The Courtyard at Rio Las Palmas

Allegation investigated: Facility is operating outside of license terms and conditions Staff overcharged resident in care

Allegation: Facility is operating outside of license terms and conditions. Based on records reviewed the facility is operating within the scope of the license. The information provided in the Physician's reports and hospice notes for the residents in question does not support the alleged. The residents were on hospice and were receiving service from the hospice agency. The mandate to report information is required during the time of employment and is not to be used as retaliation. The allegation is unsubstantiated. Allegation: Staff overcharged resident in care. Records reviewed confirm that the facility is charging for services provided based on assessments. The information reviewed outline the needs and services for each resident reviewed and is up-to-date. The alleged misconduct was an agreement between the resident /resident's family and the facility to place a hold on the apartment until that resident was ready to return from her medical emergency and back to baseline. The allegations are unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 3, 2026 · control 27-AS-20260120135713

Allegation investigated: Staff mishandling resident’s medication. Staff does not safeguard resident’s belongings.

Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced facility visit in regards to a complaint investigation with the above allegations. LPA met with Administrator to deliver findings. Allegation: Staff mishandling resident’s medication. It was reported by S1 that one of R1’s “mounjaro shot” went missing. It was confirmed by interview with R1's daughter(POA) that she provided the facility with a box of mounjaro shots, there were 4 in the box,1 was administered to R1 on 12/26/25 by family. Records confirmed that another shot was administered to R1 on 01/02/26 by the facility, leaving 2 left. The facility was unable to locate the missing medication and requested another shot of the medication from R1's POA. Continued Substantiated Allegation: Staff does not safeguard resident’s belongings. A copy of "the facilities' Theft and Loss Policy". LPA did observe this policy included in the resident's admission agreement and it was not completed. The policy indicates, "All new clients will have all property listed on their own inventory list to be signed on move in date. All clients are to report to staff any new item they acquire to be placed on inventory. If an item is loss [lost] or stolen the facility staff will investigate to recover the item. Care home staff will assist resident with filing a police report for any item that is deemed to be lost or stolen if requested." "The resident may decide to not lock up their items at their own risk." Based on interviews and record review, LPA observed that the facility failed to maintain records of accounts of resident's personal property. The allegations are substantiated.the state’s words, verbatim · CDSS document, Apr 3, 2026 · control 27-AS-20260115093011

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(5) · Plan of correction due date: Apr 3, 2026

87465(a)(5) Incidental Medical and Dental Care Services. (a) A plan for incidental medical and dental care shall be developed by each facility.(5)the licensee shall assist residents with self administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed, LPA reviewed medication administration records and confirmed that the facility was unable to locate the missing medication. This poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Apr 3, 2026

Plan of correction: The citation was cleared today. The facility has completed an in-service for medication administration including this complete regulation 87465 No further action required

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87217(b) · Plan of correction due date: Apr 3, 2026

Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. This requirerment was not met as evidenced by:Observation and records reviewed the facility failed to maintain records of accounts of resident's personal property.the state’s words, verbatim · CDSS document, Apr 3, 2026

Plan of correction: The citation was cleared today. The facility has completed an in-service for medication administration including residents records and personal rights. No further action required

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an case management visit. The LPA met with Administrator Lizeth Guerrero and explained the reason for the visit. Census:52 LPA Lund and Administrator Guerrero inspected/toured the physical plant. LPA inspected the facility with Administrator including but not limited to the kitchen area, resident rooms, bathrooms, dining room, and storage areas. LPA observed the facility to be free of odor and clean. There was 2- days of perishable food and 7- days of non-perishable food. LPA Lund observed sufficient staffing. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 11, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual Inspection on today's date of 1/07/2026. The LPA met with Administrator L. Guerrero. There are currently fifty three (53) clients in care. LPA and Administrator inspected the physical plant. LPA inspected the facility with Administrator including but not limited to the kitchen area, resident rooms, bathrooms, dining room, and storage areas. The facility had the required carbon monoxide detectors. LPA observed the facility to be free of odor and clean. LPA observed sufficient lighting throughout the facility. There are bodies of water present in the facility and they are in compliance with regulatory requirements. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA reviewed fifteen (10) client files and five (5) staff files, including criminal record clearances. LPA observed centrally stored medications locked in then medication room. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed resident and staff files, and interviewed both. All staff were cleared and associated to the facility. First aid kit was checked and is complete. Exit interview conducted.the state’s words, verbatim · CDSS document, Jan 7, 2026

Allegation investigated: Staff not providing authorize representative with resident’s medical file.

