Serra Highlands Senior Living

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

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

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 are not properly trained

On March 13, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Resident Services Director, Anne Dasmarinas and explained the purpose of the visit. Regarding the allegation, staff are not properly trained, according to the reporting party, there have been multiple medication administration errors occurring during the NOC shift after a care staff members was assigned to perform Med-Tech duties without documented medication training. During the investigation, LPA interviewed the Resident Services Director and reviewed training records for all 7 med-techs. According to the Resident Services Director, she reviewed med-techs training records. On 3/6/26, after she discovered Staff 1 (S1), who is a med-tech, did not complete their initial training to assist residents with self-adminisration of medications, she pulled S1 off the schedule. On 3/11/26, after the Resident Services Director discthe state’s words, verbatim · CDSS document, Mar 13, 2026 · control 14-AS-20260227122349

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 do not provide adequate food service

On March 5, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced 10-day complaint visit. LPA met with Resident Services Director, Anne Dasmarinas and explained the purpose of the visit. Regarding the allegation, staff do not provide adequate food service, according to the reporting party, the med-tech requested assistance from the caregiver to check on Resident 1 (R1) who had not eaten his/her breakfast, however the caregiver stated that R1 did not want to get up. According to the reporting party, the med-tech had to go to R1’s room to assess R1 and bring him/her down to the dining room. Furthermore, reporting party stated, R1 was hungry and wanted to go to the dining room. During the investigation, LPA interviewed R1, staff and reviewed R1's service plan. Based on R1's service plan, R1 is independent for meals and food trays are delivered to his/her room for every meal. According to staff interviewed, R1 eats meals in his/her room because he/she likes to be in hthe state’s words, verbatim · CDSS document, Mar 5, 2026 · control 14-AS-20260227161900

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 did not properly maintain the residents rooms

On February 18, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Community Support Nurse, Shannon Metcalfe and explained the purpose of the visit. Regarding the allegation, staff did not properly maintain the residents room, according to the reporting party, Resident 1's (R1's) room reeked of urine and the floor was dirty and Resident 2's (R2's) bedroom floor is dirty and sticky. During a complaint visit conducted on 12/12/25, LPA observed R1 and R2's room. Although, R2's room was observed to be clean and odor-free, LPA observed R1's room to have a urine odor. Based on observations made, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiency of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiency may result in civil penalties. Report is reviewed with Community Suthe state’s words, verbatim · CDSS document, Feb 18, 2026 · control 14-AS-20251203122307

Allegation investigated: Staff use profanity towards resident.

On January 27, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Regional Sales, Ruth Ocon and explained the purpose of the visit. Regarding the allegation, staff use profanity towards resident, according to the reporting party, Staff 1 (S1) cursed at Resident 1 (R1). During the investigation, LPA interviewed R1, staff and attempted to interview S1. According to R1, S1 says the F word or use other profanity towards him/her several times. LPA reached out to S1, however was unable to interview S1. According to staff interviewed, he/she witnessed S1 cursing at R1. Based on information collected and file reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties. Report isthe state’s words, verbatim · CDSS document, Jan 27, 2026 · control 14-AS-20260109164112

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

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 do not ensure resident's record is up to date.

On June 17, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Administrator, Shayan Gheisar and explained the purpose of the visit. Regarding the allegation, staff do not ensure resident's record is up to date, according to the reporting party, Resident 1 (R1) has not seen his/her primary care physician (PCP) in 3 years and records are not up to date. During the investigation, LPA reviewed R1’s file and observed R1’s physician’s report to be from 9/2021. R1 does not have an updated physician’s report as according to the administrator, R1 has not seen his/her PCP or seen a physician since 2021. Based on information collected and file reviewed, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies maythe state’s words, verbatim · CDSS document, Jun 17, 2025 · control 14-AS-20250514093527

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

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

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: Resident's dresser is inaccessible Staff did not maintain a comfortable temperature for a resident in care.

