La Vida Real

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.

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.

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.

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: Licensee did not safeguard resident’s personal information Facility staff did not protect resident’s privacy

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to deliver findings on the above-mentioned allegations. LPA metBusiness Office Manager Kristin Molina and discussed the purpose of the visit. On December 22, 2021, Community Care Licensing (CCL) received a complaint alleging licensee did not safeguard resident’s personal information and facility did not protect resident’s privacy. During the investigation, the Department conducted interviews, and reviewed facility records. According to the allegation on December 20, 2021, a representative of Resident 1 (R1) received an unwarranted phone call regarding additional services to be paid for out of pocket by R1, though R1 or representative had not requested such services. Records from the Executive Director revealed that an outside source medical agency had been recently contracted to provide rehabilitation services to residents in care. Additional records show that such outside source medical agency had beenthe state’s words, verbatim · CDSS document, Sep 5, 2025 · control 08-AS-20211222100718

Allegation investigated: Staff did not ensure resident is provided feeding assistance

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Business Office Manager Kristin Molina. On June 9, 2025, Community Care Licensing (CCL) received a complaint alleging staff did not ensure resident is provided feeding assistance. During the investigation, the Department conducted interviews, and reviewed facility records. According to the allegation Resident 1 (R1) was not being provided with feeding assistance as needed. Records collected revealed that R1 required extensive prompting throughout meals and may require assistance, additionally R1 has difficulty communicating needs. Interview with an outside source revealed that R1 was often found in room with food on lap or on the floor. Source also stated that it appeared R1 had not had any food assistance on multiple days. Substantiatedthe state’s words, verbatim · CDSS document, Sep 5, 2025 · control 08-AS-20250609110429

Allegation investigated: Lack of supervision resulted in resident being left on the floor for an extended period.

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia. On October 3, 2022, Community Care Licensing (CCL) received a complaint alleging Lack of Supervision to Resident (R1) (R1 – see LIC811 Confidential Names List) resulted in R1 being left on the floor for an extended period. During the investigation, the Department collected records and conducted interviews. Physician’s Report dated March 22, 2021, confirmed R1 was diagnosed with a mild neurocognitive impairment and is ambulatory. R1’s Individual Service Assessment dated August 30, 2022, also established that R1 requires an escort and hand on assistance for mobility. Details of the allegation state that on September 28, 2022, R1 initiated their nighttime routine, and received medication from Medication Technician at 10:00pm. At about 10:30pm, R1 got up from ththe state’s words, verbatim · CDSS document, Aug 8, 2025 · control 08-AS-20221003100925

Allegation investigated: Lack of Supervision resulting in physical abuse

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings for the above-mentioned allegation. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia. On March 20, 2024, Community Care Licensing (CCL) received a complaint alleging lack of supervision resulted in physical abuse to Resident 2. During the investigation, the Department collected pertinent resident records as well as facility documentation and conducted interviews. Details of the allegation state that on March 18, 2024, Resident 2 (R2) was physically abused by Resident 1 (R1). According to Resident 1’s Physician Report, R1 is diagnosed with a major neurocognitive disorder as well as agitation and is aggressive. R2’s Physician Report states R2 is diagnosed with depression and heart failure but does not have any inappropriate behavior and is able to communicate need. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 8, 2025 · control 08-AS-20240320105858

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 had a verbal altercation with another staff in the presence of residents. Staff did not treat resident with dignity and respect

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation in the above-mentioned complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia. On February 28, 2025, Community Care Licensing (CCL) received a complaint alleging residents witnessed a staff-on-staff verbal altercation and staff did not treat residents with dignity and respect. During investigation, LPA Strong collected pertinent facility records and conducted interviews. According to the first allegation, on an undisclosed date, Staff 1 (S1) and Staff 2 (S2) has an argument in the main lobby while residents were present. Interview with staff present on the date of the incident revealed that S1 and S2 had a discussion in the lobby but did not speak of any specific resident. Interview with S1 revealed that S2 did not appear to schedule work shifts, and such was being discussed as well as other S2 concerns relthe state’s words, verbatim · CDSS document, Mar 7, 2025 · control 08-AS-20250228162841

