and 8 out of 8 residents denied that the facility Staff did not provide adequate housekeeping services in the resident’s room. Residents stated that the facility staff members clean the facility frequently and provide housekeeping services daily in the residents’ room. LPA Singh observed housekeeping staff cleaning rooms, floors etc. Third Allegation: Staff did not disinfect residents shared shower chair between use. In regard to allegation #3, LPA Singh inspected several areas of the facility. LPA Singh interviewed staff, five (5) out of five (5) denied that the facility Staff did not disinfect residents shared shower chair between use in the bathroom. Five (5) out of five (5) staff stated that facility staff clean the facility daily and disinfect the bathroom and shower chair between use by the residents in care. LPA Singh also interviewed residents and 8 out of 8 residents denied that the facility Staff did not disinfect residents shared shower chair between use. All 8 out of 8 residents stated that the facility staff members clean the facility frequently and Staff disinfects residents shared shower chair or bathroom between use. In addition, residents stated that staff follows the infection protocols and disinfect all the areas between used by the residents. Based on the evidence found during the investigation, the three (3) allegations-Staff did not seek timely medical care for resident, Staff did not provide adequate housekeeping services in resident’s room and Staff did not disinfect residents’ shared shower chair between use 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 (LIC9099 and Lic 9099C) were discussed and provided to Facility Facility staff-LVN-Melissa Bridges.the state’s words, verbatim · CDSS document, Sep 23, 2025 · control 56-AS-20250618101600

Allegation investigated: Licensee is not ensuring that staff follow proper infection control protocols.

On 9/23/2025, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to initiate and deliver the findings to the above complaint allegation. LPA Singh met with Facility staff-LVN- Melissa and stated the purpose of this visit. Licensee/ Administrator, Amelia Aladin was been informed of the visit and arrived during this visit. The investigation consisted of staff interviews, resident interviews, and a tour of the facility. In regard to allegation, Licensee is not ensuring that staff follow proper infection control protocols. LPA Singh inspected several areas of the facility. LPA Singh observed the facility Staff disinfect the facility and residents are being isolated and monitored. At the entrance of the facility "No visitors sign" is being displayed and side door has been used for the entry and masks, hand hygiene protocol has been enforced by the staff. During LPA Singh's visit to the facility, residents were being quarantined, staff and residents wearing masks. Eight (8) out of eight (8) residents stated that they have been isolated if they are positive for Covid-19. Unsubstantiated LPA Singh interviewed staff, five (5) out of five (5) denied that the facility Licensee is not ensuring that staff follow proper infection control protocols. Five (5) out of Five (5) staff stated that facility staff clean the facility daily and disinfect the facility and residents rooms. Staff stated that residents have been isolated and following the infection protocols. LPA Singh also interviewed residents and 8 out of 8 residents denied that the facility Licensee/staff is not ensuring that staff follow proper infection control protocols. Based on the evidence found during the investigation, the allegation:-Licensee is not ensuring that staff follow proper infection control protocols, listed above is 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 (LIC9099 and Lic 9099C) were discussed and provided to Facility Licensee/ Administrator, Amelia Aladin.the state’s words, verbatim · CDSS document, Sep 23, 2025 · control 56-AS-20250917095925

