Excelcare

Allegation investigated: Staff do not ensure a resident is being properly fed Staff do not ensure a resident consumed an appropriate amount of liquid Staff served a resident spoiled food Staff are not abiding to the admission agreement Staff do not timely address a resident's change in medical condition Staff do not meet a resident's bathing needs Staff do not provide a comfortable temperature for a resident

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to deliver findings on a complaint investigation regarding the above allegations. LPA met with Caregiver Rose Viernes and discussed the purpose of the visit. Regarding Allegation #1: During the lunch observation, LPA noted that the resident’s meal appeared to be of good quality. LPA also observed an adequate supply of perishable and non perishable food items for residents in care. LPA interviewed two (2) staff members, both of whom stated that residents are being properly fed. LPA additionally interviewed four (4) residents, all of whom confirmed they are properly fed. Regarding Allegation #2: LPA observed a cup of water in each resident’s bedroom. LPA interviewed two (2) staff members, both stating they ensure residents are drinking enough water. The Administrator also stated that water is always available in residents’ rooms. LPA interviewed five (5) residents, all of whom reported receivingthe state’s words, verbatim · CDSS document, Jun 19, 2026 · control 56-AS-20251204115820

Allegation investigated: Staff neglect resulted in a resident sustaining pressure injuries while in care Staff did not ensure a resident consumed an appropriate amount of liquid while in care Resident sustained unexplained injuries while in care Staff allowed a resident to be soiled while in care

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to deliver findings on a complaint investigation regarding the above allegations. LPA met with Caregiver Rose Viernes and discussed the purpose of the visit. Regarding Allegation #1: It was alleged that Resident #1 (R1) developed a pressure injury while in care due to staff neglect. LPA was unable to interview R1, as they are no longer a resident of the facility. LPA interviewed two (2) staff members. One (1) staff member reported that, to their knowledge, R1 did not have any pressure injuries. The second staff member stated that R1 had a small stage 2 wound on the buttocks; however, they did not believe it was the result of neglect. The Administrator reported suspecting that R1 may have had cancer and stated the concern was communicated to InnovAge. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 19, 2026 · control 56-AS-20250324114757

Allegation investigated: Resident was not accorded dignity in their relationship with a person in the home

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to deliver findings on a complaint investigation regarding the above allegation. LPA met with Administrator Dorris Anderson and discussed the purpose of the visit. Regarding the allegation that a resident was not accorded dignity in their relationship with a person in the home, interviews with the Administrator and resident revealed that the individual in question was a minor family member. In accordance with regulations, minors are not required to undergo fingerprinting or background clearance. The individual was not residing in the home during the investigation, and interviews indicate that during the period in which they did reside at the home, they were not disruptive to residents. Based on LPAs observations and interviews, the above allegation is Unsubstantiated; meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allethe state’s words, verbatim · CDSS document, May 21, 2026 · control 56-AS-20260210101558

Allegation investigated: Staff does not ensure facility is kept clean. Staff does not ensure resident's clothing are properly dried.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Dorris Anderson, and discussed the purpose of the visit. Regarding allegation #1, LPA toured and observed the facility to be clean. LPA interviewed 5 residents, 4 of the 5 residents informed LPA, staff ensure the facility is kept clean. 1 of the 5 residents was unable to answer LPA’s question. LPA interviewed caregiver on duty and informed LPA the facility is always kept clean. Administrator states the facility is always kept clean and they clean morning and night. Regarding allegation #2, LPA interviewed 5 residents, 2 of the 5 residents were unable to answer the question. 3 of the 5 residents informed LPA staff properly dry, fold, and store their clothing; the same 3 residents informed LPA staff do not hang dry their clothes outside. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 29, 2025 · control 56-AS-20251223092904

