Abounding Peace Elderly Care Ii

On June 17, 2026, at 2:30 PM, Licensing Program Analyst (LPA) Avelina Martinez conducted an unannounced facility visit to initiate a complaint investigation and deliver complaint findings with the above allegations LPA Martinez met with Sera Nakalevu and explained the purpose of today’s visit. During today's facility visit, LPA Martinez conducted interviews and obtained facility records. Based on record review, it was learned that resident 1 (R1) was not administered Aspirin 81 MG, Omeprazole 20 MG, and Losartan 25 MG as needed. The facility did not refill R1's medication in a timely manner. As a result, R1 was not administered their medications from June 01, 2026 to June 09, 2026. It was also learned that R1's May and June 2026 medication administration records (MAR) were falsified. The May and June MARs indicated that facility staff administered ticagrelor and aspirin to R1. However, R1's did not have a supply of ticagrelor and aspirin in May and June 2026. Additionally ticagrelor anRead the full finding— CDSS inspection report, June 17, 2026 · control 27-AS-20260610140806

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to deliver findings on this complaint investigation. LPA Moleski met with staff member Veniana Banuve. LPA Moleski spoke with facility administrator Una Waqalala over the phone and explained the purpose of the visit. This investigation consisted of record review and interviews with staff members, residents, residents’ responsible parties, an excluded individual (E1), and an Alta California Regional Center (ACRC) representative. During interviews, both facility administrator Una Waqalala and E1 said E1 is a placement agent. LPA Moleski interviewed three staff members (S1-S3). S1 and S3 said E1 often calls the facility to ask about residents. S1 said E1 is a staff member of the facility and manages the payroll for facility staff. [continued on 9099-C] SubstantiatedRead the full finding— CDSS inspection report, October 10, 2023 · control 27-AS-20230816114138

On 11/22/22 at 1:30 pm Licensing Program Analyst (LPA) Tung Truong arrived at the facility unannounced to deliver complaint findings. LPA met with Administrator Una Waqalala and explained the purpose of the visit. Based on interviews and record reviews conducted it is determined that resident R1 and R2 had eloped from the facility on 8/10/2022 and 8/15/2022. Review of R1’s LIC 602 revealed that R1 has been determined to be unable to leave the facility unassisted by his physician. Residents were located by law enforcement and brought back to the facility. Based on the findings noted above, LPA finds this allegation 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. Deficiency cited on the LIC 9099-D, per Title 22 Regulations. An immediate civil penalty of $500 is assessed. Exit interview was conducted, a copy of the report and appeal rights were provided. SubstantiatedRead the full finding— CDSS inspection report, November 22, 2022 · control 27-AS-20220823173615