Allegation investigated: Staff are not properly addressing roaches in the facility. Staff are not preventing residents from smoking inside of the facility.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Facility Resident care director Melissa Bridges and explained the purpose of the visit, Licensee/Administrator Amelia Aladin arrived during the visit. The investigation consisted of staff interviews, resident interviews, and facility tour. For the allegation, Staff are not properly addressing roaches in the facility. During staff interviews, 5 out of the 5 staff stated they have not seen pest inside the facility. During resident interviews 10 out of the 10 resident stated they have not seen any roaches inside their room or in facility area. During document review, LPA observed the facility receives pest control maintenance once a month. Unsubstantiated For the second allegation, Staff are not preventing residents from smoking inside of the facility. During staff interviews, 5 out of the 5 staff stated residents are not allowed to smoke inside the facility and have not seen a resident smoke inside the facility. In addition, 5 out of the 5 staff also stated the facility has a designated smoking area outside for residents and staff ensures residents are smoking at the designated area. LPA observed staff ensuring residents smoke in the area provided for smoking. During resident interviews, 10 out of the 10 residents stated they have not seen a resident smoke in the hallway. In addition, 10 out of the 10 residents stated the facility has an outside smoking area. Based on the evidence found during the investigation, the two (2) 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 (LIC9099 and Lic 9099C) were discussed and provided to Facility Licensee/Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Jul 21, 2025 · control 56-AS-20250715102850

Type of visit: Case Management - Legal/Non-compliance

On 07/21//2025 at 9:00 AM, Licensing Program Analyst (LPA) Beena Singh arrived at the facility, unannounced to conduct a Case Management- Legal/Non-Compliance visit. LPA Singh identified herself and met with Resident care director Melissa Bridges and Licensee/Administrator Amelia Aladin was informed of the visit, who arrived during visit. LPA informed Licensee/Administrator Aladin that this visit is being conducted to follow-up on the facility’s compliance with Health & Safety Code Section 1569.38. Health & Safety Code 1569.38 requires the licensee to post a written notice and the accusation notice received must be posted in a conspicuous location in the facility and shall remain posted until the deficiencies that gave rise to the accusation notice are resolved. During the tour of the facility on 07/21/2025, LPA Singh observed that the accusation and written notice that the facility received were posted, as required by law, at the front office window near the main entrance of the facility and inside the facility near the Activity Area, Medication Room and Dining Room. During today’s visit, LPAs observed and/or licensee Amelia Aladin and Resident care Director Melissa Bridges verbally confirmed that: 1.) The accusations: #6224046403 and #6224046403B, were posted at the facility, as required by law since 02/26/2025. 2.) Written notice in at least 14- point type were posted in a conspicuous location in the facility since 02/26/2025. An exit interview was conducted and no deficiency will be issued today, where this report, LIC809, was discussed, and copies were provided to Licensee/Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Jul 21, 2025

Type of visit: Case Management - Health Checks

On 07/21//2025 at 09:00 AM, Licensing Program Analysts (LPA) Beena Singh conducted an unannounced visit at this location to commence a health and safety check. LPA Beena Singh identified herself and discussed the purpose of the visit with Licensee/Administrator Amelia Aladin due to the incident that occurred at the facility on 10/22/2024 reported in Unusual Incident Report (LIC624 ) received regarding Resident #1 (R1) aggressive behavior to Resident #2 (R2). Licensee/Administrator Aladin informed LPA that R1 was served 30 Day Eviction Notice and moved out on 10/30/2024. Interviews with Five (5) of Five (5) staffs indicated that they are providing care and supervision to all their residents. Five (5) of Five (5) staff interviews revealed that they are checking on their residents every 30 minutes. During the facility visit today, LPA observed staffs doing their rounds and checking on their residents. LPA conducted a quick tour of the facility. Residents in care were present during the visit. No imminent health and/or safety concerns observed at the time of visit. LPA observed no health and/or safety hazards at this location. LPA inspected the outside perimeter at this location and observed no health and/or safety hazards. LPA observed sufficient staff present at this location to provide care and supervision. LPA inspected the food supplies at this location and observed an adequate supply of perishable and non-perishable food. The needs of the residents in care appear to be met during this inspection. An exit interview was conducted where this report LIC809 was discussed and provided to Licensee/Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Jul 21, 2025

Allegation investigated: Licensee failed to provide immediate written notice of resident’s death to the public administrator.

