Alamo Care Home

Type of visit: Required - 1 Year

On 5/27/2026 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required inspection. LPA met with Licensee/ Administrator, Levente Nagy and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 4 bedrooms are occupied by the residents and 3 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 69 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 114.9 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 unlocked and accessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 3/26/2026. Emergency Disaster Plan was last posted on 12/15/2025. First aid kit was observed to be complete. At 11:00 AM, LPA reviewed 5 residents records. At 10:50 AM, There were no staff records available to review. Report continues on LIC809-C. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Unlocked Knives, Scissors, cleaning supplies in kitchen Unlocked Medicines in kitchen Missing all staff files No quarterly emergency drills on file ***Immediate Civil Penalty assessed $250 for repeat violation in 12 month period*** 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, May 27, 2026

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: Case Management - Legal/Non-compliance

On 10/20/2025 at 11:45AM, Licensing Program Analyst (LPA) A Gomez conducted a case management visit to follow up on NCC requirements. LPA met with Licensee, Levente Nagy and explained the purpose of the visit. Facility is licensed for 6 non-ambulatory. During todays visit LPA reviewed the documents requested during the NCC. LPA previously received a link via email to access the documents but was unable to. LPA requested hard copies of all the NCC documents/requirements be mailed to the regional office by 10/24/2025. LPA will follow up as necessary. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 20, 2025

Type of visit: Case Management - Other

On 7/8/2025 at 8:00 AM, Licensing Program Analyst (LPA) A Gomez conducted a case management as a result of observations made during a visit on 6/19/2025. LPA met with Administrator, Levente Nagy and explained the purpose of the visit. Facility is licensed for 6 non-ambulatory. During todays visit LPA observed that the facility is not maintaining resident files. Administrator states that the facility maintains a MAR but that it is kept off site. LPA also observed that facility is storing R1's medication in a weekly med organizer and not keeping the medication for the week in their original container. When LPA requested to review the staff files administrator stated that they do not have the files available. While reviewing residents files for the last 3 months LPA observed that the facility was over capacity in June 2025. R3 moved into the facility when the facility was already at full capacity. R2 passed away 3 days after R3 moved in. LPA also found that the facility never sent in a death report for R2. When LPA asked administrator why there was not a death report sent in they stated that they did not know they needed to submit a report because R2 was on hospice. LPA found during the visit on 6/19/2025 that staff may be leaving residents at the facility unsupervised. On today's visit LPA spoke with administrator who confirmed that they have approved staff to leave the residents alone in the facility and advised the staff to take the call button alert system so that they would know if a resident required assistance. LPA found that staff are living in an are designated for office space and that a cosmetology related business is being ran out of the storage area Report continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Medications are not being properly stored Staff are living in an designated office space and storage area is being utilized for an unrelated business where unknown individuals receive services. Facility is not following reporting requirements and did not report a death Residents records were not available upon demand Facility is not maintaining records for all staff** Facility is accepting residents beyond their approved capacity** Administrator is not qualified and is neglecting their responsibilities **Civil penalties in the amount of $1250 are being assessed for repeat violations** 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, Jul 8, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(5) · Plan of correction due date: Jul 17, 2025

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement was not met as evidence by: Based on observations the facility did not comply with the section cited above by batching R1's medication for the week in a pill organizer which poses a potential health risk to resident in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: By POC facility agrees to review the regulation and retrain all the staff on medication procedures and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(a) · Plan of correction due date: Jul 17, 2025

(a)Living accommodations and grounds shall be related to the facility's function....The following provisions shall apply: This requirement was not met as evidence by: Based on observations and interview the facility did not comply with the section cited above by by staff living in an office space and running an unapproved business not related to the facilities function which poses a potential personal rights violation to resident in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: By POC facility agrees to start the process of obtaining a new fire clearence for the office space and submit a plan for the unapproved business and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(A) · Plan of correction due date: Jul 17, 2025

