Assisted Living at Woodburn

Allegation investigated: Staff does not esure facility is free of mold. Staff does not ensure facility is free of garbage. Staff does not ensure facility is in good repair.

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to the facility to deliver investigative findings regarding the above mentioned allegations. LPA identified herself, explained the purpose of the visit and nature of the complaint to Administrator Sandy Wilson. On January 7, 2026 the Department received this complaint which alleged that staff does not ensure facility is free of mold, staff does not ensure facility is free of garbage, and staff does not ensure facility is in good repair. The Department’s investigation included a facility tour, as well as interviews with residents and staff. (Continued on LIC9099-C) Unsubstantiated (Continued from LIC9099) Regarding the allegation that staff does not ensure facility is free of mold, during two unannounced visits, LPA toured the interior and exterior of the facility and inspected each room as well as all of the windows and doors. LPA did not observe any mold nor were there any malodors suggesting mold was present. Interviews with staff and residents did not report observing of mold in the facility or having any concerns. Regarding the allegation staff does not ensure facility is free of garbage, during two unannounced visits, LPA toured the interior and exterior of the facility. LPA did not observe any garbage throughout the facility. Garbage was observed to be contained inside appropriate garbage receptacles. Interviews with staff and residents did not report any concerns regarding there being garbage throughout the facility. Regarding the allegation that staff does not ensure facility is in good repair, during two unannounced visits, LPA toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. LPA did not observe any leaks or anything that was indicative of the facility being in disrepair. Interviews with staff and residents did not report observing the facility in disrepair, nor having any concerns regarding the state of the facility. The Department has investigated the above mentioned allegations. Based upon interviews and LPA observations during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated. An exit interview was conducted with Administrator Sandy Wilson, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.the state’s words, verbatim · CDSS document, Jan 22, 2026 · control 08-AS-20260107163509

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced required annual visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Kimberly Deahl. Licensee Richard Essery later joined the visit. The facility is licensed for a capacity of six, including five of which may be non-ambulatory of which one may be bedridden. Facility has a waiver granted for hospice care for four residents. LPA and Caregiver toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order and bathroom sinks were compliant temperatures. The facility’s ambient internal temperature was comfortable and complaint. The facility has enough linens, hygiene supplies, cooking and dining supplies. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. All kitchen appliances were in working order. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. (CONTINUED ON LIC 809-C, NEXT PAGE) (CONTINUED FROM LIC 809) The facility does have a pool with a fence. The fence was in good repair, at least 5 feet high, locked and of sufficient strength to withstand impact. The pool fence has a gate which self closes and is self-latching. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per Licensee, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. All fire extinguisher(s) were serviced within the last twelve months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Licensee Richard Essery, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Sep 8, 2025

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced Post-Licensing visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Kimberly Deahl. Administrator Sandy Wilson later joined the visit. The facility is licensed for a capacity of six, including five of which may be non-ambulatory of which one may be bedridden. Facility has a waiver granted for hospice care for four residents. LPA and Administrator toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order and bathroom sinks were compliant temperatures. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for future resident use. All kitchen appliances were in working order. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. (CONTINUED ON LIC 809-C, NEXT PAGE) (CONTINUED FROM LIC 809) The facility does have a pool with a fence. The fence was in good repair, at least 5 feet high, locked and of sufficient strength to withstand impact. The pool fence has a gate which self closes and is self-latching. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per Administrator Sandy Wilson, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. All fire extinguisher(s) were serviced within the last twelve months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. No deficiencies were observed or cited during today's visit. An exit interview was conducted with Sandy Wilson, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Apr 18, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Liliana Silveira conducted an announced Pre-Licensing continuation visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified herself to, and explained the purpose of the visit to Licensees Richard Essery and Cheryl Catania. The facility fire clearance was granted on 05/22/24 and reflected that the facility was approved for 6 ambulatory residents aged 60 and above. There is clearance for one bedridden resident. The facility's fire clearance did not include endorsements for delayed-egress doors or secured perimeter. The submitted facility sketch was consistent with the current layout of the facility. LPA and Licensees toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were well lit and free of obstruction and slip hazards. Resident bedrooms allowed for easy passage and contained the required furnishings. Toilets, sinks, and showers were in working order. During today’s visit, LPA checked the hot water temperature at taps accessible to residents. All were compliant: Bathroom #1 sink was 114.5 F, Bathroom #2 sink was 114.7 F and Bathroom #3 was 109.3 F. The facility’s ambient internal temperature was complaint at 73 degrees F. The facility has enough linens, hygiene supplies, cooking and dining supplies, and perishable and non-perishable food for future resident use. All kitchen appliances were in working order. The facility has sufficient space and equipment to facilitate laundry, visitation, meetings, and resident activities. The facility has locked areas for storage of sharp objects, medication, and confidential resident and staff records. (CONTINUED ON LIC 809-C, NEXT PAGE) (CONTINUED FROM LIC 809) The facility does have a pool with a fence. The fence was in good repair, at least 5 feet high, locked and of sufficient strength to withstand impact. The pool fence has a gate which self closes and is self-latching. There were no toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Per Licensee Richard Essery, no firearms or ammunition are or will be stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all operational. All fire extinguisher(s) were serviced within the last twelve months. A complete first aid kit was present. Required licensing postings were observed in visible areas of the facility. The items reviewed were compliant with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. The applicant passed the pre-licensing inspection. LPA also reviewed the Component III Training with Richard and Cheryl on 09/18/24. Richard and Cheryl were advised that the facility’s application is pending management final review and approval. An exit interview was conducted with Richard and Cheryl, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Sep 25, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Liliana Silveira conducted an announced Pre-Licensing visit to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code. LPA was greeted by, identified herself to, and explained the purpose of the visit to Licensees Richard Essery and Cheryl Catania. During today’s visit, LPA, accompanied by Richard and Cheryl, toured the interior and exterior of the facility and inspected each room. There are items which must be corrected for the facility to comply with regulation(s). The applicant did not pass the pre-licensing inspection, and a return visit will be required. An exit interview was conducted with Richard and Cheryl, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to the Licensees. NOTE: LPA left the facility for a 1 hour lunch break and came back to complete the visit.the state’s words, verbatim · CDSS document, Sep 18, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): N/A COMP II Participants: licensee/administrator, Richard Essery Interview Method: Telephone interview On 8/16/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Aug 16, 2024