First Allegation: Licensee failed to provide immediate written notice of resident’s death to the public administrator. Licensing Program Analysts (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on a complaint alleging, Licensee failed to provide immediate written notice of resident’s death to the public administrator. LPA Singh met with Amelia Aladin Licensee/Administrator, facility representative, and was granted entry into the facility. The investigation conducted by Department staff consisted of interviews and records review. During this investigation, LPA interviewed staff and reviewed facility files including copy of SSI checks and facility notes. Copies of pertinent information was obtained for the file. Due to health issues, Resident(R1) was hospitalized and died at the hospital. Substantiated Facility notified public administrator at the time of resident's hospitalization; facility notifies relevant agencies in the event of the death of the patient in hospital, including Community Care Licensing Division (CCLD), Social security Administration (SSA)and Care coordination Agencies (CCA) on 2/2/2021 within the reporting time requirement. However, Licensee failed to provide immediate written notice of resident’s death to the public administrator- responsible for the resident due to no known kin at the time. Therefore, based on record reviews, this allegation is deemed SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. A citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted where this report, LIC9099 and LIC 9099 D, Appeal Rights were discussed and provided to Facility Licensee/ administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Apr 8, 2025 · control 18-AS-20210630075559

Allegation investigated: Resident smoking in the hallway. Pests in the rooms.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Facility Nurse Melissa Bridges and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, and facility tour. For the allegation, Resident smoking in the hallway. During staff interviews, 5 out of the 5 staff stated residents are not allowed to smoke inside the facility and have not seen a resident smoke inside the facility. In addition, 5 out of the 5 staff also stated the facility has a designated smoking area outside for residents. During resident interviews, 7 out of the 8 residents stated they have not seen a resident smoke in the hallway. In addition, 7 out of the 8 residents stated the facility has an outside smoking area. Unsubstantiated During facility tour, LPA did not observe residents smoking inside the facility. LPA observed resident’s cigarettes locked inside the medication room and observed the facility had a designated smoking area outside the facility. For the allegation, Pests in the room. During staff interviews, 5 out of the 5 staff stated they have not seen pest inside the facility. During resident interviews 8 out of the 8 resident stated they have not seen pest inside their room. During document review, LPA observed the facility receives pest control maintenance once a month. Based on the evidence found during the investigation, the two (2) 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 (LIC9099) was discussed and provided to Facility Nurse Melissa Bridges.the state’s words, verbatim · CDSS document, Mar 3, 2025 · control 56-AS-20250228140105

Allegation investigated: Staff not allowing resident to leave facility. Facility has insects. Staff did not safeguard resident's personal property.

Licensing Program Analysts (LPAs) Beena Singh and LPA Melody Brown conducted an unannounced visit to deliver findings on the allegations listed above. LPAs met with Facility Licensee/administrator Amelia Aladin and explained the purpose of the visit. The investigation consisted of staff interviews, client interviews and record reviews. The investigation was conducted by LPA Stephanie Torres, LPAs Beena Singh and Melody Brown First Allegation, Staff not allowing resident to leave facility. During the interviews with residents six (6) out of 6 residents stated that they never had any issues with leaving facility and staff helps them if residents wants to go out with family or friends. Interviews with six(6) of 6 staff indicated that residents were allowed to leave the facility anytime they prefer. During the faciltiy visit today, 2/27/2025 LPAs Singh and Brown observed residents leaving the facility without restrictions. Unsubstantiated Second Allegation, Facility has insects. During the interviews with Six (6) out of 6 residents indicated that they did not see any bedbugs, cockroaches or any insects in the facility. Interviews with six(6) staff indicated that there's no bed bugs or roaches at the facility. On 2/26/2025 LPAs Singh and Brown did not observed bedbugs or roaches at the facility. Third Allegation, Staff did not safeguard resident's personal property. During the investigation, LPA Singh interviewed residents and staff. Six (6) out of 6 residents indicated that facility do not have any issues of personal property being lost. Six(6) of 6 staffs interviewed reported that staff take good care of personal property of residents, sometimes laundry clothes get mixed up with other residents, but staff do their best to find residents laundry and give them back. Based on the evidence gathered during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means 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. An exit interview was conducted where this report, LIC9099 and LIC 9099C were discussed and provided to Facility Licensee/ administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Feb 27, 2025 · control 18-AS-20210517155515

Allegation investigated: Facility staff do not change resident bedding regularly. Facility did not provide required furniture for residents in care. Facility staff do not safeguard resident's personal belongings.