(a)Each licensee shall furnish...(1)A written report ... within seven days... (A)Death of any resident...from the facility. This requirement was not met as evidence by: Based on record review and interview the facility did not comply with the section cited above by not reporting the death of R2 which poses a potential personal rights violation to residents in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: By POC facility agrees to review the regulation and submit any and all death reports not previously submitted and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(d) · Plan of correction due date: Jul 17, 2025

(d)All resident records shall be available...upon demand... following requirements: This requirement was not met as evidence by: Based on record review and interview the facility did not comply with the section cited above by not having residents records upon demand which poses a potential personal rights violation to residents in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: By POC facility agrees to update records and files and notify CCLD

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Jul 8, 2025

(a)All facilities shall maintain a fire clearance approved by the ...State Fire Marshal. This requirement is not met as evidence by: Based on record review and interview the facility did not comply with the section cited above by being over their fire clearence capacity which posed an immediate safety risk to resident in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: Facility is no longer over capacity POC clear.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Jul 17, 2025

(a)All facilities shall have a qualified and currently certified administrator...to fulfill his/her responsibilities... This requirement is not met as evidence by: Based on observations and interview the facility did not comply with the section cited above by Administrator lacking the knowledge to adequetly fo their duties which poses a potential personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: By POC administrator agrees to sign up for refresher courses taught by an approved CCLD vendor and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR87412(a) · Plan of correction due date: Jul 17, 2025

(a)The licensee shall ensure that personnel records are maintained ... This requirement is not met as evidence by: Based on record review and interview the facility did not comply with the section cited above by not having all staff files which poses a potential personal rights violation to residents in care.the state’s words, verbatim · CDSS document, Jul 8, 2025

Plan of correction: By POC administrator agrees to update all files and notify CCLD

Type of visit: Case Management - Other

On 6/19/2025 at 8:00 AM, Licensing Program Analyst (LPA) A Gomez conducted a case management as a result of finding out that the facility does not have a facility phone for resident use. LPA met with Caregiver, Voichita Stoica (Gabriella) and explained the purpose of the visit. Licensee and Administrator were unavailable. Facility is licensed for 6 non-ambulatory On 6/17/2025 LPA contacted Licensee to inquire about facility documentation when they noticed that there was not a facility phone number available. LPA asked Licensee for facility phone number as to update the system information. Licensee stated that the facility does not have a designated phone. LPA inquired as to how residents have access to a phone. Licensee stated that residents must ask a staff to use their personal cell phone or have their own. Upon arrival to the facility for the case management LPA observed that staff where not answering the door. The front door was unlocked and when LPA entered they called out and there was no answer. LPA observed 4 residents unsupervised sitting in the dinning and kitchen area. LPA also observed a black kitchen knife in the kitchen on the counter. LPA walked throughout the facility and located S1 assisting a resident getting dressed and S2 mopping the bathroom floor. Through interview LPA also found that residents have been left unsupervised with no staff at the facility. Facility staff was unable to locate staff/resident files and lacked the tools to effectively assist residents in care. LPA also interviewed S1 and S2. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Staff are not adequately trained * There is not a designated facility phone Residents are left unsupervised* Dangerous items are left out (Kitchen Knife) * Facility Does not have adequate/competent staffing* Facility Files not available upon request* Facility does not have an adequate substitute for Administrator when Administrator is away* ***Administrator was away during visit and was not answering the phone. LPA had staff sign off on todays report 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, Jun 19, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Jun 19, 2025

(a) Except as specified.. the licensee shall ensure... knives...are in locked storage and are not left unattended... This requirement is not met as evidence by: Based on observation the Licensee did not comply with the above regulation by having an accessible knife which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: Caregiver locked away dangerous items.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87464(f)(1) · Plan of correction due date: Jun 26, 2025

(f) Basic services shall at a minimum include:(1) Care and supervision... Based on observation and interview the Licensee did not comply with the above regulation by not providing adequate supervision which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: By POC Facility agrees to implement a sign in and sign out sheet for all staff and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Jun 26, 2025

