Paramount House Senior Living

At approximately 09:30 AM, Licensing Program Analyst (LPA) Deniz arrived unannounced to deliver findings for a Complaint Investigation regarding the above allegations and met with Administrator, Agustin Samaniego During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegations were investigated: “Unqualified staff provide medical care to residents” and “Facility staff administering medication without physician orders.” The complaint alleged that Medication Technicians (Med Techs) were being directed to check residents’ blood sugar levels and administer insulin injections. The complainant stated that these procedures are typically performed by licensed nursing staff, due to the clinical skills required to safely administer injections and monitor for potential complications. During the investigation, LPA conducted interviews with 4 staff members. 2 out of 4 staff members confirmed that Med TechRead the full finding— CDSS inspection report, October 31, 2025 · control 21-AS-20250703131124

At approximately 09:30AM, Licensing Program Analyst (LPA) Deniz arrived unannounced to deliver findings for a Complaint Investigation regarding the above allegations and met with Administrator, Agustin Samaniego During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegations were investigated, “Resident incontinence care needs not met, lack of supervision resulting in resident injury, and personal rights.” The complainant alleged that the resident’s incontinence care needs were not being met, particularly during the morning shift, resulting in the resident remaining soiled for extended periods. The complainant also alleged a lack of supervision, which reportedly led to a preventable fall and injury involving the resident. Furthermore, the complainant alleged that neglect and failure to provide adequate care and oversight constituted a violation of the resident’s personal rights, including thRead the full finding— CDSS inspection report, October 31, 2025 · control 21-AS-20250729090042

At approximately 09:30AM, Licensing Program Analysts (LPAs) Deniz and Felias arrived unannounced to deliver findings regarding a Complaint Investigation regarding the above allegations and met with Executive Director/Administrator, Agustin Samaniego. During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. There is an allegation that “staff is providing care beyond the scope of the license.” Complainant alleged that Staff Member 1 (S1) was providing care such as fecal impaction removal, suppository insertion, and medicated cream administration to residents that they did not have training for. Complainant stated that S1 was a caregiver and did not have skilled professional training or medication technician training. On 06/05/2025, LPAs received information from the facility stating that an internal investigation was conducted regarding the complaint allegation. Per the information provided, the facility found tRead the full finding— CDSS inspection report, June 19, 2025 · control 21-AS-20250602154555

On 5/15/2025, Licnesing Program Analyst (LPA) Shannan Hansen arrived unannounced to deliver complaint investigation findings regarding the above alligation and met with Agustin Samaniego, Administrator. Personal Rights, facility is not answering phone line- Complainant alleges resident has to make several, described as four to five attempts, calls prior to receiving a response from staff. Additionally, when resident calls are not answered are sent to the answering machine. Further review of investigation revealed response time is also refering to call bells. During the investigation LPA called facility line over 5 times lastly 5/14/2025 at 4:18pm and was answered on the first ring and was answered every time prior. LPA conducted interviews with residents and staff. Interviews with Administrator and RSD indicated staff should respond to a residents call within 15 minutes. Documents obtained confirmed that over a 1-month period (1/5/25 -2/20/25), R1 waited 15 minutes or more 57 times befRead the full finding— CDSS inspection report, May 15, 2025 · control 21-AS-20250213151746

On 5/15/2025, Licensing Program Analyst (LPA) Shannan Hansen arrived unannounced to deliver complaint investigation findings regarding the above alligation and met with Agustin Samaniego, Administrator. Staff do not ensure resident receives adequate bathing services- Complainant alleges staff do not provide adequate bathing services, is supposed to get bathed 2 times per week but the staff doesn’t ensure they are getting a full bath and will only get the top half of the body cleaned and on the other day they will only do the bottom half. Interview with Administrator informed when the resident has a shower a shower log is filled out by the staff. If there is no shower log, there was no shower. Records reviewed of R1’s Needs & Services Plan & Assessment indicate 2 person assist 2 times a week for bathing. LPA obtained shower log for time period of 10/28/2024 – 2/13/2025. Continue on LIC9099-C SubstantiatedRead the full finding— CDSS inspection report, May 15, 2025 · control 21-AS-20250210132414

On 12/19/2024, Licensing Program Analysts (LPAs) Julie Florio and Robert Frank arrived unannounced to deliver complaint investigation findings regarding the above allegations and met with Agustin Samaniego, Executive Director (ED). Reporting Party (RP) alleges that Staff 1 (S1) yells at residents and that Staff do not ensure Resident 1’s (R1’s) incontinence needs are being met, because staff are not responding timely to calls for help and are not cleaning R1 when changing their incontinent care briefs. Further, RP states that R1 is prone to urinary tract infections (UTIs) resulting in recent hospitalizations. LPA Julie Florio conducted 10-day complaint investigation visit on 11/14/2024 and obtained documents, made observations, and conducted interviews with Staff 2 (S2) and ED. LPA conducted a subsequent complaint investigation visit on 12/06/2024 and obtained documents, made observations, and conducted interviews with S2, ED, and R1. Continued on LIC9099C... UnsubstantiatedRead the full finding— CDSS inspection report, December 19, 2024 · control 21-AS-20241113104034

On 12/06/2024, at approximately 4:30 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver findings for the above allegations. Reporting Party (RP) alleges that staff are not answering residents' call buttons in a timely manner and staff are not meeting residents’ bathing need, which are both SUBSTANTIATED. LPA conducted 10-day on 10/02/2024 for complaint #21-AS-20240930151325 which was received by The Department on 09/30/2024 and made observations, conducted interviews, and obtained documents. LPA interviewed Resident 2 (R2), Resident 3 (R3), and the Resident Services Director (RSD) which revealed that R2 and R3 have on multiple occasions waited extended periods of time after pushing their call pendants before receiving staff assistance. Continued on LIC9099C... SubstantiatedRead the full finding— CDSS inspection report, December 6, 2024 · control 21-AS-20240930151325

