A and E Loving Senior Home Care

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Singh met with Rene-Caregiver/ Staff, was granted entry to the facility. Facility Administrator Russell L. Bernardo, was informed and arrived shortly after. At the time of the visit there were two (2) staff present, and four residents present at the facility, one(1) resident was out in the community since 09/12/2026. The facility is a five (5) bedroom, three (3) bathroom home with a kitchen/dining area, living room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory residents and one (1) may be bedridden and with approved hospice waiver for six (6). The current census is five (5) residents. Four(4) residents are on home health, no residents are on hospice care. LPA Singh was accompanied by Russell L. Bernardo, Staff/Administrator to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night-stand, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Singh observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. All sharps are locked. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly Fridge has 34 degrees F and refrigerator temperature is 0 degrees Fahrenheit. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. The facility has an administrator present in the facility. LPA Singh observed enough staff to provide care and supervision to the residents in care. Record Review: LPA Singh reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete with updated physician’s reports, admissions agreements, and pre-admissions appraisals. LPA Singh reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA found that staff have CPR training, staff are properly trained in medication, dementia care, and basic training required for a Residential Care Facility for Elderly(RCFE). Medications/MARs records were audited and appeared to be dispensed appropriately by staff members. Fire drill and earthquake/disaster drill was conducted in August 2026. Liability Insurance valid through 07/09/2026-07/09/2027. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC (809) was provided to Russell L. Bernardo, Facility Administrator at the end of this visit.the state’s words, verbatim · CDSS document, Sep 17, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Beena Singh arrived at the facility unannounced to conduct a Case Management Visit for health and safety. This case management visit is in response to a Special Incident Report, (SIR) submitted to the Community Care Licensing Office on 06/04/2026. LPA was greeted by a Staff at the front door and granted entrance. Administrator Russell Bernardo was informed and arrived during the visit. LPA introduced self and stated purpose of the visit. This is a case management visit following an incident that occurred during the night while all residents were asleep, Staff #1 and Staff #2 were terminated from their positions following the incident. During today's visit, LPA conducted a health and safety check and conducted interviews with staff and clients. No deficiencies were cited during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to Administrator Russell Bernardo.the state’s words, verbatim · CDSS document, Jun 5, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Singh met with Licensee/Administrator Eva Fe L. Sosnovsky, was granted entry to the facility. At the time of the visit there were three (3) staff present, and four residents present at the facility. The facility is a five (5) bedroom, three (3) bathroom home with a kitchen/dining area, living room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory residents and one (1) may be bedridden and with approved hospice waiver for six (6). The current census is four (4) residents. Two (2) residents are in hospice care. LPA Beena Singh was accompanied by Licensee/Administrator Eva Fe L. Sosnovsky, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 73 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night-stand, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Beena Singh observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. All sharps are locked. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly Fridge has 34 degrees F and refrigerator temperature is 0 degrees Fahrenheit. Care & Supervision: The facility has an administrator present in the facility. LPA Beena Singh observed enough staff to provide care and supervision to the residents in care. Record Review: LPA Beena Singh reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete with updated physician’s reports, admissions agreements, and pre-admissions appraisals. LPA Beena Singh reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA found that staff have CPR training, staff are properly trained in medication, dementia care, and basic training required for an RCFE. Medications/MARs records were audited and appeared to be dispensed appropriately by staff members. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA Beena Singh reviewed three (3) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Fire drill was conducted on 10/4/2025 and earthquake/disaster drill was conducted in October, 2025. Liability Insurance valid through 07/09/2025-07/09/2026. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (809) was provided to Licensee/Administrator Eva Fe L. Sosnovsky.the state’s words, verbatim · CDSS document, Oct 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPAs) Beena Singh and Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs Beena Singh and Paola Guerrero met with Administrator Russell Bernardo, was granted entry to the facility. At the time of the visit there were two (2) staff present, and four residents present and one (1) was on vacation. The facility is a five (5) bedroom, three (3) bathroom home with a kitchen/dining area, living room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory residents and one (1) may be bedridden and with approved hospice waiver for six (6). The current census is four (4) residents and one (1) resident is on vacation. Three(3) residents are in hospice care, bedridden. LPA Beena Singh was accompanied by Administrator Bernardo to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstand, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Beena Singh observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. All sharps are locked. There was a designated office for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. ***Continuation in LIC809C ** Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly Care & Supervision: The facility has an administrator present in the facility. LPA Beena Singh observed enough staff to provide care and supervision to the residents in care. Record Review: LPA Beena Singh reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete with updated physician’s reports, admissions agreements, and pre-admissions appraisals. LPA Beena Singh reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA found that staff have CPR training, staff are properly trained in medication, dementia care, and basic training required for an RCFE. Medications/MARs records were audited and appeared to be dispensed appropriately by staff members. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA Beena Singh reviewed three (3) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (809) was provided to Administrator Russel Bernardo.the state’s words, verbatim · CDSS document, Nov 4, 2024

