Aasta Assisted Living

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff is sleeping during NOC shift. Facility staff do not treat residents with dignity and respect.

Licensing Program Analyst (LPA), Martha Arroyo conducted a subsequent complaint visit to the above facility. The purpose of the visit is to deliver findings for the above allegations. The initial complaint visit was conducted on 03/11/2024 by LPAs M. Arroyo and K. Dulek and a subsequent complaint visit was conducted on 01/02/2025 by LPA M. Arroyo. On today's visit, LPA Arroyo met with Executive Director (ED), Monica Reyes. Entrance interview. During the initial visit on 03/11/2024, LPAs Arroyo and Dulek interviewed the Administrator at 09:07am, toured the facility at 09:32am, reviewed and obtained copies of documents pertinent to the investigation, interviewed staff at 10:45am, 10:48am and 1:24pm, residents at 10:42am and 10:53am, and reviewed medications beginning at 1:44pm. On 01/02/2025, LPA Arroyo conducted interviews with one staff and six residents between 12:55pm and 1:45pm and obtained copies of pertinent documents. Report Continued on LIC 9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 13, 2025 · control 29-AS-20240304113219

Allegation investigated: Neglect/lack of supervision leading to questionable death Neglect/lack of supervision: facility employees failed to properly supervise resident resulting in an unwitnessed fall and injuries to the resident Licensee did not meet resident’s ADL needs Licensee did not provide resident’s responsible party an updated care plan Licensee did not comply with reporting requirements

Licensing Program Analysts (LPAs) Kelly Dulek and Emily Peraldi conducted a subsequent complaint investigation with the purpose of delivering findings for the allegations listed above. LPA arrived at the facility at 01:56PM and initially met with facility staff. LPA met with Executive Director (ED) Monica Reyes at 02:00PM. Entrance interview conducted. During an initial complaint visit conducted on 01/04/2024, LPA interviewed staff at 11:43AM, 01:09PM, and 01:25PM, interviewed ED at 11:55AM, toured the facility with ED at 12:15PM, and LPA reviewed and obtained copies of documents pertinent to the investigation. No immediate health and safety concerns were identified during that facility tour. ED was informed that the allegations were referred to Community Care Licensing Division (CCLD)’s Investigation Branch (IB). IB Investigator Douglas Real obtained copies of Resident #1 (R1)’s medical records, interviewed staff, residents and other relevant parties both telephonically or in person othe state’s words, verbatim · CDSS document, Nov 25, 2024 · control 29-AS-20240102113855

Allegation investigated: Facility is retaining a resident needing a higher level of care Licensee did not ensure resident's hygiene needs were met Licensee did not ensure resident's home health needs were met Licensee did not ensure resident's medical documents were complete

Licensing Program Analysts (LPAs) Kelly Dulek and Valeria Conway arrived at the facility unannounced to conduct subsequent complaint visit with the purpose of delivering findings for the allegations listed above. LPAs initially met with facility staff, then Resident Care Coordinator at 10:03AM and explained the reason for today’s visit. Executive Director/Administrator (ED) Monica Reyes arrived at 11:35AM. Entrance interview conducted. During today's visit, LPAs interviewed ED at 11:35AM, during an initial complaint visit conducted on 09/15/2023, LPA Dulek interviewed Wellness Director at 11:30AM, ED at 12:20PM, toured Memory Care with ED at 12:40PM, reviewed medications for Resident #1 (R1) at 12:47PM, and staff between 01:32PM and 2:20PM. LPA also reviewed and obtained copies of documents pertinent to the investigation. Throughout the course of the investigation, LPA reviewed all pertinent documents and conducted additional interviews with relevant parties. The following was then detthe state’s words, verbatim · CDSS document, Oct 14, 2024 · control 29-AS-20230908154939

Allegation investigated: Staff did not address a resident's behavior that posed a risk to other residents in care

Licensing Program Analysts (LPAs), Valeria Conway and Kelly Dulek, conducted a subsequent complaint visit to the facility above to issue final findings of the allegation. Upon arrival, LPAs met with front desk staff. Administrator, Monica Reyes, was called via phone. At 11:35 a.m., Administrator arrived at the facility. Reason for the visit was explained. Entrance interview. On 08/12/2024, from 9:30 A.M. – 2:15 P.M., LPAs initiated an unannounced complaint investigation for the allegation listed above. During the visit, LPAs toured the physical plant, interviewed staff, residents, resident Responsible Party (RP) and reviewed and obtained pertinent documents relevant to the investigation. It was reported that “Staff did not address a resident's behavior that posed a risk to other residents in care” as it was alleged that staff did ensure to protect Resident #1 (R1) from another resident who was causing R1 distress. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 14, 2024 · control 29-AS-20240807114227

