Aloha Residential Care

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Paola Guerrero and Matthew Aguilar made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Facility Administrator Asmat Khan and was granted entry to the facility. At the time of the visit there was one (1) staff present, and five (5) residents present. The facility is a five (5) bedroom, four (3), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (5). LPAs was accompanied by Facility Caregiver, 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. LPA observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathrooms to be 116 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 medication cabinet 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 five (5) resident files for admission agreements, updated physician reports, and needs and services plans. LPAs also reviewed four (4) 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. Fire and disaster drills were completed on 5/5/2026. LPAs observed Liability insurance to be current with a renewal date of 5/1/2026. LPAs observed licensing fees to be current. 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 Administrator Asmat Khan.the state’s words, verbatim · CDSS document, Jul 21, 2026

Allegation investigated: Neglect/lack of care and supervision resulting in resident to sustain multiple pressure injuries.

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to the facility to deliver complaint investigation findings. After introducing and identifying self, LPA met with facility caregiver Yaritza Jarquen to discuss the findings. On December 10, 2021, the Department received a complaint with allegation of personal rights violation of neglect of R1. The Department investigation consisted of review of facility and medical records,observations, and interviews with pertinent individuals. Investigation revealed that on November 25, 2021, R1 was admitted to the hospital due to change of condition. Medical records indicate that upon admission, R1 had the following conditions including but not limited to: small blister to the left flank, small skin tear to the right scapular area, stage 3 decubitus ulcer over the buttocks, blister to the left lateral heel and right medial knee. Additional conditions present on admission include Stage 2 pressure injury to right heel, Stage 2 pressure injury to left heel, and Stage 2 pressure injury to left ear. At the hospital, R1 required surgery for debridement of infected sacral ulcer (pressure injuries). Substantiated Facility records reviewed did not indicate continuous observation nor care being provided for all conditions observed at hospital admission, in addition, staff interviews did not reveal consistent observation and care of these multiple conditions. In some cases, facility staff reported during interviews that they were unaware of one or more of R1’s wounds (pressure injuries). R1 was admitted to the facility on or around October 9, 2021. Records indicate that R1 was to be provided basic services at a minimum to include continuous care and supervision, observation for changes in physical, mental, emotional, and social functioning; and notification to R1 family, physician, and other appropriate person/agency of R1's needs. In addition, R1 was to be provided with assistance with personal activities of daily living including dressing, eating, toileting, bathing, grooming, mobility tasks. More specifically, R1 is described as non-ambulatory and requires a wheelchair for mobility, help with transferring in and out of bed, and incontinent care to be provided. When R1 was admitted to the facility, no pressure injuries were indicated in physician report nor pre-placement appraisal. From time period prior to and following admission, R1 was receiving home health services. The services included nurse visits, first documented in records to have occurred on November 16, 2021. During that visit, home health records indicate that closed wounds were assessed on buttocks. Plans were indicated for cleaning of area and rotating area every 2-4 hours to prevent pressure sore from developing. During a subsequent home health visit on November 23, 2021, two wounds were observed. One wound was identified in home health records as an unstageable pressure ulcer. According to records, facility staff were made aware of wound care plan and treatment, including pressure sore prevention, and instruction to have R1 repositioned as frequently as possible every 2-4 hours. Facility staff were also to put pillows under R1 back and not to cover coccyx/sacral area and to monitor potential pressure sore areas such as heels, elbows, shoulders, knees, back, Etc. As noted upon hospital admission on November 25, 2021 (two days later), R1 was observed with multiple pressure injuries to areas such as flank, scapular area, both heels, left ear, knee, and buttocks. Based on the investigation, there is preponderance of evidence to support that facility staff neglected R1. Specifically, it was found that from at least October 9, 2021, until November 25, 2021, facility staff did not ensure care and supervision to meet R1 needs. Per facility records, R1 was to be provided continuous care and supervision as well as assistance with activities of daily living, including mobility and incontinent care. However, during the time when R1 resided at facility, R1 sustained multiple pressure injuries. Facility records and staff interviews support that facility staff were not continuously providing care and supervision to R1 to meet their needs. More specifically, R1 was observed on November 23, 2021, with two wounds, but two days later, was hospitalized and observed to have multiple pressure injuries. Allegation of neglect/lack of care and supervision resulting in R1 sustaining multiple pressure injuries is substantiated. A substantiated finding means that the allegation is valid because the preponderance of evidence standard has been met. In addition, this violation posed an immediate Health and Safety risk to resident(s) in care. An Immediate Civil Penalty of $500 is being assessed. The licensee was also informed that a civil penalty may be assessed based on Health and Safety Code § 1569.49. An exit interview was conducted where this report, LIC9099D, LIC421IM, and appeal rights were discussed and provided to Facility Caregiver Yaritza Jarquen at the end of the visit. 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 Caregiver Yaritza Jarquen at the end of the visit.the state’s words, verbatim · CDSS document, Aug 20, 2025 · control 18-AS-20211210113613

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Aug 21, 2025

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: ....(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement is not met as evidenced by: Based on interviews, and record review, the Licensee did not ensure that R1 received care and supervision to meet R1 needs. On November 25, 2021, R1 was admitted to the hospital with multiple pressure injuries (wounds), which poses an immediate Health, Safety, or Personal Rights risk to resident(s) in care.the state’s words, verbatim · CDSS document, Aug 20, 2025

Plan of correction: The Licensee has agreed to read over the regulation "Additional Personal Rights of Residents" and provide a training touching basis on Resident care, supervision, and services that meet resident’s individual needs. POC will be provided to LPA by POC dated 8/21/2025.

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 Caregiver Rosa Genoveva Cruz Rodriguez and was granted entry to the facility. At the time of the visit there was one (1) staff present, and five (5) residents present. The facility is a five (5) bedroom, four (3), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (5). LPA was accompanied by Facility Caregiver, 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 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. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 110.6 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 medication cabinet 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: LPA reviewed five (5) 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 Caregiver Rosa Genoveva Cruz Rodriguez.the state’s words, verbatim · CDSS document, Aug 13, 2024