Hospitality House

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a one- year annual required visit. LPA Lund met with Administrator, Lorraine Padilla and explained the reason for the visit Census: 47 LPA Lund and Administrator Lorraine Padilla toured/inspected the facility. The kitchen was inaccessible to residents and was locked when not staffed. The LPA inspected the food supply and found 2- days of perishable and 7- days of non-perishable. Fire extinguishers were inspected July 12, 2025. LPA also observed a sufficient number of smoke/carbon monoxide detectors to be in compliance. First Aid kit was also inspected and found to be in compliance. LPA inspected the exterior of the building. Gates on either side of the facility were observed to be latched from the inside. LPA inspected the Emergency/Disaster kit and found it to be in compliance at this time. LPA toured the dining room, living room, resident rooms and all common areas had sufficient furniture, furnishings, and lighting at this time, to be in compliance. LPA conducted a records review of 4 resident files and 4 Staff files and were in compliance. LPA reviewed the facilities staff training and was in compliance. No deficiencies were observed during today's visit. Exit interview held and report left.the state’s words, verbatim · CDSS document, Jan 22, 2026

Allegation investigated: Resident sustained a fracture due to staff neglect Staff does not notify resident's authorized representative regarding incidents

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation. LPA Lund met with Administrator Lorraine Padilla and explained the reason for the visit. Census: 43 Resident sustained a fracture due to staff neglect- Based on records reviewed, and interviews with staff and R1’s husband. Department of Socials Services Staff investigated and reviewed medical and facility records. Records state on 8/3/2025, Resident (R1) was hospitalized due to a change in condition. R1 was diagnosed with a right humerus fracture. However, the medical records stated, “Given lytic lesions and imaging findings, there must be consideration of the possibility of pathologic fracture of the humerus related to malignancy.” Medical staff discussed with R1 husband, that hospital staff believed R1 fracture was linked to malignancy. Unsubstantiated Hospitality House staff were interviewed, and they all denied R1 suffering any falls or other injuries. R1 husband visited R1 about four times per week. Interviews with R1 husband states about one week prior to 8/3/2025 and noticed R1 kept right arm tucked and did not want anyone to touch R1.R1’s husband touched and “gently squeezed” R1’s arm but didn’t appear to be in pain. Due to not being able to determine how R1 sustained a fracture, the findings are unsubstantiated. Based on records reviewed, and interviews with staff and R1’s husband on the information provided, it was unclear if resident sustained a fracture due to staff neglect, therefore the allegation was deemed UNSUBSTANTIATED. Staff does not notify resident's authorized representative regarding incidents- Based on records reviewed, interviews with staff, and R1 husband. LPA Lund reviewed faxed in Unusual Incident/Injury Report dated (LIC624) dated August 5, 2025, 2324. At approximately 2:20 PM R1 had a change in condition and 911 was called and sent to the Hospital Emergency Room for evaluation. On the LIC624 Primary Care Provider and Responsible Party (R1 husband) was notified. Department of Social Service Staff verified that R1 husband was notified. Based on records review, interviews with clients, reporting party, and staff the information provided, it was unclear if staff does not notify resident's authorized representative regarding incidents, therefore the allegation was deemed UNSUBSTANTIATED. The Department (CCLD) has found the allegations. Unsubstantiated. A finding that the complaint allegation(s) are UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. Exit interview was conducted with and report left.the state’s words, verbatim · CDSS document, Oct 31, 2025 · control 27-AS-20250806151041

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a Case Management visit. LPA Lund met with Administrator Lorraine Padilla and explained the reason for the visit. Census 50 LPA Lund received an Unusual/Incident Injury Report from the facility on 9/16/2025 regarding Death Report for Resident (R1). LPA Lund could not review the UIR because the fax didn’t come out correctly. LPA Lund reviewed R1 was on hospice on 8/4/2025 by Seva Hospice and past away on 9/14/2025. No deficiencies were cited during today's visit. Exit interview held and copy of the report and a copy of the appeal rights left.the state’s words, verbatim · CDSS document, Sep 17, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a Proof Correction visit. LPA Lund met with Administrator Lorraine Padilla and explained the reason for the visit. Census 47 LPA Lund received an in-service retraining for staff on residents’ rights and how to do a report for physical abuse (SOC 341) for a resident in care. The training is for a case management visits with deficiencies on 3/21/2025. No deficiencies were cited during today's visit. Exit interview held and copy of the report left.the state’s words, verbatim · CDSS document, Jun 25, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct a Case Management visit. LPA Lund met with Administrator Lorraine Padilla and explained the reason for the visit. Census 49 LPA Lund received an Unusual/Incident Injury Report from the facility on 3/19/2025 regarding incident on camera from 3/14/2025. Administrator Lorraine Padilla reviewed footage of Staff (S1) aggressively pulling a Resident (R1) by sweater and proceeding to forcefully pulling R1 by the arm resulting R1 falling to the ground. Footage also shows that S1 aggressively pulled a walker from Resident (R2). When Administrator Lorraine Padilla reviewed the footage, she put S1 on administrative leave pending an investigation. Administrator Lorraine Padilla notified responsible party for R1 who came the next day to discuss the incident along with R1's Primary Care Doctor (PCD) who had a Nurse Practitioner (NP) come to the facility to examine R1, who had no signs of trauma or injury. Stanislaus County Sheriff Department Case #S25010120. Deficiencies were cited during today's visit. Exit interview held and copy of the report and a copy of the appeal rights left.the state’s words, verbatim · CDSS document, Mar 21, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: Mar 24, 2025