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facilty staff did not administer medications to resident as prescribed The licensee did not provide assistance needed to meet the resident's home health needs Licensee did not allow resident's chosen third-party provider to provide services to the resident Facility is understaffed

Licensing Program Analysts (LPAs) Kelly Dulek and Valeria Conway arrived at the facility unannounced to conduct subsequent complaint visit with the purpose of delivering findings for the allegations listed above. LPAs initially met with front desk staff. Executive Director (ED) Monica Reyes was contacted and arrived at the facility at approximately 10:50AM. Entrance interview conducted. During an initial complaint visit conducted on 04/05/2023, LPA Dulek interviewed ED over the phone at 01:00PM, LPA interviewed staff at 01:14PM, 01:22PM, and 02:45PM, LPA reviewed medications for Resident #1 (R1) at 01:45PM, and LPA gathered copies of pertinent documents. Throughout the course of the investigation, LPA interviewed additional staff and reviewed copies of pertinent documents. The following was then determined: Report Continued on LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 26, 2024 · control 29-AS-20230330150348

Allegation investigated: Resident is left soiled for an extended period of time Resident has missed meals due to staff neglect Staff do not clean resident's room timely Staff do not put resident's call button in a place accessible to resident

Licensing Program Analysts (LPAs) Kelly Dulek and Valeria Conway arrived at the facility unannounced to conduct subsequent complaint visit with the purpose of delivering findings for the allegations listed above. LPA initially met with front desk staff. Executive Director (ED) Monica Reyes was contacted and arrived at the facility at approximately 10:50AM. Entrance interview conducted. During an initial complaint inspection on 06/01/2023, LPA Dulek interviewed Licensee and ED at 12:35PM, LPA toured the facility along with ED at 12:51PM, interviewed staff between 1:09PM and 02:43PM, and LPA reviewed and obtained copies of pertinent documents. Throughout the course of the investigation, LPA reviewed all pertinent documents, attempted to interview Resident #1 (R1) telephonically, and interviewed other relevant parties. The following was then determined: Report Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 26, 2024 · control 29-AS-20230524122929

Allegation investigated: Staff did not give resident medication as prescribed Staff did not address a change in residents’ condition

Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek arrived at the facility unannounced to conduct subsequent complaint visit with the purpose of delivering findings for the allegations listed above. LPA initially met with front desk staff. Executive Director, Monica Reyes, was contacted and arrived at the facility at approximately 10:50 A.M. and explained the reason for the visit. Entrance interview conducted. On 08/12/2024, from 9:30 A.M. – 3:15 P.M., LPAs initiated an unannounced complaint investigation for the allegations listed above. During the visit, LPAs toured the physical plant, interviewed staff, residents, resident Responsible Party (RP) and reviewed and obtained pertinent documents relevant to the investigation. It was reported that “Staff did not give resident medication as prescribed” as it was alleged that staff did not obtain the prescribed medication for Resident #1 (R1). Conitnued on LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Sep 26, 2024 · control 29-AS-20240807114227

Allegation investigated: Staff prohibiting resident from leaving the facility for visits Facility restricted visitation

Licensing Program Analysts (LPAs) Valeria Conway and Kelly Dulek conducted an unannounced 10-day visit complaint o the facility regarding the above noted allegations. LPAs met with Administrator Monica Reyes and explained the reason for the visit. During today's inspection, between 11:00 a.m. and 2:00 p.m., the LPA briefly toured the facility with the administrator, interviewed the Administrator, residents, caregivers and ombudsman. Additionally, LPAs conducted a file review, and obtained copies of pertinent documents relevant to the investigation. It was alleged that the staff prohibited resident from leaving the facility for visits of their choosing, it is the concern of the reporting party that Resident #1’s (R1’s) personal rights are being violated. Interview with R1 revealed Administrator told R1 that R1 couldn’t leave the facility. Staff interviews revealed that Administrator stated that R1 can only leave the community with one specific family member. Continued on LIC 9099-C Substhe state’s words, verbatim · CDSS document, Sep 11, 2024 · control 29-AS-20240909154531

Allegation investigated: Staff did not prevent residents from wandering away from the facility Staff do not respond to residents call for assistance in a timely manner Staff do not ensure that residents are adequately fed

