Asher Estate

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Licensee Robert Berry and was granted entry to the facility. At the time of the visit there was two (2) staff present, and four (4) residents present. The facility is a five (5) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, with an attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (4). LPAs was accompanied by Facility Licensee, 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 inspected residents’ 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 observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 115 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. LPA observed an in-ground pool in the backyard; the perimeter of pool is gated and locked. 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. Medications are kept inside kitchen cabinet inaccessible to residents in care. Overall, the facility is clean, in good repair, and operates in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed four (4) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made 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 (LIC809) was discussed and provided to Facility Licensee Robert Berry.the state’s words, verbatim · CDSS document, Jul 20, 2026

Allegation investigated: Staff did not treat resident with dignity or respect. Staff handled resident in a rough manner.

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility House Manager Lakisha Shamburger and explained the purpose of the visit. The investigation consisted of interviews and observation. First allegation, Staff did not treat resident with dignity or respect. Regarding the first allegation “Staff did not treat resident with dignity or respect” LPA conducted interviews with staff and staff denied mistreating residents or violating residents’ rights. In addition, staff also denied witnessing staff not treating residents with dignity or respect. LPA conducted an interview with Resident #1 who stated that staff does use loud voice however, Resident#1 denied staff not treating resident[s] with dignity or respect. Resident#1 also denied witnessing staff not treating residents with dignity or respect. Unsubstantiated Second allegation, Staff handled resident in a rough manner. Regarding the second allegation “Staff handled resident in a rough manner” LPA conducted interviews with staff regarding the above allegation and staff denied handling resident[s] in a rough manner in addition, staff also denied witnessing staff handle resident[s] in a rough manner. LPA conducted an interview with Resident #1 who denied staff handling resident[s] in a rough manner. Resident #1 also denied witnessing or hearing staff handling residents in a rough manner. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility House Manager Lakisha Shamburger at the end of the visit.the state’s words, verbatim · CDSS document, Oct 10, 2024 · control 56-AS-20240613110631

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Paola Guerrero and Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Facility House Manager Lakisha Shamburger and was granted entry to the facility. At the time of the visit there was two (2) staff present, and four (4) residents present. The facility is a five (5) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, with an attached garage.The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (4). LPAs was accompanied by Facility House Manager, 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 inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathrooms to be 111.8 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a 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. Medications are kept inside staff office inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPAs reviewed four (4) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made 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 (LIC809) was discussed and provided to Facility House Manager Lakisha Shamburger.the state’s words, verbatim · CDSS document, Sep 24, 2024

Allegation investigated: Staff are not following resident's wound care plan Staff threatened resident in care Staff do not ensure there is adequate amounts of food available at the facility for residents in care Resident records are not properly maintained

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Robert Barry and explained the purpose of the visit. The investigation consisted of interviews and review of records. First allegation, Staff are not following resident's wound care plan. During interviews and record review LPA observed hospice documentation pertaining to resident indicating Resident #1 is receiving wound care treatment by hospice. Based on documentation LPA observed Hospice agency (VITA) to be providing the needed wound care treatment for Resident #1. Second allegation, Staff threatened resident in care. LPA conducted interviews with residents all residents denied being threatened by staff while in care. LPA conducted interviews with staff and all staff denied threatening residents in care along with witnessing staff threatening residents while in care. Unsubstantiated Third allegation, Staff do not ensure there is adequate amounts of food available at the facility for residents in care. During inspection LPA inspected facility fridge and observed adequate amount of Non-perishable and perishable food supply to be sufficient for number of residents in care. Fourth allegation, Resident records are not properly maintained. During review of records LPA observed facility to have a proper designated storage space for resident’s/staff files. LPA observed facility to have all documentation properly filed upon the collection of resident’s records. Based on the evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Robert Barry at the end of the visit.the state’s words, verbatim · CDSS document, Jan 18, 2024 · control 56-AS-20231020155702