A Loving Senior Care Home II LLC

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday September 8, 2026, to conduct the unannounced annual inspection. LPA reviewed resident (5) and staff (2) files. Resident and staff files contained the required paperwork. LPA and Administrator Srey toured the facility together to ensure the health and safety of resident in care. The following areas were inspected: resident bedrooms, bathrooms, kitchen, common areas, and backyard. Fire extinguishers had current inspection tags. Facility had a fully stocked first aid kit. All required postings were observed. All chemicals and knives were kept locked and inaccessible to residents. Water temperature was within the required range. LPA obtained current liability insurance information. Exit interview conducted. No deficiencies cited. A copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 8, 2026

Allegation investigated: Staff did not answer residents calls for assistance during the night

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday January 13, 2026, to conclude a complaint investigation regarding the above allegation. LPA met with Administrator Srey and explained the purpose of the visit. LPA interviewed staff who stated that residents press their call buttons or staff do routine checks on residents. According to the complainant, R1 had a fall which the staff did not respond to timely. LPA interviewed staff who stated that R1 did not have a fall during the month of November. Staff stated that R1 requires frequent checks due to R1's Dementia. LPA reviewed R1’s hospice progress notes. Progress notes did not mention any bruise, evidence of a fall, or any complaints of pain. Based on information obtained during the investigation, LPA finds the allegation to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Exit interview. A copy of this report was provided to the Administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 13, 2026 · control 59-AS-20251118091014

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday November 19, 2025 to conduct a post licensing inspection. LPA met with the Administrator and explained the purpose of the visit. LPA reviewed 5 resident and 6 staff files. R3's file was missing TB test/results. S2's fingerprints were not associated to the facility. LPA and Administrator toured the facility to ensure health and safety of residents in care. The areas toured include: resident bedrooms, bathrooms, common areas, kitchen, backyard, and garage. In the areas toured, there were no health or safety violations observed. See 809-D for deficiencies cited during todays visit. Exit interview conducted. A copy of this report and appeal rights were provided to the facility.the state’s words, verbatim · CDSS document, Nov 19, 2025

From the deficiency page — Deficiency type: Type A · Plan of correction due date: Nov 20, 2025

87411 Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance . This requirement was not met based on document review and S2 was not associated to this facility. This poses a direct threat to health and safety of residents in care.the state’s words, verbatim · CDSS document, Nov 19, 2025

From the deficiency page — Deficiency type: Type B · Plan of correction due date: Dec 3, 2025

(c) The medical assessment shall include, but not be limited to: 87458 Medical Assessment (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following:(A) Communicable tuberculosis. This requirement was not met as evidenced by R3's file not containing a T test/result. This poses an indirect threat to the health and safety of residents in care.the state’s words, verbatim · CDSS document, Nov 19, 2025

Type of visit: Office

COMP II by CAB successfully completed Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Aug 19, 2025