All Seasons Residential Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection met with Licensee, Lisa Melo. Required postings were observed. Annual fees are current. LPA/Licensee initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Extra hygiene and linens were available. Facility has at least two days of perishable and one week of non-perishable foods that appeared to be stored per regulation. Hot water measured in bathrooms at 106.3, 108.2 and 105.1 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Fire extinguisher was last serviced July 2026. Smoke detectors and carbon monoxide detectors were tested and operational. Last disaster drill conducted on June 13, 2026. Disinfectants and cleaning solutions were stored inaccessible to residents. LPA initiated file review at 9:30 am. LPA reviewed five residents files and three staff files. All residents have their medical assessments and care plans updated. Staff records have current First Aid/CPR certificates and additional 20 hours of required training. Medications and medication records were reviewed. Administrator Certificate for Lisa Melo, 7034467740, expires on 11/16/2026. Licensee submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and copy of Liability Insurance. No deficiencies were issued during this visit. Exit interview was conducted with Licensee and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 23, 2026

Allegation investigated: -Staff speaks inappropriately while in front of residents. -Licensee does not ensure staff are trained per regulation. -Licensee does not ensure staff are following safe and sanitary practices for residents in care. -Staff does not ensure resident medication records are properly maintained. -Licensee does not ensure staff has a fingerprint clearance. -Licensee does not ensure sufficient staffing is provided to meet the care needs of residents in a timely manner. -Staff does not ensure medications are safely secured and inaccessible to residents at all times.

