Abel Care Home

Type of visit: Required - 1 Year

On 04/29/26 at 1:00 pm Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Administrator Lailo Matias and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. At 1:25 pm LPA reviewed 3 residents records. At 1:45 pm, LPA reviewed 2 staff records and 2 of 2 were fingerprint cleared 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, Apr 29, 2026

Allegation investigated: Staff interfered with a resident's visitations

On 01/14/2026 at 09:00AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to conduct a complaint visit. LPA explained the purpose of the visit with Administrator Lailo Matias. During the initial 10-day complaint visit, LPA interviewed staff, collected the following documents: Resident 1's (R1) Power of Attorney documents, R1's Emergency information, and Physicians report. On the Allegation of: Staff interfered with a resident's visitations Based on interview with Staff, R1's Power of Attorney requested at move in that R1 Continued on 9099C.... Substantiated Continued from 9099 was not to have any visitors. S1 stated that P1 wanted R1 to rest and not be confused or distracted while at the new home. On review of R1's Power of Attorney documents, it does not state that P1 has the authority to restrict visitor to R1. Based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 has been cited. Exit interview conducted. A copy appeal rights, and this report provided.the state’s words, verbatim · CDSS document, Jan 14, 2026 · control 15-AS-20260108115418

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(11) · Plan of correction due date: Jan 16, 2026

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To have their visitors, ... permitted to visit privately during reasonable hours and without prior notice... Based on records review and interviews, the licensee did not comply with the section cited above, by not allow a visitor to visit R1the state’s words, verbatim · CDSS document, Jan 14, 2026

Plan of correction: The facility agrees to read and review the regulation and PIN 25-07-ASC and submit a letter of self certification showing their understanding. Proof of correction will be sent to CCLD by POC date

Allegation investigated: Staff are not providing adequate food service to residents Staff screams at residents

On 11/07/2025 at 11:00 AM, Licensing Program Analysts (LPA), J. Clancy-Czuleger arrived unannounced to deliver complaint findings for the above allegations. LPA met with Lailo Matias, Administrator and explained the reason for the visit. During the course of the investigation, LPA obtained information, reviewed records, collected documents and interviewed staff and residents. It was alleged staff member physically abused resident by punching R1 in the arms and shoulders. However, based on interview staff denied hitting or pushing R1 nor observed staff hitting or pushing other clients. On the allegation: Staff are not providing adequate food service to residents LPA observed empty fruit basket with two brown bananas, a lime and a single clementine. The cabinets were half empty with cans pushed forward to block the empty shelf behind. There were about a half dozen potatoes that were starting to sprout freezer was bare, with three boxes of frozen popsicles and a tub of ice cream. Continued on 9099C... Substantiated ... Continued from 9099 Fridge had multiple packs of hot-dogs, three bags of bread and some fresh lettuce in the cooler drawer. On the allegation: Staff screams at residents In an interview with W1 they stated that they have heard staff raise their voice at residents and speak to some residents including R2 and R3 in an unkind manor. In an interview it was stated that some of the staff have even pinched R3’s nose. Based on LPAs interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), is being cited on the attached LIC 9099D. Failure to submit proof of correction by plan of correction due date, and any repeat violations within a 12-month period may result in civil penalties. Exit interview conducted, and a copy of this report provided. ... Continued from 9099A R1 was observed one morning to have a broken tooth. Facility staff were interviewed and said that there had been no incident or altercation that had occurred that would have broken R1’s tooth. W1 was interviewed and stated that they were informed about the tooth the same morning that it was noticed by staff and did not believe an injury or altercation occurred, but that staff might not be brushing R1’s teeth well enough. R1 was taken to the dentist, and it was confirmed that the tooth had broken due to rotting away and not from an injury. On the allegation: Staff are handling residents in a rough manner It was observed that R1 had scratches on their arm. W1 said that they also noticed the scratches on R1’s arm but was informed by staff that R2 had grabbed R1 and that was what may have caused the scratches. W1 said that they have not seen any staff handle the residents in a rough manner. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations 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, Nov 7, 2025 · control 15-AS-20250717104148

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(26) · Plan of correction due date: Nov 14, 2025

The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having two days of perishable foods or one week of nonperishable foods, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 7, 2025

Plan of correction: Licensee, agreed to purchase food and submit photo and receipt to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Nov 14, 2025

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature...This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above by staff raising their voice at residents and pinching a residents nose, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 7, 2025

Plan of correction: Administrator agreed to train all staff regarding the citations. Copy of training will be send to CCL by POC due date.

Type of visit: Case Management - Deficiencies

While LPA J. Clancy-Czuleger conducted a complaint investigation (15-AS-20250717104148) on 11/07/2025, LPA observed in the staff "break room" in the garage personal toiletries that were still wet from use, an individuals medication, a armoire full of clothes. LPA asked S2 who lived in this "room" and S2 stated a staff member who is working at Abel III. The deficiency was observed (see LIC809D) and cited from the California Code of Regulation, 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, Nov 7, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a) · Plan of correction due date: Nov 21, 2025

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement is not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above by allowing staff to live in a make shift room in the garage, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 7, 2025

Plan of correction: The licensee agrees to clear the garage room, and review the regulatons. Proof of correction will be sent to CCLD by POC date.

