Angies Care Home

Type of visit: Case Management - Licensee Initiated

Licensing Program Analyst (LPA) Michael Hood arrived at the care home today and met with Licensee, Angelina Crudo, to conduct an inspection for the closure of the facility. LPA observed interior/exterior of the facility, including the yard, common areas, dining room, kitchen, and bedrooms. LPA observed that there were no residents at the facility. LPA informed Licensee that the facility will be closed in the system as of June 21, 2025. Exit interview conducted. Copy of the report provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Michael Hood and Licensing Program Manager (LPA) Lauren Crocker arrived at the facility and met with Licensee, Angelina Crudo, to conduct a health and safety check case management visit. LPA and LPM spoke with Licensee on the status of residents' relocation. Five (5) residents will be transferred to a new location with the help of their insurance. One (1) resident is receiving help with relocation from family. Licensee ensures that all residents will be relocated upon closure of the license. LPA and LPM reviewed all resident records during visit. As a result of this visit, no deficiencies were cited. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jun 17, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with caregiver, Sonia McComic, to conduct a health and safety check case management visit. LPA spoke with Licensee, Angie Crudo, via telephone call, who gave permission to have caregiver sign report. LPA spoke with Licensee on the status of residents' relocation. Residents will be transferred to a new location with the help of their insurance. As a result of this visit, no deficiencies were cited. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jun 5, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Licensee, Angelina Crudo, to conduct a health and safety check case management visit. LPA spoke with Licensee on the status of residents' relocation. Residents will be transferred to a new location with the help of their insurance. LPA received 60-day notices issued to the residents prior to the visit. As a result of this visit, no deficiencies were cited. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, May 15, 2025

Type of visit: Office

An office meeting was conducted at 10:00am on April 28, 2025, with Sacramento North Regional Office via Microsoft Teams. The purpose of this meeting was to review and discuss stipulation and waiver and order ordered on April 22, 2025. The following Licensing staff were present: Regional Manager (RM) Alycia Berryman, Licensing Program Manager (LPM) Lauren Crocker, and Licensing Program Analyst (LPA) Michael Hood The following facility representatives were present: Licensee Angelina Crudo The following topics were covered during today's meeting: Plan for facility closure effective June 21, 2025 Notifying residents of facility closure Licensee was notified that the Department may increase monitoring of the facility prior to facility closure of June 21, 2025. No deficiencies were cited. An exit interview was conducted and a copy of this report will be provided to the facility via email. A copy must be signed and returned to the Department.the state’s words, verbatim · CDSS document, Apr 28, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Licensee, Angelina Crudo, to conduct a case management visit regarding stipulation and waiver and order ordered on April 22, 2025. LPA and Licensee reviewed stipulation during visit. As a result of this visit, no deficiencies were cited. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Apr 22, 2025

