Abraham Rest Home

Type of visit: Required - 1 Year

On 04/23/2026 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Administrator, Victor Rodriguez, and explained the purpose of the visit. The facility is currently at max capacity with six (6) residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 69.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 134.3 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable 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 operating condition during visit. Fire extinguisher was last serviced on 03/27/2026. At 10:00AM, LPA reviewed five (5) resident files and five (5) staff files, all found to be complete. The emergency disaster plan was last reviewed 01/28/2026. Quarterly emergency drills were last conducted 02/01/2026. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. Continued on LIC809C..... Continued from LIC809..... The following deficiency was cited during inspection: At 8:50AM, the hot water temperature in the shared resident's bathroom measured to 134.3 degrees Fahrenheit. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report, along with Appeal Rights, was provided to the administrator.the state’s words, verbatim · CDSS document, Apr 23, 2026

Allegation investigated: Staff did not ensure resident received adequate nourishment, resulting in significant weight loss Staff do not ensure that resident's responsible party is notified of changes Staff did not prevent resident from sustaining a pressure injury

On 03/16/2026 at 12:20pm, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver complaint findings for the allegations above. LPA met with Karen Calderon, Caregiver and explained the reason for the visit. During the investigation LPA interviewed W1, W2, S1, S2, S3, and S4. LPA reviewed facility and Staff Roster, physician reports, progress notes, resident daily food chart, vital signs and weight record, staff schedule and admission agreement. CONTINUE ON LIC9099C Unsubstantiated CONTINUE FROM LIC9099 Allegation: Staff did not ensure resident received adequate nourishment, resulting in significant weight loss It was reported to the department that R1 was not receiving adequate nourishment which caused R1 significant weight loss. Interview with W1 and W2 revealed that R1 lost weight W1 reported that W2 was the one that noticed, one day W2 was at the facility and witnessed R1 shoulder that looked like R1 was smaller, W2 stated that W2 is not sure how R1 had gotten smaller. W2 stated that W2 made sure R1 ate when W2 was at the facility. W2 brought it to the facilities attention and S1 and W2 agreed that the facility would now start to provide R1 with a Ensure Protein shake. S2 stated that R1 was tall and skinny when R1 was admitted to the facility. S2 also stated that R1 would eat 100% of R1’s breakfast and a good amount of R1’s lunch but would eat less dinner some times as low as 30 to 40%. S2 stated that W1 and W2 would visit the facility 3 to 4 days a week at lunch time and would also eat lunch with R1. S3 reported that R1 would always eat 100% of R1’s breakfast, S3 also reported that R1 would often feed R1’s self and on some days staff would feed R1. S3 also reported that R1 had a special diet and the facility staff would follow the physicians orders. S4 stated that the facility dose clean eating, well balanced meals, the facility provided R1 with the protein shakes. S4 stated that the family is very protective and S1 or S4 would contact the family with any changes or incidents that happened with R1. LPA conducted a record review the LIC 602 stated that R1 was on a special diet, the resident’s daily food chart shows that R1 ate 100% of breakfast and 50 to 100% of lunch and 50 to 100% of dinner. Progress notes revealed that R1 was diagnosed with moderate protein calorie malnutrition upon admission. THEREFORE THIS ALLEGATION IS UNSUBSTANTIATED. CONTINUE ON LIC9099C CONTINUE FROM LIC9099C Allegation: Staff do not ensure that resident's responsible party is notified of changes in condition It was reported to the department that R1 had a change in condition and it was not reported to the RP. During the investigation LPA interviewed W1, W2, S1 , S2, S3, and S4. W1 stated that W1 was not really aware of what happened because W2 was in charge of R1’s medical care. W2 reported that R1 had a change in condition and W2 was not informed of the changes. S1 stated that S2 reported to S1 that R1 has a red area on R1 Coccyx area. The family had a home health nurse that would visit R1 3 times a week, S2 stated that the home health nurse visited R1 and provided the facility with a medication to apply to the area. W2 came to the facility and staff showed W2 the photo of the area where R1 skin was red and had cream on it. W2 then contacted S1 complaining that R1 had a red area that was not reported to W2. S1 stated that W2 visited that facility before S1 was able to call R1 to report that R1 had the red area on R1 Coccyx area. S1 reported it was within 24 hours. S1 also reported that the cream was applied and the area was no longer red after 3 days. S1 stated that they didn’t have record of home health documentation because they were visiting the facility at the families request. Staff showed W2 photos and reported the issue to W2. THEREFORE THIS ALLEGATION IS UNSUBSTANTIATED. CONTINUE ON LIC9099C CONTINUE FROM LIC9099C Allegation: Staff did not prevent resident from sustaining a pressure injury It was reported to the department that R1 had developed a pressure injury. During the investigation LPA interviewed W1, W2, S1, S2, S3 and S4. W1 stated that W2 handles all R1’s medical needs and W1 would have more information. W2 stated that the facility was not turning R1 as they should every 2 hours. W2 stated that R1 was complaining about R1’s back was hurting and W2 was asking staff to help reposition R1. S1 stated that staff are scheduled to reposition residents every 2 hours. S1 stated that W2 wanted night care for R1 S1 stated that it would be a fee for night care services. W2 did not want to pay the additional fees, S1 stated that the facility absorbed the cost and R1 was repositioned every 2 hours. S2 stated that the facility staff repositioned R1 every 2 hours and the S2 suggested a particular kind of wedge for night time and S2 stated that the family stated it was too pricy. S2 stated that night time S2 would be sure to change and reposition R1. S3 stated that a nurse came from John Muir and treated the red area on R1 and it was cleared within 3 days. S3 stated that staff would reposition R1 during the night every 2 hours, staff would follow all directions. S3 stated that the family had R1 on a exercise program and staff followed all directions. S4 stated that the facility had R1 on a exercise program and all staff would follow all instructions provided by family. S4 stated that family didn’t want to pay for night care so the facility absorbed the cost and provided night care. The facility provided 24 hour care, exercising , changing and repositioning the resident. LPA conducted record review R1 LIC 602 which revealed that R1 has a history of skin condition or breakdown and there is an order for a medication to apply to the area, progress note also revealed that the skin on the Coccyx has pink blanchable scar tissue which was intact, but noted high risk for pressure injuries. LPA also viewed the photos and the area was red but the skin was not broken. LPA requested the John Muir nurse documentation from the family which was not received. THEREFORE THIS ALLEGATION IS UNSUBSTANTIATED. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 16, 2026 · control 15-AS-20250203153446