LPA Johnson made an unannounced visit to deliver findings for the allegation listed. LPA met with Resident Care Coordinator. Based on records reviewed the facility provided the responsible party (RP) with the requested information on 8/25/2025. The facility's legal counsel sent a letter to the RP and confirmed in the letter to the family dated 9/4/2025 that the facility had met the request to have the completed records copied and available. The RP confirmed receipt the same day 8/25/2025. The department has investigated the complaint allegation and determined that the complaint was UNFOUNDED, A finding of UNFOUNDED means that the allegation is false, could not have happened, and/or is without a reasonable basis. Nothe state’s words, verbatim · CDSS document, Oct 21, 2025 · control 27-AS-20250821110444

Type of visit: Office

On 9/23/25 at 10:30am, the regional office conducted an informal meeting with facility to discuss citations given. This meeting was held virtually via Teams Meeting. Present at the meeting were: Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Lisa Rios, Licensing Program Analyst (LPA) Albert Johnson, Attorney's for the facility, Zachary Rothenberg,Tish Pickett, and Administrator for the facility Lizeth Guerrero. The purpose of this meeting was to discuss the allegations and appeal: The citations that were issued to the facility were for reappraisals, plan of operations and conduct inimical. The appeal was submitted as required and will be reviewed by the department with additional information that was provided to the department. Licensee/Administrator has agreed to: Provide tracking for all physician's reports faxed into the facility to include the cover-sheet. The facility's fax machine was not programmed to stamp the time appropriately. It will be fixed to include actual date and times. The Regional Office will do the following: Continue to be available for Licensee for any guidance Continue to monitor facility for compliance and ensure the health and safety of the residents in care. Per California Code of Regulations (CCR), no deficiencies are being cited. An exit interview was held, and a copy of the report was provided via email. Licensee to review, sign, and send a copy back to LPA.the state’s words, verbatim · CDSS document, Sep 23, 2025

Allegation investigated: Staff are charging resident for a higher level of care than what is received Facility staff do not ensure annual health assessments are conducted for residents in care Facility staff falsified residents records

The findings have been amended based on new information. Licensing Program Analyst (LPA) Albert Johnson arrived at facility unannounced to open a complaint investigation into the above listed allegations. Allegation: Staff are charging resident for a higher level of care than what is received. Based on records reviewed and interviews conducted the facility is not following their approved plan of operation. The facility's plan of operation submitted to the department has been amended to include a new level of care description and fees. The facility has implemented this new level of care descriptions and fees without submitting to the licensing agency for approval prior to implementation. Substantiated Allegation: Facility staff do not ensure annual health assessments are conducted for residents in care. Based on interviews with the alleged primary care physician and review of documentation presented the facility used information from a falsified physician's report to determine the level of care needed to meet R1's needs. The assessments completed was based on the original physician's report dated 7/7/2022. The next physician's report is dated 10/1/2024 the signature and length of time resident has been your patient is different from the original. The lengths of time vary on both reports the first is 6/22 to present and the second is 6/23 to present. The PCP was contacted by the department and was told that the encounters for R1 were for June of 2022 and July of 2022. No other encounters were confirmed by the Physician in question. Allegation: Facility staff falsified residents records. The assessments completed was based on the original physician's report dated 7/7/2022. The next physician's report is dated 10/1/2024 the signature and length of time resident has been your patient is different from the original. The lengths of time vary on both reports the first is 6/22 to present and the second is 6/23 to present. The PCP was contacted by the department and was told that the encounters for R1 were for June of 2022 and July of 2022. No other encounters were confirmed by the Physician in question. The office of the Physician in question denied seeing or billing R1 for services since July of 2022. Therefore the other Physician's reports are questionable to the authenticity of the signatures and the information it contains about R1. Based on records reviewed and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of regulations, Title 22 are being cited on the attached LIC 9099D. Exit interview conducted and a copy of this report was giventhe state’s words, verbatim · CDSS document, Aug 12, 2025 · control 27-AS-20250616092736