Allegation investigated: Staff financially abused resident

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Licensee, Angelina Crudo, to deliver findings into the complaint allegation listed above. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Staff financially abused resident ** Report continued on 9099-C ** Substantiated Relevant party reported that resident (R1) passed away on 5/7/2023 while residing at the facility. Relevant party reported multiple withdrawals occurred from R1’s bank account after R1 passed away during the months of June, July, and August 2023, resulting in withdrawals totaling in the amount of over $20,000. Relevant party stated that no one had access to R1’s bank account and R1 did not have any other payee sources or a power of attorney. The Department obtained a death certificate for R1, which identified that R1 passed away on 5/7/2023 with an immediate cause of death being cardiorespiratory failure. Interview with Licensee confirmed that R1 passed away while residing at the facility. Licensee stated that they had not reported R1’s death to the Department as R1 was on hospice and Licensee was unaware that hospice deaths were to be reported to the Department. Licensee stated that R1 was on hospice for less than a week and was diabetic. Licensee stated that hospice removed R1’s diabetes medication once R1 was placed on hospice. Licensee stated that R1 passed away from natural causes. Interview with Licensee indicated that they do not have any residents who use Zelle to transfer money to the facility. Licensee stated that they wouldn’t know if they received a Zelle transfer to their account. Licensee stated that most residents pay rent by writing checks to the Licensee. Licensee stated that R1 handled their own money and wrote their own checks. Licensee stated that, when R1 first moved into the facility, R1 gave Licensee a key to their apartment, which contained their cell phone, wallet, driver’s license, television, furniture, and clothing. Licensee stated that they went to R1’s apartment but there was someone else living there already and R1’s key didn’t work. Licensee stated that management at R1’s apartment stated that R1 had been gone for too long and they relinquished R1’s apartment. Licensee stated that they asked for R1’s belongings from the apartment but management stated that they threw out R1’s belongings. Licensee stated that R1 had possession of their checkbook, but checkbook was displaced after R1’s passing. Licensee stated that R1 did not have an ATM card. Interview with Licensee indicated that, sometimes, R1 would provide Licensee with two (2) or three (3) checks at one time to pay for two (2) or three (3) months in advance. Licensee stated that each check R1 signed to the facility would be for $1,700. Licensee stated that they did not cash any checks from R1 after they passed away, but possibly cashed checks for multiple months in advance. Licensee stated that R1 did not owe any money to Licensee prior to R1 passing away and all money was paid to the facility when R1 passed away. ** Report continued on 9099-C ** The Department received R1’s Admission Agreement dated 4/22/2022, which indicates that R1 paid privately $5,000 a month using the payment method of “credit/debit, checks, money order, ACH, Online Payment.” The Department received R1’s Physician’s Report LIC 602A (missing date but including exam date of 8/27/2022), which indicates R1 had mild cognitive impairment with confusion. Licensee stated that they received deposits from Dignity Health that went directly into their business bank account when the residents were clients of Dignity Health. Licensee stated that they sent invoices to Dignity Health for R1’s rent after R1 passed away for one (1) month. Licensee stated that Dignity Health asked for the money back and Licensee refunded the money that was charged for R1. Licensee stated that Dignity Health was charged for the month of June 2023 for R1. Licensee stated that Dignity Health did not owe Licensee money for R1 when they were billed in June 2023, but they owed the Licensee for other residents. Licensee signed a declaration stating “after the passing of [R1] billed the Dignity Health and that money was refunded to them.” Licensee stated that residents R2 and R6 give the Licensee their ATM cards to withdraw money to pay their rent. Licensee stated that they have the PIN numbers to both R2 and R6’s ATM cards. Licensee stated that they have used their ATM cards to buy them cigarettes in the past. Interview with R2 indicated that they pay rent by having Licensee go to their bank and withdraw the money they owe from their account. R2 stated that Licensee has their PIN number to their ATM card. R2 stated only themselves and the Licensee has their PIN number and no one else. R2 stated that they have no issues or concerns with Licensee regarding their finances or the operation of the facility. R6 could not be interviewed regarding complaint as they passed away on 6/10/2024 during investigation. No other resident interviews expressed concern regarding the facility in relation to financial abuse. ** Report continued on 9099-C ** The Department obtained bank records for R1’s bank account and observed a Zelle Instant payment made from R1’s bank account directly to “Angelina – MJS Crudo” in the amount of $3,500 on 6/23/2023. Additionally, the Department observed that Licensee signed and cashed two (2) checks from R1’s bank account after R1 passed away. One (1) check dated 6/14/2023 was cashed on 6/21/2023 in the amount of $3,700 from R1’s bank account. Another check dated 6/30/2023 was cashed on 7/7/2023 in the amount of $3,400 from R1’s bank account. The Department obtained bank statements for multiple Wells Fargo accounts owned by Licensee and observed both checks listed above as deposited with the dates and amounts listed above. R1’s bank records show six (6) ATM withdrawals totaling $5515.50 were made after R1 passed away. Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview was conducted with Licensee. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Nov 3, 2024 · control 59-AS-20240328141731

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(8) · Plan of correction due date: Nov 4, 2024

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement is not met as evidenced by: Based on interviews conducted, observations, and records reviewed, the facility did not ensure that resident (R1) was protected from financial exploitation, which poses an immediate health, safety, and personal rights violation to the residents in care.the state’s words, verbatim · CDSS document, Nov 3, 2024

