Lorrie Residential Care Home IV

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Angelina Escobar. LPA toured the facility inside and out with ADM. License, Administrator Certificate, and personal rights posters were observed in the facility. 4 residents and 3 staff were observed in the facility. LPA reviewed 3 resident file and 3 staff files. Living room, kitchen, family room, dining room, 2 restrooms, 1 staff room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet were observed locked. Dish washing solution bottle was observed on the kitchen sink counter, ADM locked it immediately. Room temperature was at 70 degree F, and hot water temperature was at 114 degree F in facility. The temperature of the refrigerator was at 40 degree F, and the temperature of the freezer was at 0 degree F. Fire extinguisher was serviced on 07/21/2025. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Carbon monoxide detectors were tested by ADM, and were working. First aid box, night lights, and flash lights were observed in the facility. Front yard and backyard were inspected. There was no obstruction to block the walkways. The last time the facility conducted the emergency drill or fire alarm drill was 11/8/2025. No citation noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.the state’s words, verbatim · CDSS document, Jan 21, 2026

Allegation investigated: Staff member physically abused resident in care.

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Administrator (ADM) Angelina Escobar. On 11/03/2025, the Department received a complaint with the allegation that a staff member physically abused resident in care. On 11/05/2025, the Department conducted an investigation visit. LPA interviewed ADM, 2 staff and 6 residents. LPA obtained a copy of a staff's statement, a copy of resident R1's cognitive assessment, physician report, and appraisal need and service plan. Continue on LIC9099-C. Page 1 of 3. Unfounded On 11/05/2025, LPA interviewed 2 staff (S2, S3). Both staff stated they never heard any staff hit any resident. LPA interviewed resident R1. R1 stated staff S1 hit him/her on 11/26/2025. R1 stated S1 did not hit him/her on any other day. R1 stated no other staff hit him/her. LPA interviewed the other 5 residents (R2 - R6). 3 Out of 5 residents stated the facility staff never hit them and they never heard any staff hit residents. 2 Out of 5 residents were not responsive to LPA's questions due to neurocognitive issue or was on hospice care. LPA interviewed Administrator (ADM) Angelina Escobar. ADM stated on 10/27/2025, resident R1's case manager (CM) visited R1 and R1 told CM that on 10/25/2025 staff S1 physically abused him/her. ADM stated CM discussed the allegation with him/her but he/she was not aware of the allegation before and did not receive any report regarding the allegation. ADM stated S1 was off on 10/27/2025 and CM scheduled a meeting with him/her and S1. ADM stated he/she interviewed S1 on the phone on 10/27/2025. S1 denied he/she physically abused R1. S1 stated he/she just changed R1's diaper and cleaned up R1 because R1 had bowel movement. ADM stated he/she talked to R1 and assessed R1. ADM stated R1 did not have injury or skin discoloration. ADM stated R1 has history of generalized chronic pain and has behavior of yelling for pain without reason. ADM stated on 10/30/2025, at 2:15PM, CM came to the facility and talked to R1 in private for 30 minutes. ADM stated CM then had a meeting with he/she and S1. ADM stated in the meeting, S1 stated he/she did not hit R1 and he/she just cleaned up R1 due to R1's bowel movement. ADM stated CM concluded that there was no physical abuse in the facility due to R1 has cognitive impairment. Based on the review of S1's writing statement dated on 10/31/2025, S1 stated on 10/26/2025, R1 had large bowel movement, with R1's permission, S1 and staff S4 provided perineal care at R1's private area with soap and water, and applying protective skin barrier to help preventing irritation, rash, soreness, and redness. S1 stated during the care, R1 complained of pain in the perineal area despite the perineal care was conducted carefully and respectfully. S1 stated R1 often complained of pain when being turned or repositioned. S1 stated R1 currently has pain medication. S1 stated at the end of their shift on 10/26/2025, there were no complaint from R1 regarding the perineal care. Continue on LIC9099-C. Page 2 of 3. Based on the review of R1's Cognitive Assessment Note from Family Nurse Practitioner (FNP1) dated 11/03/2025, R1 has moderate/severe neurocognitive issue. Based on the review of the Letter of Capacity Determination for R1 from Nurse Practitioner (NP1) dated 11/19/2025, R1 has cognitive and memory impairment, and R1 has been making flirty comments frequently towards healthcare workers. Based on the review of R1's Appraisal/Needs and Service Plan dated 07/01/2025, R1 has Chronical pain on left shoulder/left hip and bladder discomfort. Based on the investigation report dated 11/14/2025, R1 did not sustain any visible injuries and had a complaint of pain. Staff S4 stated resident R1 always yelled in pain and R1 was very sensitive. S4 sated on 10/26/2025, he/she and S1 changed R1's diaper and cleaned R1. S4 stated he/she did not observe S1 behaved aggressively to R1. S1 denied he/she hit R1. The Department has investigated the above allegations. Based on the investigation, record reviewed, and interviews conducted, the Department found that the above allegations are UNFOUNDED, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citation noted today. Exit interview was conducted with ADM. The report was provided to ADM for signature. A copy of the report was provided to ADM. Page 3 of 3the state’s words, verbatim · CDSS document, Dec 4, 2025 · control 26-AS-20251103085122