(a) Facility personnel shall at all times be sufficient...for the provision of adequate services. This requirement is not met as evidence by: Based on observation the Licensee did not comply with the above regulation by not having adequete and competent staff which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: By POC Facility agrees to hire additional staff and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR87755(c) · Plan of correction due date: Jun 26, 2025

(c) The licensing agency shall have the authority to inspect... records upon demand... This requirement is not met as evidence by: Based on interview the Licensee did not comply with the above regulation by not having records available upon demand which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: By POC facility agrees to create a designated spot for all files that can be accessed by staff and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Jun 26, 2025

(a) All facilities shall have a ... designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility ... This requirement is not met as evidence by: Based on interview the Licensee did not comply with the above regulation by not having a substitute administrator in their absence which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: By POC Facility agrees to hire a backup administrator and notify CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR87411(4) · Plan of correction due date: Jun 26, 2025

(4) All training shall be conducted by a person...who satisfies at least one of the following criteria related to education and experience: This requirement is not met as evidence by: Based on interview the Licensee did not comply with the above regulation by S3 and S4 not have been trained according to regulation which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: By POC Facility agrees to retrain all staff utilizing a CCL approved vendor and submit the name of vendors and scheduled trainings to CCLD

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87311 · Plan of correction due date: Jun 26, 2025

All facilities shall have telephone service on the premises... This requirement is not met as evidence by: Based on interview the Licensee did not comply with the above regulation by not having a designated facility phone which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 19, 2025

Plan of correction: By POC facility agrees to obtain phone service that stays on the premises for resident use and notify CCLD

Type of visit: Required - 1 Year

On 5/24/2024 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required inspection. LPA met with Licensee, Levente Nagy and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory. LPA toured facility with Levente Nagy including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 4 bedrooms are occupied by the residents and 2 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 112.5 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 6/23/2024. Emergency Disaster Plan was last posted on 5/24/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 1/08/2025. At 10:00 AM, LPA reviewed 6 residents records. At 10:50 AM, LPA reviewed staff records and 1 of 3 have current first aid training Report continues on LIC809-C. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Missing file for R1 Missing Administrators file No First Aid for S2 or Administrator 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, Apr 16, 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.

Allegation investigated: Failed to provide reimbursement of community fee Facility is not heated to the required Temperature

On 2/06/2025 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver findings for the above allegations. LPA met with Licensee, Levante Nagy and explained the purpose of the visit. During course of the investigation, LPA conducted interviews with facility staff and reviewed documents and discovered that complaint was generated under the wrong facility. Therefore all allegations are unfounded. This agency has investigated the complaints alleging the facility failed to provide reimbursement of community fee and facility is not heated to the required temperature . We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of report provided. Unfoundedthe state’s words, verbatim · CDSS document, Feb 6, 2025 · control 15-AS-20250124160912

Allegation investigated: Licensee did not issue resident’s authorized representative a timely refund for the correct amount. Staff did not dispense medication to resident as prescribed.

On 2/06/2025 at 10:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to deliver findings for the above allegations. LPA met with Licensee, Levante Nagy and explained the purpose of the visit. During course of the investigation, LPA conducted interviews with facility staff, and witnesses. Documents including but not limited to R1’s admission agreement, physician’s report, care plan, medication log, refund records were reviewed. LPA visited the facility on 7/5/2024, 10/25/2024, and 12/27/2024. Report Continues on LIC9099-C Substantiated On 10/25/2024 LPA interviewed S1 who stated that they have given Liquid morphine to residents before including R1. S1 is not a medical professional. On 12/27/2024 LPA interviewed the Licensee who stated that they have given Liquid morphine to residents before including R1. Licensee is not a medical professional. On 12/27/2024 LPA also had a discussion with the Licensee regarding refunds and they admitted that they did not give the complete refund as required to R1s POA because they were unaware of the amount they were supposed to give. Based on interviews and record reviews the allegations “Licensee did not issue resident’s authorized representative a timely refund for the correct amount.” and “Staff did not dispense medication to resident as prescribed.” Are 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 Exit interview conducted and a copy of report provided. On all visits LPA observed that the facility was fully stocked with good quality food and of appropriate quantities. LPA was unable to get proof of inadequate food service from any witnesses. Therefore the allegation “Staff did not provide residents with adequate food service.” 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. Exit interview conducted and a copy of report provided.the state’s words, verbatim · CDSS document, Feb 6, 2025 · control 15-AS-20240625104438