Licensing Program Analysts (LPAs) Beena Singh and LPA Melody Brown conducted an unannounced visit to deliver findings on the allegations listed above. LPAs met with Licensee/Administrator Amelia Aladin and explained the purpose of the visit. The investigation consisted of staff interviews, client interviews, LPAs observation and record reviews. The investigation was done by LPAs Beena Singh and Melody Brown. The first allegation indicates Facility staff do not change resident bedding regularly. During the investigation, LPAs were not able to corroborate the allegation. Interviews with six (6) out of six(6) residents and 6 of 6 staffs interviewed on 2/26/2025,reported that facility staff keep residential bedding clean and change them regularly. Unsubstantiated During the facility visit on 02/27/2025, LPAs Singh and LPA Brown observed residents bedding has been changed and been done regularly. Second allegation indicates Facility did not provide required furniture for residents in care. Interviews with six(6) out of six(6) residents and six(6) out of six(6) staffs interviewed on 2/26/2025 reported that there is required furniture in all the residents’ bedrooms. During the facility visit on 02/27/2025, LPAs Singh and LPA Brown observed there are required furniture in the resident’s room, including for each resident, a chair, night stand, a lamp, or lights sufficient for reading, and a chest of drawers. Third allegation indicates, Facility staff do not safeguard resident's personal belongings. During the investigation, LPA Singh was not able to corroborate the allegation. Interviews with six (6) out of 6 staffs interviewed 02/26/2025 reported that sometimes resident's personal belongings do get lost but staff ensures residents get them back. Interviews with six(6) out six(6) residents indicated no issues or concerns. Based on interview and record review in investigation, the allegations listed above is 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 LIC9099, LIC 9099C being discussed and provided to Licensee/Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Feb 27, 2025 · control 18-AS-20210419135612

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a)(3)(C) · Plan of correction due date: Mar 3, 2025

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents…(3) Equipment and supplies necessary for personal care and maintenance of adequate…(C) Clean linen, including blankets, bedspreads, top bed sheets…The quantity shall be sufficient to permit changing at least once per week or more often… Based on interviews, Licensee did not comply with the section cited above by not ensuring that residents bedding was changed regularly as required which poses a potential health, safety and personal rights risk to resident in care.1977859892the state’s words, verbatim · CDSS document, Feb 27, 2025

Plan of correction: Licensee stated to train all staff on CCR 87307(a)(3)(C) and submit proof to LPA Singh by the Plan of Correction(POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a)(3)(B) · Plan of correction due date: Mar 3, 2025

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents…(3) Equipment and supplies necessary for personal care and maintenance of adequate…(B) Bedroom furniture, which shall include, for each resident, a chair, a night stand, a lamp or lights… This requirement was not met as evidenced by: Based on interviews, Licensee did not comply with the section cited above by not ensuring that chairs were provided to residents as required which poses a potential health, safety and personal rights risks to residents in care.the state’s words, verbatim · CDSS document, Feb 27, 2025

Plan of correction: Licensee stated to provide chairs to all resident bedrooms and submit proof to LPA Singh by the Plan of Correction (POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87217(b) · Plan of correction due date: Mar 3, 2025

87217 Safeguards for Resident Cash, Personal Property, and Valuables...(b) Every facility shall take appropriate measures to safeguard residents' cash.. personal property and valuables ... entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles... Based on interviews and record review, facility did not follow safeguards for residents’ personal property due to several residents having their personal belongings being stolen which poses a potential health, safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 27, 2025

Plan of correction: Licensee stated to train all staff on CCR 87217(b) and submit proof to LPA Singh by the Plan of Correction (POC) due date.