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87208(a)(1-3) · Plan of correction due date: Aug 22, 2025

(a) The licensee shall have and maintain a current, written definitive plan of operation for the facility. The licensee shall operate the facility in accordance with the terms specified in the plan of operation and may be cited for not doing so pursuant to Health and Safety Code section 1569.49. The plan and related materials shall be on file in the facility and shall be submitted to the licensing agency with the license application. Any significant changes in the plan of operation which would affect the services to residents shall be submitted to the licensing agency for approval. The plan and related materials shall contain the following:(1) Statement of purposes and program goals. (2) A copy of the Admission Agreement, containing basic and optional services.(3) Statement of admission policies and procedures regarding acceptance of persons for services. This requirement is not met as evidenced by information reviewed and interviews conducted.the state’s words, verbatim · CDSS document, Aug 12, 2025

Plan of correction: Licensee will ensure an updated plan of operation be submitted to LPA by POC due date to include, but not be limited to: Amending the current admission agreement and care conference plan to include a new level of care description and fees. The new forms should be signed by all responsible party or individuals.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87463(a) · Plan of correction due date: Aug 13, 2025

87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal. This requirement is not met as evidenced by review of documentation presented the facility used information from a falsified physician's report to determine the level of care needed to meet R1's needs. The assessments completed was based on the original physician's report dated 7/7/2022. The next physician's report is dated 10/1/2024 the signature and length of time resident has been your patient is different from the original.the state’s words, verbatim · CDSS document, Aug 12, 2025

Plan of correction: Licensee agrees to submit plan to be in compliance with this regulation to LPA by POC due date of 8/13/2025

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.50(a)(3) · Plan of correction due date: Aug 13, 2025

(3) Conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California. This requirement was not met as evidenced by interviews, the facility jeopardized the health, safety, and well-being of the resident in care by utilizing false information to assess and charge for services. This posed an immediate health risk to the resident in care.the state’s words, verbatim · CDSS document, Aug 12, 2025

Plan of correction: Licensee agrees to submit plan to be in compliance with this regulation to LPA by POC due date of 8/13/2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an continued annual Inspection on today's date of 1/23/2025. The LPA met with Administrator L. Guerrero. There are currently fifty five (55) clients in care. The facility has addressed the advisories and has had work completed on the kitchen equipment and the five year fire sprinkler inspection has been completed at Rio Las Palmas located at 877 E. March Lane, Stockton CA. The missing Hydraulic Calc plates from the risers. This NON-CRITICAL and does not impair the fire sprinkler system in any way. The annual continuation is completed. If there are any additional repairs completed, the facility will notify the department if the repairs cause an interruption of services to the residents. Exit interview conductedthe state’s words, verbatim · CDSS document, Jan 23, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual Inspection on today's date of 1/07/2025. The LPA met with Administrator L. Guerrero. There are currently fifty nine (55) clients in care. LPA and Administrator inspected the physical plant. LPA inspected the facility with Administrator including but not limited to the kitchen area, resident rooms, bathrooms, dining room, and storage areas. The facility had the required carbon monoxide detectors. LPA observed the facility to be free of odor and clean. LPA observed sufficient lighting throughout the facility. There are bodies of water present in the facility and they are in compliance with regulatory requirements. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA reviewed fifteen (10) client files and five (5) staff files, including criminal record clearances. LPA observed centrally stored medications locked in then medication room. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed resident and staff files, and interviewed both. All staff were cleared and associated to the facility. First aid kit was checked and is complete. The inspection will be continued to follow-up on advisories and permits. Exit interview conducted.the state’s words, verbatim · CDSS document, Jan 7, 2025

Allegation investigated: Facility staff are not dispensing medication as prescribed.