Type of visit: Required - 1 Year

On 4/09/25 at 1:15 PM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Julio Sanchez and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. 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 kitchen sink was measured at 105.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable 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 operating condition during visit. Fire extinguisher was last serviced on 3/25/25. Emergency Disaster Plan was last reviewed on 4/09/25. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 1/01/25. LPA reviewed 5 residents records and 4 staff records; all were complete. LPA also 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, Apr 9, 2025

Type of visit: Case Management - Deficiencies

While conducting an investigation of a complaint (Control # 15-AS-20250203153446), the Department observed that staff (S1) has not been fingerprint cleared. On this day, 2/5/2025, Licensing Program Analyst (LPA) Carol Fowler conducted a case management as a result of the above. LPA met with Administrator (ADM) Julio Sanchez. Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12-month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with administrator. Exit interview conducted. A copy of this report, Appeal Rights and , .the state’s words, verbatim · CDSS document, Feb 5, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(e)(2) · Plan of correction due date: Feb 10, 2025

87355(e)(2) Criminal Record Clearance. Prior to working, residing or volunteering in a licensed facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline. -This requirement is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section above by allowing statt (S1) to work and was without being finger print cleared. personal rights risks to persons in care.the state’s words, verbatim · CDSS document, Feb 5, 2025

Plan of correction: Licensee/Administrator shall ensure that all employees prior to start date have been criminally cleared and associated to facility. Administrator to verify with CCLD that employees have an active association to facility before allowing to work. Administrator shall submit to CCLD LIC 9182 to associate any and all staff members whom are currently not associated to facility by POC date.

Type of visit: Required - 1 Year

On 5/03/24 at 10:30 AM, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Julio Sanchez, Licensee and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. 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 kitchen was measured at 108.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors, carbon monoxide detectors and fire extinguisher were in operating condition during visit. First aid kit was observed to be complete. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also 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, May 3, 2024