Aloha Assisted Living

Type of visit: Required - 1 Year

On 7/31/26 at 9:00am Licensing Program Analyst (LPA) Kevin Gould arrived at Aloha Assisted Living RCFE for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Grace Dulay and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 109 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA observed a pool in the back yard that has fencing that is locked and meets regulations. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. An exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jul 31, 2026

Type of visit: Required - 1 Year

On 6/13/25, Licensing Program Analyst (LPA) Cynthia Tamayo arrived unannounced to conduct a Required - 1 Year visit. LPA met with Administrator Grace Dulay and explained the purpose of the visit. Administrator holds current certification #7003373740 and expires on 3/22/2026. The facility is licensed to serve four residents ages 60 and above. Two may be non-ambulatory. Hospice approved for two (2) residents. There are 4 residents in care currently. There is currently one Hospice resident in care. LPA toured the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms; resident bathrooms, laundry area, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility is clean and in good repair. LPA observed required furniture and lighting throughout the facility. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. The hot water temperature was measured at 111.0*F which was within the required range of 105-120*F. The temperature inside the facility was observed at 72*F which was within the required range of 68-85*F. LPA observed the centrally stored medications area to be locked and inaccessible to residents. LPA observed the fire extinguisher(s) (serviced on 2/2025) and first aid kits were up to date. LPA observed smoke and carbon monoxide detector(s) in the facility were in good repair. Report continued on 809-C LPA requested resident and staff files for review. LPA reviewed three (3) staff files and four (4) resident files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. The following forms and documents were collected and will be added to facility file: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, LIC 610 Emergency Disaster Plan and Proof of Current Liability Insurance. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were observed. Exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jun 13, 2025

Allegation investigated: Staff are serving residents expired foods

Licensing Program Analyst (LPAs) Vincent Moleski and Holly Williams arrived unannounced to open this complaint investigation. LPA Moleski and Williams met with facility administrator Grace Dulay and explained the purpose of the visit. This investigation consisted of observation and interviews with staff and residents. LPA Williams interviewed Dulay and two residents (R1-R2). Dulay said that she tries to label all of the facility's food with the date the food item was opened. LPAs Moleski and Williams observed many items which were labeled with dates within the current month, but also some items which were labeled with a future date. Other items were not labeled. Dulay said that she checks all of her food every week before garbage day. [continued on 9099-C] Substantiated While touring the facility, Dulay said that the refrigerator in the garage contained her food and the refrigerator in the kitchen contained the residents' food. LPA Williams observed in the refrigerator in the kitchen several expired products. In the kitchen, LPA Moleski observed an onion sprouting, and another purple vegetable sprouting multiple shoots. These items were stored alongside several other vegetables. Dulay threw the purple vegetable away during this visit. Items which were observed to be expired in the residents' refrigerator and pantry included: apple sauce packets expired 7/20/24, caesar salad expired 9/19/24, potato salad expired 8/24/24, whipping cream expired 8/27/24, street corn dip expired 7/13/24, sour cream expired 7/24, pork loin riblets expired 11/16/18, dragon fruit expired 5/16/24, Dinamita sticks expired 7/30/24, prunes expired 6/24, holiday mini baking chips expired 10/29/2022, and spaghetti expired 2/25/24. The department has determined the following as it relates to the allegation that staff is serving residents expired food: Based on interviews and observations, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met. This facility is being cited per 22 CCR Section 87555(b)(9). An exit interview was held with Dulay. Appeal rights and a copy of this report were left with Dulay.the state’s words, verbatim · CDSS document, Sep 23, 2024 · control 27-AS-20240920154553

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(9) · Plan of correction due date: Sep 24, 2024

87555 General Food Service Requirements "(b) The following food service requirements shall apply: (9) Procedures which protect the safety, acceptability and nutritive values of food shall be observed in food storage, preparation and service." This requirement was not met as evidenced by: Based on observation and interview of Dulay, LPAs Moleski and Williams found many expired foods in the resident refrigerator, which poses an immediate health, safety and/or personal rights risk.the state’s words, verbatim · CDSS document, Sep 23, 2024

Plan of correction: Licensee agrees to remove all expired food from facility, keep only resident food in the refrigerator in the kitchen, write a plan for storage and labeling of food in refrigerator and pantry. Licensee further agrees to send LPA Williams photos of the refrigerator after cleaning and to send the written plan by POC due date. holly.williams@dss.ca.gov

Type of visit: Required - 1 Year

On 5/1/24, Licensing Program Analyst (LPA) Tung Truong arrived unannounced to conduct a Required - 1 Year visit. LPA met with Administrator Grace Dulay and explained the purpose of the visit. Administrator holds current certification #6012122740 and expires on 3/21/24. Renewal application is currently pending. The facility is licensed to serve four residents ages 60 and above. Two may be non-ambulatory. Hospice approved for two (2) residents. There are 4 residents in care currently. LPA toured the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms; resident bathrooms, laundry area, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility is clean and in good repair. LPA observed required furniture and lighting throughout the facility. LPA observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. The hot water temperature was measured at 119.3*F which was within the required range of 105-120*F. The temperature inside the facility was observed at 72*F which was within the required range of 68-85*F. LPA observed the centrally stored medications area to be locked and inaccessible to residents. LPA observed the fire extinguisher(s) and first aid kits were up to date. LPA observed smoke and carbon monoxide detector(s) in the facility were in good repair. Report continued on 809-C LPA requested resident and staff files for review. LPA reviewed two (2) staff files and four (4) resident files, including criminal record clearances. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. The following forms and documents were requested: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, LIC 610 Emergency Disaster Plan and Proof of Current Liability Insurance. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were observed. Exit interview was conducted, and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, May 1, 2024