On 6/17/2024, LPA Johnson made an unannounced visit to deliver findings for the allegation listed. LPA met with Admininstrator. Allegation: Facility staff are not dispensing medication as prescribed. Based on records reviewed, visual inspection of the controlled medication and interviews with the staff, The department was able to confirmed that the facility has an established check and balance for medications . The facility also provides random inspections of the medication carts and medication logs. There has been no record or report of any medication missing or medication not being dispensed as prescribed. LPA was able to review and inspect the carts and logs. As a result the department was unable to identify that the facility is not dispensing medication as prescribed. The allegation is unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 17, 2024 · control 27-AS-20240429123705

Allegation investigated: Facility staff are not assisting resident with bathing

On this 6/3/2024, LPA Johnson delivered findings for the above allegation. Based on records review, interviews with staff, residents in care, and RP. It was determined by the department that facility records indicate that residents did get their scheduled showers. Resident (R1) has refused showers in the past and confirmed that a staff that is no longer working at the facility would encourage R1 to wait until the next shift or the next day on some occasions to take a shower. R1 stated that she believes this is because that staff did not want to assist in helping to take a shower. Staff interviewed state that residents in the care get showers twice a week or as necessary. Residents interviewed state they did get showers twice a week or as necessary. Unsubstantiated Based on records review, interviews with staff, residents, and the Administrator. The department is unclear if all staff are assisting resident with bathing. The staff in question is no longer working at the facility and there is no other evidence to confirm the allegation. Therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Jun 3, 2024 · control 27-AS-20240424143520

Allegation investigated: Facility staff speaks inappropriately to residents in care Facility staff forces residents to take medications. Facility staff left residents in soiled clothing. Staff are not according privacy to residents in care

On ,5/23/2024 LPA Johnson arrived unannounced to deliver findings. LPA was met by Administrator. Allegation: Staff speak inappropriately to residents in care. It was alleged that staff speak inappropriately to residents in care. During the course of this investigation, the LPA conducted 5 staff and 5 resident interviews. 5 staff interviews were conducted. 5 out of 5 staff members denied that they speak inappropriately to the residents in care. 5 out of 5 staff members stated that they have not heard any other staff members speak inappropriately to residents in care. Continued Unsubstantiated 3 out 5 staff members stated that they do not believe that other staff members speak inappropriately but may show other actions against the residents. 2 out of 5 residents denied that any staff speak inappropriately to them. 3 out of 5 residents denied hearing any inappropriately comments towards other residents. 3 out 5 residents were unable to complete interviews because of medical reasons. Based on interviews conducted, it was unclear if staff spoke inappropriately to residents in care. Based on information provided through interviews and records reviewed, this allegation is deemed UNSUBSTANTIATED Allegation: Facility staff forces residents to take medications. LPA Johnson interviewed five staff members (S1-S5) and ED. All five staff members and ED denied that any staff had forced Residents to take medications. ED said the facility’s protocol is to give reminders if a resident does not want to take their medications. LPA Johnson interviewed additional residents. They said staff do not force us to take any medications. LPA Johnson notes that some resident have histories of refusing medications and making false allegations about staff members and others. LPA Johnson reviewed medication administration records (MARs). MARs showed that some residents had refused medications on several The department has determined the following as it relates to the allegation that a resident was forced to take medications. Based on interviews and record review, the above allegation is UNSUBSTANTIATED Allegation: Facility staff left residents in soiled clothing. LPA interviewed three residents who all denied being left in soiled clothing. Staff interviewed denied residents were or have been left in soiled clothing. Other witnesses interviewed reported hearing that residents were left in soiled clothes, they have not witnessed it themselves, but they heard from other staff. Based on the information provided through interviews, the allegation that staff leave residents in soiled clothing was UNSUBSTANTIATED. Continued Allegation: Staff are not according privacy to residents in care. Based on interviews with staff, and residents in care. Residents interviewed stated that they only get injections in the dining area at their requested and always in the medical room or their own room. Staff interviewed stated that they have never witnessed resident in care getting injections or taking medication in the dining area. Staff stated that medication are given in the med-room or the residents room. Based on information provided through interviews and records reviewed, this allegation is deemed UNSUBSTANTIATEDthe state’s words, verbatim · CDSS document, May 23, 2024 · control 27-AS-20240412131625

