Escalon Senior Estate

Type of visit: Required - 1 Year

Licensing Program Analysts's (LPA) Melina Oropeza and Kesha Lewis arrived at this facility unannounced to conduct a Required 1 Year Annual Inspection Visit. LPA's were met by staff and administrator joined 60 minutes later. LPA's 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 15 bed facility with a current census of 13. 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 107 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 inspected on March 15, 2026 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 five (5) resident facility files, COVID-19 Plan, and survey binder. All necessary documents were in place. Exit interview held with administrator and copies of reports left at conclusion of visit.the state’s words, verbatim · CDSS document, Apr 17, 2026

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 05/14/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person, Well Tabaco, who was briefly interviewed at this time. This LPA requested that he go ahead and contact the facility designated Administrator, Rick Reed, to inform him that CCL was present at this time for an annual visit. Current census was 6 residents. It was learned that there weren't any residents under the care of hospice at this time. This facility does not have an approved waiver to be able to accept and retain any residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there weren't any residents diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Additional food storage units located in the kitchen area were observed to be present and functional at this time. Laundry room was toured at this time. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, # 6003307740, for Rick Reed was observed to have an expiration date of 07/08/2026 and in compliance at this time. Forms and documents were being updated in order to renew this Administrator certificate at this time. Medication cabinet, located in the facility hallway closet, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the kitchen area, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers were located throughout this facility and observed to have been annually inspected by the local fire extinguisher company, Butch Young Company, on 04/14/2025 and found to be in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (5) facility personnel records was conducted and noted on the following LIC 859. A review of (5) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted into CCL for review by this LPA: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was given to the facility designated representative at this time. Exit Interviewthe state’s words, verbatim · CDSS document, May 14, 2025

Allegation investigated: Facility is in disrepair Staff did not ensure facility is kept free of pests

Unannounced complaint visit made out to this facility on 04/03/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person Well Tabaco who was briefly interviewed at this time. Current census was 14 residents. The purpose of this complaint visit was to deliver the findings of this investigation to this facility and its representatives at this time. Based on observation from touring this facility, it was observed that the facility was functioning and being maintained to be able to meet the needs of the residents at this time. The facility resident bedrooms were maintained with adequate furniture and furnishings to be able to meet the needs of the residents at this time. The facility resident restrooms were observed to contain the required grab bars and non skid mats. Faucets and showers were observed to be functional and in good repair at this time. The hot water was measured and observed to be within the allowed range of 105-120 degrees with a Unsubstantiated functioning hot water heater at this time. Based on observation from touring this facility's interior and exterior grounds, there were no signs of pests at this time. A review of the resident window sills and closets was conducted. A review of the exits in/out of this facility was conducted. A tour of the facility kitchen area was conducted. It was observed that there weren't any risks from pests for food contamination through improper storage of food items at this time. As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegations finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies observed or cited during today's complaint visit. Exit Interviewthe state’s words, verbatim · CDSS document, Apr 3, 2024 · control 27-AS-20240130095431

Type of visit: Required - 1 Year

Unannounced annual visit made out to this facility on 04/03/2024 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff persons, Jenilyn Tabaco and Diana Reitz, who were briefly interviewed. This LPA later met another facility staff person, Well Tabaco, while conducting this annual visit. This LPA requested that the facility staff go ahead and contact the facility designated Administrator, Rick Reed, to inform him that CCL was present at this time. Current census was 14 residents. It was learned that there were not any residents under the care of hospice at this time. It was learned that there were not any residents receiving services through home health at this time. It was learned that there were (2) residents diagnosed with dementia at this time. The facility designated Administrator, Rick Reed, arrived later to this facility while this LPA was conducting this annual visit. Facility staff files were supplied by the facility designated Administrator. This LPA requested for (4) facility staff files at this time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Additional food storage units were observed to be present and functional at this time. Laundry area was toured. Bleach, detergent, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Administrator certificate, #6003307740, for Rick Reed was observed to have an expiration date of 07/08/2025 and in compliance at this time. Medication cabinet, located in the facility dining area, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located on kitchen door, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected by the local fire extinguisher company, Butch Young, on 03/27/2024 and in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. This LPA observed additional storage sheds that were present on the south side and north side of this facility at this time. These storage sheds were observed to be locked and made inaccessible to the residents at this time. A review of (5) facility resident files was conducted and noted on the following LIC 858. A review of (4) facility staff files was conducted and noted on the following LIC 859. The following forms and documents were requested to be updated and submitted into CCL: LIC 308 LIC 400 LIC 500 LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were printed and a copy was given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Apr 3, 2024