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Licensee Lisa Melo. The Department received an allegation of staff speaks inappropriately while in front of residents. Per Reporting Party staff (S1) speaks inappropriately around the residents about their drinking problem. Based on confidential interviews conducted by LPA with staff (S2, S3 & S4) and residents (R1, R5 & R6) in care described all facility staff as nice people, very helpful, they also did not recall any staff talking about sensitive subjects in front of them and remarked that the involvement of the Licensees in the operation of the facility makes a difference to them. Based on records review of the facility incident report logs do not indicate any incident that could pose a potential risk to the health and safety of residents in care. A finding that the allegation of staff speaks inappropriately while in front of residents is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continue on LIC9099C... Unsubstantiated Continued from LIC9099... There was an allegation of Licensee does not ensure staff are trained per regulation. According to the reporting party, new staff only had a little bit of training, and they have not completed all their required certifications such as mandated reporter training or CPR certification. Based on records review, LPA reviewed staff training records (S2, S3, & S4) have received hours annual of training including reporting requirements and CPR certification as required by regulation. Based on LPA’s interviews conducted with staff (S2, S3 & S4), it confirmed that they have received training and have described that they report any incident to the Licensee who fills out required documentation to notify the Department of any incident. The techniques described when performing CPR/1st aid appear to be adequate for this type of incident. A finding that the allegation of Licensee does not ensure staff are trained per regulation is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Another allegation of Licensee does not ensure staff are following safe and sanitary practices for residents in care. The reporting party stated that staff (S1) don’t follow sanitary practices because they walk around barefoot in the home. During investigation LPA reviewed records, conducted interviews and made observations at the facility. On 12/26/25, LPA Felias conducted a 10-day visit to the facility and subsequent visit conducted by LPA Cuadra on 02/05/26. Based on LPA’s observations during tour of the physical plant of the facility inside and outside, the bathrooms appeared clean, free of odors and sanitary condition. Also, staff on duty observed by LPAs had adequate footwear at the time of the visit. Based on confidential interviews conducted by LPA with staff (S2, S3 & S4) and residents (R1, R5 & R6) in care. LPA did not obtain any leading information that could result in any supportive evidence that violation regarding the safety and sanitary practices of staff with residents has occurred. Therefore, LPA has determined and confirmed that although the facility appeared to be clean and in a sanitary condition on recent LPA inspections conducted on 12/26/25 and 02/05/26, LPA is unable to determine if an area of the facility or their staff were in an unsanitary condition at a prior date. A finding that the allegation of Licensee does not ensure staff are following safe and sanitary practices for residents in care is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continue to LIC9099C... Continued from LIC9099C... Regarding the allegation, staff does not ensure resident medication records are properly maintained. According to the reporting party, they have observed that medication entries are not being done by staff when the medications get passed and it’s hard to know if medication counts are off because the Licensee instruct staff to just sign any missing entries on the log. Based on records review conducted by LPA, medication records of residents (R1, R2, R3 & R4) did not reveal any inconsistency or discrepancy of with medication documentation. Based on interviews conducted with staff (S2, S3 & S4) did not lead to any supporting evidence that medication records have not been accurately maintained by staff. A finding that the allegation of staff does not ensure resident medication records are properly maintained is unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. According to another allegation the Licensee does not ensure staff has a fingerprint clearance. Per Reporting party, the maintenance staff for the facility has not been fingerprint cleared prior to work at the facility. On 12/26/25 and 02/05/26, LPA conducted 10-day and subsequent visits to the facility made observations, reviewed records and conducted interviews with staff and residents in care. During the tour of the facility, LPA observed staff (S5) providing care and supervision to residents in care. Based on interviews conducted with staff (S2, S3 & S4) and residents (R1, R5 & R6) did not reveal any leading evidence that could indicate the presence of any uncleared staff at this facility. Although based on records review, the facility was previously cited during the annual visit conducted on 7/15/25 due to staff (S5) did not have fingerprint clearance per Guardian. However, the facility provided LPA with LIC500 Personnel report confirmed that staff listed including maintenance staff are associated to the facility through Guardian system. Therefore, it was determined that S5 is fingerprint cleared to provide care and supervision to residents in care. A finding that the allegation of Licensee does not ensure staff has a fingerprint clearance is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Continued to LIC9099C... Continued from LIC9099C... Allegation about Licensee does not ensure sufficient staffing is provided to meet the care needs of residents in a timely manner. The Reporting Party stated that the home has six residents and three of them are bedridden and are a two-person assistance, but the facility does not ensure there are two staff available to help transfer residents. The RP also stated that due to insufficient staffing, the residents’ care needs are not being met in a timely manner. The RP stated that residents have to wait longer to have their care needs met such as showers, diaper changes, etc. Based on records review, it was confirmed through review of their physician reports (LIC602) that there are currently three residents (R1, R2 and R3) who need assistance with incontinence care, and two residents (R1 and R4) who require assistance with repositioning and transferring. Residents care plans do not indicate that there are any residents who are two people assist. According to facility Personnel Report (LIC500) provided by the facility indicates compliance with staff schedule for the months of October, November and December 2025, which confirms that there are staff coverage for residents in care. Based on interviews conducted with residents (R1, R5 & R6) there were no concerns raised regarding the assistance and timely care provided by the facility staff. A finding that the allegation of Licensee does not ensure sufficient staffing is provided to meet the care needs of residents in a timely manner is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Final allegation of staff does not ensure medications are safely secured and inaccessible to residents at all times. The Reporting Party stated that the staff also don't lock the medication cabinet when they walk away from it with medications to dispense to residents. LPA Felias conducted 10-day visit on 12/26/25 and on 02/05/26, LPA Cuadra conducted a subsequent visit to the facility. Based on LPA’s observations, the facility medication was locked and Licensee opened cabinet using a key that it was located on the facility fridge. However, during subsequent visit on 02/05/26, the Licensee pulled out the key from a locked drawer located in the cabinet where the medication was storage. Based on staff’s (S2, S3 & S4) statements obtained by LPA who confirmed the above information by describing their medication pass process as safe, they ensure that medications are always maintained secured and inaccessible to residents in care. A finding that the allegation of staff does not ensure medications are safely secured and inaccessible to residents at all times is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies cited during today's visit. Exit interview conducted with Licensee & copy of report was given.the state’s words, verbatim · CDSS document, Feb 20, 2026 · control 21-AS-20251222152054

Allegation investigated: -Water, electric and heat is not working. -Call bell system is not working.

