Right Choice Senior Living Clairemont

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Todd Brooks. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, one (1) of which may be bedridden. Bedridden may reside in bedroom #2. Additionally, the facility is approved for two (2) hospice waivers. During today’s inspection there were six (6) residents in care. LPA and Administrator Todd Brooks toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: Hall bathroom sink was 105.4F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked an inaccessible to residents in care. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Brooks, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was readily accessible, containing all required items. LPA interviewed one (2) staff and zero (0) clients, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. LPA observed residents being tended to by staff timely and with respect. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. Licensee will follow up with LPA by sending copies of additional administrative records as they were assisting as resident with a medical appointment. No deficiencies were cited during the inspection. An exit interview was conducted with Administrator Ancho to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Aug 23, 2026

Allegation investigated: Staff physically abused resident. Staff verbally abused resident.

Licensing Program Analyst (LPA) Sarah Hurt conducted an over the phone visit to deliver findings on the allegations listed above. LPA met with Administrator, Todd Brooks over the phone and explained the purpose of today's visit. Regarding the allegation Staff physically abused resident. Investigation included interviews with the reporting party, resident, staff, licensee, and other residents, and review of available information. Accounts regarding the incident were inconsistent. Staff denied physically abusing the resident. Other residents interviewed did not report witnessing staff physically abuse the resident. No medical documentation or objective evidence was obtained to corroborate that staff physically abused the resident. The allegation was not corroborated. 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, therefore the allegation is unsubstantiated. Unsubstantiated Regarding the allegation Staff verbally abused resident. Investigation included interviews with the reporting party, resident, staff, licensee, and other residents. Statements regarding alleged verbal abuse were inconsistent. Staff denied verbally abusing the resident. Other residents interviewed did not report witnessing staff verbally abuse the resident. No additional evidence was obtained to corroborate the allegation. The allegation was not corroborated. 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, therefore the allegation is unsubstantiated. Exit interview conducted with Administrator, Todd Brooks, and copy of report provided.the state’s words, verbatim · CDSS document, Feb 20, 2026 · control 08-AS-20230317102320

Allegation investigated: Staff did not provide incontinence care Staff verbally abused resident.

Licensing Program Analyst (LPA) Sarah Hurt conducted a phone visit to deliver findings on the allegations listed above. LPA met with facility Administrator Todd Brooks over the phone, and explained the purpose of today's visit. Regarding the allegation staff did not provide incontinence care Resident 1 reported concerns regarding night shift staff. During the interview conducted on 08/18/2022, the resident did not report concerns related to incontinence care when asked about any issues. LPA observed the resident to be alert and oriented. Additional resident interviews were conducted. Resident 2 reported no concerns regarding staff care and stated that staff provide appropriate assistance. Resident 3 reported no concerns regarding staff and stated that Staff 1 was nice and helpful. No dates or times were provided by the reporting resident. No additional evidence or interviews corroborated the allegation. 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, therefore the allegation is unsubstantiated. Unsubstantiated Regarding the allegation staff did not treat resident with dignity. Resident 1 reported concerns regarding staff behavior; however, no specific dates or times were provided. During the interview, LPA observed the resident to be alert and oriented .Resident 2 reported that staff treat residents appropriately and stated that he has no complaints regarding staff conduct. Resident 3 reported no concerns regarding staff treatment and stated that Staff 1 was nice and helpful. No additional residents or documentation corroborated the allegation. 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, therefore the allegation is unsubstantiated. Exit interview conducted with Administrator Todd Brooks, and copy of report provided.the state’s words, verbatim · CDSS document, Feb 19, 2026 · control 08-AS-20220810095531

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to offer an Amended Report for a complaint visit conducted on 6/19/2025. LPA met with Administrator Marilyn Ancho and informed them of the purpose of their visit. During today's visit, LPA obtained Administrator Ancho's signature on the amended report LIC 9099D (8/20/2025). An exit interview was conducted with Administrator Ancho to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Aug 20, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Marilyn Ancho. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, one (1) of which may be bedridden. Bedridden may reside in bedroom #2. Additionally, the facility is approved for two (2) hospice waivers. During today’s inspection there were six (6) residents in care. LPA and Administrator Ancho toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: Hall bathroom sink was 105.4F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked an inaccessible to residents in care. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Ancho, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was readily accessible, containing all required items aside from tweezers. A Technical Violation (TV) was issued. Required licensing postings were observed in visible areas of the facility. LPA interviewed one (1) staff and zero (0) clients, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. LPA observed residents being tended to by staff timely and with respect. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. Licensee will follow up with LPA by sending copies of additional administrative records as they were assisting as resident with a medical appointment. No deficiencies were cited during the inspection. An exit interview was conducted with Administrator Ancho to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Aug 20, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: Resident's toileting needs are not being met. Resident's bathing needs are not being met. Staff is mishandling resident's funds.