Type of visit: POC

Unannounced Plan of Correction visit was made out to this facility on 02/01/2024 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility staff, Jenilyn Tabaco and Diana Reitz, who were requested by this LPA to go ahead and contact the facility designated Administrator, Rick Reed, at this time. A brief interview was conducted with the facility designated Administrator over the telephone at this time. Current census was 15 residents. Brief interviews were also conducted with facility staff who were present at this time. The purpose of plan of correction visit was to follow up on deficiencies that were observed and cited on a prior visit, conducted on 12/21/2023, for the following: The following food service requirements shall apply: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. The facility did not meet the needs of this requirement as evidenced by the presence and continued use of food items which were expired and not of good quality at this time. This presented an immediate threat to the Health, Safety, and Personal Rights of residents in care. This deficiency is being recited since this LPA has not received any corrections from this facility and its representative. The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal Rights were printed and a copy was left with the facility staff at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Feb 1, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(8) · Plan of correction due date: Feb 2, 2024

The following food service requirements shall apply: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. The facility did not meet the needs of this requirement as evidenced by the presence and continued use of food items which were expired and not of good quality at this time. This presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.the state’s words, verbatim · CDSS document, Feb 1, 2024

Plan of correction: The facility representative stated that an audit of all facility perishable and nonperishable quantities will be conducted. Any, and all, food items that are expired and no longer of good quality will be discarded and no longer used for the residents. A statement of correction will be completed in regards to this food audit with submission into CCL by the due date.

Allegation investigated: Staff have not repaired the facility grounds Staff do not keep the facility free from rodents Staff do not ensure the facility water is consumable for the residents

Unannounced complaint visit made out to this facility on 12/21/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility staff, Jenilyn Tabaco and Diana Reitz, who were briefly interviewed. This LPA requested that facility staff go ahead and contact the facility designated Administrator, Rick Reed, to inform him that CCL was present at this time. The facility designated Administrator was unable to come to this facility during today's complaint visit. Current census was 15 residents. The purpose of this visit was to deliver the findings of this complaint investigation to the facility and its representatives at this time. Based on a brief tour of this facility and the exterior grounds, it was observed that there were not any items that were in need of repair/replacement at this time. A review of the facility perimeter fence and side gates were also conducted. Based on interviews conducted, it was learned that the water dispenser that was stationed in the hallway was open for use by all facility residents. This water dispenser was used by the residents to obtain water to Unsubstantiated As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes. Appeal rights were printed and a copy was left with the facility representative at this time. Exit Interview drink on hot days if necessary. This water dispenser was observed to be functional and able to meet the needs of the residents at this time. Based on interviews, the facility residents were content with the water dispenser at this time. Based on interviews conducted, it was learned that there weren't any sightings of rodents inside of this facility at this time. A brief tour of the facility kitchen and common areas was conducted and this LPA did not observe any signs of rodents or pests at this time. As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies observed or cited at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Dec 21, 2023 · control 27-AS-20231107142723

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(8) · Plan of correction due date: Dec 22, 2023

The following food service requirements shall apply: All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state and local authorities. Food in damaged containers shall not be accepted, used or retained. The facility did not meet the needs of this requirement as evidenced by the presence and continued use of food items which were expired and not of good quality at this time. This presented an immediate threat to the Health, Safety, and Personal Rights of residents in care.the state’s words, verbatim · CDSS document, Dec 21, 2023

Plan of correction: The facility representative stated that an audit of all facility perishable and nonperishable quantities will be conducted. Any, and all, food items that are expired and no longer of good quality will be discarded and no longer used for the residents. A statement of correction will be completed in regards to this food audit with submission into CCL by the due date.

Allegation investigated: Staff do not ensure the residents have consistent hot water while in care Staff do not provide a comfortable temperature for the residents

Unannounced complaint visit made out to this facility on 12/21/2023 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility staff, Jenilyn Tabaco and Diana Reitz, who were briefly interviewed. This LPA requested that facility staff go ahead and contact the facility designated Administrator, Rick Reed, to inform him that CCL was present at this time. The facility designated Administrator was unable to come to this facility during today's complaint visit. Current census was 15 residents. The purpose of this visit was to deliver the findings of this complaint investigation to the facility and its representatives at this time. Based on a brief tour of this facility, it was observed that the hot water being dispensed from the resident restrooms were measured within the allowed range of 105-120 degrees at this time. Based on observation while touring this facility, this LPA observed that the thermostat was set at a temperature to maintain compliance with the regulations. The facility was observed to be well heated while the temperature outside was overcast at an estimated 59 degrees. Unsubstantiated As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or were valid, there was not a preponderance of the evidence to prove that the alleged violations occurred. There were no deficiencies observed or cited at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Dec 21, 2023 · control 27-AS-20231115100453