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint investigation visit. LPA met briefly with Administrator Monica Reyes but she had to leave for an appointment. LPA was assisted by the Resident Care Coordinator (RCC) Esmeralda Elizarraraz. LPA explained the reason for the visit. During today's visit, 8/16/2024, LPA conducted interviews with nine (9) residents starting at 12:52 p.m. On 7/8/2024, LPA had conducted interviews with administrator starting at 10:42 a.m., interviews with multiple staff starting at 11:38 a.m., record review starting at 2:50 p.m., and interviewed one resident starting at 3:14 p.m. Regarding the allegation: Staff did not prevent residents from wandering away from the facility. The complaint indicated there were two elopements on Saturday, 6/29/2024. LPA interviewed staff who worked that day. Nobody was aware of any elopements. The staff in memory care denied that any memory (continued on LIC9099C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 16, 2024 · control 29-AS-20240701105839

Allegation investigated: Staff are making inappropriate comments towards residents

Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint investigation visit regarding the above noted allegation. LPA met with Resident Care Coordiantor (RCC) Esmeralda Saucedo Elizarraraz and explained the reason for the visit. The Administrator was out of the facility during LPA's visit. At 2:33 p.m. LPA conducted an interview with RCC. At 2:50 p.m. LPA conducted a telephone interview with Administrator Monica Reyes. At 3:00 p.m. LPA reviewed pertinent records. At 3:15 p.m. LPA conducted an interview with Resident 1 (R1). (continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, May 29, 2024 · control 29-AS-20240523090009

Allegation investigated: Staff did not treat resident with dignity or respect.

Licensing Program Analyst (LPA) Teresa Camara conducted an initial complaint investigation visit. LPA was greeted by the administrator Monica Reyes and LPA explained the reason for the visit. At 12:33 LPA interviewed the administrator. At 12:51 LPA reviewed records for resident 1 (R1). At 1:28 p.m. LPA interviewed R1. At 1:47 p.m. LPA interviewed staff 1 (S1). The complaint indicated R1 had gone to the front desk to have documents faxed but the staff treated R1 disrespecfully when the resident requested a fax confirmation sheet. However, R1 is not physically capable of going to the front dest on their own and chooses to stay in their room unless they must leave for an appointment. R1 takes all their meals in their room. R1 communicated to LPA that was not what happened. R1 stated it was "not a major issue" and did not wish to pursue this complaint. (continued on LIC9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, May 14, 2024 · control 29-AS-20240509154156

Allegation investigated: Neglect/Lack of Care and Supervision - the facility staff did not ensure Resident #1 (R1) had oxygen resulting in brain injury.

Licensing Program Analysts (LPAs) Martha Arroyo and Kelly Dulek conducted a subsequent complaint visit to deliver findings for the above allegation. LPAs met with Administrator, Monica Reyes and explained the reason for the visit. On 01/25/2023, the Department received a complaint regarding an allegation of Neglect/Lack of Supervision. It was alleged that the facility staff did not ensure Resident #1 (R1) had oxygen resulting in brain injury. The complaint was referred to the Community Care Licensing Investigations Branch (IB) and assigned to Investigator Douglas Real. On 01/26/2023, from 1:30 p.m. to 3:45 p.m., Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced initial complaint inspection for the allegation listed above. Continued on LIC 9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 21, 2024 · control 29-AS-20230125131322

Allegation investigated: Facility did not assist resident with obtaining medical care Facility staff did not assist resident with administering medications as prescribed

Licensing Program Analysts (LPAs) Kelly Dulek and Martha Arroyo conducted a subsequent complaint visit with the purpose of delivering findings for the allegations listed above. LPAs met with Monica Reyes at 02:16PM. Entrance interview conducted. During the initial complaint visit conducted on 01/12/2023, LPA interviewed Administrator at 09:50AM and at various times throughout the visit, toured the facility with Administrator at 11:08AM, interviewed staff at 11:21AM, 12:42PM, and 01:04PM. LPA also gathered copies of pertinent documents. A referral was made to CCLD’s Investigations Branch (IB), was accepted for investigation, and assigned to IB investigator Douglas Real. Investigator Real received and reviewed a copy of Resident #1 (R1)’s hospital records and conducted either telephonic or in-person interviews with facility staff, residents and other pertinent parties on the following dates: 02/09/2023, 02/13/2023, 04/10/2023, and 04/11/2023. The following was then determined: Report Conthe state’s words, verbatim · CDSS document, Mar 21, 2024 · control 29-AS-20230110153850

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are not ensuring that resident is provided with a comfortable mattress. Staff are not addressing resident's burn injury

Licensing Program Analyst (LPA), Esther Cortez conducted an unannounced initial 10-day complaint visit for the above allegations. Upon arrival, the LPA met with the Executive Director (ED), Monica Reyes, and was explained the reason for the visit. Entrance interview conducted. During today's inspection, between 09:35 a.m. and 4:00 p.m., the LPA interviewed the Administrator, two (2) staff, resident #1, R1's hospice nurse, and R1's case manager, conducted a file review, and obtained copies of resident records and other pertinent documents relevant to the investigation. Report will continue on LIC9099-C. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 1, 2024 · control 29-AS-20240223083928

