Chianti Joy

Type of visit: Required - 1 Year

On August 26, 2026 at 1:15 PM, Licensing Program Analyst (LPA) Kimberly Kulich and LPA Michael Bilger, arrived at Chianti Joy LLC at 9152 Chianti Circle, Stockton, for an unannounced annual visit. LPA Kulich and LPA Bilger were greeted at the front door by Administrator Randy Morelos. LPA Kulich noted no malodorous or offensive smells upon entering the facility. LPA Bilger reviewed 5 staff files and 5 resident files. File review for staff revealed 4 of 5 staff did not receive the regulatory required 40 hour training. LPA Kulich observed the kitchen. All appliances are operable and in good working condition. There are enough clean plates and cutlery to meet capacity. Knives and sharp objects are not stored properly in a locked drawer. Administrator moved knife to a locked drawer in LPA's presence. Dishwasher soaps, cleaning supplies, paper towels and hazardous chemicals are stored and locked under the sink. The refrigerator is clean and free of odors. No medication is kept in refrigerator or pantry. LPA Kulich observed medication belonging to resident stored improperly on the kitchen counter. Perishable (2 days) and non-perishable (7 days) food supplies available. LPA observed five residents in the facility. LPA spoke with two residents. Three residents were napping. LPA Kulich, observed the dining room. Enough seating to accommodate census & capacity. LPA Kulich entered the garage. LPA Kulich passed through the laundry room to the garage. Doors to both the laundry room and garage were propped open. Cabinets are were not locked. Cabinets contained hardware, tools and sharp objects including saws and hedge trimmers. LPA Kulich entered the backyard. LPA sees that the backyard is free of obstructions and hazardous materials and instruments. The backyard has ample shade and a table with seating for 6. LPA and Licensee observe the hallway where LPA notes a compliant fire extinguisher, The licensee tests and confirms both working smoke and carbon monoxide detectors in presence of LPA Licensee opened storage closet. LPA noted closet contains color coded towels and sheets, mattress covers, and additional supplies. Closet is organized and sheet assignments are easy to differentiate between residents. Each resident has their own towels and sheets. LPA Kulich observed multiple sets of additional spare linens, including bedding and towels. LPA Kulich observes bedroom #1. Bedroom contains a lamp, chair, nightstand w/drawer, desk and bed. All furniture is in good repair. LPA observed room had closet with space for clothes and personal belongings. LPA observes client bathroom. Bathroom was observed to have non-slip surface and handrails. Water temperature was measured at XXX LPA enter bedroom #2. Bedroom contains lamp, chair, nightstand w/drawer, desk and bed. All furniture is in good repair. LPA observed room had closet with space for clothes and personal belongings. LPA Kulich conducted a medication audit of 5 residents. Every resident chart has been initialed by the caregiver on duty. This included medications that had not yet been administered. LPA discovered medications being administered, and not recorded in the MARS. LPA also noted that medication was not being administered as prescribed. LPA Kulich and LPA Bilger completed (809, 809C, and five (5) 809D) and conducted an exit interview. Licensee/Administrator were provided a copy of the report and their appeal rights.the state’s words, verbatim · CDSS document, Aug 26, 2026

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA was met by staff and administrator joined 40 minutes later. LPA explained the purpose of the visit to Administrator and staff. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry area, living area and other common areas, as well as outside of the facility to ensure compliance with Title 22 regulations. Facility is a 6 bed facility with a current census of 5. There is entry door is leading to the living room, kitchen with a hallway to the bedrooms and bathrooms. Chemicals and medications noted to be locked to residents in care. LPA also conducted the care tool. No bodies of water were observed at the facility. Hot water temperature was measured at 115 F degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees Fahrenheit. All necessary documents were in place. LPA observed the following posted on the facility wall: Facility license, sketch, See Something Say Something poster, Ombudsman poster, Theft and Loss Policy, Resident Bill of Rights, Rights of Resident/Family Councils. The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point. LPA observed the facility to have adequate food supply of 7 days non-perishables and 2 days perishables in place. Resident rooms were sanitary and had the required furniture and furnishings. LPA observed, fire extinguishers purchased 8/12/2025 and current, smoke and carbon monoxide detectors, central heating and air in the facility. The first aid kit was found in compliance. LPA reviewed two (2) staff files. All staff is fingerprint cleared and associated to the facility and staff have current First Aid or CPR certifications on file. Facility is conducting initial and continuing training as required. LPA reviewed two (2) resident facility files, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with staff and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, Aug 12, 2025

