Ablelight, Inc. - Dewitt

Allegation investigated: Staff serve expired food to residents. Staff use more than one brief on residents.

On 06/20/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct initial complaint investigation and health and safety check. LPA introduced self, stated the purpose of the visit, and met with Lead Staff Michelle Walsh. Designee Rosalind Ward was called and arrived shortly. During the course of the investigation, records were reviewed, the facility was toured, and interviews were conducted. Expired perishable food was observed in garage stand up freezer and expired canned foods were observed in pantry. Staff confirms staff utilize on Resident 2 (R2) more than one brief when changing R2 with no doctor's order. Based on observation, the preponderance of evidence standard has not been met, therefore, the above allegations are found to be SUBTANTIATED. Exit interview was conducted. A copy of this report and appeal rights were provided to Designee whose signature on this form confirms receipt of this report. Substantiatedthe state’s words, verbatim · CDSS document, Jun 20, 2026 · control 24-AS-20260618102354

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(8) · Plan of correction due date: Jun 21, 2026

87555(b)(8) All food shall be of good quality. Commercial foods shall be approved by appropriate federal, state, and local authorities. Good in damaged containers shall not be accepted, used, or retained. This requirement is not met as evidenced by: Based on observation and interviews conducted, expired nonperishable and perishable foods were observed, poses/posed an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 20, 2026

Plan of correction: Staff immediately disregarded expired food during visit. POC cleared during visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Jun 26, 2026

87468.1 (a)(2) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on interviews conducted and records reviewed, R2 is wearing more than two briefs with no physician order, poses/posed an potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 20, 2026

Plan of correction: Facility will obtain order for to use two briefs for R2 by 06/26/26.

Type of visit: Required - 1 Year

On 12/23/25 Licensing Program Analyst (LPA) , M Garza arrived at the facility to complete an unannounced annual visit. LPA met with Direct Support Professional, Mirna Montoya, explained reason for visit and was permitted entry into the facility. Administrator, Itaska Mask was contacted. Administrator stated they were unavailable to come to the facility but gave permission for LPA to complete visit with DSP, Mirna. LPA completed a tour of the facility inside and out. Resident were not present during todays visit. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 02/25/2025. Last fire drill conducted on 12/19/2025. Resident rooms observed to have the required furnishings and with adequate lighting. Sharps and medications located in locked cabinets. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: S1 working at facility was not associated to the facility. Personal hygiene items/items posing a danger unlocked and accessible to residents in care. Deficiencies cited per California Code of Regulations, Title 22. Deficiencies cited on attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. LPA requested the following documents to be submitted to CCL by 01/02/2025: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020), a copy of liability/surety in order to update the facility file. Exit interview was conducted with Administrator, Itaska and Lead DSP, Michelle Walsh. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, civil penalties and appeal rights discussed and provided.the state’s words, verbatim · CDSS document, Dec 23, 2025

Type of visit: Required - 1 Year

On 12/23/24 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Staff, Raijanae Harris, introduced self, explained reason for visit and was permitted entry into the facility. Administrator, Itaska Mask was contacted and arrived a short time later. LPA completed a health and safety check on residents in care. LPA toured the facility inside and out. Residents observed in common areas and in rooms. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Some run on a fire system. Fire extinguisher last serviced 03/19/2024. Last fire drill was on 11/20/2024. 2 of 4 resident rooms observed to have the required furnishings. All observed with adequate lighting. Linen supplies are kept in linen closets. Sharps and chemicals were located in locked closets/cabinets. LPA observed sufficient seating under covered patio areas. The following issues were observed during todays visit: Water temperature measured 94.1 degrees F in bathroom #3. 2 of 4 resident bedroom observed with out chairs. R1 bedroom observed with paint in need of touch up. Medications observed in refrigerator unlocked and accessible. Sample linen observed torn and in need of replacement. Bathroom #2 cabinet under sink in need of repair. Bathroom #3 cabinet door under sink in need of repair. Bathroom #3 observed in need of cleaning in shower area. Gate wire on right side gate in need of repair. Debris along right side fence, back yard fence and in garage in need of removal. Right side of patio observed with moss on concrete in need of cleaning. Holes from neighbors dog in need of filling along right side fence. Wall near dryer vent on left side of yard in need of cleaning. Gate on left side of yard not self-latching. Fence board on left side of yard observed with rot in need of replacement. Spider webs observed in garage in need of cleaning. Meeting point missing on facility sketch. CONT... CONT... LPA requested the following documents to be submitted to CCL by 1/3/24: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Exit interview completed with Administrator, Itaska. A copy of this report, deficiencies, TV's and appeal rights were provided.the state’s words, verbatim · CDSS document, Dec 23, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Jan 3, 2025

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by LPA observation of: R1 bedroom observed with paint in need of touch up. Bathroom #2 cabinet under sink in need of repair. Bathroom #3 cabinet door under sink in need of repair. Bathroom #3 observed in need of cleaning in shower area. Gate to right side gate in need of repair. Debris along right side fence, back yard fence and in garage in need of removal. Right side of patio observed with moss on concrete in need of cleaning. Holes from neighbors’ dog in need of filling along left side fence. Wall near dryer vent on left side of yard in need of cleaning. Gate on left side of yard not self-latching. Fence board on left side of yard observed with rot in need of replacement. This poses a potential health, safety and or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 23, 2024

Plan of correction: Administraor stated maintenance will be contacted to address issues. Administrator stated they will do additional facility checks for any arrising issues. Administrator stated pictures will be sent to CCL by POC date as proof of correction.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87303(e)(2) · Plan of correction due date: Jan 3, 2025

87303 Furniture, Fixtures, Equipment, and Supplies (e) Water supplies and plumbing fixtures shall be maintained as follows: (2)Faucets used by residents...shall deliver hot water. Hot water temperature ... to attain a temperature of not less than 105 degrees F (41 degree C) and not more than 120 degrees F (49 degree C). This requirement was not met as evidence by LPA observation of: Water temperature measured at 94.1 degrees F in bathroom #3. This poses a potential health, safety and or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 23, 2024

Plan of correction: Administrator stated maintenance will be called out to check the water temperature. Water temperature log will be completed for 2 weeks, in diffrent locations at diffrent time of the day. Log will be sent to CCL by POC date as proof of correction.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jan 3, 2025

87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidence by LPA observation of: medication (prescribed supplements) in the refrigerator unlocked and accessible to residents in care. This poses a potential health, safety and or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 23, 2024

Plan of correction: Administrator stated they will be moved out of the refrigerator and placed into the med station. They will remain locked and inaccessible. Picture will be sent to show they were removed and place in med station. In-service will be completed with all staff. In-serivce sign in sheets and training material will be provided to CCL by POC date.

Type of visit: Case Management - Other

On 7/12/24 Licensing Program Analysts M. Yang and J. Leffall arrived unannounced for a case management visit regarding a Default Decision and Order for Staff 1 (S1) LPA's met with staff Kimberly Leonard. Administrator Itaska Mask was called and arrived shortly. Troy Rice arrived and verified Brianna Garret is not employed. LPA's conduct visit to verify an individual that no longer has a criminal record clearance is working at the facility. LPA's were informed by Administrator that Staff member is not employed at the facility and no longer associated with the facility. Exit interview was conducted. A copy of this report was provided to Area Director, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Jul 12, 2024