Hacienda Senior Living

Allegation investigated: Staff caused injury to resident

Licensing Program Analyst (LPA) Seo Jeon mailed this report to the ex-licensee’s last known mailing address via USPS certified mail, to communicate the findings related to the above-mentioned allegation. The facility has been closed since 08-26-2025. The Department’s investigation involved interviews with staff and reviews of records. On 08-22-2022, Community Care Licensing (The Department) received a complaint report with the following allegation. It was alleged that staff caused injury to resident. Information received indicated that Resident #1 (R1) was observed with bandaged and bruised hand by R1’s relevant party. R1’s relevant party stated that staff members gave different stories about what happened to R1’s hand. Continued on LIC9099-C.... Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 23, 2026 · control 18-AS-20220822171003

Allegation investigated: Lack of supervision resulting in resident leaving the facility. Staff does not ensure resident is taking medication.

On 5/5/2022 Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to the facility to initiate the investigation into the above allegations. The LPA met with Resident Care Coordinator Krista Franklin and informed her of the purpose of the visit. The Investigation consisted of the following: LPA Jesse Gardner conducted a tour of the facility and reviewed records and received copies of pertinent documentation. Allegation #1: Lack of supervision resulting in resident leaving the facility. It is alleged that Resident #1 (R1)wandered off from the facility On 5/5/2022 Licensing Program Analyst (LPA) Jesse Gardner conducted a tour of the facility and reviewed records and received copies of pertinent documentation. On 10/10/25 Licensing Program Analyst (LPA) Sparkle Day began the follow up investigation regarding the above allegations of this complaint. On10/10/13 (LPA) Sparkle Day attempted to call Reporting party but Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 13, 2025 · control 18-AS-20220426121155

Allegation investigated: Resident sustained falls due to lack of care/supervision Facility did not seek medical attention for resident Resident required emergency medical care due to facility neglect

On 6/6/2022 Licensing Program Analyst (LPA) Crystal Colvin conducted an unannounced visit to investigate the above allegation. LPA Colvin met with Adminsitrator Marlya Dunham and advised her of the purpose of today's inspection. The Investigation consisted of the following: On 6/6/2022 LPA Colvin reviewed files and documents related to prior resident (R1). Allegation: Resident sustained falls due to lack of care/supervision It is alleged that R#1 has had several falls while in care at the facility On 6/6/2022 LPA Colvin reviewed files and documents related to prior resident (R1). On 10/10/25 Licensing Program Analyst Sparkle Day began the follow up investigation. LPA Day attempted to call Reporting Party regarding the allegation but could not be reached at the number provided. R#1 whereabouts are unknown. LPA Day attempted to call the facility. This facility has been closed since 1/31/2025 and there is new Ownership. Therefore No records or files were available for review Unsubstantiatthe state’s words, verbatim · CDSS document, Oct 10, 2025 · control 18-AS-20220602163658

Allegation investigated: Facility is not assisting resident with proper hygiene Neglect/Lack of supervision resulting in resident sustaining bruises

On 3/3/2022 Licensing Program Analyst (LPA) Stephanie Torres, conducted an unannounced visit to the facility to initiate the investigation into the above allegations.The LPA met with Administrator, Marlya Dunham and informed her of the purpose of the visit. The investigation consisted of the following: On 3/3/2022 Licensing Program Analyst (LPA), Stephanie Torres,conducted staff and resident interviews, LPA reviewed records and took copies of pertinent documentation. Allegation #1 : Facility is not assisting resident with proper hygiene It is alleged that the facility is not bathing resident #1 (R1) properly resulting in foul smell On 3/3/2022 Licensing Program Analyst (LPA), Stephanie Torres, interviewed Administrator who deny the allegation and states R#1 gets showers two times a week. On 10/9/25 Licensing Program Analyst (LPA), Sparkle Day began the follow up investigation. LPA Day contacted Reporting party who indicates the above allegations were reported to her, but she did not hathe state’s words, verbatim · CDSS document, Oct 9, 2025 · control 18-AS-20220222155559

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: Facility staff speak inappropriately to residents. Facility staff did not seek medical attention for resident in a timely manner. Resident sustained unexplained injury while in care.

Licensing Program Analyst (LPA), Jesse Gardner, conducted an unannounced visit to the facility to commence a complaint investigation on the above allegations. LPA was met by Activities Director Lisa Mathews who was informed of the purpose of the visit. Regarding the allegation, "Facility staff speak inappropriately to residents", it was alleged that staff yelled at a resident due to having to clean up after them after they were not able to make it to the restroom on time. LPA conducted interviews with residents (R1, R2, and R3) and Staff #1 (S1). All of the interviews concurred that staff did not speak inappropriately to residents; thus the allegation is deemed UNSUBSTANTIATED. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 27, 2023 · control 18-AS-20211230152555

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 hit resident. Staff threatened resident.

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into the above allegations. The LPA met with Administrator, Marlya Dunham, and informed her of the purpose for her visit. The investigation included staff/resident interviews, records review, and records collection. An allegation was received by the Department alleging a facility staff member physically assaulted Resident One (R1) on or around August 13, 2023. R1 was interviewed and reported an unknown staff member hit them with a polled up piece of paper to the back of their head. Details of the alleged incident changed throughout the interview with R1. The Administrator was interviewed and reported she interviewed R1 who provided her with brief details of the alleged suspect, matching the description of Staff One (S1). S1 was interviewed and denied the allegation. Additional staff/resident interviews reported there is no knowledge of incidences in which staffthe state’s words, verbatim · CDSS document, Aug 22, 2023 · control 18-AS-20230814152020