Plan of correction: Facility will cease handling any resident monies moving forward. Facility will also complete a statement of understanding regarding regulation 87468.2 and submit statement to LPA by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Licensee, Angelina Crudo, to conduct a case management visit. During a separate investigation conducted by the Department, it was discovered that resident (R1) passed away on 5/7/2023 per R1's certificate of death. Facility was unable to produce a death report when requested at the start of the investigation on 4/03/2024. Licensee stated that they had not reported R1’s death to the Department as R1 was on hospice and Licensee was unaware that hospice deaths were to be reported to the Department. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 809-D page regarding reporting requirements. Exit interview was conducted with Licensee. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Nov 3, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(A) · Plan of correction due date: Nov 18, 2024

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. (...) (A) Death of any resident from any cause regardless of where the death occurred, including but not limited to a day program, a hospital, en route to or from a hospital, or visiting away from the facility. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, the facility did not ensure to report the death of resident (R1) to the licensing agency, which poses a potential health, safety, and personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Nov 3, 2024

Plan of correction: Facility will complete a statement of understanding regarding regulation 87211. Facility will submit statement to LPA by POC due date of 11/18/24.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 10/30/24 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) bedrooms and three (3) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 105.8 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed knives, cleaning products, and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed five (5) resident files and one (1) staff file. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit was interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Oct 30, 2024

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPAs) Kevin Mknelly and Michael Hood arrived at the facility and met with Administrator, Angelina Crudo, to conduct an inspection. During today's visit, LPAs observed multiple hazardous items unlocked and accessible to residents in the kitchen area when staff were not in the kitchen area, including knives and disinfectants. LPAs observed centrally stored medications unlocked in the kitchen area. LPAs also observed multiple expired food items in the kitchen area. As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiencies are listed on attached 809-D. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Jun 7, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Jun 8, 2024

87309 Storage Space (a) Disinfectants, cleaning solutions, poisons, firearms and other items which could pose a danger if readily available to clients shall be stored where inaccessible to clients. This requirement is not met as evidenced by: Based on LPAs' observations, the facility did not ensure that knives and disinfectants were locked and inaccessible to the residents in care in the kitchen area, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 7, 2024

Plan of correction: Facility locked disinfectants and knives that were accessible to residents during inspection. Facility will ensure that all hazardous items are locked and inaccessible to the residents in care. Facility will conduct in-service training for staff regarding locking hazardous items. Facility will submit to LPA information regarding in-service training, including time and date of in-service and training material, by POC due date of 6/08/24.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87465(h)(2) · Plan of correction due date: Jun 8, 2024

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on LPAs' observations, the facility did not ensure centrally stored medications were in a safe and locked area, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 7, 2024

Plan of correction: Facility ensured centrally stored medications were locked during inspection. Facility will ensure that all centrally stored medications are locked at all times. Facility will conduct in-service training for staff regarding locking medications. Facility will submit to LPA information regarding in-service training, including time and date of in-service and training material, by POC due date of 6/08/24.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(8) · Plan of correction due date: Jun 20, 2024

87555 General Food Service Requirements (b) The following food service requirements shall apply: (8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Based on LPAs' observations, the facility did not ensure that multiple food items were not expired, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 7, 2024

Plan of correction: Facility discard expired food items during visit. Facility will conduct in-service training for staff regarding food service. Facility will submit to LPA information regarding in-service training, including time and date of in-service and training material, by POC due date of 6/20/24.

Allegation investigated: Staff did not notify resident's authorized representative of resident's hospitalization in a timely manner

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Angelina Crudo, to deliver findings into the complaint allegation listed above. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Staff did not notify resident's authorized representative of resident's hospitalization in a timely manner ** Report continued on 9099-C ** Substantiated Relevant party reported that facility sent a resident (R1) to the hospital without notifying R1's authorized representative of the hospitalization in a timely manner. During the investigation, LPA requested a written Unusual Incident Report (SIR) regarding R1's hospitalization from Administrator. LPA received an SIR regarding R1's hospitalization that was authored by Administrator on 12/7/2023 reporting that R1 was sent to the hospital on 11/24/2023. Based on interviews conducted and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Administrator's signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Dec 13, 2023 · control 59-AS-20231204141005

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1) · Plan of correction due date: Dec 31, 2023

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. This requirement was is not met as evidenced by: Based on interviews conducted and records reviewed, facility didn't ensure R1's hospitalization was reported in a timely manner, which poses a potential health, safety, and personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, Dec 13, 2023

Plan of correction: Administrator will complete a statement of understanding regarding regulation 87211 and submit statement to LPA by POC due date of 12/31/2023.