Type of visit: Required - 1 Year

On 11/21/2023 at 08:32 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Administrator Russell Bernardo, was granted entry to the facility. At the time of the visit there were two (2) staff present, and six (6) residents present. Licensee/Administrator Evafe Green – Sosnovsky was contacted and arrived during the visit. The facility is a five (5) bedroom, three (3) bathroom home with a kitchen/dining area, living room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory residents and one (1) may be bedridden and with approved hospice waiver for six (6). The current census is six (6) residents. LPA Brown was accompanied by Administrator Bernardo to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). LPA Brown observed obstructions to outdoor passageways as the backyard was observed with unused grills, ladder, tables, chairs. Deficiency will be issued. In addition, LPA Brown observed cleaning supplies not locked in the laundry room and are accessible to residents in care. Deficiency will be issued as this pose immediate health, safety and personal rights risks to residents in care. The facility is maintained at a comfortable temperature. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed no non-skid mat or strips in the hallway bathroom. Deficiency will be issued. Also, the cleaning supplies storage cabinet lock was broken or in disrepair located in the laundry room making it accessible to residents in care. Furthermore, LPA Brown observed pre-poured residents medication for the whole day, not locked in the kitchen drawer. Deficiency will be issued. ***Continuation in LIC809C *** Also, LPA Brown observed Resident #3 (R3) with full bed rails and Administrator Bernardo reported to LPA Brown that R3 is not on Hospice Care and no written order from the physician was observed indicating the need for postural support. LPA Brown observed no exception letter submitted and approved by Community Care Licensing Division (CCLD) for R3's full bed rails. To add to that, LPA Brown observed Resident #1 (R1), Resident #2 (R2), Resident #5 (R5) and Resident #6 (R6) have full bed rails. Administrator Bernardo reported to LPA Brown that R1, R2, R5 and R6 were under Hospice Care but per documents review, LPA Brown observed R1, R2, R5 and R6 do not have Hospice Care Plan that specifies the need for full bed rail. Deficiencies will be issued. Moreover, during the tour of the facility, LPA Brown observed the side gate secured and locked with padlock. This poses immediate safety risk to residents in care. Deficiencies will be issued for locking/securing the side gate with padlock. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 115 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster and the disaster plan were posted in a common area. Moreover, during the tour of the facility, LPA Brown observed two (2) scissors in an unlocked kitchen drawer, accessible to residents in care. Deficiency will be issued as this pose immediate safety risks to residents in care. There was a designated storage space for resident/staff files. There is a cabinet with the majority of the resident’s medications locked in the medication room. LPA Brown found medications pre-poured in a small container for the day, up to bedtime medication for each resident at the facility. LPA Brown explained that no medications shall be transferred between containers. The facility will be issued deficiencies for pre-pouring residents medications for the day as this pose immediate health, safety and personal rights risks to residents in care. To add to that LPA Brown observed Nutritional Supplements or Vitamins not locked and accessible to residents in care. LPA Brown informed Administrator Bernardo that deficiency will be issued as this pose immediate health and safety risks to residents in care. Food Service: Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Care & Supervision: The facility has an administrator present in the facility. LPA Brown observed sufficient number of staff to provide care and supervision to the residents in care. ***Continuation in LIC809C *** Record Review: LPA reviewed six (6) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete with updated physician’s reports, admissions agreements, and preadmissions appraisals. LPA reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA found that five (5) of the five (5) staff have CPR training, staff are properly trained in medication, dementia care, and basic training required for an RCFE. However, LPA Brown observed two (2) of the five (5) staff do not have Health Screenings in their facility file. Medications/MARs records were audited and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, twelve (12) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D forms, and Appeal Rights were discussed and provided to Licensee/Administrator Evafe Green – Sosnovsky and Administrator Russel Bernardo.the state’s words, verbatim · CDSS document, Nov 21, 2023

The state marks this report as 11 pages; the online copy we transcribed has 9. You can request the full file from the county licensing office.

