Lilos Tender Senior Care Inc

Allegation investigated: Lack of supervision resulting in resident being touched inappropriately

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director, Wes Hebner. On 7/1/25, it was alleged that lack of supervision resulted in a resident being touched inappropriately. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. During the visit, the LPA observed staff coverage in common areas and residential corridors. Staff were present and engaged with residents, providing assistance and maintaining line-of-sight supervision consistent with Title 22 requirements. No unsafe supervision gaps or high-risk situations were observed. The environment appeared calm and organized, and staff demonstrated awareness of resident boundaries and safety. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 12, 2026 · control 08-AS-20250701114347

Allegation investigated: Staff gave resident medication without a physicians order

Licensing Program Analyst (LPA) Ramin Hashemi conducted an unannounced visit to initiate a complaint investigation regarding the above-mentioned allegation and deliver the finding. LPA introduced themselves and disclosed the purpose of the visit to Caregiver Paola Castillo. It was alleged Staff gave resident medication without a physician's order. CCLD’s investigation involved an unannounced facility visit, review of facility records, interviews with facility staff, residents, outside sources, and LPA direct observations. Regarding the allegation, staff interviews revealed that as a policy, the facility staff do not administer injections. Staff 1 (S1) stated Resident 1 (R1) does not do their own injections. When asked about R1's medication management, S1 stated R1 cannot manage their own medications and they travel to an outside medication management agency for insulin injections. (continued on Page 2, LIC9099C) Unfoundedthe state’s words, verbatim · CDSS document, Sep 5, 2025 · control 08-AS-20250829135252

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 were administering injections to resident

Licensing Program Analyst (LPA), Amy Rodgers, conducted an unannounced complaint investigation visit to gather additional records and deliver findings. The LPA introduced herself and disclosed the purpose of the visit to Care Giver Wendy Gomez Estrada and a spoke on the phone with Licensee Annie Nazaian. It was reported to Community Care Licensing Division (CCLD) on August 16, 20204 staff were administrating medication injections to a resident. The licensees and their designated facility staff are limited to “assistance with self-administration” and are prohibited from “administering” medications, unless done so by an appropriately skilled professional acting within their scope of practice. Records reviews indicate that staff members were not authorized to administered medication injections and did not have proper medical authorization or training to administer medication injections. (continued on 9099-c) Substantiatedthe state’s words, verbatim · CDSS document, Sep 19, 2024 · control 08-AS-20240816153126

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