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Facility staff do not keep resident bedroom clean.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Licensee/Administrator Amelia Aladin and explained the purpose of the visit. The investigation consisted of staff interviews, client interviews and record reviews. Allegation indicates, Facility staff do not keep resident bedroom clean. During the investigation, LPA Singh Unsubstantiated the allegation based on Interviews. During the interviews with 10 out of 10 residents denies the allegation that Licensee/Staff did not keep resident’s bedroom clean. 8 of 8 staffs interviewed reported that facility staff keep residents’ rooms clean. On 2/26/2025 LPAs observed bedrooms and living area to be clean and bedroom with clean bedding and free of any smell or odor in the rooms. Unsubstantiated Based on the evidence gathered during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means 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. An exit interview was conducted where this report, LIC9099 was discussed and provided to Facility Licensee Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Feb 27, 2025 · control 18-AS-20210419135612

Type of visit: Case Management - Health Checks

On 02/27/2025 at 08:45 AM, Licensing Program Analysts (LPAs) Melody Brown and Beena Singh conducted an unannounced visit at this location to commence a health and safety check. LPAs Brown and Singh identified themselves and discussed the purpose of the visit with Licensee/Administrator Amelia Aladin due to the incident that occurred at the facility on 10/22/2024 reported in Unusual Incident Report (LIC624 ) received regarding Resident #1 (R1) aggressive behavior to Resident #2 (R2). Licensee/Administrator Aladin informed LPAs that R1 was served 30 Day Eviction Notice and moved out on 10/30/2024. Interviews with six (6) of six (6) staffs indicated that they are providing care and supervision to all their residents. Six (6) of six (6) staff interviews revealed that they are checking on their residents every 30 minutes. During the facility visit today, LPAs observed staffs doing their rounds and checking on their residents. LPAs were provided R1’s medical records and per review, R1 did not sustain injuries from the reported incident. LPAs conducted a quick tour of the facility. Residents in care were present during the visit. No imminent health and/or safety concerns observed at the time of visit. LPAs observed no health and/or safety hazards at this location. LPAs inspected the outside perimeter at this location and observed no health and/or safety hazards. LPAs observed sufficient staff present at this location to provide care and supervision. LPAs inspected the food supplies at this location and observed an adequate supply of perishable and non-perishable food. The needs of the residents in care appear to be met during this inspection. An exit interview was conducted where this report LIC809 was discussed and provided to Licensee/Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Feb 27, 2025

Type of visit: Case Management - Legal/Non-compliance

On 02/26/2025 at 9:00 AM, Licensing Program Analyst (LPA) Melody Brown and Licensing program Analyst (LPA) Beena Singh arrived at the facility, unannounced to conduct a Case Management visit. LPAs Brown and Singh identified themselves and met with Resident care director Melissa Bridges and Licensee/Administrator Amelia Aladin was informed of the visit, who arrived during visit. LPAs informed Licensee/Administrator Aladin that this visit is being conducted to follow-up on the facility’s compliance with Health & Safety Code Section 1569.38. Health & Safety Code 1569.38 requires the licensee to post a written notice and the accusation notice received must be posted in a conspicuous location in the facility and shall remain posted until the deficiencies that gave rise to the accusation notice are resolved. During the tour of the facility on 02/26/2025, LPAs Brown and Singh observed that the accusation and written notice that the facility received was not posted, as required by law, at the front office window near the main entrance of the facility and inside the facility near the Activity Area, Medication Room and Dining Room. During today’s visit, LPAs observed and/or licensee Amelia Aladin and Resident care Director Melissa Bridges verbally confirmed that: 1.) The accusations: #6224046403 and #6224046403B, were not posted at the facility, as required by law since 02/12/2025. 2.) Written notice in at least 14-point type were not posted in a conspicuous location in the facility since 02/12/2025. Licensee/ Administrator Aladin was informed that a deficiency will be issued today. An exit interview was conducted where this report, LIC809, LIC809D and Appeal Rights were discussed, and copies were provided to Licensee/Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Feb 26, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 15689.38(f) · Plan of correction due date: Mar 5, 2025

