Gate Manor Iii

Licensing Program Analyst (LPA) Correia conducted an unannounced visit to commence and conclude a complaint investigation. LPA Correia was met by Administrator Ambalada, identified herself, and explained the purpose of the visit. During today’s visit LPA conducted staff, resident, and Outside Source interviews, a resident records review, and facility tour. On September 25, 2025, the Department received a complaint alleging that the Licensee was not providing Resident1 (R1) meals to meet their diabetic dietary needs, indicating the facility served mostly starchy food (i.e., white rice and white bread). A review of R1’s facility records revealed they were admitted to the facility on May 26, 2025, following the discharge of a Skilled Nursing Facility (SNF). Records also showed R1 was diagnosed with Diabetic Mellitus, Lumar Fusion, Dementia, HTN, Vertigo, BPH (Prostate), and Depression. Further review of records showed R1 required no special dietary needs. [Continued on LIC 9099C] UnsubstaRead the full finding— CDSS inspection report, October 3, 2025 · control 08-AS-20250925160917

Licensing Program Analyst (LPA) Amy Rodgers and Licensig Program Manders (LPM) Denise Powell made an unannounced visit to the facility to conduct a Complaint Visit . LPA Rodgers and LPM Powell were met by Maniza Ambalada, Administrator, and were granted entry into facility. LPA met with Ms. Ambalanda and discussed the purpose of the visit. At 11:05 am LPA and LPM toured facility and interviewed staff. LPA inspected the kitchen cabinets and drawers including food pantry areas. LPA did not observe any dead or alive cockroaches. Record review confirmed facility has ongoing pest control services and has added interior roach control. Facility interior appeared clean and in overall good condition. LPA and LPM inspected water leak area located inside the staff office. Repairs were made timely and no evidence of current leak, dry rot, or mildew was observed. UnsubstantiatedRead the full finding— CDSS inspection report, October 2, 2023 · control 08-AS-20230922151751

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Ma Niza Ambalada, Administrator, to whom LPA disclosed the reason for the visit. Community Care Licensing (CCL) has investigated the above listed complaint allegations. The investigation consisted of a review of facility records and interviews of staff and outside sources. It was reported to Community Care Licensing that facility staff were not meeting the incontinent care needs of Resident 1 (R1) and Resident 2 (R2). It was alleged that R1 and R2 were repeatedly left soiled by facility staff who were refusing to change the residents. Interviews of R1 and other outside sources who visited the facility regularly did not reveal evidence to support the allegation. It was also alleged that unskilled staff performed glucose testing and administered injections to R1. UnsubstantiatedRead the full finding— CDSS inspection report, June 30, 2022 · control 08-AS-20200303144113