Absolute Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 11:15AM. The LPA met with the Administrator Maria Lourdes Ricafort and informed them of the reason for the visit. Entrance interview conducted. Beginning at 11:26AM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there were no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS/RESTROOMS: There were five (5) total bedrooms: one (1) is designated as a staff room, and four (4) resident bedrooms, all designated for private resident use. Three (3) resident rooms had direct exits to the outside. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in a closet in the hallway. There were two (2) total restrooms in the facility: one (1) common restroom and one (1) private resident restroom. Restrooms were clean, sanitary, and in operating condition with grab bars and slip-resistant surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested in the common resident restroom. Water temperature initially measured high, but after adjustment was within the required range. OUTDOOR AREA: The surrounding grounds were equipped with furniture for residents and visitor use. There was one (1) emergency exit gate located on the side of the facility. All exits and passageways were free of obstruction. The LPA observed a locked shed in the backyard that contained general storage. KITCHEN: Kitchen appliances were clean and appeared to be in operable condition. The facility had a supply of perishable and non-perishable food. Food in the refrigerator and freezer were observed to be properly stored and of good quality. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The living room had an attached garage entrance. The garage contained general storage, cleaning supplies, emergency food and water, extra supply of facility food, and laundry machines. The laundry machines were observed to be in good condition. Required postings were observed in the facility’s hallway in addition to locked cabinets that contained files and medications. The facility maintained a comfortable temperature throughout the visit. Smoke and carbon monoxide detectors were tested at 01:56PM and were operational. Two (2) fire extinguishers were observed throughout the facility and were last serviced on 06/04/2026. RECORDS: Resident records were reviewed for, but not limited to care plans, medical assessments, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. The infection control plan was completed and reviewed annually as required. Emergency disaster plan was observed to be complete and updated annually as required. The facility conducts emergency disaster drills quarterly with the last documented drill conducted on 07/11/2026. MEDICATIONS: Medications were centrally stored and kept inaccessible. Medications were observed for one (1) resident, as only one (1) resident takes medications. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record (CSMDR). No citations issued. Exit interview conducted. A copy of today's report was reviewed and provided.the state’s words, verbatim · CDSS document, Sep 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 10:31AM. The LPA met with the Administrator Maria Lourdes Ricafort and informed them of the reason for the visit. Entrance interview conducted. Beginning at 10:42AM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there were no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed two (2) knives above the kitchen sink on the drying rack, and the knife drawer was not locked during the tour. The Administrator stated that they were in the process of cleaning, however between 10:31AM and 10:42AM, the LPA observed the Administrator enter and exit the kitchen several times. The Administrator locked the knife drawer. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food. Food in the refrigerator and freezer were observed to be properly stored and of good quality. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The living room had an attached garage entrance. The garage contained general storage, cleaning supplies, emergency food and water, extra supply of facility food, and laundry machines. The laundry machines were observed to be in good condition. Emergency food was observed to be expired from 01/2025 to 08/2025. The Administrator stated that they update the food supply monthly. The Administrator initially reported that the garage door remained unlocked during the day and is locked at night and expressed no concerns because Resident #1 (R1) was bed bound. The LPA explained that due to the cleaning supplies stored in the garage, the garage must always remain locked. Required postings were observed in the facility’s hallway in addition to locked cabinets that contained files and medications. The facility maintained a comfortable temperature throughout the visit. BEDROOMS/RESTROOMS: There were five (5) total bedrooms: one (1) bedroom occupied by the Administrator, two (2) private resident bedrooms, and two (2) shared resident bedrooms. Bedrooms #3, #4, and #5 had direct exits to the outside. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in a closet in the hallway. The LPA observed one (1) additional individual (I1) who resided with R1 in Bedroom #5. The Administrator stated they were related, and the LPA had a discussion and provided the Administrator options on the operation of the facility regarding I1. There were two (2) total restrooms in the facility: one (1) common restroom and one (1) private resident restroom. Restrooms were clean, sanitary, and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured between 113 degrees F and 116.8 degrees F. Report Continued on LIC 809-C OUTDOOR AREA: The surrounding grounds were equipped with furniture for residents and visitor use. There was one (1) emergency exit door located on the side of the facility. All exits and passageways were free of obstruction. The LPA observed a shed in the backyard that contained general storage. RECORDS: Record review began at 11:06AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. The infection control plan was completed and reviewed annually as required. The Administrator was unable to provide the emergency disaster plan and stated they did not recall where they put it. Emergency disaster drills are not conducted quarterly, with the last documented drill on 04/02/2025. The Administrator stated they forgot to conduct a drill in August, although the next documented quarterly drill was due in July. Smoke and carbon monoxide detectors were tested at 1:17PM and were operational. Fire extinguishers were observed throughout the facility and were last serviced on 06/02/2025. Report Continued on LIC 809-C MEDICATIONS: Medication review began at 1:20PM. Medications were centrally stored and kept inaccessible. Medications were observed for one (1) resident. Medications were labeled and checked for expiration dates and were not properly documented on the centrally stored medications and destruction record (CSMDR). R1 was prescribed Docusate Sodium 100MG filled on 09/23/2025 and Acetaminophen 325MG PRN (as needed) filled on 09/02/2025; both medications were not documented on the CSMDR. The Administrator stated that both medications were PRNs and R1 did not take them often. The LPA observed that only one (1) medication was a PRN, and the Administrator then stated that R1 did not like to take the other medication. The Administrator did not have documented logs of R1’s refusals in addition to a PRN Authorization Letter. R1 was also prescribed Amlodipine Besylate 10MG, Atorvastatin Calcium 40MG, Clopidogrel Bisulfate 75MG, Dutasteride 0.5MG, Nebivolol HCL 5MG, and Tamsulosin HCL 0.4MG which were not accurately recorded and had the incorrect expiration date, fill date, and start date on R1’s CSMDR. Pursuant to Title 22 CA Code of Regulations and/or Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the Appeal Right and report was reviewed and provided.the state’s words, verbatim · CDSS document, Sep 29, 2025