Type of visit: Case Management - Other

On 4/11/2024, LPA Johnson arrived and met with the Administrator, who assisted LPA with the visit to determine if the plan of correction has been completed for the citation given on 1/31/2024. LPA reviewed the information regarding the temporary generator installation, Plans have been submitted and approved for express review. The installation plan for the city of Stockton will be done next Wednesday, April 17 @ 8am. The facility should have the permit next Wednesday to install the temporary generator. The second plan of correction date has passed (4/9/2024). LPA observed that the non-working generator has not been removed and the fire extinguisher in the area is outdated 9/9/2022. The other extinguisher throughout the facility were current with the date of 9/9/2023 as the service date (Advisory given) The facility will submit a plan to the department when the temporary generator will be in place by the close of business on 4/11/2024. This is an extension of the plan for the 4/09/2024. The facility will be assessed civil penalties if the plan of correction is not completed or a plan submitted by close of business today 4/11/2024. Exit interview conductedthe state’s words, verbatim · CDSS document, Apr 11, 2024

Type of visit: POC

On 4/2/2024, LPA Johnson arrived and met with the Administrator, who assisted LPA with the visit to determine if the plan of correction has been completed for the citation given on 1/31/2024. LPA reviewed the requirements of the Fire Marshal from the visit dated 1/2/2024. The required information has not been met and the facility does not have a generator that meets the fire clearance requirement. This was confirmed by the facilities' records and the fire prevention inspector's report. The facility is working with an outside agency to obtain a temporary generator that will be in place within 5 business days. The temporary generator will be used until the required generator is installed and functional. The facility currently has a fire clearance permit that expires 10/2024. The original plan of correction date has passed. The facility had a plan to address the original citation given on 1/31/2024, however, additional information from the Fire Marshal requires that the facility put in place a level 1 generator since power failure would result in loss of life or serious injury. The facility will submit a plan to the department when the temporary generator will be in place by the close of business on 4/9/2024. This is an extension of the plan for the citation given on 1/31/2024. Exit interview conductedthe state’s words, verbatim · CDSS document, Apr 2, 2024

Allegation investigated: Facility staff did not follow the needs and services plan.

On 04/02/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA Pascua met with Facility Designated Administrator (FDA), Lizeth Guerrero and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above. Current census was 60. A brief interview with FDA Guerrero was conducted. It was alleged that the facility staff did not follow the needs and services plan. During the course of this investigation, LPA conducted interviews and reviewed facility records. Based on interviews conducted it was learned that R1 and their responsible party moved into this facility in September 2023. Throughout the months, it was found that R1 needed a higher level of care due to their ambulatory status, frequent hospitalization, and increased services need for their health and safety. Unsubstantiated It was stated by facility staff that they attempted to work with R1’s responsible party to obtain additional services from outside sources such as home health and hospice but ultimately was denied by the responsible party. Based on records review, the facility conduct an initial Needs and Services plan based on assessment conducted prior to moving to the facility. The facility conducted a 30-day Needs and Services plan to reflect the current needs for the resident. A 3rd Needs and Services plan was developed to reflect the current needs of the resident after they came back from the Skilled Nursing Facility. It was learned that the physician recommended that R1 consider going into a Long-Term Care facility. Multiple attempts were made with the facility and the responsible party to get a higher level of care but did not successfully obtain any services due to R1 and their responsible party moving. Based on the information gathered during the course of this investigation, it is unclear whether the facility staff did not follow the needs and services plan. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.the state’s words, verbatim · CDSS document, Mar 28, 2024 · control 27-AS-20240227125752

