Millenium Care

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA)s Brian Balisi and Martha Arroyo conducted an unannounced Case Management – Incident visit at approx 02:00 p.m. for the purpose of investigating self reported incident reports. Upon arrival LPA met with Administrator Iris Van Kralingen and explained the reason for the visit. On 04/28/2026, the Regional Office received a self-reported incident which stated, on 04/24/2026, a family member of Resident #1 (R1), informed the Administrator that a staff fondled and touched R1 in a sexually inappropriate manner while getting them ready at approx 07:00 a.m. on Friday morning. R1 was admitted into the facility on hospice on 04/17/2026 with a diagnosis of Alzheimer's. In addition it was reported that Staff #1 (S1) and Staff #2 (S2) were both present while assisting R1 from bed to wheel chair then from wheel chair to toilet. At approx 02:00 p.m. LPAs conducted physical plant, interviewed staff, clients, and a family member of resident in care. LPA's also reviewed and obtained copies of pertinent documentation relevant to the investigation. Based on interviews and records review no immediate or potential health and safety concerns were observed during the visit and no deficiencies cited at this time. LPAs has determined further investigation is warranted at this time, LPAs will return at a later date. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, May 1, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit. Licensee Iris arrived shortly after. LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The LPA observed residents watching television in the living room. The LPA observed required postings throughout the common areas. LPA inspected the kitchen/food service area at approximately 1pm. Knives and sharp objects are stored in a locked drawer to the right of the stove. Some cleaning supplies were observed kept underneath the sink inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. Office area located in the kitchen. LPA observed medication centrally stored and resident files securely stored in this area as well. The common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets. A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a hallway cabinet. The facility maintained a comfortable temperature of 74 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were tested and observed operational at the time of the visit. LPA observed fire extinguishers to be fully charged and last serviced on June 15, 2025. The LPA observed four (4) resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Interviews were conducted with three residents. The resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. There is one (1) staff room. LPA observed room to be inaccessible to residents in care. LPA also observed a laundry area, next to bedroom #5 inaccessible to residents in care with laundry supplies securely stored. All exits have functioning auditory devices and were operational at the time of the visit. There is an attached garage observed inaccessible to residents in care. LPA observed garage to store an additional fridge and freezer to store extra perishable food; extra incontinent supplies, linen, PPE , as well as additional furniture and medical equipment for facility use. LPA observed additional space walled off in the garage to store extra supplies for facility use. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review began at approximately 1:45pm, six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Five (5) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were observed to be in order at this time. Interview was conducted with two staff. LPA also reviewed the facility Emergency Disaster and Infection Control Plan. Licensee/Administrator confirmed both plans are updated/reviewed. Medications review began at approximately 3pm. All medications including PRNs were labeled, stored and inaccessible to residents in care. Medications were observed to be administered as prescribed at this time. The LPA requested the following documents to be sent to the office: current LIC500 Personnel Report and a copy of the facility’s liability insurance. No deficiencies cited during todays visit. Exit interview conducted. A copy of the report was provided to Licensethe state’s words, verbatim · CDSS document, Jan 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit. Licensee Iris arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. LPA inspected the kitchen/food service area at approx. 09:35 a.m. The LPA observed residents watching television in the living room. Knives and sharp objects are stored in a locked drawer to the right of the stove. Some cleaning supplies were observed kept underneath the sink inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. Office area located in the kitchen. LPA observed medication centrally stored and resident files securely stored in this area as well. At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets. A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a hallway cabinet. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and last serviced on June 15, 2024. The LPA observed four (4) resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. There is one (1) staff room. LPA observed room to be inaccessible to residents in care and empty at this time. LPA also observed a laundry area, next to bedroom #5 inaccessible to residents in care with laundry supplies securely stored. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage observed inaccessible to residents in care. LPA observed garage to store an additional fridge and freezer to store extra perishable food. extra incontinent supplies, linen, PPE , as well as additional furniture and medical equipment for facility use. LPA observed additional space walled off in the garage to store extra supplies for facility use. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review began at approx. 10:00am, five (5) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Five (5) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were observed to be in order at this time . Last emergency disaster drill was conducted on 12/05/2024 Medications review began at approx. 11:00 a.m. All medications including PRNs were labeled, stored and inaccessible to residents in care. Medications were observed to be administered as prescribed at this time. Infection control: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene and symptoms of a communicable disease. The facility has an adequate supply of Personal Protection Equipment (PPE), and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of an infectious disease. The facility’s policies and procedures as it pertains to infection control are adequate. The LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster, and a copy of the facility’s liability insurance. Interviews were conducted during the visit. Exit interview conducted. A copy of the report was provided to Licensethe state’s words, verbatim · CDSS document, Jan 10, 2025