On 12/06/2024, at approximately 4:00 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver findings for the above allegations. Reporting Party (RP) alleges that staff did not notify Resident 1’s (R1’s) responsible party of an incident and that staff are not providing adequate food services to residents which are both UNSUBSTANTIATED. LPA conducted 10-day on 10/02/2024 for complaint #21-AS-20240930151325 which was received by The Department on 09/30/2024 and made observations, conducted interviews, and obtained documents. LPA was able to interview Resident 2 (R2), Resident 3 (R3), and the Resident Services Director (RSD) which revealed that R1’s responsible party was notified of the incident in question. Documents obtained confirmed that R1’s daughter, not R1’s spouse, was listed as the responsible party, and was notified of the incident as required. Continued on LIC9099C... UnsubstantiatedRead the full finding— CDSS inspection report, December 6, 2024 · control 21-AS-20240930151325

On 4/18/2024, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Administrator, Candace Moses. LPA Tobola conducted a tour of the facility, gathered photo evidence and written statements interviewed staff, reviewed facility medication records and made observations. Complaint alleges facility did not ensure a safe environment due to an incident involving outside unhoused individuals (I1) having access to the facility. Based upon interviews with Administrator and staff (S2 & S4) LPA confirmed that although undetermined how I1 gained access inside the facility, it was confirmed that an incident did occur where several unhoused individuals were observed in the common kitchen and lounge area during evening hours, which is an immediate safety risk to residents in care. Continued onto LIC9099-C SubstantiatedRead the full finding— CDSS inspection report, April 18, 2024 · control 21-AS-20240122214950

On 3/21/2024, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of delivering complaint investigation findings and was greeted by Administrator, Candace Moses. LPA toured the facility, reviewed resident and facility records, interviewed staff and outside parties and made observations. Complaint alleges neglect/lack of supervision resulted in resident (R1) being hospitalized. Based on interviews with outside parties and facility staff, LPA received contradicting information with not enough corroborating information pertaining to the allegation. Upon review of R1's narrative charting records it was indicated that on 1/22/2023, R1 had been observed in their wheelchair located in their bedroom from approximately 3:00am-3:56pm. Charting records also indicated that R1 had refused assistance and medical services from the facility prior to being discovered. Based on R1's Needs & Service Plan, R1 requires a two-person assist when transferring from their wheelchair. LPARead the full finding— CDSS inspection report, March 21, 2024 · control 21-AS-20231129102127

On 12/14/2023, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of initiating and delivering complaint investigation findings and was greeted by Administrator, Candace Moses. LPA interviewed staff and outside parties, gathered facility and resident medical records and made observations. Complaint alleges staff will not allow resident (R1) to return to the facility. Based on record review and interviews with Administrator and outside parties, it was found that R1 had returned to the facility from a medical center on 12/12/2023. The same day on 12/12/2023, R1 was sent out for medical attention due to symptoms of clostridium difficile (C-diff). R1 was found to be diagnosed for C-diff by medical center staff on 12/7/2023. However, based on a review of R1's discharge paperwork, although medical instructions for C-diff medication was included in the discharge packet, the diagnosis was not listed on the discharge summary packet for facility notification. Facility wasRead the full finding— CDSS inspection report, December 14, 2023 · control 21-AS-20231212110238

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Paramount House Senior Living for the purpose of attempting to interview Resident #1 and delivering complaint findings. LPA was greeted at the door by, Administrator, Richard Remigio and was granted access into the facility. During the course of the investigation, LPA Sarangi interviewed staff, residents and various outside parties. LPA reviewed facility records and resident records. Complaint alleges Neglect/Lack of supervision resulted in resident fall with injury. Based on interviews that were conducted and documents that were reviewed throughout the course of the investigation, LPA learned that Resident #1 had a Change of Condition which was properly documented on the Reappraisals. LPA reviewed resident records and observed that the resident had a propensity of attempting to get out of bed without summoning staff for assistance. (Report continued on LIC 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, May 16, 2023 · control 21-AS-20230502120642

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Paramount House Senior Living for the purpose of delivering complaint findings. LPA was greeted at the door by Memory Care Director, Niila Paulin and was granted access into the facility. During the course of the investigation, LPA Sarangi interviewed staff, residents and various outside parties, including but not limited to responsible parties and witnesses. LPA reviewed facility records and resident records. Complaint alleges that Oxygen Administration-Oxygen not being used accordingly. During the course of the investigation, LPA interviewed staff and an outside provider and learned that the oxygen was supposed to be turned on. However, staff did not check to see if the resident’s oxygen tank was turned on before resident left the facility. (Report continued on LIC 9099C) SubstantiatedRead the full finding— CDSS inspection report, April 10, 2023 · control 21-AS-20230222150514

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Paramount House Senior Living for the purpose of opening a complaint and conducting a complaint investigation. LPA was greeted at the door by, Administrator, Richard Remigio, and was granted access into the facility. During the opening of the complaint investigation inspection on February 14, 2023 and during the course of the investigation on this date, LPA reviewed a random sample of Medication Assessment Records (MARs)/Community Dashboard, interviewed staff, resident(s) in care and reviewed the staff schedule for February 2023. Complaint alleges that Staff do not distribute residents medications as prescribed. During the course of the investigation, LPA interviewed staff and residents. LPA learned that the missed medications happened when agency staff was on the floor at the facility. In addition, LPA received and reviewed the Physician Orders and the Medication Assessment Records/Community Dashboard for three reRead the full finding— CDSS inspection report, February 14, 2023 · control 21-AS-20230213120159