Allegation investigated: Staff did not ensure that resident received assistance with their colostamy bag Staff did not meet resident's hygiene needs

Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced subsequent complaint visit for the above allegations. Upon arrival, LPA met with Administrator Maria Lourdes Ricafort and explained the reason for the visit. On 07/02/2024, between 01:45 p.m. and 3:45 p.m., the LPA interviewed the Administrator over the phone, one (1) staff in person, and staff was not able to provide records for Resident #1 (R1). During today's inspection, the LPA conducted a tour of the facility, interviewed the Administrator, one (1) staff, one (1) resident, and two (2) witnesses. During today's visit the Administrator was not able to provide records for Resident #1 (R1) which will be addressed under a seperate cover. Report will continue on LIC9099-C, 2nd page. Unsubstantiated Regarding the allegations, “Staff did not ensure that resident received assistance with their colostomy bag and Staff did not meet resident's hygiene needs” it is the concern of the reporting party (RP) that in March 2024, former Resident 1 (R1) tried to change their colostomy bag, got the contents on themselves, and the owner refused to clean R1. RP further reported that the owner insisted on R1 to be placed on Home Health care to take care of baths and illnesses, and once R1 was placed on Home Health, the owner would call a different Home Health care provider to come and look at R1. During the initial complaint visit on 07/02/2024, the LPA was advised the facility only had one staff working at the facility in addition to the Administrator. Interviews with both the Administrator and the staff revealed that R1 would take care of their own colostomy bag, R1 did not ask for help, and they did not observe R1 to struggle with the colostomy bag. The Administrator further revealed that R1 did not want them to help with the colostomy bag. The Administrator stated that R1 received assistance from their Home-Health agency for anything related to their colostomy bag, they came once a week, denied ever leaving R1 with the contents of their colostomy bag on them, and stated that they always ensure all the residents are kept clean. Furthermore, the Administrator stated that they only suggest residents to be placed on home health for medical support if needed such as having a colostomy bag, denied suggesting it due to baths, and stated that they would still provided baths even if residents are on home health. Lastly the Administrator stated they cannot call a different Home Health provider that is not the assigned one to the resident, and other Home Health agencies will not touch a resident that is not assigned to them. Staff revealed that they never witnessed the Administrator leaving R1 dirty, and that the administrator would clean them or asked staff to clean the resident. The LPA was not able to review any records for R1, as the Administrator was not able to provide them which will be addressed under a separate cover. Interview with a family member of R1, revealed that they did not have any concerns regarding the care that was being provided at the home. They further revealed that they spoke with R1 once a week over the phone and R1 did not voice any concerns and sounded happy. Per Title 22 Regulations the licensee shall be permitted to accept or retain a resident who has a colostomy or ileostomy if the resident is mentally and physically capable of providing all routing care for his/her ostomy and the physician has documented that the ostomy is completely healed or if assistance in the care of the ostomy is provided by an appropriately skilled professional. Although the allegation may have happened or is valid, based on interviews, the above allegations are deemed unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, May 7, 2025 · control 29-AS-20240626142900

