Almond Blossom Assisted Living-West

Type of visit: Case Management - Legal/Non-compliance

On August 27, 2026, Licensing Program Analyst (LPA) Kayla Adkison met with Licensee, Katherine Cartwright at sister facility Almond Blossom Assisted Living BH 2 (#045920050). The purpose of the visit was to discuss an incident report received August 7, 2026, regarding a resident elopement and subsequent hospitalization. Per the incident report, on August 6, 2026, Resident #1 (R1) exited the community at approximately 1:45 pm without staff being aware of their absence. R1 was discovered approximately one (1) mile away from the facility, at 4:30 PM, and required immediate medical attention. R1 was hospitalized for four (4) days for "respiratory insufficiency." It was noted that it was 102 degrees F on this day. R1 was released back to the facility on August 10, 2026. On this same date, it was determined jointly by the licensee and R1's responsible party, that the facility would no longer be an appropriate placement for R1. R1 moved out the same day. LPA Adkison interviewed Licensee, regarding the circumstances of the incident report. Licensee admitted it was the fault of care staff who were present for not checking on the resident and not checking on door alarms that had sounded in the facility at the time the resident eloped. The care staff responsible was removed from the facility immediately on suspension and terminated. Licensee informed LPA that she had conducted a safety training with all staff through the three (3) Almond Blossom facilities regarding the circumstances of the elopement and will forward the training sign - in sheet and a summary of the topics discussed to LPA. Deficiencies are being cited from Title 22 of the California Code of Regulations on the attached LIC 9099-D. Additionally, an immediate civil penalty has been assessed in the amount of $500.00. Exit interview conducted. A copy of this report and Appeal Rights have been forwarded to Licensee, Katherine Cartwrightthe state’s words, verbatim · CDSS document, Aug 27, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.2(c) · Plan of correction due date: Aug 28, 2026

HSC 1569.2(c) "Care and supervision" means the facility assumes responsibility for, or provides… ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes... personal care. This requirement was not met as evidenced by: Based on record review and interviews conducted, it was determined staff did provide appropriate care and supervision to R1 in that R1 eloped from the facility and required immediate medical attention upon being discovered, which posed an immediate health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Aug 27, 2026

Plan of correction: Licensee has already conducted a safety training with all associated facilities regarding the circumstances of the elopement. A civil penalty is also being assessed in the amount of $500. Licensee agrees to send LPA a copy of the training summary and the staff sign-in sheet by end of business on August 28, 2026.

Type of visit: Required - 1 Year

On November 3, 2025, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Anna Padilla - Castro, Administrator, and explained the purpose of the visit. Four (4) residents and 1 (one) care staff were present in the facility during the inspection. Licensee, Katherine Cartwright, arrived approximate 20 minutes later and joined the inspection. LPA and Administrator toured the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, five (5) resident bedrooms, kitchen, backyard, (3) three restrooms, and garage. All areas observed were found to be clean and in good repair. LPA observed each bedroom to have the required furnishings and working lights. LPA observed one window screen to be on the ground outside of a resident's bedroom and one window screen to be partially popped out of a separate resident's bedroom. Administrator noted the facility exterior was recently power washed and she would replace the screens immediately. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed all sharps to be kept locked in a kitchen drawer and inaccessible to residents. LPA observed medications to be locked in cabinets and inaccessible to residents in care. LPA reviewed Medication Administration Records (MARs) and found them to be in compliance. LPA observed all toxins and cleaning supplies to be locked in cabinets and inaccessible to clients. LPA observed a calendar of events and a daily menu for residents to view. LPA observed (1) one fire extinguisher which was last inspected in August 2025. The facility is conducting emergency disaster drills quarterly. LPA observed a disaster drill log from March 2025. Licensee noted that the logs from the most recent drills were currently at their sister facility. Licensee stated she would create an emergency drill binder for this facility. LPA observed a complete first aid kit ready for emergency use. LPA observed the facility's call/pager system to be working properly. There is a pool on the premises that was properly fenced and locked. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of five (5) residents' files. Two (2) resident files were missing proof of a negative tuberculosis exam. Administrator noted one result will be faxed to the facility today from the primary care provider and one exam is to be scheduled for a chest x-ray. LPA reviewed a total of four (4) staff files. One (1) staff file was missing proof of a tuberculosis test. Administrator stated the record would be faxed to the facility today. All staff are fingerprint cleared and associated to the facility. Deficiencies are being cited as a result of this inspection. Exit interview conducted. A copy of this report and Appeal Rights were provided, via email, to Licensee, Katherine Cartwright, via email.the state’s words, verbatim · CDSS document, Nov 3, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 09/17/2024, Licensing Program Analyst (LPA) Jaynae Boyles, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Katherine Cartwright and explained the purpose of the visit. LPA Boyles and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, garage, backyard, and common restrooms. LPA observed the resident bedrooms to have all of the required furnishings, working lights/fans and windows with screens. LPA observed the bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, and trash can with lids. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed the menu and activities calendar to be posted for residents. Hot water temperature was measured within range. LPA observed two (2) fire extinguishers, fire detectors, and carbon monoxide detectors. LPA observed a completed emergency disaster plan. LPA observed a complete emergency disaster plan ready for emergency use. LPA observed medication, chemicals and knifes locked inaccessible to residents. LPA observed the facility to be clean, in good repair and odor-free. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of six (6) residents' files and three (3) staff files which contained all of the required documentation. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Sep 17, 2024