Type of visit: POC

Licensing Program Analyst (LPA) Kevin Mknelly arrived on 12/12/23 for the purpose of conducting Plan of Correction (POC) inspection for deficiencies issued on 10/24/23. LPA was greeted by caregiver. Administrator was informed but was unavailable to assist with the visit. On 10/24/23 deficiencies were cited for resident and staff files being incomplete, fire safety violation, staff health screens, staff training and lack of resident appraisals/ needs and services plans. Today LPA reviewed 5 resident files. 2 residents continue to not have appraisals on file. This deficiency is recited. Staff files are unavailable. Licensee by phone acknowledge staff health screens have not been completed and there is a staff present today without fingerprint clearance. These deficiencies are cited. The fire safety violations have been corrected.. As a result of this visit, one plans of correction (POC) is cleared. Deficiencies are cited as a result of this visit. An exit interview was conducted with caregiver, YB. A copy of the report and appeal rights was provided.the state’s words, verbatim · CDSS document, Dec 12, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Dec 13, 2023

Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility.This requirenment was not met based on observation of S2 is present without clearance. This posed an immediate risk to residents.the state’s words, verbatim · CDSS document, Dec 12, 2023

Plan of correction: Caregiver left the facility before LPA completed the visit. Licensee will submit a plan for emergency staffing that has properly cleared and trained staff available. Plan submitted by 12/13/23.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87411(f) · Plan of correction due date: Dec 19, 2023

Personnel Requirements - General(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, Based on statements, S1 still needs a Health screen. This poses a potential risk to residentsthe state’s words, verbatim · CDSS document, Dec 12, 2023

Plan of correction: Licensee will submit proof of S1's Health screen by 12/19/23.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(c)(2) · Plan of correction due date: Dec 19, 2023

Personnel requirements general (c)(2) Documentation of staff training shall include: This requirement was not met based on statements and records. This posed a potential risk to residentsthe state’s words, verbatim · CDSS document, Dec 12, 2023

Plan of correction: Licensee will submit proof of all required care and medication training for S1 by the POC date of 12/19/23.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Administrator, Angelina Crudo, to conduct a case management health and safety check following an office meeting conducted on 11/28/2023. During visit, LPA toured the facility and discussed corrections made prior to initiating a follow-up fire inspection. LPA will request another fire inspection following today's visit. No deficiencies are being cited as a result of today's inspection. An exit interview was conducted with the Administrator. A copy of this report was provided to the facility. Signature acknowledges receipt of this report.the state’s words, verbatim · CDSS document, Dec 6, 2023

Type of visit: Office

An informal conference was conducted at 10:30am on November 28, 2023, with Sacramento North Regional Office via Microsoft Teams. The purpose of this informal conference meeting is to address the denied fire clearance of the facility following an inspection conducted by the Sacramento Metropolitan Fire District on November 12, 2023. The Administrator was told that this Informal conference is a part of the Administrative Action process and that further noncompliance may result in an elevation to a formal noncompliance conference, which could lead to a referral to the Department's legal division for possible revocation of license. The following Licensing staff were present: Licensing Program Analyst (LPA) Michael Hood and Licensing Program Manager (LPM) Anthony Perez The following facility representatives were present: Administrator Angelina Crudo The following topics were covered during today's meeting: Fire clearance at the facility and time frames for which facility will make corrections and receive an updated fire clearance Administrator stated that corrections recommended by fire inspection have been made as of today's date. LPA will conduct a follow-up visit to the facility at a future date and will request another fire inspection to be completed once corrections have been confirmed. An exit interview was conducted and a copy of this report will be provided to the facility via email. A copy must be signed and returned to the Department.the state’s words, verbatim · CDSS document, Nov 28, 2023