"residents in privately operated residential care facilities for the elderly shall have all of the following personal rights ... To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications,..... This requirement is not met as evidenced by: Staff (S1) footage of Staff (S1) aggressively pulling a Resident (R1) by sweater and proceeding to forcefully pulling R1 by the arm resulting R1 falling to the ground.the state’s words, verbatim · CDSS document, Mar 21, 2025

Plan of correction: Administrator Lorraine Padilla will all staff going over Personal Rights and email LPA Lund a copy of meeting.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required visit. LPA Lund met with Administrator, Lorraine Padilla and explained the reason for the visit Census: 43 LPA Lund and Administrator Lorraine Padilla toured/inspected the facility. The kitchen was inaccessible to residents and was locked when not staffed. The LPA inspected the food supply and found 2- days of perishable and 7- days of non-perishable. Fire extinguishers were inspected July 12, 2024. LPA also observed a sufficient number of smoke/carbon monoxide detectors to be in compliance. First Aid kit was also inspected and found to be in compliance. LPA inspected the exterior of the building. Gates on either side of the facility were observed to be locked from the inside. LPA inspected the Emergency/Disaster kit and found it to be in compliance at this time. LPA conducted a records review of 4 resident files and 3 Staff files and were in compliance. LPA toured the dining room, living room, resident rooms and all common areas had sufficient furniture, furnishings, and lighting at this time, to be in compliance. No deficiencies were observed or cited during today's visit. Exit interview held and copy of the report left.the state’s words, verbatim · CDSS document, Jan 13, 2025

Allegation investigated: Unlawful eviction Staff did not prevent resident from getting into a physical confrontation with another resident

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation. LPA Lund met with Administrator Lorraine Padilla and explained the reason for the visit. Census: 42 Unlawful eviction- Based on records reviewed and interviews conducted with Administrator Lorraine Padilla, and Reporting Party (RP). The facility sent LPA Lund a copy of the 30- day notice on 6/4/2024 and it was reviewed and approved. On 6/4/2024 Resident (R1) was given a 30- day notice. On 6/18/2024 LPA Lund spoke with Resident R1 at the facility and told R1 that 30- day notice meet the requirements and was given properly. On July 3, 2024, R1 moved to another facility. Unsubstantiated Based on records reviewed and interviews conducted with Administrator Lorraine Padilla, and Reporting Party (RP). the information provided, it was unclear if unlawful eviction therefore the allegation was deemed UNSUBSTANTIATED. Staff did not prevent resident from getting into a physical confrontation with another resident- Based on records reviewed and interviews with staff, residents and Reporting Party. According to LIC624 Unusual Incident/Injury Report Resident (R1) and Resident (R2) got into physical confrontation during lunch on 3/21/2024. Staff separated them, no injuries were reported from R1 or R2. After the incident the facility moved R2 to another room to create separation from R1. Administrator Lorraine Padilla directed staff to redirect R1 and R2 to try to keep each other separated. Based on records reviewed and interviews with staff, residents and Reporting Party the information provided, it was unclear if staff did not prevent resident from getting into a physical confrontation with another resident therefore the allegation was deemed UNSUBSTANTIATED. The Department (CCLD) has found the allegations. Unsubstantiated. A finding that the complaint allegation(s) are UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. An exit interview was, and report left.the state’s words, verbatim · CDSS document, Sep 12, 2024 · control 27-AS-20240617162927

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required visit. LPA Lund met with Resident Care Director, Sabrina Duarte and explained the reason for the visit. Census 47 LPA Lund received an Unusual/Incident Injury Report from the facility on 3/21/2024 two Residents (R1 & R2) got into a confrontation. The facility notified Stanislaus County Sheriff’s Department Case #S24009369. The facility is having a meeting with ombudsman on 3/26/2024 and the facility is working with both residents since the incident to prevent any further altercations. No deficiencies were observed or cited during today's visit. Exit interview held and copy of the report.the state’s words, verbatim · CDSS document, Mar 25, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required visit. LPA Lund met with Administrator, Lorraine Padilla and explained the reason for the visit. Census 45. LPA Lund and Administrator Lorraine Padilla toured/inspected the facility. The kitchen was inaccessible to residents and was locked when not staffed. The LPA inspected the food supply and found 2- days of perishable and 7- days of non-perishable groceries present at this time. Fire extinguishers were inspected by Jorgenson Co on May 19, 2023. LPA also observed a sufficient number of smoke/carbon monoxide detectors to be in compliance. First Aid kit was also inspected and found to be in compliance. LPA inspected medications and log/EMAR and found to be in compliance. LPA inspected the exterior of the building. Gates on either side of the facility were observed to be locked from the inside. LPA inspected the Emergency/Disaster kit and found it to be in compliance at this time. LPA conducted a records review of 4 resident files and were in compliance. A review of 3 Staff files and were in compliance. LPA toured the dining room, living room, resident rooms and all common areas had sufficient furniture, furnishings, and lighting at this time, to be in compliance. LPA observed all of the required signage: License, Administrator’s Certification, Personal Rights, Facility Sketch, Emergency Disaster Plan, and Emergency/Resource Numbers. LPA also observed posted menus and activity schedules for residents. LPA observed that all of the bathrooms inspected all contained grab bars and non-skid surfaces in the showers. Paper towels, liquid hand soap dispensers and trash cans with lids were also present in each bathroom. The linen closet was inspected and found a sufficient amount of linens for the residents in care at this time.No deficiencies were observed or cited during today's inspection per California Code of Regulations, Title 22.Exit interview held and copy of the report.the state’s words, verbatim · CDSS document, Dec 20, 2023