Health and Safety Code (HSC) 1569.38 Posting of licensing reports; disclosure... (f) The notice required to be posted pursuant to subdivision (e) shall remain posted until the deficiencies that gave rise to the notice are resolved. This requirement was not met as evidenced by: Based on observation, interview and record review, the Licensee did not comply with the section cited above by not ensuring that the written notice and the accusation notice received were posted in a conspicuous location in the facility and shall remain posted until the deficiencies that gave rise to the accusation notice are resolved which poses potential health, safety, and personal rights risks to resident in care.the state’s words, verbatim · CDSS document, Feb 26, 2025

Plan of correction: Licensee immediately posted the written notice and the accusation notice received in a conspicuous location in front of the medicine room, near the activity area and in the front office counter area during the visit. Plan of Correction (POC) cleared.

Type of visit: Required - 1 Year

On 02/26/2025 at 9:00 AM, Licensing Program Analysts (LPAs) Beena Singh and Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs Singh and Brown met with Resident Care Director Melissa Bridges and was granted entry to the facility. Licensee/Administrator Amelia Aladin was contacted and informed of the visit. At the time of the visit there were fifty-seven (57) residents present. The facility is a forty (40) bedroom with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of seventy-four (74) non-ambulatory residents, hospice waiver for ten (10) residents and eight (8) bedridden residents. The current census is fifty-seven (57) residents. LPAs Singh and Brown were accompanied by Licensee/Administrator Amelia Aladin 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. LPAs Singh and Brown 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. However, LPAs observed no non-slip mats in resident's bathroom in room 29. Deficiency will be issued. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured hot water in residents room 36 had 136 degrees Fahrenheit water temperature and 130 degree f. in room 39. Deficiency will be issued. Water Temperature adjusted to 118 degrees F and 114 degrees F. during the visit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. ***Continuation in LIC809C *** Posters such as personal rights, Ombudsman Poster, labor laws, and the disaster plan were posted in a common area CCLD complaint poster posted in the common area.. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPAs observed complete first aid kit and first aid book at the facility. LPAs observed that blinds in room 20 and 37 were in disrepair. Deficiency will be issued. LPAs observed Window screens in room 4, room 34, room 40, room 38 with broken window screen. Deficiency will be issued. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. All kitchen staff have their updated ServSafe certification/food handler’s card. Also, LPAs observed facility having Emergency food and water, however, facility does not have the required emergency supplies maintained at the facility. Deficiency will be issued.. Care & Supervision: The facility has an appropriate number of staff present at the facility and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPAs Singh and Brown reviewed six resident files for admission agreements, updated physician reports, centrally stored medication list, pre-placement appraisals and needs and services plans. LPAs Singh and Brown observed resident files reviewed were complete. LPAs Singh and Brown reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPAs observed staff files reviewed were complete. Medications were also audited for four (4) residents, however, During medication audit, LPAs observed that staffs at the facility are not assisting three (3) of four(4) residents with self-administration of medication. Deficiency will be issued. Also, During medication audit, LPAs observed that the facility is pre-pouring medications/transferring on the different container the AM medicine for next day as early as 9:30 AM. Deficiency will be issued. 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 (LIC809),LiC 809C, LIC809D and Appeal Rights were discussed and provided to Licensee Amelia Aladin.the state’s words, verbatim · CDSS document, Feb 26, 2025