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPA) Esther Cortez conducted an unannounced Case Management -Deficiencies visit in conjunction with a subsequent complaint visit (Complaint Control #29-AS-20240626142900). The purpose of the visit is to issue citations for deficiency observed during the complaint investigation which is not related to the complaint. LPA met with administrator Maria Lourdes Ricafort and the reason for the visit was explained. On 07/02/2024, during the 10-day visit of Complaint Control #29-AS-20240626142900), staff was not able to provide records for Former Resident #1 (R1). During today's visit the Administrator was not able to provide records for R1. In addition, staff and resident interviews revealed that Staff #1 (S1) sleeps overnight at the facility in a vacant resident room. Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8, the following deficiencies was cited (refer to LIC 809-D). Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted, today's reports and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, May 7, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(d) · Plan of correction due date: May 21, 2025

Resident Records:87506(d)All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. Removal of records shall be subject to the following requirements: Based on interview and record review the licensee did not comply with the regulation above, records for R1 were not provided to LPA, which poses a potential personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 7, 2025

Plan of correction: Licensee agrees to submit a self-certification letter that they understand the regulation and that they will ensure that all current and former resident's files are maintained for 3 yeas and made available to the Department for review. Provide the Department with a copy of Resident #1's file by 5/21/25. If cannot locate residents file will notify the Department. Amended to obtained signatures.

Allegation investigated: Staff didn't ensure chemicals were locked making them accessible to residents in care.

Licensing Program Analyst (LPA) Emily Peraldi conducted an unannounced initial complaint visit to this facility. At 9:40 a.m., the LPA met with staff and explained the reason for the visit. At 9:50 a.m., the Administrator, Maria Lourdes Picafort arrived at the facility. Between 9:55 a.m. and 10:30 a.m., the LPA conducted interviews with the Administrator, one (1) staff and one (1) resident. At 10:00 a.m., the LPA along with the Administrator conducted a physical plant tour. Continued on LIC 9099-C. Unsubstantiated Regarding the allegation: 1.) Staff didn't ensure chemicals were locked making them accessible to residents in care. On 11/08/2024, the Department received a complaint regarding chemicals being left unsecured under the kitchen sink. During today’s visit, the LPA observed the cabinet underneath the kitchen sink secured with a child lock. The Administrator explained that underneath the kitchen sink, she only keeps diluted solutions of vinegar and alcohol. The LPA observed two (2) bottles of diluted vinegar and one (1) bottle of alcohol underneath the kitchen sink. The Administrator explained that cleaning supplies and chemicals are kept secured in the locked garage. The LPA observed the garage and confirmed chemicals are stored near the laundry units. The LPA had a conversation with the Administrator about the importance of ensuring all chemicals, including cleaning supplies are kept locked and inaccessible to residents in care. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. 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 deemed Unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Nov 14, 2024 · control 29-AS-20241108150116

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kristin Kontilis arrived at the facility unannounced to conduct a required annual visit at approximately 11:10 am. LPA met with Staff 1 (S1) and explained the purpose of the visit. Interim Administrator John Davis arrived at approximately 12:20 pm. Interim Administrator stated Administrator Lourdes Rickport has been out of the country since on or about September 8, 2024. LPA spoke with Administrator Rickport who stated she is due to return on or about October 1, 2024. Entrance interview conducted. At the time of arrival, there were two residents in care and two staff on duty. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for a capacity of six (6) non-ambulatory residents, one (1) of which can be bedridden. The facility has a hospice waiver for one (1) resident. Currently there are no residents on hospice, no bedridden residents, and no residents on oxygen. LPA Kontilis toured the facility inside and outside with Interim Administrator, John Davis. LPA noted the fire extinguisher was last serviced on 6/17/2024. The carbon monoxide detector and smoke alarms are properly working. The common areas, kitchen, and bedrooms are clean and in good condition. Bedrooms are properly furnished with nightstands, lamps, bed, and dressers. There are a total of five (5) bedrooms. Four (4) bedrooms are for resident use and one (1) bedroom is designated as a staff room. Bedroom 1 is a staff room. Bedrooms 2 and 4 are currently unoccupied. Resident 1 (R1) currently resides in Bedroom 3. Resident 2 (R2) currently resides in Bedroom 5. Bedroom 5 has a private bathroom. There are two bathrooms in the facility. Bathroom 1 is located off the hallway. Per Staff 1 (S1) and Staff 2 (S2), Bathroom 1 is primarily the staff bathroom and the private bathroom in Bedroom 5 is utilized to shower R1 and R2 at least once a week. Interim Administrator was unsure as to why the hallway bathroom is not used for residents in care. Please continue to 809-C, Pg 2. The backyard has an outdoor area with paved walkways, potted plants, trees and shrubs. LPA observed an excessive amount of debris and miscellaneous items such as but not limited to, equipment, metal bedframes, mattress, wheelchairs, commodes, hanger, and chairs. There were no bodies of water noted. An outdoor shed was observed to be locked and inaccessible to residents in care. LPA reviewed resident’s records for R1 and R2 including resident physician’s report and needs and service appraisals. LPA noted R2’s Physician’s Report is dated 4/21/2021. R2 was admitted into the facility on 7/4/2020. Staff records were reviewed for background clearance and to ensure all staff are properly associated to the facility. Record review revealed Interim Administrator has received a background clearance but has not been properly associated to the facility. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Sep 17, 2024