Allegation investigated: Staff left resident in a soiled diaper for a long period of time causing resident to develop wounds.

On 10/27/2023 at 11:00 AM, Licensing Program Analyst (LPA) Melody Brown met with Licensee/Administrator Evafe Green - Sosnovsky and Administrator Russel Bernardo at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office to deliver the findings of the above allegation. LPA Brown explained the purpose of the requested Office Visit. The investigation consisted of observation, interviews and a review of pertinent documentation. The investigation was conducted by LPA Melody Brown. The investigation consisted of records review and interviews with relevant parties. The allegation indicates that Staff left resident in a soiled diaper for a long period of time causing resident to develop wounds. LPA Brown obtained evidence to corroborate the allegation above. Interview with Resident #2 (R2) indicated staffs are changing their diapers one (1) in the morning and one (1) at bedtime. Resident #3 (R3) reported to LPA Brown that staff are chaning their diapers one (1) in the morning, one (1) at lunch and one (1) at bedtime and Resident #4 (R4) indicated that staffs are changing their diapers two (2) or three (3) times per day. ***Continuation on LIC9099C*** Substantiated However, interviews with R4 revealed that staffs are not changing their diaper at nighttime and R4 reported to LPA Brown "If I'm wet or I dirty my diaper at night, I have to wait until the morning to be changed and the most recent date this happened was three (3) weeks ago." Also, interviews with R2 and R3 indicated that staff are changing their diapers during the day and at bedtime and R2 and R3 did not report that staff at the facility are checking or changing their diaper at nighttime. Interviews with Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3) indicated that no resident was left with a soiled diaper for a long period of time causing resident to develop wounds. LPA Brown asked if the facility has a record of their residents’ incontinent care and S1, S2 and S3 reported to LPA Brown that no such records exist. LPA Brown requested a copy of Care Notes/Progress Notes for their residents and S1, S2 and S3 revealed they do not have Care Notes/Progress Notes for their residents. Moreover, LPA Brown observed staff inconsistent report as to how often staff at the facility checked on their residents and change their diaper. Also, during the visit on 10/23/2023, LPA Brown requested the facility's Personnel Summary (LIC500) from S2 and LPA Brown observed that no staff are scheduled to work on a night (NOC) shift and immediately address the issue with S2. S2 updated the facility's LIC500 showing S2 as staff coverage on NOC shift. Furthermore, staff interviews with S1, S2 and S3 indicated something described as R1's scratching behavior that resulted to a wound on R1's buttocks was observed on 06/2023. S1, S2 and S3 confirmed with LPA Brown that they did not seek medical assistance regarding this observation. S1 and S2 reported to LPA Brown that they reported the incident to R1's responsible party but failed to report to R1's primary physician. Interview with S3 revealed that they treated the wound with hydrocortisone and moisturizer provided by R1's responsible party. Investigation revealed that on 09/28/2023, R1 was admitted for Hospice Care and upon admission, medical records show that R1 was diagnosed with Stage 2 Pressure Ulcer of left buttocks. Based on LPA Brown's investigation, it is concluded that there is sufficient evidence to substantiate allegation of Staff left resident in a soiled diaper for a long period of time causing resident to develop wounds. It was evident that R1 required staff assistance with activities of daily living, including incontinent care. However, it was found that facility staff failed to provide the services needed by R1 to meet R1 needs. As a result, R1 sustained Stage 2 Pressure Ulcer of left buttocks while in care. ***Continuation in LIC9099C *** A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report (LIC9099), LIC9099D and Appeal Rights were discussed, and a copy was provided to Licensee/Administrator Evafe Green - Sosnovsky and Administrator Russel Bernardo at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 27, 2023 · control 56-AS-20230927120232

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(4) · Plan of correction due date: Oct 28, 2023