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87633(b)(4)(B)(b) · Plan of correction due date: Feb 6, 2025

(b)A current and complete hospice care plan...: (4)A description...facility. B) The plan shall specify... the licensed health care professional...will control...administration of all controlled drugs... This requirement is not met as evidence by: Based on interviews with staff the facility did not comply with the above regulation by administering morphine to R1 which posed an immediate safety risk to residents in carethe state’s words, verbatim · CDSS document, Feb 6, 2025

Plan of correction: Administrator has reviewed the regulation and confirms they understand the regulation. POC clear.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.652(c) · Plan of correction due date: Feb 6, 2025

(c) A refund of any fees paid in advance...shall be issued...within 15 days after the personal property is removed. This requirement is not met as evidence by: Based on interviews with staff the facility did not comply with the above regulation by not refunding the correct amount to R1's responsible party after R1 deceased which posed a potential personal rights violation.the state’s words, verbatim · CDSS document, Feb 6, 2025

Plan of correction: Administrator has reviewed the regulation and confirms they understand the regulation. POC clear.

Type of visit: Case Management - Deficiencies

On 1/30/2025 at 3:00 PM, Licensing Program Analysts (LPAs) A Gomez conducted a case managment visit while at the facility for complaint 15-AS-20250124160912. LPA met with Caregiver, Voichita Stoica (Gabriella) and explained the purpose of the visit. Licensee and Administrator were unavailable. Licensee confirmed via phone that caregiver can sign the report. Facility is licensed for 6 non-ambulatory While conducting the investigation for complaint 15-AS-20250124160912 LPA observed that the facility is over capacity. Facility is licensed for 6 residents and currently has 7. Facility is using an approved staff bedroom as a resident room. LPA is assesing an immediate $500 civil penalty for violation of 87202(a) Fire Clearance. ***A Civil Penalty of $500 is being assessed*** 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, Jan 30, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Jan 31, 2025

(a)All facilities shall maintain a fire clearance ...State Fire Marshal. This requirement is not met as evidence by: Based on observation and interview the facility did not comply with the above regulation by having 7 residents when they are cleared for 6 which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 30, 2025

Plan of correction: By POC Facility agrees to contact other facilities to begin the process of relocating resident and update CCLD of their progress.

Type of visit: Case Management - Other

On 7/05/2024 at approximately 12:30PM, while at the facility on an unrelated complaint investigation LPA A Gomez conducted a case management visit. LPA A Gomez observed a black kitchen knife, and 3 pairs of scissors in the kitchen unsecured. 1 type A deficiency is being issued. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 5, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(1) · Plan of correction due date: Jul 5, 2024

(f) The following shall be stored inaccessible to residents with dementia:(1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s). This requirement is not met as evidence by: Based on observation the Licensee did not comply with the above regulation by having accessible scissors, and knife which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 5, 2024

Plan of correction: Caregiver locked away dangerous items.

Type of visit: Required - 1 Year

On 5/24/2024 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required inspection. LPA met with Licensee, Levente Nagy and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory. LPA toured facility with Levente Nagy including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 4 bedrooms are occupied by the residents and 2 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 71 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 111.8 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 detector were in operating condition during visit. Fire extinguisher was last serviced on 6/18/2023. Emergency Disaster Plan was last posted on 5/24/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 4/09/2024. At 10:00 AM, LPA reviewed 4 residents records. At 10:50 AM, LPA reviewed 3 staff records and 2 of 3 have current first aid training and are 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, May 24, 2024