Allegation investigated: Staff did not treat resident with dignity or respect Staff prohibit resident from using the facility telephone

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit to investigate the allegations listed above. Upon arrival LPA met with staff and explained the reason for the visit. Administrator Iris Van Kralingen arrived shortly after. At approx. 10:20 a.m. LPA conducted physical plant, interviewed staff, residents, family / responsible parties of residents in care as well as reviewed and obtained copies of pertinent documentation relevant to the investigation. It was reported that "Staff did not treat resident with dignity or respect" as it was alleged that Staff #1 (S1) has yelled at Resident #1 (R1). LPA conducted interviews with five (5) residents in care, two (2) residents reported that they have never observed any staff member yell or raise their voice at residents. One (1) resident was hospitalized during the visit, and the two (2) remaining residents are unable to communicate effectively. Unsubstantiated Continued from 9099 Interviews with staff and the Administrator indicated that they have never seen Staff Member #1 (S1) yell at any residents or fail to treat them with dignity and respect. S1 denied ever yelling at any resident in care. Additionally, the LPA interviewed a home health nurse who visits the facility at least twice a week. The nurse stated that they have never observed any staff yell at residents and did not express any immediate or potential concerns regarding staff treatment of residents. Interviews with three (3) families or responsible parties of residents in care revealed that during their multiple visits each week, none of them have observed staff yelling at residents. Each family member or responsible party also indicated they have no concerns regarding staff treating residents with dignity and respect. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff did not treat resident with dignity or respect" is deemed Unsubstantiated at this time. It was reported "Staff prohibit resident from using the facility telephone" as it was alleged staff restrict R1 from using the facility telephone. LPA conducted interviews with five (5) residents in care., two (2) residents reported that they have always been able to freely use their own phones or the facility phone and have never observed staff restricting any resident from using the phone. One (1) resident was hospitalized at the time of the visit, and the two (2) remaining residents are unable to communicate effectively. Interviews with staff and the Administrator confirmed that residents are permitted to use their own phones or the facility telephone upon request. The LPA also interviewed a home health nurse who visits the facility at least twice a week. The nurse indicated that they have never observed any staff restricting residents from using the telephone and expressed no immediate or potential concerns regarding phone use. Additionally, interviews with three (3) families or responsible parties of residents in care revealed that they each visit the facility multiple times a week and have never observed staff restricting phone use for any resident. Each family member or responsible party also reported no potential or immediate concerns regarding staff restricting phone use for residents. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff prohibit resident from using the facility telephone" is deemed Unsubstantiated at this time. Exit interview conducted and copy of report issued.the state’s words, verbatim · CDSS document, Oct 29, 2024 · control 29-AS-20241024173840

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian conducted a required annual visit. Upon arrival LPA met with Administrator Iris Van Kralingen and (2) staff. Reason for visit was stated. Between approximately 2:15pm-2:40pm, a tour of the physical plant was conducted with Administrator. All required postings observed posted on the wall in the entry area. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. Smoke/carbon monoxide detectors were tested and found to be operable during visit. Fire extinguishers appear to be fully charged last serviced 03/06/2023. There are five (5) bedrooms total. One (1) bedroom is designated for staff use; two (2) shared and two (2) private bedrooms for resident use. The facility maintains a comfortable indoor temperature. Bedrooms were furnished appropriately to ensure the comfort and safety of the residents. Facility has two bathrooms for resident use with appropriate grab bars and nonskid mats. There is a sufficient supply of linens, and towels and toiletries. Auditory alarms on all exits were tested and function properly. Common areas including the living and dining areas observed for functionality and appear sufficient. Kitchen area: LPA observed sharps and chemicals in the kitchen to be locked and inaccessible to residents. Facility maintains two (2) day perishable and seven (7) day nonperishable food supply. LPA observed the backyard has a covered patio area with table and chairs for resident use. There is a self-latching gate on one side of the facility. There are no bodies of water or fire arms/ammunition on the premises. The last disaster drill was conducted on . (2:45pm) Resident files were reviewed for updated Needs and Services plans, medical assessments, admission agreements, and all other pertinent documents in their files. (3:30pm) Staff records were reviewed and noted to be complete for first aid certification, health screening documentation, employee rights and criminal record clearance. Staff annual training hours were not complete. Medications are kept in a locked cabinet in the kitchen area. Centrally Stored Medication logs observed. Physician’s orders observed on file for residents medication. First aid kit was observed complete. The following deficiency observed (See LIC 809-D) and cited from the Title 22 California Code of Regulations. Exit interview held. Copy provided.the state’s words, verbatim · CDSS document, Jan 17, 2024