87468.2(a) Additional Personal Rights of Residents in Privately Operated Facilities: ...Residents in privately operated RCFEs shall have all of the following...rights: (4)To care, supervision, & services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, & competency to meet their needs. This requirement was not met as evidenced by: Based on interviews & records review, it was found that Licensee did not ensure R1 received the care, supervision & services to meet their needs. On 09/28/2023, R1 was admitted for Home Health Service at a community care licensed facility in Laverne and R1 was diagnosed with Stage 2 Pressure Ulcer of left buttock. However, it was found that treatment and care for the injury was not being provided as needed. This violation of regulation posed an immediate health, safety and personal rights risk to R1.the state’s words, verbatim · CDSS document, Oct 27, 2023

Plan of correction: The licensee stated to train all staff on CCR 87468.2(a)(4) and submit proof of Staff Training Log to LPA Brown at Plan of Correction (POC) due date.

Type of visit: Case Management - Deficiencies

On 10/27/2023 at 11:00 AM, Licensing Program Analyst (LPA) Melody Brown met with Licensee/Administrator Evafe Green - Sosnovsky and Administrator Russel Bernardo at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) Regional Office to initiate a Case Management Office Visit. LPA Brown explained the purpose of the requested Office Visit. The investigation consisted of interviews and a review of pertinent documentation. On 10/23/2023, LPA Brown received Personnel Report Summary (LIC500) from Administrator Russel Bernardo and LPA Brown observed that no staff are scheduled to work on a night (NOC) shift. LPA Brown immediately address the issue with S2. LPA Brown explained to Administrator Bernardo that per Title 22 Regulation 87705 Care of Persons with dementia, their facility must have at least one night staff person awake and on duty if any resident with Dementia is determined through a pre-admission appraisal, reappraisal or observation to require awake night supervision. Interview with Staff #2 (S2) during the visit on 10/23/2023 indicated that the facility have two (2) residents with dementia and two (2) residents with mild cognitive impairment. S2 verbalized understanding during the visit on 10/23/2023 and updated the facility's LIC500 showing S2 as staff coverage on night (NOC) shift. On 10/27/2023, LPA Brown informed Licensee/Administrator Evafe Green - Sosnovsky and Administrator Russel Bernardo that deficiency will be issued as this pose immediate health, safety and personal rights risk to residents in care. Moreover, per review of R1's Physician Report (LIC602), LPA Brown observed that the facility failed to complete the required annual medical assessment, reappraisal and reassessment done for R1's dementia care needs. LPA Brown informed Staff #1 (S1) and S2 that deficiency will be issued as this pose potential health, safety and personal rights risk to residents in care. An exit interview was conducted where this report LIC809, 809D and Appeal Rights were discussed and provided to Licensee/Administrator Evafe Green - Sosnovsky and Administrator Russel Bernardo.the state’s words, verbatim · CDSS document, Oct 27, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(4)(A) · Plan of correction due date: Oct 28, 2023

87705 Care of Persons with Dementia (4) There is an adequate number of direct care staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her current appraisal. (A) In addition to requirements specified in Section 87415, Night Supervision, a facility with fewer than 16 residents shall have at least one night staff person awake and on duty if any resident with dementia is determined through a pre-admission appraisal, reappraisal... This requirement is not met as evidenced by: Based on interviews & records review, it was found that Licensee did not ensure there's a staff scheduled to work night (NOC) shift for night supervision to residents with dementia which pose immediate health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 27, 2023

Plan of correction: The Licensee stated to train all staff on CCR 87705(4)(A) and submit proof of Training Log to LPA Brown at Plan of Correction (POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87705(5) · Plan of correction due date: Nov 6, 2023

87705 Care of Persons with Dementia (5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, both of which shall include a reassessment of...This requirement is not met as evidenced by: Based on interviews & records review, the Licensee did not comply with the section cited above by failing to complete the required annual medical assessment, reappraisal and reassessment done for R1's dementia care needs which pose potential health, safety and personal rights risks to resident in care.the state’s words, verbatim · CDSS document, Oct 27, 2023

Plan of correction: The Licensee stated to train all staff on CCR 87705(5) and submit proof of Training Log to LPA Brown at POC due date.