Allegation investigated: Staff did not allow resident visitors. Staff confiscated resident's cell phone.

At 10:30 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent complaint visit. The LPA met with Administrator Maria Lourdes Ricafort and the reason for the visit was explained. On 03/19/2024 the LPA along with the Administrator toured the facility, interviewed two (2) residents, and one (1) staff between 12:35 p.m and 3:40 p.m., and the LPA also obtained pertinent documents. On 05/21/2024 the LPA toured the facility with staff, and interview one (1) staff. During today's visit the LPA toured the facility with the administrator, obtained pertinent documents, and conducted an interview with the administrator throughout the visit. Report will continue on on LIC9099-C (2ND PAGE). Unfounded Regarding allegations: Staff did not allow resident visitors and Staff confiscated resident's cell phone, it is the reporting parties concern that on February 18th, staff #1 (S1) told resident #1's (R1's) visitors, they were not allowed to see the resident and turned them away. It was further reported that S1 confiscated the resident's cell phone. To investigate the allegation the LPA conducted interviews and record review. Interviews conducted and review of roster revealed that the resident in question, whom the complaint is in reference to is a family member of the administrator, who was staying at the facility due to medical reasons and not a client/resident of the facility. Interviews with the administrator revealed that R1 did not have an admission's agreement or was paying money to the facility, and is no longer at the facility. Per the investigation, the allegations are deemed Unfounded at this time. A finding of Unfounded means that the allegations are either false, could not have happened, and/or is without a reasonable basis. A case management report was issued due to deficiencies found during the investigation. Exit interview. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jun 21, 2024 · control 29-AS-20240318082439

Allegation investigated: Staff do not ensure sufficient lighting is provided in resident rooms. Staff do not ensure adequate personal care supplies are available for residents. Staff do not ensure residents’ personal care needs are being met in a timely manner. Staff leave residents soiled for extended periods. Staff do not ensure facility cleanliness is maintained.

