Amber House

Type of visit: Required - 1 Year

At approximately 10:00 AM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Administrator, Andrew Cunha and back up Administrator, Guadalupe Rivera. Amber House is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents, one (1) of whom may be bedridden. The facility has a Hospice Waiver for two (2) residents. Upon arrival, LPA was informed that there were six (6) residents in care. At approximately 10:30 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At Approximately 10:35 AM LPA toured the facility with back up Administrator Rivera. All exits were clear and unobstructed. The facility's two (2) fire extinguishers were last serviced and tagged on 4/6/2026. The facility was sufficiently lighted. LPA inspected five (5) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 1/17/2026. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were observed to be operational. Continued on 809-C... ...Continued from 809 At approximately 11:15 AM, LPA reviewed five (5) resident files. Five (5) of five (5) resident files were observed with all required documentation. LPA reviewed four (4) staff files. One (1) of four (4) staff files (for staff member S1) was observed to not have their LIC503 Health Screening Report for facility personnel and tuberculosis (TB) test signed by a licensed medical professional. This deficiency will be cited. Three (3) of four (4) staff files were observed to be with all required documentation including First Aid and CPR certification and proper training documentation. LPA audited Medication for four (4) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Andrew Cunha’s Administrator Certification 6072687740 is current with an expiration date of 11/5/2026. Guadalupe Rivera's Administrator Certification 7004269740 is current with an expiration date of 4/1/2028. LPA requested the following documents be submitted to Community Care Licensing by 6/7/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, LIC-811 Confidential Names and Appeal Rights discussed and provided to back up Administrator Rivera. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, May 7, 2026

The state marks this report as 5 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

At approximately 12:30 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Administrator, Guadalupe Rivera. Facility co-administrator Andrew Cunha was working with residents. Amber House is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for two (2) residents and one (1) bedridden resident. Upon arrival, LPA was informed that there were six (6) residents in care and three (3) staff members on-site. At approximately 12:45 PM, LPA reviewed the Facility's Staff Roster and : found that all staff on-site were background cleared and associated to the facility per regulation. At Approximately 12:50 PM LPA toured the facility with Administrator Rivera. All exits were clear and unobstructed. The facility's two (2) fire extinguishers were last serviced and tagged on 4/18/2025. The facility was sufficiently lighted. LPA inspected five (5) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The last disaster drill was conducted on 4/19/2025. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 LPA observed a granny unit on-site that was not indicated on the facility sketch. A Technical advisory was issued for this during the 6/2024 Inspection. As an updated facility drawing was not submitted to Community Care Licensing, this deficiency will be cited. At approximately 1:40 PM, LPA reviewed three (3) resident files. Three (3) of three (3) resident files were observed with all required documentation. LPA reviewed two (2) staff files. All staff files were found to be with all required documentation including First Aid and CPR certification and proper training documentation. LPA spot checked Medication for two (2) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Andrew Cunha’s Administrator Certification 6072687740 is current with an expiration date of 11/5/2026. Guadalupe Rivera's Administrator Certification 7004269740 is current with an expiration date of 4/1/2026. LPA requested the following documents be submitted to Community Care Licensing by 7/13/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections and Appeal Rights discussed and provided to Administrator Rivera. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Jun 13, 2025

Allegation investigated: Resident needs are not being met. Facility is not ensuring resident’s safety. Facility is not notifying responsible party of change in condition and/or needed medical care. Facility failed to meet mandatory reporting requirements due to lack of staff training. Personal rights.

At approximately 9:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver findings for this Complaint Investigation regarding the above allegations and met with Andrew Cunha, Caregiver/Designated Responsible Party. During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegations were investigated, “Resident needs are not being met, Facility is not ensuring resident’s safety, Facility is not notifying responsible party of change in condition and/or needed medical care, Facility failed to meet mandatory reporting requirements due to lack of staff training, and Personal rights.” Continued on LIC9099C... Unsubstantiated Continued from LIC9099... “Resident needs are not being met” and “Facility is not ensuring resident’s safety” - Complainants alleged that Resident 1 (R1) needed a higher level of care due to increased agitation and that R1 was not safe at the facility because they weren’t being properly supervised. Complainants stated that R1 would go on walks by themselves and that the facility only had 1 staff member to care for 4 to 5 residents. Review of R1’s Physician’s Report dated 08/25/2023 states that R1 is able to leave the facility unassisted. During visits conducted on 06/06/2024 and 07/03/2024, LPA observed that there were 2 staff members on site. Interviews conducted with R1 and Resident 2 (R2) stated that they were happy at the facility and that they had no concerns about the care being provided at the facility. These allegations are Unsubstantiated. “Facility is not notifying responsible party of change in condition and/or needed medical care” - Complainants alleged that the responsible party for R2 was not notified when they went to the hospital. Complainants also stated that R1 was prescribed a new medication and that the responsible party was not notified of the medication change. Review of R1’s file indicated that R2 is their responsible party. Interview conducted with R1 and R2 stated that R2 is the responsible party for R1. Review of R2’s file indicated that they are their own responsible party. Requests to the Complainant for additional documentation to verify the responsible parties were unsuccessful. Review of incident reports for R1 indicated that the facility would notify R2 appropriately. Interview conducted with R2 stated that they went to the hospital and was picked up by a family member. These allegations are Unsubstantiated. “Facility failed to meet mandatory reporting requirements due to lack of staff training” - Complainants stated that facility staff told them that they haven’t received training for mandated reporting or for dementia behaviors such as wandering. Complainants also stated that facility staff did not report that R1 was hitting other residents. Review of staff files indicated that all staff have received training for mandated reporting and for dementia behaviors. Staff interviews conducted indicated that staff are aware of when they need to report incidents related to mandated reporting and for dementia behaviors. Staff interviews conducted provided conflicting statements. 3 of 4 interviews stated that while R1 has been observed to be verbally aggressive towards other residents, they have not seen R1 hit or be physically aggressive towards R2 or other residents in the facility, while 1 of 4 interviews conducted stated that they did not observe R1 hitting R2 or other residents but heard that it was happening. This allegation is Unsubstantiated. Continued on LIC9099C... Continued from LIC9099C... “Personal Rights” - Complainants alleged the following: R1 hit R2 on multiple occasions, Facility Licensee changed R1 and R2’s emergency contact/responsible party information to themselves, and Staff Member 1 (S1) impersonated a family member when R2 went to the hospital. Staff interviews conducted provided conflicting statements. 3 of 4 interviews stated that while R1 has been observed to be verbally aggressive towards other residents, they have not seen R1 hit or be physically aggressive towards R2 or other residents in the facility, while 1 of 4 interviews conducted stated that they did not observe R1 hitting R2 or other residents but heard that it was happening. Interview conducted with Licensee denied that R1 and R2’s emergency contact information was changed to be the Licensee and denied that S1 impersonated a family member. Interview conducted with S1 denied the allegation and stated that they introduced themselves to hospital staff as R2’s caregiver. Review of R1’s file indicated that R2 is their responsible party. Interview conducted with R1 and R2 stated that R2 is the responsible party for R1. Review of R2’s file indicated that they are their own responsible party. Requests to the complainant for additional documentation to verify responsible party information were unsuccessful. This allegation is Unsubstantiated. A finding that the complaint allegation is Unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No Deficiencies Cited during visit. Exit interview conducted. Copy of report and Confidential Names (LIC811) discussed and provided to Caregiver/Designated Responsible Party. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Oct 17, 2024 · control 21-AS-20240529164649