Licensing Program Analyst (LPA), Becky Kennedy, conducted an unannounced visit to deliver investigative finding regarding the above complaint allegations. LPA identified herself and discussed the purpose of the visit. The department’s investigation included a tour of the facility LPA observations, and interviews with internal and external sources. It was alleged that residents’ toileting needs and bathing needs were not being met. No information was revealed in the investigation to support these allegations. The investigation did reveal that some residents refuse care from time to time resulting in a resident not being bathed as scheduled. Facility staff will try again later, or maybe on the next shift. Usually that is adequate to get the resident bathed. The facility has staff document the care provided to be sure all residents are cared for. These allegations are unsubstantiated. Unsubstantiated The last allegation is that staff mishandled resident's funds. Specifically, that a family member gave cash to a facility staff member to get a resident a service that was never provided. Interviews revealed that facility staff do not handle residents’ money. The investigation revealed that a resident may request something be purchased for them, like a treat or small item, and the resident may give cash to a staff member to make that purchase. This would not be unheard of or a violation of the facility policy. However, there was no evidence revealed that a staff member took money and did not acquire the product or service as requested. This allegation is unsubstantiated. An unsubstantiated finding means the investigation did not reveal enough evidence to meet the preponderance of evidence standard to prove a violation occurred. An exit interview was conducted. A copy of this report and Licensee's Rights (9058 01/16) were left at the facility.the state’s words, verbatim · CDSS document, Jul 21, 2025 · control 08-AS-20210203114739

Allegation investigated: Staff did not ensure correct medications were dispensed as prescribed to resident in care

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to open a complaint investigation and delivered findings regarding the above mentioned allegations. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Administrator Todd Brooks. Note, LPA did step out for lunch from 11:15-12:15. On 06/12/2025, the Department received a complaint where it was alleged that a resident at the facility identified as (R1) was given incorrect medications. The Department’s investigation consisted of an unannounced facility visit, records review, as well as interviews with staff and residents. [Continued on LIC 9099-C] Substantiated [Continued from LIC 9099] Interviews with staff and file review corroborate that R1 was given incorrect medications by a staff member (identified as S1), which according to staff interviews, belonged to another resident identified as R2. Interviews with residents did not reveal additional details regarding the incident. Outside source medical records corroborate the timeline of the incident and revealed no changes to R1's medication list post incident. Based on LPA's review and outside source records, along with interviews with staff and residents, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A deficiency was cited per California Code of Regulations, Title 22, Division 6 on the attached 9099D. An exit interview was conducted with Administrator Ancho to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents. [Continued from LIC 9099] Interviews with staff and file review reveal that the facility did follow reporting requirements by submitting an Incident Report to the Department within the required time-frame. Additionally, it was revealed through staff interviews and review of facility records that R1 does not have a designated Responsible Party. Based on interviews and records review, while the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred – therefore the allegations have been determined to be UNSUBSTANTIATED. An exit interview was conducted with Administrator Brooks to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jun 19, 2025 · control 08-AS-20250612111814

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(4) · Plan of correction due date: Jul 3, 2025

87465(a)(4): The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on file review and interviews, the Licensee did not ensure proper medication administration procedures, resulting in a medication error, posing a potential health and safety risk to 1 out of 6 residents in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: Licensee will submit proof of review/retraining of medication administration procedure with S1 to LPA by the POC due date.

Type of visit: Case Management - Incident

On 4/17/25, Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to follow up on an incident reported to Community Care Licensing. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Marilyn Ancho. Community Care Licensing received an Incident Report on 4/8/25 in which it was reported that Resident #1 (R1) had gone on a trip for several days with family and returned to the facility with significant bruising all over their arms and stomach area. Per the report, when facility staff had asked R1 what had happened, R1 claimed they were caused by their insulin injections. Facility staff also contacted R1's family to inquire about the injuries. During today's visit, LPA conducted a health and safety visit with R1 and provided consultation with Administrator Ancho. No deficiencies were cited during today's visit. An exit interview was conducted with Administrator Ancho to whom a copy of this report was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Apr 17, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself to an disclosed the purpose of the visit to Caregiver Aster Bezabih. Administrators Marilena and Todd Brooks arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden in bedroom number two. The LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, and locked. No pools, nor bodies of water were observed on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Carbon monoxide detectors, eand facility telephone were all working. Fire extinguisher(s) were present. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed multiple staff and resident records/files. The LPA provided Technical Advise, and no deficiencies were cited during today's annual inspection. An exit interview was conducted with Administrator Villa, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058),were provided during the visit.the state’s words, verbatim · CDSS document, Aug 30, 2024