Allegation investigated: Staff are not providing residents food of good quality. Staff do not provide resident with a variety of food. Staff did not safeguard resident's personal belongings.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegations mentioned above. LPA met with Administrator Dorris Anderson and explained the purpose of the visit. Regarding allegation #1, LPA observed the resident’s meal during lunch and it appeared to be of good quality. LPA interviewed 5 residents, 4 of the 5 residents informed LPA the food being provided is of good quality. 1 of the 5 residents was unable to answer LPA’s question. LPA interviewed two (2) staff both informed LPA the residents are being provided with good quality food every day. Administrator informs LPA they follow the food plan from Loma Linda University to help maintain their good health. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 29, 2025 · control 56-AS-20251208093045

Allegation investigated: Staff do not follow physicians orders

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Dorris Anderson, and discussed the purpose of the visit. It is alleged staff are not following physician’s orders, based on record review, interviews with residents staff and Licensee. LPA did not find any discrepancies to corroborate the allegation. LPA was unable to interview R1 due to no longer residing at the facility, R1 moved out the day before Thanksgiving on 11/26/25. Therefore, the allegation above is Unsubstantiated. An Unsubstantiated complaint means, 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 with Caregiver Myrna Jackson and a copy of this report was provided at the conclusion of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 56-AS-20251124161821

Allegation investigated: Staff does not treat residents with dignity or respect

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Dorris Anderson, and discussed the purpose of the visit. Regarding allegation above, LPA interviewed two (2) staff; both whom agreed they treat residents with dignity and respect. LPA interviewed five (5) residents, one (1) of the five (5) residents informed LPA they are treated with dignity and respect, four (4) of the five (5) residents were unable to provide LPA with detailed information due to their health conditions. Therefore, the allegation above is Unsubstantiated. An Unsubstantiated complaint means, 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 with Caregiver Myrna Jackson and a copy of this report was provided at the conclusion of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 56-AS-20251126131126

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not assist resident with toileting in a timely manner. Facility staff are unable to communicate effectively with the residents. Facility staff did not ensure privacy to resident in care.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Dorris Anderson, and discussed the purpose of the visit. Regarding allegation #1, LPA interviewed six (6) residents. Four (4) of the six (6) residents are independent and do not need assistance with toileting, all 4 residents have denied witnessing or hearing staff not assisting other residents with toileting needs in a timely manner. Two (2) of the six (6) residents interviewed need assistance with toileting needs, 1 of the 2 residents informed LPA staff attend to their toileting needs in a timely manner. R1 informed LPA last week, they were left in bed for over an hour and did not receive assistance with their toileting needs, however R1 stated when they are upset they tend to retaliate with staff. LPA interviewed an outside party and informed LPA they were on the phone during the alleged incident and Rthe state’s words, verbatim · CDSS document, Oct 3, 2025 · control 56-AS-20250926120025

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not store food properly Staff does not ensure an adequate supply of food is maintained and accessible at the facility

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Dorris Anderson, and discussed the purpose of the visit. Regarding Allegation #1, LPA toured the facility and observed the main refrigerator in the kitchen had frosted over in the back of the refrigerator. LPA spoke with Administrator and LPA was informed the freezer is not properly working causing the frost. Administrator included the freezer drawer is being used as a refrigerator storing vegetables, while another freezer held all the frozen foods. Regarding Allegation #2, LPA did not observe an adequate number of fruits and vegetables for residents in care. The strawberries in the refrigerator observed to be growing mold. Substantiatedthe state’s words, verbatim · CDSS document, Mar 28, 2025 · control 56-AS-20250326095909

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not ensuring that resident attends medical appointments.