Type of visit: Office

On 12/10/24, Licensing Program Analyst (LPA) Magda Malcore met with Acting Administrator, Tim Dela Cruz at Community Care Licensing Division regional office to follow up on a substantiated complaint investigation. On December 23, 2021, the Department concluded a complaint investigation regarding the allegation that staff neglect resulted in resident’s (R1) death. The licensee was cited for Health and Safety Code § 1569.269(a)(6) Enumerated rights; severability. At the time of the complaint visit on December 23, 2021, an immediate civil penalty of $500.00 was issued and the licensee was informed that an additional civil penalty might be assessed based on Health and Safety Code § 1569.49(e). The Department has concluded an analysis and has determined that a civil penalty is warranted for a violation that the Department determines resulted in the death of a resident. This is evidenced by the facility staff failing to meet R1 needs and properly supervise R1. Following an unwitnessed fall, R1 laid outside for hours and died of hyperthermia due to environmental heat exposure. Today, 12/10/2024, the Department will be issuing a civil penalty per Health and Safety Code § 1569.49(e) for a violation that the Department constitutes as resulting in R1’s death in the amount of $15,000.00. However, since an immediate civil penalty of $500.00 was previously issued on December 23, 2021, the amount of the civil penalty issued today will be $14,500.00. Exit interview conducted. A copy of the report issued. Appeal rights provided to Acting Administrator Dela Cruz and signature on this report acknowledges receipt of the appeal rights, found on page two of LIC 421D.the state’s words, verbatim · CDSS document, Dec 10, 2024

Type of visit: Case Management - Legal/Non-compliance

On 07/01/2024 at 03:00 PM, Licensing Program Analyst (LPA) Melody Brown arrived at the facility, unannounced to conduct a Case Management visit. LPA Brown identified herself and met with Licensee/Administrator Amelia Aladin. LPA Brown informed Licensee/Administrator Aladin that this visit is being conducted to verify compliance with Health & Safety Code Section 1569.38. Health & Safety Code 1569.38 requires the licensee to provide written notification to a resident, the residents' responsible party, if any, and the local long-term care ombudsman within 10 days from the date indicated on the accusation. The licensee is also required to post the accusation in a conspicuous place in the facility. The licensee verified that she received the Accusation on 06/20/2024. The licensee was given 10 days from this date to notify, in writing, the residents, their responsible parties, and the ombudsman. The 10th day was 06/30/2024. During the tour of the facility on 07/01/2024, LPA observed that the licensee did post,as required by law, the accusations at the front office window near the main entrance of the facility and inside the facility near the Activity Area, Medication Room and Dining Room. Licensee/Administrator Aladin verbally confirmed that she has notified residents, informed residents' responsible parties and the Riverside County Long-Term Care Ombudsman (LTCO) Office in writing of the legal proceedings against the facility. During today’s visit, LPA observed and/or licensee verbally confirmed that: 1.) The facility has posted accusations: #6224046403 and #6224046403B, as required by law. 2.) The facility has provided written notification as required by H&S Code 1569.38(b) to the residents/resident's responsible party and LTCO within the required 10 days. LPA retrieved the responsible party’s numbers and will be contacting them to verify written notifications have been received. An exit interview was conducted where this report was discussed, and a copy was provided to Licensee/Administrator Amelia Aladin.the state’s words, verbatim · CDSS document, Jul 1, 2024