Type of visit: Case Management - Other

On 1/31/2024 at approximately 2:00 pm Licensing Program Analyst Albert Johnson arrived at the facility to conduct a case management visit. LPA met with Lizeth Guerrero and explained the reason for the visit. The visit was initiated by fire services for an inspection that had violations. The fire prevention inspector initially went out on 12/21/23 regarding an alert of no heat, no emergency lights and the emergency generator being down. The only sustained alert was regarding the emergency generator, which is completely down at this time. At the fire marshal's re-inspection on 1/2/24 the violation was not corrected and to this date is not corrected. Based on the information received by the fire prevention service and observation of the department the facility is out of compliance with 87202 Fire Clearance Deficiencies were observed and cited from the California Code of Regulations, Title 22. Civil penalties assessed Exit interview conducted and a copy of report was sent via email, The printer and computer were in a consistency check. Appeal rights emailed. The reports will be signed and emailed back.the state’s words, verbatim · CDSS document, Jan 31, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Feb 1, 2024

87202(a) - Fire Clearance - All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by records reviewed the emergency generator is completely down at this time. This is an immediate safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 31, 2024

Plan of correction: The facility will repair or replace the generator by POC date or have a plan to replace the equipment by POC date.The plan will be sent to the department by 2/1/2024 Civil penalty assessed

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual Inspection on today's date of 1/11/2024. The LPA met with Administrator L. Guerrero. There are currently fifty nine (59) clients in care. Ten (10) hospice residents in compliance with licensure and fire clearance. LPA and Administrator inspected the physical plant at approximately 11:45am to ensure the health and safety of the clients in care. LPA inspected the facility with Administrator including but not limited to the kitchen area, resident rooms, bathrooms, dining room, and storage areas. The facility had the required carbon monoxide detectors. LPA observed the facility to be free of odor and clean. LPA observed sufficient lighting throughout the facility. There are bodies of water present in the facility and they are in compliance with regulatory requirements. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA reviewed fifteen (15) client files and ten (10) staff files, including criminal record clearances. LPA observed centrally stored medications locked in then medication room. LPA reviewed and compared resident medication vs. resident medication logs at 12:50pm. Advisory given for documentation in the medication room with a request for an in-service. LPA reviewed resident and staff files, and interviewed both. All staff were cleared and associated to the facility. First aid kit was checked and is complete. No citations given. Exit interview conducted. A copy of this report was left with the Administrator.the state’s words, verbatim · CDSS document, Jan 11, 2024

Allegation investigated: Licensee does not ensure facility is free from roaches. Licensee does not ensure facility is in good repair.

Licensing Program Analyst (LPA) Albert Johnson arrived to deliver findings for the above allegations. LPA met with Executive Director Lizeth Guerrero and explained the purpose of the visit. Allegation: Licensee does not ensure facility is free from roaches. Based on records reviewed, interviews with residents, staff and a tour of the kitchen including the dining room; the facility has not had any identified pest or rodent activity. This information was confirmed by ECOLAB customer service invoice reports for the months of October and November of 2023. The facility has a continued service agreement with ECOLAB to provide pest and rodent control. No visual or signs of activity of pest were observed by investigating LPA. Continued Unsubstantiated Allegation: Licensee does not ensure facility is in good repair. Based on records reviewed and observation of the working elevators the department was able to confirm that on or about October 10, 2023, there was an automobile accident that cause a "Shorting of one leg to ground causing damage to the pump motor". This information was confirmed by service repair invoice from TK Elevator Corporation dated 10/10/23. Although the elevator were down the facility provided accommodations to support the needs of the residents in care. The facility was without power on the 10th of October 2023 for approximately 2 hours. The facility was able to maintain power to the facility by use of the back-up generator. Therefore, this complaint is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur, therefore the allegation is unsubstantiated. No deficiencies were cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted.the state’s words, verbatim · CDSS document, Nov 29, 2023 · control 27-AS-20231009140814