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and delivered findings regarding the allegation listed above and met with Licensee Lisa Melo. There was an allegation of water, electricity and heat is not working. The Reporting Party alleges that on Wednesday Christmas Eve, the facility didn't have any water, heat, electricity; The generator is not working due to missing parts that the facility can't fix until Monday, where all the residents didn't get their showers, they couldn’t flush the toilets, and the generator wasn’t going to be fixed until Monday or Tuesday of the following week due to Christmas holiday. Per the reporting party, they learned that next day the facility has electricity, but the heater wasn’t working. On 12/26/25, LPA Felias conducted a 10-day visit to the facility. Based on LPA’s observations, the facility has working electricity and lights, upon arrival, LPA observed a resident watching TV in the facility living room, lights were on. Continue on LIC9099C... Unsubstantiated Continued from LIC9099... The facility temperature per thermostat was set at 69 degrees, which is within the range of appropriate temperature within Title 22 regulations. LPA also tested all faucets used by residents in care in the facility, which measured at 108.3, 107.0, 107.0, 106.8, 106.3, 106.7, which is within regulations. Based on interviews conducted by LPA with Licensee, the power did go out on Christmas Eve for a few hours, the generator did go on and then stopped working because of a fuse, the part was ordered but is backlogged. Per Licensee, the house was without power for a few hours until 5:30PM when the whole area got power back, but in the meantime, both Licensees were present along with staff on duty assisting residents in care, which was confirmed during confidential interviews conducted with residents (R2, R5 & R6) in care. On 2/5/26, LPA Cuadra conducted subsequent visit to the facility and observed water, electricity and heater were working properly. The finding that the allegation of water, electricity and heat is not working is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding the allegation of the call bell system, it is not working. Per Reporting party, on Wednesday Christmas Eve, the call bell system was also down. On 12/26/25, LPA Felias conducted a 10-day visit to the facility. Based on LPA’s observations, the facility bathroom button was pressed, and LPA heard the bell send notification to system right away and it was constantly sounding while LPA’s visit. On 2/5/26, LPA Cuadra conducted subsequent visit to the facility and observed call system was working properly. Based on interviews conducted by LPA with Licensee confirmed that the power did go out on Christmas Eve for a few hours affecting the call alert system, but both Licensees arrived to the home to check the generator issue and upon discovering that a fuse broke down, they stayed with staff on duty assisting residents in care, which was confirmed during confidential interviews conducted with residents (R2, R5 & R6) in care that there were no concerns regarding the care and supervision provided during the power outage. A finding that the allegation about call bell system is not working is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Feb 20, 2026 · control 21-AS-20251226101734

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Administrator Lisa Melo arrived shortly after.. At approximately 9:30am LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Kitchen cabinet containing cleaning supplies was locked. Kitchen drawer with sharp knives locked. Rodent droppings found in kitchen hand towel drawer on left hand side of sink. Rodent traps found in drawer above hand towel drawer and rodent droppings found under the kitchen sink (deficiency cited, see 809D). All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 106.9 degrees F which is within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 1/30/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill were conducted on 6/2/25. Facility has a backup generator for use during a power outage. At approximately 10:30am LPA conducted a review of six [6] resident records. All required documentation present. Continued on 809C... Continued from 809... At approximately 11:30am LPA conducted review of five [5] staff records. No deficiencies cited. Staff (S1) was found to be training at the facility but did not have fingerprint clearance per Guardian. Per Admin, S1 has been training at facility for 2 days. Admin advised they thought S1 had fingerprint clearance through their CNA license but provided LPA with Live Scan form, not proof of clearance (deficiency cited, see 809D). Facility has basement apartment rented to individual (I1). Per Admin, I1 helps to lift residents when they fall. LPA advised that if I1 has access to facility and provides any direct care, including lifting, that they must have fingerprint clearance. Admin acknowledges fingerprint clearance requirement and will direct I1 to obtain fingerprint clearance. LPA advised Admin to have I1 cease entering facility and providing care until fingerprint clearance is granted. At approximately 12:00pm LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked closet. No deficiencies Lisa Melo Administrator Certificate 7034467740 expires 11/16/26. LPA and Administrator discussed facility's Infection Control Plan and Emergency Disaster plan. No new updates. Updated copies of the following documents were obtained for facility file: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was given.the state’s words, verbatim · CDSS document, Jul 15, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required inspection and met with Licensee, Lisa Melo. Required postings were observed. Annual fees are current. LPA/Licensee initiated a tour of the facility around 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Residents rooms were furnished per regulation. Extra hygiene products and linens were available. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Hot water temperature in bathrooms used by residents measured at 105.2, 105.1 and 106.1 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Fire extinguisher was last serviced December 18 2023. Smoke detectors and carbon monoxide detector in the hallway was tested and properly working. Last disaster drill conducted on May 29, 2024. Disinfectants and cleaning solutions were stored inaccessible to residents. Administrator Certificate for Lisa Melo, 6022235740, expires on 11/16/2024. LPA initiated file review at 9:30 am. LPA reviewed four residents files and three staff files. All residents have their medical assessments and care plans updated within the last 12 months. Staff records have current First Aid/CPR certificates. One out of three staff (S1) did not have all additional 20 hours of required training (technical advisory issued). Per Licensee, S1 probably forgot to print the completed certificates to the file, but they were unable to provide them during the visit. Medications and medication records were reviewed. Licensee will submit updates of the following documents by 7/26/24: Designation of Administrative Responsibility (LIC308) and Personnel Report (LIC500). -Copy of Liability Insurance (was submitted during visit). No deficiencies were issued during this visit. Exit interview was conducted with Licensee and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 15, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.