On March 7, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegations. LPA met with Administrator, Shayan Gheisar and explained the purpose of the visit. Regarding the allegation, residents dress is inaccessible, according to the reporting party, Resident 1's (R1's) bed is pushed against the dresser and R1 is unable to use it to put his/her clothing inside of it. During the investigation, LPA observed R1's room and observed R1's dresser against R1's bed and LPA was unable to fully open the dresser. Regarding the allegation, staff did not maintain a comfortable temperature for a resident in care, according to the reporting party, it was reported that there is no heat in R1's room since being admitted in December of 2024. (Continue to 9099C). Substantiatedthe state’s words, verbatim · CDSS document, Mar 7, 2025 · control 14-AS-20250211164016

Allegation investigated: Three resident's eloped due to lack of supervision

On February 24, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced complaint visit to deliver the findings for the above allegation. LPA met with Administrator, Shayan Gheisar and explained the purpose of the visit. Regarding the allegation, three residents eloped due to lack of supervision, according to the reporting party, four residents have eloped from the facility due to lack of supervision. During the investigation, LPA interviewed administrator and staff. According to administrator and staff, there was a resident (R1) who did leave the facility unassisted once and was found by a caregiver and redirected back to the facility. Based on R1's physician's report reviewed, it was noted R1 had a diagnosis of dementia and is unable to leave the facility unassisted. Family was informed and facility helped family move R1 to a memory care facility. Based on information collected and records reviewed, the preponderance of evidence standard has been met, thereforethe state’s words, verbatim · CDSS document, Feb 24, 2025 · control 14-AS-20241120141233

Allegation investigated: Facility faucets used by residents for personal care do not deliver hot water

On December 4, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Administrator, Shayan Ghesiar and Business Office Manager, Natice Coles and explained the purpose of the visit. Regarding the allegation, facility faucets used by residents for personal care do not deliver hot water, according to the reporting party, the facility has failed to provide adequate bathing shower water temperature above 86 degrees. During the visit, LPA measured water temperature which includes faucets and showers in 5 resident rooms on the first floor and 5 resident rooms on the second floor. Water temperature throughout the facility measured between 105-107.2 degrees F. Based on observations conducted, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewethe state’s words, verbatim · CDSS document, Dec 4, 2024 · control 14-AS-20241125161351

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

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

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: - Licensee not ensuring that infection control practices are maintained - Facility is malodorous

LPA Jeung met with business office director and resident services director (RSD) and reviewed Infection Control Plan and related staff training. Administrator participated by phone. Based on this investigation--which included observations of supplies of PPE and plastic garbage bags and interviews with staff--these allegations are determined to be unsubstantiated. Although the allegations may have occurred or are valid, there is not enough evidence to prove the alleged violations did or did not occur. It cannot be determined that caregivers wear the same gloves when caring for more than one resident, nor that shortage of plastic garbage can liners resulted in offensive odors due to absence of trash can liners. During review and discussion of Infection Control Plan (LIC9282), it is noted that the current Infection Control Preventionist is RSD. Administrator agreed to submit revised ICP and proof of infection control training from a medical professional for RSD. LPA also recommended thatthe state’s words, verbatim · CDSS document, Mar 27, 2024 · control 14-AS-20240108140600

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 does not ensure residents are spoken to in an appropriate manner - Staff do not ensure residents are served food of good quality and quantity - Staff do not ensure a clean safe environment is provided for residents in care

On 02/07/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver fidingings in regards to the allegations received. LPA met with Shayan Gheishar and explained the purpose of today's visit. During the investigation LPA made observations and conudcted interviews. LPA observed the areas under construction dnd did not observe any power tools or supplies in the hallways or walkways of the facility. The facility is renovating some rooms on the second floor. Those rooms are observed to have the doors closed. There was no dust in the hall or walkways the rooms are attached to. The facility kept the doors closed to prevent dust from exiting the rooms. LPA did not smell or observe any toxic items being used during the renovation process and was told that the items being used are legal and approved for such building projects. LPA did not observe any construction dust in the hallway outside of those rooms. No dust was observed onthe state’s words, verbatim · CDSS document, Feb 7, 2024 · control 14-AS-20231207160004