Type of visit: Case Management - Annual Continuation

At approximately 2:30PM, Licensing Program Analyst (LPA) Felias arrived unannounced to continue a 1-Year Required Visit and met with Staff Member, Andrew Cunha. Designated Representative, Guadalupe Rivera, arrived during visit at approximately 2:40PM. Facility serves older adults and has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance and total capacity for 6 non-ambulatory residents of which 1 resident can be bedridden. Facility has an approved hospice waiver for 1 individual. Upon arrival, LPA was informed that there were 5 Residents in care and 2 staff members on-site. LPA reviewed medications and conducted interviews. Medications were centrally stored and secure. No Deficiencies Cited during visit. Exit interview conducted. Copy of report discussed and provided to Designated Representative. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Jul 3, 2024

The state marks this report as 6 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At approximately 8:30AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1-Year Required Visit and met with Staff Member, Mariana Sanchez. Designated Representative, Guadalupe Rivera, arrived during visit at approximately 9:00AM. Licensee, Christine Woltering, arrived during visit at approximately 1:40PM. Facility serves older adults and has a plan of operation for dementia care and programming on file. Facility has an approved fire clearance and total capacity for 6 non-ambulatory residents of which 1 resident can be bedridden. Facility has an approved hospice waiver for 1 individual. Upon arrival, LPA was informed that there were 5 Residents in care and 2 staff members on-site. At approximately 8:45AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPA also observed that the significant other of a staff member lived on-site. Review of Facility's Staff Roster indicated that this individual was not on the Facility's Staff Roster. Per conversation with facility staff, this individual does not provide direct care to the residents. LPA confirmed on the Guardian website that this individual was background cleared but not associated to the facility as required. LPA observed individual be associated during visit. **Administrator understands that a civil penalty is not being issued today for individual because they were associated to the facility during visit.** At approximately 9:35AM, LPA conducted a walk-though of the facility with Designated Representative. Per Facility sketch, facility is a one story building with 6 bedrooms, 3 bathrooms, and common spaces. During visit, LPA observed a granny unit on-site that was not indicated on the facility sketch. LPA and Designated Representative discussed submitting an updated facility sketch (see Technical Violation, LIC9102, Regulation 87208(a)(7)(A)). Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility has an Infection Control plan on file. Continued on LIC809C Continued from LIC809 There was a sufficient supply of perishable foods as required by Title 22 Regulations. LPA and Designated Representative discussed having at least 7 days of non-perishable foods available for residents (see LIC9102, Technical Advisory, regulation 87555(b)(26)). There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Mattress pads were in place or available for Resident use. Hot water temperatures for all sinks were found to be out of compliance with Title 22 Regulations, measuring at 126.6F, 129.7F, 129.0F, 131.3F, 130.6F, and 131.9F (this deficiency has been cited, see LIC809D, Regulation 87303(e)(2)). Facility's fire extinguishers were last inspected April 2024. Facility's last emergency/disaster drill was conducted May 2024. At approximately 11:15AM, LPA reviewed staff files and resident files. Staff Files were found to be well organized, thorough and contained the required documentation. Staff files had current First Aid and CPR certification. During Resident File Review, LPA observed that 1 of 5 residents did not have an updated annual Physician's Report as required for individuals with dementia (this deficiency has been cited, See LIC809D, Regulation 87705(c)(5)). LPA conducted interviews. Administrator's Certificate for Christine Woltering (6033992740) was current with an expiration date of 02/25/2025. Administrator's Certificate for Zoe Wildgust (7020635740) was current with an expiration date of 10/10/2025. LPA unable to complete Annual Inspection. Annual Continuation Visit to be conducted at a later date. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D (Deficiency Page), LIC9102 (Technical Advisory/Violation), LIC811 (Confidential Names), Plan of Corrections, and Appeal Rights discussed and provided to Designated Representative. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Jun 6, 2024

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.