A-N-D Care Homes

Type of visit: Required - 1 Year

On 03/19/2026 at 8:00 AM, Licensing Program Analyst (LPA) K.Nguyen arrived unannounced to conduct a 1-Year Annual Required inspection. LPA met with Administrator, Morenike Hamza, and explained the purpose of the visit. Administrator certificate is current: 7010729740 09/29/2025 09/28/2027. The facility’s fire clearance was approved for three (3) non-ambulatory and hospice waiver for two (2). LPA toured facility with Administrator inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 2 total bedrooms for the residents. 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 118.2 degrees Fahrenheit. 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 detectors were in operation during the visit. Fire extinguisher last inspected on 8/15/25. The fire drill was last conducted on 01/05/2026. Emergency last updated and review conducted on 3/19/2026. Liability Insurance effective date: 3/2/26 to 3/2/27 Report Continues on LIC 809c... At 8:45 AM, LPA reviewed 3 resident records. At 9:45 AM, LPA reviewed 2 staff records, and they are associated with the facility. Deficiency observed on today's date: At 10:30 am, LPA observed prescribed medication left underneath the bathroom sink. Deficiencies were cited per Title 22, California Code of Regulations. Exit interview conducted; Appeal Rights and a copy of this report are provided via email.the state’s words, verbatim · CDSS document, Mar 19, 2026

Allegation investigated: Staff does not ensure facility has adequate food and water supply.

On 8/14/2025 at 10:00 a.m., Licensing Program Analyst (LPA) K. Nguyen, arrived unannounced to investigate the above allegations. LPA met with Morenike 'Nikky' Hamza, administrator, and informed the reason for visit. During the course of investigation, LPA interviewed resident (R), and administrator/licensee. LPA tour the facility with ADM. LPA reviewed residents’ records. Report continued on LIC9099C... Unsubstantiated Allegation: Staff does not ensure facility has adequate food and water supply. It was alleged Staff does not ensure facility has adequate food and water supply. LPA observed that there are two cases of portable water, iced tea, juices and soda are stack in the garage. LPA observed that there are 2-week supply of perishable and non- perishable food at the facility. LPA observed in the refrigerator are eggs, hams, bagels, cheese, vegetables, ect. LPA interviewed R1, R1 stated “I like to drink water and facility usually bring it to me. There’s enough food to eat. I am never hungry here. My roommates always have food and drinks as well”. Based on all information obtained, the allegations were closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegations may have happened or are valid, there's not a preponderance of evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Aug 14, 2025 · control 15-AS-20250805113548

Type of visit: Required - 1 Year

On 03/14/2025 at 10:00 AM, Licensing Program Analysts (LPAs) P. Manalo and K.Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Administrator, Morenike Hamza, and explained the purpose of the visit. Administrator certificate is current. The facility’s fire clearance was approved for three (3) non-ambulatory and hospice waiver for two (2). LPAs toured facility with Administrator inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 2 total bedrooms for the residents. 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. LPAs 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 118.9 degrees Fahrenheit. 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 drill was last conducted on 03/01/2025. At 10:25 AM, LPAs reviewed 1 resident record. At 10:33 AM, LPAs reviewed 2 staff records and are associated to the facility. At 12:10 PM, LPA reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 14, 2025

Type of visit: Required - 1 Year

On 3/28/2024 at 8:30AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to conduct a required annual inspection and met with Licensee/ Administrator Morenike Hamza. . The facility’s fire clearance was approved for 3. LPA toured facility with Licensee including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 2 bedrooms are occupied by the residents and 4 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 73 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 118.3 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. LPA observed a hole in the ceiling and administrator stated that there was recent water damage but that they have an appointment to get it fixed next week. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 11/01/2023. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 11/01/2023. At 8:40AM, LPA reviewed 2 residents records. At 9:00AM, LPA reviewed 2 staff records and 2 of 2 are associated to the facility. Report continues on LIC 809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 8:40AM during file review LPA observed R1's file having an expired physicians report, unsigned personal rights, and unsigned emergency medical consent form. R1's file had an expired physicians report, and missing the emergency medical consent form. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 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, Mar 28, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Allegation investigated: -Licensee did not ensure that resident's room was free from clutter resulting in injury to resident while in care. -Staff did not respond to resident's requests for assistance in a timely manner. -Licensee did not honor resident's notice to terminate.

At 1:10 p.m., Licensing Program Analyst (LPA) Delmundo, arrived unannounced to investigate the above allegations. LPA met with Morenike 'Nikky' Hamza, administrator, and informed the reason for visit. During the course of investigation, LPA interviewed R1's nurse (N1), 2 residents, and 2 staff members, administrator/licensee, and inspected R1's room. LPA reviewed and obtained copies of resident (R1) records. Allegation: Licensee did not ensure that resident's room was free from clutter resulting in injury to resident while in care. It was alleged that R1 would put mounds and mounds of boxes in R1's bedroom and bed. The administrator was asked to do something but didn't do anything. It was further alleged that it got to a point where there's not enough room for R1 to move his legs resulting to R1 developing contractures. .....continued on 9099C Unsubstantiated R1 stated he has stuff in his room and bed but has room to move his legs and can move from his back to side when in bed. Administrator stated she has cleaned and cleared R1's room and placed R1's stuff underneath the bed and in the side yard; however, R1 kept on putting them back to his bed. This was brought up to R1's case manager and N1. N1 stated she does not believe the clutters resulted to R1's contractures. N1 further stated that the administrator cleans R1's room but when R1 comes back, R1 put the stuff back to his bed. N1 stated that even R1 does not have clutter in his bed, R1 is still at risk of contractures due to R1's medical condition and R1 not following what the therapist instructed R1 to do. Allegation: Staff did not respond to resident's requests for assistance in a timely manner. R1 stated staff attended to him within 5 to 10 minutes when he pressed his buzzer but there are times it takes 30 minutes and staff (S2) said she didn't hear. S2 stated whenever the residents pressed their buzzes, signal is transmitted to the 2nd floor and dining area on the first floor. S2 stated she always attend to the residents when they pressed their buzzers. Administrator stated she always attend to the residents and check them every 30 minutes during the day and every 3 hours at night. S1 stated the staff attend to the residents timely. R2 indicated he seldom press his buzzer. When he needs help, he just call the staff and the staff responds right away, Allegation: Licensee did not honor resident's notice to terminate. It was alleged that the licensee refused to accept R1's termination notice, and kept charging R1 past R1's termination notice. The administrator denied the allegation and provided copy of R1's 30-day notice dated December 13, 2023. The administrator stated that she told R1 that she is not going to kick R1 out until R1 found a Skilled Nursing Facility (SNF) to move into. R1 stated he handed the notice December 2023, the social worker arranged to have him moved to SNF and the event unfolded the way it is. Based on all information obtained, the allegations were closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegations may have happened or are valid, there's not a preponderance of evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Jan 17, 2024 · control 15-AS-20240109101458