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Angelina Escobar, Administrator/Licensee. LPA announced the purpose of the visit. LPA observed 6 residents in care and 2 staff. LPA observed room temperature to be at 72 degrees F. During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed 3 cans of expired food ADM removed them and discarded them. ADM was reminded to check the dates frequently and discard any food that is expired. Refrigerator temperature measured at 40 degrees F and freezer was 0 degrees F. LPA toured 5 resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA toured two out of two resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 110-111 degrees F. LPA observed 2 linen closets and Laundry area used to do laundry. ADM tested the smoke detector in the hallway and found the smoke detector to function properly when tested. Facility has a Fire Pull alarm which was last serviced on 06/24/24. LPA observed posters located by the front entrance for Long Term Care Ombudsman and Employee Rights and Residents Rights. Page 1 of 2 Page 2 of 2 LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 06/24/24. LPA reviewed Fire and Earthquake log and last disaster drill was conducted on 11/17/24. LPA reviewed resident records for 3 residents and Centrally Stored Medication Record (CSMDR) and found to be complete. LPA reviewed 2 Residents Hospice file which included Hospice Plan and visit log and progress notes. LPA reviewed 3 staff records and found them to be complete. No deficiency were cited as per California Code of Regulations Title 22. Technical Violation was issued today for 87555 (b)(8) (see LIC9102) This report was reviewed with Administrator Angelina Escobar and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 22, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Mita Partoza conducted an unannounced continuance of the required annual visit. LPA met with administrator and licensee (ADM/LIC) Angelina Escobar. During today's visit, LPA and ADM. conducted medication review of 3 residents (R1-R3) and found R1 missed medications. ADM/LIC stated they do not keep a daily log for administered medication or Medication Administration Report (MAR) to monitor daily medication intake. Deficiency were cited per California Code of Regulations, Title 22 during today's visit. This report was reviewed with administrator Angelina Escobar and a copy of the report was provided to the administrator/licensee.the state’s words, verbatim · CDSS document, Jan 25, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mita Partoza and LIcensing Program Manager (LPM) Romeo Manzano conducted an unannounced annual inspection to the facility. LPA and LPM met with administrator (ADM) Angelina Escobar and two staff. Current census 6 and 1 out 6 is in hospice care. During visit, LPA and LPM toured the facility to include the living room, dining room, kitchen, bedrooms, bathroom, garage, and backyard. Staff room was inspected, 2 bathroom were inspected. The bathroom hot water temperature was measured at 111F to 120F. room temperature in the facility was at 68-75F. LPA randomly reviewed resident and staff records including _________________ Perishable and non-perishable food supply are within required regulation. Toiletries such toilet paper, paper towels, toothpaste are inspected and found to be in ample supply. Toxic materials such as laundry detergent, disinfectant are inaccessible to residents (locked in a cabinet). Annual required inspection to be continued at a later date. The following documents to be submitted on or before on or before 1/30/2023. LIC 500, LIC 308, LIC 309, Administrative Organization LIC400, Affidavit Regarding Client/Resident Cash Resources, LIC610D, Emergency Disaster. A copy of a current Administrator's Certificate LIC200 with updated information. No deficiencies were cited per California Code of Regulations, Title 22 during today's visit. This report was reviewed with administrator Angelina Escobar.the state’s words, verbatim · CDSS document, Jan 23, 2024