Allegation investigated: Medication was not issued as prescribed Resident was charged for services not rendered

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above-mentioned complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia. On February 11, 2025, Community Care Licensing (CCL) received a complaint alleging Resident 1’s (R1) medication was not issued as prescribed and R1 was charged for services not rendered. During investigation, LPA Strong collected pertinent facility records and conducted interviews. According to the first allegation, R1’s did not receive two medications as prescribed: metoprolol tartrate 25mg and Losartan Pot 25mg both requiring blood pressure to be measured prior to administration. Interview with former Director of Memory Care revealed that R1’s medication prescription was followed. Medication administration records corroborated that both above-mentioned medication was issued as prescribed and blood pressure was reviewed prior to issuing medicatiothe state’s words, verbatim · CDSS document, Mar 7, 2025 · control 08-AS-20250211103925

Allegation investigated: Staff do not ensure residents call buttons are answered in a timely manner. Staff allow residents to be left in soiled clothing for extended periods of time.

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to continue an investigation in the above-mentioned complaint allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia. On February 10, 2025, Community Care Licensing (CCL) received a complaint alleging staff do not answer call buttons in a timely manner and staff allow residents to be left in soiled clothing for an extended period. During investigation, LPA Strong collected pertinent facility records, conducted interviews, and completed a facility inspection. According to the first allegation, on February 9, 2025 at an undisclosed time, Resident 1 (R1) was requesting medication for pain and pressed their call button, after twenty minutes no staff appeared so family proceeded to find a Medication Technician to assist. Records collected revealed that R1’s button was pressed on February 9, 2025, one time at 3:00pm and not cleared by staff until 8:47pm. Unsubthe state’s words, verbatim · CDSS document, Mar 7, 2025 · control 08-AS-20250210153551

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.

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 failed to response to resident call button in a timely manner. Facility staff did not issue medication as prescribed.

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to deliver findings in the above-mentioned allegations. LPA met with Executive Director Kimberly Garcia and discussed the purpose of the visit. On January 13, 2023, Community Care Licensing (CCL) received a complaint alleging staff failed to respond to resident call button in a timely manner and staff did not issue medication as prescribed. During investigation, LPA Strong collected pertinent resident records as well as facility documentation and conducted interviews. According to allegation, on January 12, 2023, Resident 1 (R1) pressed their call button for assistance and staff took about one hour to respond. Call button records revealed that on the January 11, 2023, at 3:37pm R1 waited 82 minutes for assistance, on January 12, 2023, at 1:55pm R1 waited 21 minutes for assistance, then at 2:57pm R1 waited 40 minutes. Again, on January 14, 2023, R1 waited 46 minutes before being assisted. Interview withthe state’s words, verbatim · CDSS document, Aug 28, 2024 · control 08-AS-20230113142615

Allegation investigated: Neglect resulted in pressure injury Neglect resulted in resident sustaining falls Staff refused to provide resident with meals

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation on the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia. On May 20, 2024, Community Care Licensing (CCL) received a complaint alleging neglect of Resident 1 (R1) resulted in a pressure injury, neglect of R1 resulted in falls and staff refused to provide R1 with meals. During the investigation, LPA Strong collected pertinent resident records as well as facility documentation and conducted interviews. According to R1’s medical records, R1 has a major neurocognitive impairment, can communicate need, is bedridden and requires assistance with toileting. According to allegation staff neglect has resulted in R1 having an undescribed pressure injury. Records collected revealed R1 does not have any current pressure injuries. Interview with outside medical source revealed R1 did have a pressure injury inthe state’s words, verbatim · CDSS document, May 29, 2024 · control 08-AS-20240520145305

Allegation investigated: Licensee did not provide resident's records to the authorized representative. Licensee did not reassess resident timely

