Marbella Marysville

Licensing Program Analyst conducted the investigation into the allegation above. LPA met with Executive Director Tracy Freudendahl. LPA interviewed witnesses, staff, and residents. LPA also reviewed facility records. 1. Title 22 regulations does not allow staff to put medications directly into a resident's mouth. Interviews stated staff do put medications directly into residents' mouths. One med tech stated they always discuss medications with the residents and explains the processes and asks the residents if they want their medications put directly into the mouth. While this is a good idea the med tech is still not allowed to put the medication directly into a resident's mouth. Based on interviews, the allegation is substantiated. SubstantiatedRead the full finding— CDSS inspection report, October 29, 2025 · control 59-AS-20251006085922

Licensing Program Analyst conducted the investigation into the allegation above. LPA met with Executive Director Tracy Freudendahl. LPA interviewed witnesses, staff, and residents. Based on the interviews the resident rooms are not cleaned thoroughly and some of the bathrooms were not cleaned at all. Based on the information gathered through interviews, LPA was able to determine that the allegation is substantiated. Therefore, the Department finds the allegation to be Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. Please see 9099-D for the deficiency sited SubstantiatedRead the full finding— CDSS inspection report, May 6, 2025 · control 59-AS-20250225121819

Licensing Program Analyst conducted the investigation into the allegation above. LPA met with Executive Director Tracy Freudendahl. The facility has had twelve medication errors in the past five weeks. One medication was present in the facility and staff didn't know it. The eleven was because a med tech called out and no one covered the shift. This is based on incident reports the facility submitted as required to Community Care Licensing Division. LPA cannot determine one incident if the resident suffered ill-effects was caused by the missed medication and the resident has since recovered. The other residents did not suffer any ill-effects. The facility staff did notify the doctors of the eleven residents about the missed medications. Based on the above the allegation is substantiated. SubstantiatedRead the full finding— CDSS inspection report, May 6, 2025 · control 59-AS-20250414150539

On Friday May 5, 2023, Licensing Program Analyst (LPA) Melissa Parks arrived at the facility unannounced to deliver complaint findings into the allegation listed above and met with Health Services Director Sherri. During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. Allegation: Staff did not notify residents family of residents death. Based on interviews conducted and file reviewed, facility notified POA of R1s passing, which meets Title 22 reporting requirements. Therefore, the allegation is unfounded meaning that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview was conducted with Sherri and a copy of this report was provided to the facility. UnfoundedRead the full finding— CDSS inspection report, May 5, 2023 · control 59-AS-20230321152737

Licensing Program Analyst (LPA) Kerry Hiratsuka, arrived at the facility unannounced to conduct a Complaint Investigation Visit. LPA conducted COVID-19 Precautionary prescreening, and wore a surgical mask while at facility. LPA was screened by Front Desk. LPA Hiratsuka, investigated the allegation “Resident hit other resident in care; Resident pushed other resident in care; and Facility is short staffed.” LPA interviewed staff and reviewed resident's record. LPA also obtained parts of a resident's file as well. Title 22 Regulations and the CA Health and Safety Code does not require staff to be with residents every minute of the day. The incidents did occur; however, what LPA cannot determine is the reason why the incidents occurred. The facilty has record of reaching out to the responsible party and doctor of the resident who pushed and hit the other resident. The facility has daily notes on what and how they monitored the resident in question's behavior. UnsubstantiatedRead the full finding— CDSS inspection report, August 2, 2022 · control 25-AS-20211026131842