At 10:30 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced subsequent complaint visit. The LPA met with Administrator Maria Lourdes Ricafort and was explained the reason for the visit. On 05/21/2024, the LPA toured the facility and interviewed one (1) staff. During today's visit the LPA toured the facility with the administrator, obtained pertinent documents, conducted an interview with a resident's authorized person and conducted staff interviews. Report will continue on on LIC9099-C (2ND PAGE) Unsubstantiated On the allegation that Staff do not ensure sufficient lighting is provided in resident rooms; it is the concern of the reporting party that Resident #1’s (R1’s) room was dark and had no overhead light or other lighting in the room available to turn on. To investigate the LPA conducted tours of the facility and Interviews. On 05/21/2024, prior to entering the facility the LPA met with two (2) Oxnard Police Department officers who revealed they had just conducted a visit at the facility and did not have any concerns. On 05/21/2024 the LPA conducted tours of the facility and did not observe overhead light fixture in the bedrooms, however the LPA observed two (2) lamps in R1’s room that provided lighting. In addition R1’s room has a big window that provides natural lighting coming through. Furthermore, interview with the administrator revealed that often residents do not like their rooms too bright and has additional lamps if the residents need additional lighting. The administrator showed the LPA the extra lamp. Although the allegation may have happened or is valid, based on interviews and observations, the above allegation is deemed unsubstantiated at this time. On the allegation that Staff do not ensure adequate personal care supplies are available for residents; it is the concern of the reporting party that Resident #1’s (R1’s) bed had no sheets on it, the exposed mattress was covered with food crumbs, and staff were not able to provide new sheets or clean pillow covers. It was further reported that the facility did not have an emery board for residents and the nail clippers and disposable razors provided for residents were rusted. To investigate the allegation, interviews and plant tours were conducted. Staff interviews revealed that they, have personal care supplies for the residents including disposable razors, nail clippers, bed sheets and linen. During today’s visit, at approximately 1:10 p.m. the LPA observed one (1) new full box of disposable Gillette razors, one (1) opened box with new disposable Gillette razors, and one (1) opened package of Blade for men with new disposable razors. The LPA also observed two nail clippers, of which one was rusted in the inside of handles and the other was not rusted. The LPA did not observe rust on any of the nail clippers blades. At 1:15 p.m. the LPA observed R1’s bed covered with a comforter and no bedsheet. Upon observation, the administrator stated that due to R1 using a special low-air loss mattress they do not use fitted sheets since they easily come undone when the resident moves and use a comforter instead since it is heavier and the resident sleeps over the comforter and not directly on top of the mattress. The administrator also stated that they can provide bedsheets if the resident wants them. Interviews with R1 revealed that they do not have concerns with their bed. The LPA observed a closet full of sheets and bed linen. The LPA did not observe any soiled pillows. Although the allegation may have happened or is valid, based on interviews and observations, the above allegation is deemed unsubstantiated at this time. Report will continue on LIC9099-C (3RD PAGE). On the allegation that Staff do not ensure residents’ personal care needs are being met in a timely manner and Staff leave residents soiled for extended periods; it is the concern of the reporting party that Resident #1’s (R1’s) fingernails were dirty and looked like they had not been cut or cleaned in months, R1 was observed to have soiled brief that was so soaked and starting to disintegrate, and R1’s face was observed to be dirty with old, crusted food on it and long facial hair. It was further reported that Resident #2 was in a similar state as R1 with long facial hair, dirty uncut nails and that R2 was observed with a disposable chux and diaper that was saturated with urine and falling apart. To investigate the allegations the LPA conducted plant tours and interviews. Staff interviews revealed that Hospice provides grooming services to the residents, that includes showers, shaving, and cutting their fingernails, however that if the residents need those services staff will provide them. Furthermore, staff interviews revealed that they check and change the residents diapers every two hours or when needed and do not leave them soiled. On 05/21/2024, prior to entering the facility the LPA met with two (2) Oxnard Police Department officers who revealed they had just conducted a visit at the facility, interviewed the residents and did not have any concerns regarding the allegations. One of the officers stated that the facility and residents seemed clean. On 05/21/24, the LPA was not able to interview R1 and R2 as R1 was sleeping and R2 declined to be interviewed and did not allow the LPA to enter their room. During today’s visit the LPA was able to interview R1, who indicated that they do not have any concerns and are happy at the facility. R1 does not remember when their nails and beard was last cut. The LPA did not observe any dirt under R1’s nails, did not observe nails to be long, and did not observe face to be dirty. The LPA observed R1 clean. Throughout today’s visit the LPA observed staff constantly checking on R1 and assisting them with their incontinent needs. R2 is no longer at the facility. Lastly, interviews with R1’s authorized person revealed that they visit R1 every three (3) to four (4) weeks and always observes R1 clean with their nails clipped, hair cleaned, no bed sores, and R1’s bed with covers. R1’s authorized person has no concerns regarding the care that is being provided by facility staff. Although the allegation may have happened or is valid, based on interviews and observations, the above allegation is deemed unsubstantiated at this time. Report will continue on LIC9099-C (4TH PAGE). On the allegation that Staff do not ensure facility cleanliness is maintained; it is the concern of the reporting party that the facility was observed to be cluttered with various items that were dusty, the furniture was dirty and dusty, and the kitchen and dining table were full of dirty dishes and old food. To investigate the allegation the LPA conducted interviews and plant tours. On 05/21/2024, prior to entering the facility the LPA met with two (2) Oxnard Police Department officers who revealed they had just conducted a visit at the facility, interviewed the residents and did not have any concerns regarding the allegations. One of the officers stated that the facility and residents seemed clean. On both visits conducted by the LPA, the facility appeared clean. The LPA did not observed dirty dishes or old food in the dinning table or in the sink. The LPA did not observe the furniture dirty or dusty. Furthermore, during today’s visit, the LPA observed a mop in a vacant room, and a bottle of vinegar in the restroom. Administrator stated that they were spring cleaning prior to the LPA’s visit. Although the allegation may have happened or is valid, based on interviews and observations, the above allegation is deemed unsubstantiated at this time. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Jun 21, 2024 · control 29-AS-20240521113502