Type of visit: Required - 1 Year

On 01/25/2024 at 12:45 PM, 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 Resident Care Director Melissa Bridges, and was granted entry to the facility. Administrator Amelia Aladin was contacted and informed of the visit. At the time of the visit there was fifty-seven (57) residents present. The facility is a forty (40) bedroom with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of seventy-four (74) non-ambulatory residents, hospice waiver for ten (10) residents and eight (8) bedridden residents. The current census is fifty-seven (57) residents. LPA Brown was accompanied by Resident Services Director Melissa Bridges 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 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 sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 72 degree F at Room #2. Deficiency will be issued. During the visit on 01/25/2024, the facility adjusted the hot water temperature at Room #2 and LPA Brown observed 106 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. ***Continuation in LIC809C *** Posters such as personal rights, Ombudsman Poster, labor laws, and the disaster plan were posted in a common area. However, LPA Brown observed no CCL complaint poster at the facility. Deficiency will be issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPA Brown observed complete first aid kit and first aid book at the facility. Moreover, during the tour of the facility, LPA Brown observed Resident #1 (R1) with half bed rails and per documents review, no written documentation from R1's physician indicating R1's need for half bed rail for mobility. Deficiency will be issued. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than three (3) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. All kitchen staff have their updated food handlers card. Care & Supervision: The facility has an appropriate number of staff present at the facility and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Brown reviewed three (3) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA Brown observed resident files reviewed were complete. LPA Brown reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA Brown observed resident files reviewed were complete. Medications were also audited for three (3) residents and no issues observed. 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 (LIC809), LIC809D forms, and Appeal Rights were discussed and provided to staff Socrates Gerwin Convento.the state’s words, verbatim · CDSS document, Jan 25, 2024

Allegation investigated: Facility staff sold a television to a resident in care.

On 11/28/2023 at 10:00 AM Licensing Program Analyst (LPA) Melody Brown met with Administrator Amelia Aladin at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office to deliver the findings of the above allegation. LPA Brown explained the purpose of the requested Office Visit. The investigation consisted of observation, interviews and a review of pertinent documentation. The investigation was conducted by LPA Melody Brown. The investigation consisted of records review and interviews with relevant parties. The allegation indicates that Facility staff sold a television to a resident in care. LPA Brown obtained evidence to corroborate the allegation. Through the information gathered during the investigation, it was confirmed by interviews and documents review that a facility staff sold a television to a resident in care. Interview with Staff #2 (S2) indicated knowledge of Staff #3 (S3) selling a 55 inches television to Resident #1 (R1). Staff #1 (S1) reported to LPA Brown that S1 was just recently made aware of S3 selling a 55 inches television to R1. *** Continuation in LIC9099C *** Substantiated Licensee/Administrator Amelia Aladin informed LPA Brown that all staff at the facility were informed on their New Staff Orientation that they are not allowed to sell their personal belongings to the residents at the facility. Licensee/Administrator Aladin added that a staff is prohibited from selling their personal belongings like a television to a resident due to conflict of interest which were all discussed to all new hired staff at the facility. Interview with Staff #3 revealed that S3 sold the 55 inches television to R1. Interview with Resident #5 (R5) indicated knowledge of S3 selling a 55 inches television to R1. Per documents review, LPA Brown observed 55 inches television indicated in R1’s list of Personal Property and Valuables when R1 moved out of the facility on 06/19/2023. Based on LPA Brown’s document review and interviews, the preponderance of evidence standard has been met, and therefore the above allegation of Facility staff sold a television to a resident in care is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations, (Title 22, Division 6 & Chapter 8) is being cited on the attached LIC9099D. An exit interview was conducted where this report, LIC9099, LIC9099D, and Appeal Rights were discussed and provided to Licensee/ Administrator Amelia Aladin. Five (5) of five (5) staff interviews indicated they are not aware of an incident that happened at the facility where a staff is financially abusing a resident. Interviews with staff revealed that they all treat their residents with respect and kindness and no staff at the facility is financially abusing a resident in care. Based on interviews and records review, the allegation Facility staff is financially abusing a resident in care is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, where this report (LIC9099) was discussed and provided to Licensee/Administratro Amelia Aladin.the state’s words, verbatim · CDSS document, Nov 28, 2023 · control 56-AS-20230622095316

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Dec 8, 2023

87411 Personnel Requirements – General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more,… This requirement is not met as evidenced by: Based on observations, interview and records review, the Licensee did not comply with the section cited above by allowing Staff #3 (S3) violate their facility policy by selling a television to Resident #1 (R1) which poses potential personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Nov 28, 2023

Plan of correction: The Licensee stated to train all staff on CCR 87411(a) and submit proof of Training Log to LPA Brown at Plan of Correction (POC) due date.