Allegation investigated: Licensee did not provide resident's records as requested

Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation for the allegation noted above. LPA met with Executive Director (ED) Monica Reyes at 11:00 a.m. and explained the reason for the visit. On 1/24/2024, LPA Teresa Camara spoke with the complainant. The complainant confirmed the resident’s records they had requested were received on 1/23/2024 and the concern has been resolved. Therefore, the allegation "Licensee did not provide resident's records as requested" is deemed Unsubstantiated at this time. No deficiencies observed. Exit interview conducted and report issued to the ED. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 25, 2024 · control 29-AS-20240123211311

Allegation investigated: Staff neglect resulted in a resident leaving the facility unsupervised.

Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation for the allegation listed above. LPA arrived at the facility at 10:08AM and initially met with facility staff. LPA met with Executive Director (ED) Monica Reyes at 11:00AM. Entrance interview conducted. During today's visit, LPA interviewed staff at 10:10AM, 10:20AM and between 12:26PM to 01:50PM, interviewed ED at 11:02AM, toured the facility with ED at 11:47AM, and LPA reviewed and obtained copies of documents pertinent to the investigation. The following was then determined: The complaint alleges that Resident #1 (R1) left the facility unassisted and was found in the community, was confused and had fallen. The Regional Office had also received an incident report on 01/16/2024 indicating that on 01/15/2024, R1 had left the facility and was found in the community. LPA sent an email to the ED requesting documents for R1, which were received on 01/18/2024. Record review indicated that R1 resides Repthe state’s words, verbatim · CDSS document, Jan 25, 2024 · control 29-AS-20240118113952

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Licensee issued an unlawful eviction notice to resident in care

Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation for the allegation listed above. LPA arrived at the facility at 04:08PM and met with Executive Director (ED) Monica Reyes. Entrance interview conducted. During today's visit, LPA interviewed ED at 04:10PM and LPA reviewed and obtained copies of documents pertinent to the investigation. The following was then determined: On 11/07/2023, LPA Dulek received an email from ED Reyes, which contained an eviction notice for Resident #1 (R1). On 11/08/2023, LPA reviewed the eviction notice and replied to the ED indicating the eviction notice did not contain all the requirements per regulation. LPA requested the ED make changes to the submitted eviction notice and resubmit to CCL for approval. ED acknowledged receipt of the email, however, to date has not sent a revised eviction notice for R1. Interviews revealed that R1 has resided at this location prior to Report Continued on LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Nov 13, 2023 · control 29-AS-20231108105233

Allegation investigated: Licensee did not assist resident with self-administration of medications as prescribed

Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation for the allegations listed above. LPA arrived at the facility at 11:25AM and met with Wellness Director Esmeralda Elizarraraz. Executive Director (ED) Monica Reyes arrived at 12:20PM. Entrance interview conducted. During today's visit, LPA interviewed Wellness Director at 11:30AM, ED at 12:20PM, toured Memory Care with ED at 12:40PM, reviewed medications for Resident #1 (R1) at 12:47PM, and staff between 01:32PM and 2:20PM. LPA also reviewed and obtained copies of documents pertinent to the investigation. The following was then determined: During the medication review, R1's medication Mirtazipine 15mg bottle indicated there were 30 count and the medication was started on 08/03/2023. Mirtazipine is ordered once daily and administered in the morning. 36 days elapsed from the date the bottle was opened to the date R1 was hospitalized on 09/07/2023, however REPORT CONTINUED ON LIC 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Sep 15, 2023 · control 29-AS-20230908154939

Allegation investigated: Licensee does not ensure food of good quality is served to residents in care Staff does not ensure dietary restrictions are followed for residents in care

Licensing Program Analyst (LPA) Kelly Dulek initiated an initial complaint visit for the above listed allegations. LPA arrived at 09:52AM and met with Wellness Director Esmeralda Elizarraraz at 10:00AM. Administrator was contacted via telephone and arrived at the facility at 12:50PM. Entrance interview conducted. During today's visit, LPA toured the facility with Wellness Director at 10:04AM, interviewed residents from 10:40AM to 11:18AM and at 11:24AM and 12:35PM, observed staff delivering lunch and observed lunch in the dining room at 11:22AM. LPA toured the kitchen and took photos of the food supply at 11:36AM Additionally, LPA interviewed staff from 11:33AM to 12:02PM. The following was then determined: It was alleged that the facility does not ensure the food is of good quality and that residents' dietary restrictions are not followed. Interviews revealed that the menu is posted, the kitchen staff prepare the food REPORT CONTINUED ON LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 30, 2023 · control 29-AS-20230828164902

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.