Orcutt Board And Care Home

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: Facility is violating residents personal rights by locking them in their bedroom at night.

At 7:30am on 09/08/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the initial investigation to the allegation to this complaint. LPA met with Licensee/Administrator Annie Yague, announced who he is and the reason for the visit. LPA conducted a physical tour of the facility and interview with Licensee/Administrator and was able to determine final findings during this investigation visit. As to the allegation of, "Facility is violating resident personal rights by locking them in their bedroom at night." It was alleged that, facility is locking residents in their bedrooms at night. On 09/08/2025 LPA Jeffries arrived to the facility at 7:45am to discover Resident 2 (R2) in bedroom 2 with a screw lock door that was locked. Administrator used a dime to unlock bedroom 2 door, LPA observed R2 still in bed behind locked door. LPA observed screw lock doors on all resident bedrooms. On 09/08/2025, LPA conducted interview with Licensee/Administrator Athe state’s words, verbatim · CDSS document, Sep 8, 2025 · control 29-AS-20250904155314

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 mismanaged resident’s medication.

Licensing Program Analyst (LPA) Brian Phillips conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA Phillips met with Licensee/Administrator Annie Yague and explained the reason for the visit. On 12/01/2023, the Department received a complaint alleging facility staff mismanaged Resident #1’s (R1’s) medications by over-medicating R1. On 12/05/2023, from 10:00am to 4:00pm, Licensing Program Analyst (LPA) Brian Phillips arrived at the facility unannounced to conduct an initial complaint visit. LPA Phillips met with licensee/administrator Annie Yague and announced the purpose of the visit. The LPA conducted a physical tour, requested documents, LPA observed and photographed facility food supply, resident bedrooms, and common areas (kitchen, dining room, living room, bathrooms). The LPA determined further investigation was needed prior to issuing findings. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Jun 12, 2024 · control 29-AS-20231201163837

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 restrained resident. Staff left resident in soiled clothing. Due to staff neglect, resident developed pressure injury while in care.

On 01/23/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint visit to the facility above to issue final findings. LPA arrived at the facility, met with Administrator/Licensee Annie Yague, and announced the purpose of the visit. On the allegation: Staff restrained resident. It is alleged Resident #1 (R1) was found in their bed with bungee cords attached to each wrist, with cloth under the bungee cords. The bungee cords were attached from R1’s wrists to the bed frame, and R1 was allegedly restrained. It is alleged that two (2) Staff members were standing next to R1’s bed, “hovering over” R1. The allegation stated that the Staff members voiced R1 is combative, and Staff use the bungee cords so R1 cannot commit self-harm. It is alleged that bungee cords could also be seen hanging off the side of R1’s bed in each corner of the bed. It is alleged that the Staff members removed the bungee cords from R1’s wrists and took them out of R1’s bedroom wthe state’s words, verbatim · CDSS document, Jan 23, 2024 · control 29-AS-20230824134837

Allegation investigated: Facility does not provide a safe environment for resident while in care.

On 01/04/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint visit to the facility above to issue final findings on the allegations above. LPA arrived at the facility, met with Licensee Nelson Yague, and announced the purpose of the visit. On the allegation: Facility does not provide a safe environment for resident while in care. It is alleged by the Reporting Party (RP) that Resident #1 (R1) has been put into a bedroom of the facility that has the only access to the back parking area of the facility. Allegedly R1 is not allowed to lock the bedroom door because it is the only access into the facility from the back lot, and R1 has multiple people entering and exiting the home through the bedroom of R1. On 10/12/2023, LPA conducted a complaint investigation visit to the facility above that included interviews with residents, staff, a record review of pertinent facility documentation, and a tour of the physical plant of the facility. Continuethe state’s words, verbatim · CDSS document, Jan 4, 2024 · control 29-AS-20231011194611

Allegation investigated: Staff did not provide adequate supervision, resulting in a resident falling and sustaining injuries. Staff did not seek timely medical attention for a resident. Staff mismanaged resident’s medications. Staff did not have adequate medication training. Staff do not maintain adequate medication records. Staff locked resident in their room. Staff violated resident’s personal rights. Staff do not provide residents with adequate food service. Licensee does not provide planned activities for residents.

Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint visit on 08/29/2023 to issue final findings for the allegations above. LPA arrived at the facility and announced the purpose of the visit. LPA met with Annie Yague, Administrator. On the allegation: Staff did not provide adequate supervision, resulting in a resident falling and sustaining injuries. It is alleged that Staff members do not adequately supervise the residents during overnight hours. The allegation states a resident fell during the night and was found on the floor in the morning. Licensing received a timely Incident Report from the facility detailing the events of the fall and injuries to the resident on 07/31/2023. The incident report states that the resident had an unwitnessed fall in their room overnight and was found in their bed with laceration above the eyebrow, bruising to the right eye, and a small laceration on both arms. The Incident Report states that the resident fell inthe state’s words, verbatim · CDSS document, Aug 28, 2023 · control 29-AS-20230808154940