Megan Care Home

Type of visit: Required - 1 Year

On 11/21/2025 at 9:10 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Emma Pooler and explained the purpose of the visit. Administrator, Tayyaba Chaudhry arrived at 11:25PM The facility’s fire clearance was approved for 6 non-ambulatory of which 1 may be bedridden. LPA toured facility with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 119.0 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 11/25/2024. Emergency Disaster Plan last reviewed 2/7/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/24/2025. At 10:50am, LPA reviewed 6 residents records. At 12:30pm, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed Unlocked scissors with a red handle unlocked in the kitchen drawer along with a lime green KingsFord lighter. LPA also observed that the storage area for the washer and dryer was unlocked and being secured with a soft tie. Inside was unlocked disinfectants and Solutions (Windex, Lysol Toilet bowl cleaner, Soft Scrub with bleach, and Commercial Grade Floor Cleaner and Conditioner) LPA observed that bedroom labeled Caregiver was unlocked. Inside immediately upon entry LPA observed Unlocked Aleve liquid gels, Medicated Ointment, and Chlorhexidine Gluconate .12% The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 21, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 11/20/2024 at 11:25 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Melaine Rona and explained the purpose of the visit. Administrator, Tayyaba Chaudhry arrived at 12:45PM The facility’s fire clearance was approved for 6 non-ambulatory of which 1 may be bedridden. LPA toured facility with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide dectector were in operating condition during visit. Fire extinguisher was last serviced on 11/01/2023. Emergency Disaster Plan was last posted on 09/26/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/09/2024. At 11:50am, LPA reviewed 5 residents records. At 12:30pm, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 20, 2024

Allegation investigated: Staff are allowing a resident to wear other residents clothing

On 10/02/2024 at 9:30 a.m., Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a complaint investigation in regard to the allegations above. LPA met with Caregiver, Melanie Rona and explained the purpose of the visit. LPA spoke with Administrator over the phone who stated they had an appointment and would come by later to sign the report. Administrator arrived at 10:45 am. LPA interviewed staff and found that there have been times when residents were wering other residents clothes because of a mix up with laundry. Staff stated that sometimes the mix up does not get fixed for about a week because it goes unoticed. Therefore the allegation of "Staff are allowing a resident to wear other residents clothing" is substantiated. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Substantiated PAGE 1 On the allegation of "Staff do not provide adequate food service to the residents" LPA interviewed staff and found that staff cook 3 square meals a day and provide snacks. LPA also observed plenty of food available to residents during each visit. Administrator also provided photos of residents meals throughout the months therefore the allegation of "Staff do not provide adequate food service to the residents" is UNSUBSTANTIATED. On the allegation of "Staff did not prevent a resident from getting injured while in bed" LPA interviewed staff and discussed how when residents are agitated in bed they provide comfort as well as any prescribed medications as needed. LPA also conducted a collateral visit where they found that R1 can become agitated and bruises easily due to a condition therefore the allegation of "Staff did not prevent a resident from getting injured while in bed" is UNSUBSTANTIATED. On the allegation of "Staff mishandled a resident's medication" LPA interviewed staff and was not able to identify a time when medication was distributed inappropriately. LPA also obtained copies of the MAR that were complete and accurate. LPA also viewed the current MAR that was complete and up to date therefore the allegation of "Staff mishandled a resident's medication" is UNSUBSTANTIATED. On the allegation of "Staff do not have planned activities for a resident" LPA interviewed staff and found that they do daily activities with residents such as walking or puzzles. LPA also observed a variety of activities available to the residents. Administrator also showed LPA photos of residents engaging in activities at the facility throughout the year therefore the allegation of "Staff do not have planned activities for a resident" is UNSUBSTANTIATED. On the allegation of "Staff allow a resident to consume alcohol without proper authorization" LPA interviewed staff and found that residents are never allowed to consume alcohol and that any alcohol brought into the facility is for the live in caregivers and is stored in the garage out of residents availability. LPA did not observe any alcohol accessible during visits therefore the allegation of "Staff allow a resident to consume alcohol without proper authorization" is UNSUBSTANTIATED. REPORT CONTINUES ON LIC9099-C PG 2 CONTINUED PAGE 2 On the allegation of "Staff are not properly trained to handle a resident with dementia" LPA observed that all staff are up to date on their training's therefore the allegation of "Staff are not properly trained to handle a resident with dementia" is UNSUBSTANTIATED. On the allegation of "Staff are not notifying authorized representative of incidents involving a resident" LPA observed that Administrator had a record of all incident reports. Administrator also showed text message communications of daily life and updates to residents families including R1 therefore the allegation of "Staff are not notifying authorized representative of incidents involving a resident" is UNSUBSTANTIATED. Although the allegations 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 allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 2, 2024 · control 15-AS-20240301121209

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(12) · Plan of correction due date: Oct 9, 2024

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(12)To wear their own clothes... This requirement is not met as evidenced by: Based on interview with staff residents clothes have gotten mixed up and its gone unoticed for about a week which poses a personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 2, 2024

Plan of correction: By POC Administrator agrees to train employees on laundry services and create a system to identify residents clothes and notify CCLD.

Allegation investigated: Staff are over medicating the residents while in care

On this day at around 10:30am, Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to deliver finding for the above allegation and met with staff Steven Bagunas. LPA explained to Bagunas the purpose of the visit. The Administrator was informed over the telephone about the visit and she authorized Bagunas to sign the report. During the course of investigation, LPA conducted interviews and reviewed records. On 8/24/2023, LPA initiated 10-day investigation, interviewed staff and two residents and obtained records. Based on interviews and records reviews conducted, Resident 1 (R1) was admitted to the facility on August 10, 2023. On the same day, R1 was admitted to hospice care. A review of R1’s supplemental order from hospice indicates to discontinue all medications and start taking certain medications as ordered by hospice. continuation on Lic 9099C Unsubstantiated On 8/24/2023, LPA interviewed R2 and R3 who both have Dementia and were not aware of what medications they take. Based on interviews conducted with the Administrator and staff, they all denied over medicating the residents. All staff interviewed state they administer medications based on the doctor’s order. Based on interviews and record reviews conducted, the above allegation is unsubstantiated. 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 unsubstantiated. There is no deficiency noted for this visit. A copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Dec 29, 2023 · control 15-AS-20230821153202

Type of visit: Required - 1 Year

At 3:10PM Licensing Program Analyst (LPA) A. Gomez and Licensing Program Manager Y. Flores-Larios arrived unanounced to conduct a 1-Year Annual Required visit and met with Care taker, Melaine Rona. Administrator Tayyaba Chaudhry arrived at 3:25PM. LPAs toured and inspected the facility inside and outside with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which Four (4) bedrooms are occupied by the residents and One (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There were no bodies of water present at this facility. LPA observed medication to be locked. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the residents’ shared bathroom was measured at 109.3 degrees F. Resident's bathrooms have grab bars inside the shower and next to the shower. The shower has a non-skid mat. Hygiene items, extra linens and toiletry supplies were checked and sufficient. Fire extinguisher in kitchen was last serviced on 3/27/2023, smoke detectors and carbon monoxide were operational. First aid kit was inspected and was incomplete. Food supplies were sufficient to meet 2-day perishable and 7-day non-perishable requirements. LPA observed a sample of medication. continued on LIC809-C Resident records were reviewed at approximately 3:40pm. Staff records were reviewed at approximately 3:50PM. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/04/2023: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Updated facility sketch Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 27, 2023