Allegation investigated: Staff are not adequately trained

On 08/07/2025 at 1:25 PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Lailo Matias. On the allegation: Staff are not adequately trained. Based on interviews, staff never received any training regarding pressure injuries. In an interview it was stated that staff did not have any training regarding pressure injuries and, did not feel comfortable providing care to R1’s pressure injuries without that training. Based on LPA’s interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The California Code of Regulations, Title 22 has been cited. Exit interview conducted. A copy appeal rights, and this report provided. Substantiated ...Continued from Lic 9099-A Hospital discharge planners, doctors, home health nurses all suggested that R1 should be placed on hospice care due to his condition and requiring a higher level of care; and W1 was told by S1 and JMH home health nurses that the facility would not be able to retain R1 if his pressure injuries went beyond stage two per licensing regulations. On the allegation: Staff did not seek medical attention for residents in a timely manner. Based on interviews, on 3/15/24 R1 started having trouble breathing so W1 asked S3 to call 911. As the phone call was happening the phone was passed over to W1 at their request. On the allegation: Staff are not following residents’ special diet. Based on interviews, R1 was on a special diet of pureed foods and thickened liquids. R1’s physicians report and medical records state that R1 needed pureed foods that were honey thick, and R1 needed to sit up after meals at or above 45 degrees due to high risk for aspiration. Staff interviewed stated that they thought that W1 did not trust staff to feed him properly so W1 brought R1’s food to the facility to prepare it for him and fed him. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations 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, Aug 7, 2025 · control 15-AS-20240619090132

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(c) · Plan of correction due date: Aug 21, 2025

87411 (c) All RCFE staff who assist residents with daily activities shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 Based on records review and interviews, the licensee did not comply with the section cited above by having staff preform wound care without the associated training which posed an potential health and safety risk to the residentsthe state’s words, verbatim · CDSS document, Aug 7, 2025

Plan of correction: By POC date, the Administrator states that all care staff will get trained on the following topics;pressure sore prevention, wound care, firt aid training and personal rights. Licensee will submit a sign in log for the training or individual certificates of completion to CCLD by POC date.

Type of visit: Case Management - Health Checks

On 07/18/2025 at 11:00AM Licensing Program Analyst (LPA) J. Clancy-Czuleger conducted an unannounced Health & Safety inspection. LPA met with Licensee Lailo Matias. LPA toured facility including but not limited to the common areas, bathrooms, kitchens, bedrooms and backyard. Resident's medications were kept locked in the medication cabinet. Smoke and carbon monoxide detectors are combined and observed throughout the facility and the bedrooms. First-aid kit was complete. No accessible bodies of water were observed. Indoor and outdoor passageways were free of obstruction. The following deficiency was observed: blocked passageway in room 4 The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided. interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Jul 18, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(d)(6) · Plan of correction due date: Jul 18, 2025

(d) (6)The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: The facility/staff blocked the emergency exit door in room 4, by putting a bookshelf infront of it.the state’s words, verbatim · CDSS document, Jul 18, 2025

Plan of correction: The caregiver removed items during inspection. Deficiency cleared

Allegation investigated: Staff makes rude comments to resident Staff does not treat resident with dignity and respect

On 05/15/2025 at 10:10 AM, Licensing Program Analysts (LPA), J. Clancy-Czuleger arrived unannounced to deliver complaint findings for the above allegations. LPA met with Lailo Matias, Administrator and explained the reason for the visit. During the course of investigation, LPA obtained information, collected documents and interviewed staff and residents. Based on interview with Staff, S1 and S2 both stated that all staff treat R1 with respect and enjoy talking to R1. When asked about joking around or poking fun at residents, both S1 and S2 explained that they like to try and make residents laugh when working with them but not to make fun of or be mean to them. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 15, 2025 · control 15-AS-20250206083206

Type of visit: Required - 1 Year

On 3/05/25 at 12:25 pm Licensing Program Analysts (LPA) J. Clancy-Czuleger and Y. Brown arrived unannounced to do an annual inspection. LPA meet with Administrator Lailo Matias and explained the purpose of the visit. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced 02/12/2025. At 1:00pm LPA reviewed 5 residents records. At 1:45 pm, LPA reviewed 3 staff records and 3 of 3 were fingerprint cleared and associated to the facility. The following TA was observed: R1's Appraisal outdated Continued on 809-C... ...Continued from 809 The following deficiency was observed during the visit: Cleaning wipes in bathroom Plaster falling off wall in room 3 The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 5, 2025

Type of visit: Case Management - Health Checks

On 06/20/2024 at 09:25 AM, Licensing Program Analyst (LPA) J. Clancy-Czuleger conducted an unannounced Health & Safety inspection. LPA met with Administrator Lailo Matias. LPA toured facility including but not limited to the common areas, bathrooms, kitchens, bedrooms and backyard. Hot water temperature in common area temperature was at a comfortable degrees. There are 2-days of non-perishables and 7-days of perishable food supplies. Resident's medications were kept locked in the medication cabinet. Smoke and carbon monoxide detectors are combined and observed throughout the facility and the bedrooms. First-aid kit was complete. No accessible bodies of water were observed. Indoor and outdoor passageways were free of obstruction. No deficiencies are cited on this date. Exit interview conducted. A copy of this report provided.the state’s words, verbatim · CDSS document, Jun 20, 2024

Type of visit: Required - 1 Year

On 4/15/2024 at 1:05 pm Licensing Program Analysts (LPAs) J. Clancy-Czuleger and A. Gharachorloo arrived unannounced to do an annual inspection. LPA meet with Administrator Lailo Matias and explained the purpose of the visit. LPAs inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPAs inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced 02/12/2024. At 1:25 pm LPAs reviewed 4 residents records. At 2:10 PM, LPAs reviewed 2 staff records and 2 of 2 were fingerprint cleared 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, Apr 15, 2024