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation on the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Executive Director Kimberly Garcia. On April 22, 2024, Community Care Licensing (CCL) received a complaint alleging Staff 1 (S1) did not provide authorized representative with Resident 1 (R1) records and licensee did not reassess R1 in a timely manner. During the investigation, LPA Strong collected pertinent resident records as well as facility documentation, conducted interviews and made observations. Based on Resident 1 (R1) Physician’s Report dated August 4, 2023, R1 is diagnosed with a Major Neurocognitive Disorder, is confused and disoriented, is depressed and can communicate needs. According to R1’s records, R1 moved into facility on July 31, 2023, was assessed on July 25, 2023, September 15, 2023, and March 21, 2024. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 24, 2024 · control 08-AS-20240422093919

Allegation investigated: Licensee is harrasing resident.

Licensing Program Analyst (LPA) Iby Strong made an unannounced visit to continue an investigation on the above-mentioned allegation. LPA identified herself and disclosed the purpose of her visit. LPA met with Executive Director Kimberly Garcia. According to allegations, Resident 1 (R1) was harassed, by Staff 1 (S1), in an attempt to move R1 into a higher priced area of the facility. According to facility file review, facility has Community Care licensed assisted living and memory care with verified fire clearance capacity of 177 residents or 143 units. Facility also has an independent living non-licensed section of 210 units which totals 353 units combined. Based on R1 records, R1 resides in the independent living area of the facility in which Community Care Licensing does not have jurisdiction. Therefore, the complaint is unfounded. An exit interview was conducted and a copy of Licensee's Rights (LIC 9058 03/22) along with a copy of this report was provided to Executive Director Kimbethe state’s words, verbatim · CDSS document, Apr 24, 2024 · control 08-AS-20220629111515

Allegation investigated: Neglect/Lack of supervision resulted in injuries

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation on the above-mentioned allegation. LPA identified herself and discussed the purpose of the visit with Executive Director David Armour. On February 13, 2024, Community Care Licensing (CCL) received a complaint alleging neglect of Resident 1 (R1) resulted in multiple injuries. During the investigation, LPA Strong collected pertinent resident records as well as facility documentation, conducted interviews and made observations. Based on Resident 1 (R1) Physician’s Report dated January 25,2024, R1 is diagnosed with a Major Neurocognitive Disorder, diabetes, is ambulatory and is known to have sundowning behavior. According to R1’s care plan R1 moved into facility on January 31, 2024, and requires minimal assistance with ambulating. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 16, 2024 · control 08-AS-20240213091217

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 give medication as prescribed.

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver findings regarding the above prior complaint allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director David Armour. It was alleged that around April 2021 and May 2021, Licensee did not give Resident #1 (R1) their as-needed suppository (for treatment of constipation) as it was prescribed. Specifically, the complainant alleged the suppository was given too infrequently to address R1’s constipation needs. CCLD’s investigation involved an unannounced facility tour and welfare check on R1, review of R1’s pertinent facility care and hospice records, and interviews of relevant facility staff and outside sources. [CONTINUED ON LIC 9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 10, 2024 · control 08-AS-20210528161206

Allegation investigated: Licensee did not have sufficient staff to meet resident care needs.

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced subsequent visit to deliver findings regarding the above prior complaint allegation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director David Armour. It was alleged that Licensee did not employ staff in sufficient numbers to meet Resident #1’s (R1) needs, because R1 called for help around 11:00 PM on a night in September 2021, facility staff did not respond to their call for help. [The complainant was anonymous and R1’s identity and room location were not made known to CCLD.] CCLD’s investigation involved an unannounced facility tour and welfare check on residents in care and interviews of relevant staff. The Department also reviewed the facility’s posted work schedules, employee timeclock logs, and electronic pull cord / call button log, among other records. [CONTINUED ON LIC 9099-C, 1 of 2] Substantiatedthe state’s words, verbatim · CDSS document, Jan 10, 2024 · control 08-AS-20210920145646

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: Physicial abuse Resident sustained an unexplained fracture while in care. Resident's call button is not accessable.