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Dorris Anderson, Licensee, and discussed the purpose of the visit. The investigation consisted of Licensee, staff, resident, outside party interviews and pertinent document review. Regarding the allegation, staff are not ensuring that resident attends medical appointments, the Licensees’ interview reveals, resident #1 (R1) missed their doctor’s appointment due to not having help to transfer resident out of bed. Facility staff were not able to transfer R1 out of bed to attend their doctor’s appointment due to R1 being too heavy. Although R1 had transportation available for doctor’s appointments through an outside agency, drivers are not permitted to assist facility staff with out-of-bed transfers. LPA review of resident appraisal of services needed reveals, R1 needs help in transferring in and out of bed or chair. Based on evidence obtained during this investigation, thethe state’s words, verbatim · CDSS document, Mar 21, 2025 · control 56-AS-20230727155713

Allegation investigated: Staff is not ensuring that resident is being fed an adequate amount of food portions.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrator Dorris Anderson and explained the purpose of the visit. Regarding allegation staff is not ensuring that resident is being fed an adequate amount of food portions. LPA Ramirez conducted 6 resident interviews. 4 out of 6 residents informed LPA they are being fed adequate food portions and if they wish to have more food they could ask for more. 2 out of 6 residents informed LPA their food portions are often small. LPA conducted 4 staff interviews. 4 out of 4 staff informed LPA every resident is different regarding food portions, some eat more than others. However there's enough food for seconds and always remind residents they can ask for more. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 20, 2025 · control 56-AS-20241122101015

Allegation investigated: Staff did not ensure facility is kept at a comfortable temperature for residents in care

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Doris Anderson and discussed the purpose of the visit. Regarding allegation above. LPA conducted interviews with staff and residents, toured, and observed the facility. LPA observed the facility thermostat to read 69 and 70 degrees F. LPA Ramirez conducted 6 resident interviews, 2 out of 6 residents informed LPA the facility is cold. 2 out of 6 residents informed LPA the facility is kept at a good temperature, 2 out of 6 residents informed LPA the facility is cold sometimes, however they notify the staff when it's too cold and the temperature is adjusted. LPA was also informed the heater is turned on at night while residents sleep. LPA conducted 3 staff interviews, 2 out of the 3 staff informed LPA the facility is cold sometimes, however the Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2024 · control 56-AS-20241127151903

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff left resident unattended for extended periods

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Dorris Anderson, Licensee and discussed the purpose of the visit. Regarding the allegation, staff left resident unattended for extended periods, Administrator and (4) staff interviews deny leaving residents unattended for extended periods. Four (4) staff and (7) resident interviews reveal that the after returning from the Innovage program, the Innovage driver brings residents directly inside the facility. In addition, seven (7) resident interviews reveal that they have not witnessed residents being left unattended for extended periods. Based on pertinent record review and interviews with relevant parties, the allegation is Unsubstantiated; a finding of UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where thisthe state’s words, verbatim · CDSS document, Sep 14, 2023 · control 56-AS-20230911151218

Allegation investigated: Staff speak inappropriately to residents in care

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Dorris Anderson, Licensee and discussed the purpose of the visit. The investigation consisted of LPA observations, pertinent document review, and interviews with relevant parties. Regarding the allegation, staff speak inappropriately to residents in care, Licensee and staff interviewed deny speaking inappropriately to residents in care. Five (5) out of (7) residents interviewed deny that staff have spoken inappropriately to them, nor have they witnessed staff speak inappropriately to other residents. Based on information obtained during the investigation, the allegation is 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 with where this report was discussed and a copy of this report with appeal rights was providthe state’s words, verbatim · CDSS document, Sep 8, 2023 · control 56-AS-20230725152152

Allegation investigated: Staff not rotating and repositioning resulting in resident sustaining a pressure injury

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Dorris Anderson, Licensee and discussed the purpose of the visit. The investigation consisted of LPA observations, pertinent document review, and interviews with relevant parties. Regarding allegation, staff not rotating and repositioning resulting in resident sustaining a pressure injury, Licensee and staff interviewed deny resident sustained a pressure wound do to staff not rotating and repositioning. Licensee stated that resident 1 (R1) receives bed baths and repositioned regularly to prevent pressure injuries. Interviews with medical professionals reveal that pressure injuries were not observed on R1. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 8, 2023 · control 56-AS-20230721153154