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPA) Esther Cortez conducted an unannounced Case Management -Deficiencies visit in conjunction with a subsequent complaint visit (Complaint Control #29-AS-20240318082439). The purpose of the visit is to issue citations for deficiency observed during the complaint investigation which is not related to the complaint. LPA met with administrator Maria Lourdes Ricafort and the reason for the visit was explained. Upon arrival, on 03/19/2024 it was revealed that the administrator's family member, individual #1 (I1) was living at the facility, due to medical reasons. However, it was unclear during that visit if I1 was a resident of the facility. On 05/21/2024, it was revealed that I1 was not a resident of the facility, however they were still living at the facility. On 05/21/2024 per record review, conducted by the LPA on the Guardian Background Check System website and Licensing Information System, the LPA did not observe I1 to have a fingerprint clearance and be associated to the facility. Interviews with the Administrator revealed that I1 obtained a fingerprint clearance and was associated to the facility after the LPA's visit on 05/21/2024. Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8, the following deficiency was cited (refer to LIC 809-D). Civil Penalty assessed in the amount of $500. Failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted, today's reports and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Jun 21, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Jun 22, 2024

87355(e)(1)Criminal Record Clearance (e) All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance... This requirement is not met as evidenced by: Based on record review and interviews the licensee did not comply with the section cited above by not ensuring that I1 has a criminal record clearance and associated to the facility which poses an immediate health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 21, 2024

Plan of correction: POC has been met, I1 has obtained a criminal reord clearance and associated to the facility. Civil Penalties assessed in the amount of $500.

Allegation investigated: Staff does not ensure facility is clean and sanitized. .

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced initial complaint visit for the above allegations. The LPA arrived at 12:30 PM, met with Administrator Maria Lourdes Ricafort, and explained the reason for today's visit. During today’s visit, the LPA along with the Administrator toured the facility, interviewed two (2) residents, and one (1) staff between 12:35 p.m and 3:40 p.m . The LPA also obtained pertinent documents. Report will continue on LIC9099-C. Unsubstantiated Regarding the allegation: Staff does not ensure facility is clean and sanitized; it is the reporting party’s concern that the kitchen sink was full of dirty dishes and food out on counters. It was further reported that the dining room table had papers and boxes stacked, plastic containers stored inside oven and pots on top of stove. To investigate the complaint the LPA conducted a tour of the kitchen. During today’s visit the LPA did not observed dirty dishes inside the sink and the dining table had fruit and snacks available for the residents. In addition, during today’s visit, the LPA observed a caregiver washing dishes and observed pot of food on the stove that was cooking. Based on the LPA’s observations, the Department does not have sufficient evidence to support the above allegation. Therefore, this allegation is deemed Unsubstantiated at this time. Exit interview conducted. Today's report was reviewed and provided to the Administrator.the state’s words, verbatim · CDSS document, Mar 19, 2024 · control 29-AS-20240318082439

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPA) Esther Cortez conducted an unannounced Case Management -Deficiencies visit in conjunction with a 10-day complaint visit (Complaint Control #29-AS-20240318082439). The purpose of the visit is to issue citations for deficiency observed during the complaint investigation which is not related to the complaint. LPA met with administrator Maria Lourdes Ricafort and the reason for the visit was explained. At 2:04 p.m. the LPA observed three small containers with medication pills inside in a resident's room (R1), accessible to all residents in care. R1's room had the door open and unlocked. Upon observation the administrator remove the medication and store it inaccessible to the residents in care. This facility serves residents who cannot manage medication due to their diagnosis of dementia, including R1. Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted, today's reports and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Mar 19, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(2) · Plan of correction due date: Mar 19, 2024

87705(f)(2)Care of Persons with Dementia (f)...inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances... This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section above as medication was accessible in R1's room, which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Mar 19, 2024

Plan of correction: Medication in R1's room was secured during today's visit. Plan of Correction met.