Licensing Program Analyst Becky Kennedy concluded the investigation which began on 3/16/2021. LPA Kennedy made an unannounced visit to the above facility today and was greeted by Administrator, David Armour. LPA advised licensee of the reason for today's visit and delivered the investigation findings on the above allegations. Investigation consisted of observations, interviews with residents, staff, outside sources, records reviews, and tour of the interior and exterior facility. It was alleged that Resident 1 (R1) sustained a fracture on their hand as a result of physical abuse. Investigation revealed that R1 has both physical and mental health diagnoses including being blind, and with difficulty hearing. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 20, 2023 · control 08-AS-20220112123226

Allegation investigated: Facility call system was in disrepair Staff did not meet resident(s) incontinence needs.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to initiate a complaint investigation and deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director David Armour. On 11/15/2023 it was alleged that the facility's call system was in disrepair, and staff did not meet resident(s) incontinence needs. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Regarding the allegation, "Facility call system was in disrepair", it was alleged that the call button system in resident rooms was broken, resulting in a delayed response from staff. Staff interview revealed that the system was in working order and the contractor for the call system was recently out to the facility for a routine check with no issues. (Continued on LIC9099-Cthe state’s words, verbatim · CDSS document, Nov 20, 2023 · control 08-AS-20231115162446

Allegation investigated: - Staff did not follow hospice care plans - Residents’ rooms were not kept clean - Staff did not provide clean linens - Staff did not maintain current resident records - Staff did not have required training

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver findings for a complaint investigation. LPA identified herself and was granted entry by Lyn Aquino, Receptionist. LPA stated the purpose of the visit and reviewed the findings of the complaint with Executive Director David Armour and Enliven Director Kristin Molina. The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review of relevant documents pertinent to this investigation, and LPA observations. On October 27, 2023, it was alleged that staf did not follow hospice care plans. It was specifically alleged that the facility staff did not maintain resident’s #1 (R1) hospice file current. A separate file for residents who were under a hospice agency was maintained current, specifically for R1. R1’s hospice binder showed their initial hospice information and documents, but the current hospice agency information was included and updated witthe state’s words, verbatim · CDSS document, Nov 17, 2023 · control 08-AS-20231027144405

Allegation investigated: - Facility did not maintain resident’s bathroom in sanitary condition

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to open a complaint investigation. While at the facility LPA investigated and delivered findings regarding the above-mentioned allegation. LPA identified herself and was granted entry by Lyn Aquino, Receptionist. LPA stated the purpose of the visit and reviewed the findings of the complaint with Executive Director David Armour and Kristin Molina, Enliven Director. The Department’s investigation consisted of interviews with staff and outside sources, LPA observations, and records review of relevant documents pertinent to this investigation. On November 13, 2023, it was said that the facility did not maintain resident’s bathroom in a sanitary condition. It was specifically alleged that the facility staff did not replace resident #1’s (R1) lavatory cover timely that resulted in unsanitary conditions inside the tank. Interview with Maintenance Director said that they obtain about 30 work orders daily andthe state’s words, verbatim · CDSS document, Nov 17, 2023 · control 08-AS-20231113095405

Allegation investigated: Staff did not assess residents after falls Staff did not ensure residents are protected against hazards.

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation on the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Executive Director David Armour. Memory Care Director Kristen Molina arrived shortly after. On November 6, 2023, Community Care Licensing (CCL) received a complaint alleging staff did not accurately assess resident after a fall and staff did not protect resident from hazards. During investigation, LPA Strong collected pertinent resident records as well as facility documentation and conducted interviews. According to allegation, staff is going against facility policy and assisting residents after falls without prior consent of Licensed Vocational Nurse or Medical Technician (MedTech) on shift. Interviews with staff revealed that the facility has a policy for caregivers not to evaluate resident’s after falls rather contact nurse or MedTech on shift. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 9, 2023 · control 08-AS-20231106144709

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