Montecito Manor

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 handle residents in a rough manner Staff does not treat residents with respect Resident's toileting needs are not being met

On 03/08/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Jolene Sicley and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings. Current census was 52. A brief interview with FDA Sicley was conducted. Allegation: Staff handle residents in a rough manner It was alleged that staff handle residents in a rough manner. During the course of this investigation LPA conducted staff and resident interviews. Based on interviews conducted with 5 staff members. 5 out of 5 staff members denied handing any residents in a rough manner. 5 out 5 of staff members deny seeing any other staff members handling any residents in a rough manner. 5 out 5 staff members also deny any reports regarding any staff members handling residents in a rough manner. An interview with 8 residents were conducted. 8 out 8 residents deny being handled in a rougthe state’s words, verbatim · CDSS document, Mar 8, 2025 · control 26-AS-20220429092911

Allegation investigated: Resident caused injury to another resident in care. Staff not providing adequate supervision to resident's. Resident developed sores while in care. Staff not providing resident with drinking water. Staff not responding to resident's emergency cord Resident is required to dispose of trash. Resident is required to clean facility commode Resident is required to purchase food. Facility does not provide supplies for resident.

On 03/08/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Adminstrator (FDA) Jolene Sicley, and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings. Current census was 52. A brief interview with FDC Sicley was conducted. Allegation: Resident caused injury to another resident in care. It was alleged that a resident cause injury to another resident in care. During the course of this investigation, LPA conducted staff and resident interviews. An interview with 5 staff members were conducted. 5 out 5 staff members deny that they have witnessed or heard that another resident caused injury to another resident in care. An interview with 8 residents were conducted. 8 of 8 residents deny that they have hurt or caused injury to another residents. 8 out 8 residents report that they have not heard or seen any residents who have hurt another residents ithe state’s words, verbatim · CDSS document, Mar 8, 2025 · control 26-AS-20220318160628

Allegation investigated: Staff did not treat resident with dignity and respect. Staff made inappropriate comments to resident. Resident's personal belongings are missing. Staff opened resident's packages without permission. Staff did not note a change in resident's condition

On 03/08/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDR), Jolene Sicley and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings. Current census was 52. A brief interview with FDA Sicley was conducted. Allegation: Staff did not treat resident with dignity and respect It was alleged that staff did not treat resident with dignity and respect. the course of this investigation, LPA conducted staff and resident interviews. Based on interviews conducted with 5 staff members, 5 out 5 staff members denied not treating the residents with respect. 5 out 5 staff members deny seeing any staff members not treating residents with respect. An interview with 8 residents were conducted. 8 out 8 deny not being treated with respect and report that they enjoy the staff at the facility. Based on the information gathered, it is unclear that tthe state’s words, verbatim · CDSS document, Mar 8, 2025 · control 26-AS-20220323104507

Allegation investigated: Facility staff inappropriately touched resident in care

On 02/02/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct a complaint visit. LPA met with Facility Designated Administrator (FDA), Ivonne Sanchez and explained the purpose of the visit. The purpose of this visit was to deliver complaint findings for the allegations above. Current census was 53. A brief interview with FDR Sanchez was conducted. It was alleged that facility staff inappropriately touched resident in care. During the course of this investigation, LPA conducted interviews and reviewed facilty records. Based on interviews conducted it was denied by 4 out 4 staff members that they have seen or inappropriately touched a resident in care. It was also learned through interviews that it was alleged that a male inappropriately touched a resident. However it was learned through facility records that the facility does not have any staff members who are male at this time. In addition, an interview with 8 residents were conducted whothe state’s words, verbatim · CDSS document, Feb 2, 2025 · control 26-AS-20241123104336

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 ensure resident was regularly observed for changes in physical health condition Staff did not seek medical attention for resident in a timely manner Staff did not ensure record of centrally stored medications was complete Staff do not provide water to residents

On 1/9/2025, LPA Grace Donato conducted an unannounced complaint investigation visit. LPA met with Assistant Manager Ivonne Sanchez and LPA explained the purpose of the visit. For the allegations of staff did not ensure resident (R1) was regularly observed for changes in physical health condition and staff did not seek medical attention for resident in a timely manner, reporting party (RP) stated that R1 had to be brought to the hospital and was found to have a UTI and was discharged. RP stated he/she visited R1 two days later, and R1 was acting different and was incapacitated again. RP stated 911 was called and R1 was again taken to the hospital. RP stated that they are concerned that staff saw R1s condition was worsening and never sought medical attention. RP stated that two weeks ago R1 was walking around and talking and now is unable to do those things because of the UTI. page 1 of 3 Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 9, 2025 · control 26-AS-20230807105035

Allegation investigated: Staff do not safeguard resident's personal belongings.

On 1/9/2025, LPA Grace Donato conducted an unannounced complaint investigation visit. LPA met with Assistant Manager Ivonne Sanchez and LPA explained the purpose of the visit. Regarding the allegation of staff do not safeguard resident's personal belongings, reporting party (RP) stated that around November 30, 2023, resident (R1) had money stolen, approximately $80. R1 also had a new jacket stolen within the last week. RP have purchased name labels, and RP sews them into all R1s clothing, however, his clothing frequently is taken and not returned. During an interview with RP, it was shared that R1 is visually impaired, so often he/she thinks things are missing. RP went and visited and looked for the $100 and jacket, but I did not find it. There is someone who lives there as well. One of the staff people told RP that R1 was showing the money to this other resident. RP said staff saw R1 showing the money. RP thought it might be a resident rather than a staff person. R1 also has lost hearthe state’s words, verbatim · CDSS document, Jan 9, 2025 · control 26-AS-20231206120806

Allegation investigated: Staff caused injury to a resident in care. Staff pushed a resident in care. Staff left residents in a soiled diaper for a long period of time. Staff does not shower the residents. Staff did not keep facility free of insects. Staff did not prevent a dog from causing injury to a resident in care. Staff is not ensuring that residents are taking prescribed medications. Staff calls residents inappropriate names.

On 1/9/2025, LPA Grace Donato conducted an unannounced complaint investigation visit. LPA met with Assistant Manager Ivonne Sanchez and LPA explained the purpose of the visit. Regarding the allegations of staff caused injury to a resident in care and staff pushed a resident in care, reporting party (RP) reported that there is a resident (R1) that is about 300 pounds and was observed with bruises. RP reported that R1 disclosed that he/she got pinched and pushed by the staff (S4). LPA Marrufo was able to interview RP for additional information. According to RP, when RP asked R1 why R1 has bruises on his/her arms and R1 says “S4 pushed me to the wall so I wouldn’t fall and squeezed my hand to hard.” R1 said S4 tried to hold him/her and then punched him/her. R1 says he/she is scared of S4. RP doesn’t have photos of the bruising. page 1 of 5 Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 9, 2025 · control 26-AS-20230906125323

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 was sexually abused while in care.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Jolene Sicley, Administrator. On 04/21/2023, the Department received a complaint with the above allegation. On 04/24/2023, the Department conducted an initial complaint investigation visit. Resident R1 reported to R1’s Social Worker (SW) that around 04/15-16/2023 at around 02:00 AM to 03:00 AM, two Hispanic males sexually assaulted R1. On 05/11/2023, the Department interviewed R1 regarding being sexually assaulted by two male staff at the facility. R1 disclosed that the staff did not penetrate R1, but rather touched R1 all over R1’s body. See LIC9099-C for more information. Page 1 of 2. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 14, 2023 · control 26-AS-20230421155833