Allegation investigated: Staff did not abide by the admission agreement

On 7-2-2025 at 1:50pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the allegation noted above. LPA met with Administrator Randy Morelos and explained the purpose of the visit. During this investigation, LPA conducted interviews with staff1 (S1) and reviewed facility file documentation including physician’s report, admissions agreement, medication log sheets, preplacement appraisals for resident1 (R1) and R2, and additional documentation provided via text messages. Based on interviews and record reviews, it was revealed that R1 and R2 were admitted to facility on or about 3-14-25. R1 entered facility has a hospice recipient and requiring full assistance with ADLs according to physician’s report and pre-placement appraisal reviewed. Interviews and record reviews conducted revealed that on 4-15-2025, Licensee informed R1 and R2’s responsible party of a new rate change should they remain in facility for the following month. {Cont. on 9099C} Substantiated Interviews further revealed that this rate change was proposed to raise from $6000 to $8000 and up to $9000 for both R1 and R2. Additionally, it was determined through interview that Licensee did not provide a formal written notice of a rate increase for level of care per regulatory requirements. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED. Citation is issued under Title 22, Health and Safety Codes, Chapter 3.2, and noted on LIC 9099D. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights provided. LIC 811 provided. Observations conducted revealed staff attending to various needs of residents in care including assistance with activities of daily living, toileting, medications, and meal assistance. Additionally, observations revealed staff checking on resident approximately every hour to ensure needs met. As a result, there is a not a preponderance of evidence to conclude licensee is not providing sufficient staffing to meet resident needs, therefore, this allegation is UNSUBSTANTIATED. Allegation: Licensee does not ensure safe, healthful, and comfortable accommodations for residents. LPA conducted interviews, record reviews, and observations as noted above. Based on interviews and observation, it was revealed facility staff provides required accommodations including necessary bedroom furniture and other furnishing throughout the facility. Additionally, it was revealed that facility maintains the securing of medications, sharp objects, and other dangerous items. LPA observed water pitcher for R1 in place and staff assisting R1 with obtaining water. Appropriate bed linen was noted in place on all beds as well as a storage for additional supply. Additional interviews conducted did not reveal any corroborated statements or evidence regarding lack of safe, healthful, and comfortable accommodations for residents. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. Allegation: Staff made inappropriate comments about a resident. LPA conducted interviews, record reviews, and observations as noted above. Based on record reviews and observation, there was no evidence revealed that staff made inappropriate comments about a resident. Interviews conducted with staff and residents did not reveal corroborated statements or other evidence to conclude staff made inappropriate comments about a resident. Observations conducted did not reveal inappropriate comments made by staff to residents. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights provided.the state’s words, verbatim · CDSS document, Jul 2, 2025 · control 27-AS-20250416093318

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.657(a) · Plan of correction due date: Jul 14, 2025

1569.657 Rate increase due to change in level of resident care; notice. (a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident’s representative, if any, written notice of the rate…The notice shall include a detailed explanation of the additional services to be provided at the new level of care and an accompanying itemization of the charges. This requirement was not met as evidenced by: Based on interview and record review, Licensee did not ensure a proper notice for a level of care rate increase to R1 and R2 per regulatory requirements. This posed a potential health, safety, and resident rights risk to resident in care.the state’s words, verbatim · CDSS document, Jul 2, 2025

Plan of correction: Licensee will read regulation 1569.657(a) and provide a written declaration of understanding to LPA by POC due date.

Type of visit: Required - 1 Year

On 08/02/2024 at 10:15 AM, Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection. LPA Martinez met with Randy Morelos and explained the purpose of the visit. LPA Martinez inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. Administrator holds current certificate. The facility is licensed for four non-ambulatory residents and two ambulatory residents. The facility has a hospice waiver for six. There are currently four residents who reside at this facility. The LPA Martinez toured the facility with Randy Morelos on 08/02/2024 at 11:00 AM. The facility has a natural disaster plan, and an infection control plan. The facility has a first aid kit, and has a locked cabinet for medication storage. The facility water temperature measured at 108 degrees, and the facility temperature measured at 75 degrees. The carbon detectors and smoke detectors and fire extinguishers were in good repair. LPA Martinez reviewed four resident files and three staff files, which the files were maintained. LPA Martinez reviewed four medication administration record (MAR), and the four MARs were maintained. The facility bedrooms, bathrooms, common areas, and laundry room were sanitary and furnished. The exterior of the facility is clear of debris and sanitary. The facility has an adequate food supply. Based on this annual inspection, the facility is in compliance with California Code of Regulations, Title 22 and Health and Safety Code, there were no deficiencies cited at this time. An exit interview was conducted, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Aug 2, 2024