Advantage Care Facility

Type of visit: Required - 1 Year

On 05/26/2026 at 9:40AM Licensing Program Analyst (LPA) Renese Howell-Small made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator, Melvin Torres and was granted entry to the facility. At the time of the visit there was three (3) staff and four (4) residents present. The facility is a five (5) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is a Residential Care Facility for Elderly (RCFE). Licensed capacity is (6) current census (4). LPA was accompanied by the Administrator, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 105 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications were kept inside kitchen cabinet inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the Department. Record Review: LPA reviewed four (4) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA did not observe proof of current training for staff. A deficiency was cited. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, a deficiency was cited and Technical Violation were given per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D, LIC9102 and Appeal Rights were discussed and copies were provided to Administrator, Melvin Torres.the state’s words, verbatim · CDSS document, May 26, 2026

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

On 12/02/2025 at 2:15PM Licensing Program Analyst (LPA) Renese Howell-Small made an unannounced visit to the facility to conduct a case management visit regarding complaint # 56-AS-20250912100921. LPA conducted three (3) staff interviews and reviewed documentation. An exit interview was conducted where this report LIC809 was discussed and a copy provided to the Administrator.the state’s words, verbatim · CDSS document, Dec 2, 2025

Allegation investigated: Staff did not inform the resident's authorized person of the resident's death Licensee did not refund the resident's authorized person following the resident's death Resident was overcharged by the licensee for services Staff did not safeguard the resident's personal items

On 04/10/2025 at 9:09AM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with Administrator, Melvin Torres. The investigation consisted of interviews and record review. In regards to the allegation of staff did not inform the resident's authorized person of resident's death: LPA interviewed the Administrator, a representative from a placement agency, reviewed R1's Admission Agreement and reviewed the Sheriff's Department report dated 01/15/2025. LPA confirmed that R1 was capable of making independent decisions, was self-responsible and did not list any relatives or friends on the facility's documents. Therefore, this allegation is UNSUBSTANTIATED. In regards to the allegation of licensee did not refund the resident's authorized person following the resident's death: LPA interviewed the Administrator and reviewed R1's Admission Agreement. R1 did not list any relatives or friends on the facility's documents, therefore there was not an authorized person to contact. According to the Admission Agreement, R1's personal belongings were kept for at least fifteen (15) days and no refund was required. Therefore, this allegation is UNSUBSTANTIATED. Unsubstantiated In regards to the allegation of resident was overcharged by the licensee for services: LPA interviewed the Administrator, reviewed R1's Admission Agreement and medical documentation. R1 did not list any relatives or friends on the facility's documents. R1's level of care increased and R1 was notified that due to the change in level of care, per the Admission Agreement, the cost of care would increase. In addition, R1 began to receive hospice care services on 06/20/2023. Therefore, this allegation is UNSUBSTANTIATED. In regards to the allegation of staff did not safeguard the resident's personal items: LPA interviewed three (3) staff and four (4) residents. All four (4) of the residents denied that their personal items are not safeguarded. All three (3) staff denied that the facility did not safeguard the resident's personal items. Staff state that the residents are given privacy and have a place to store personal items. R1's personal items were kept for at least fifteen (15) days before some of the items were discarded. On 01/02/2025, upon request R1's relative was given the remainder of R1's personal items. Based upon record review and interviews the above allegations are UNSUBSTANTIATED. UNSUBSTANTIATED is defined as the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted where this report LIC9099 and LIC9099C was discussed and a copy was provided to Administrator, Melvin Torres.the state’s words, verbatim · CDSS document, Apr 10, 2025 · control 56-AS-20250222183144

Allegation investigated: Staff financially abused resident in care Staff withheld deceased residents personal property from residents family

On 01/06/2025 at 1:16PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to deliver findings for the above allegations. LPA was greeted by Administrator Melvin Torres, stated the purpose of the visit and gained access to the facility. The investigation consisted of interviews and record review. In regards to the allegation of staff financially abused resident in care: LPA interviewed three (3) residents and (3) staff. LPA also reviewed resident records. LPA confirmed that Resident #1's (R1) rent checks matched the signed Admission's Agreement. Residents in care deny staff financial abuse and stated that they trust staff. Based on interviews and record review, this allegation is UNSUBSTANTIATED. Unsubstantiated In regards to the allegation of Staff withheld deceased residents personal property from residents family: LPA interviewed staff and reviewed records. The facility maintained R1's personal property beyond the 15 days listed in the Admission's Agreement. LPA observed that all of R1's documents confirm that R1 was its own conservator and no relatives or friends were listed. Staff confirmed that the personal property was released to family members on 01/02/2025 and a Unusual Incident Report (SIR) was forwarded to Community Care Licensing (CCLD). LPA confirmed the items that were released listed on the Resident Personal Property and Valuables form (LIC621). Local law enforcement was also called and witnessed the personal items were released to the family members. Based on the above information, the allegation is UNSUBSTANTIATED. UNSUBSTANTIATED is defined as The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted where this report LIC9099, LIC9099C was discussed and a copy was provided to Administrator Melvin Torres.the state’s words, verbatim · CDSS document, Jan 6, 2025 · control 56-AS-20241230142213

Allegation investigated: Facility staff is a joint tenant on resident's bank account.

On 9/16/24 at 9:30AM, Licensing Prorgam Analysts (LPA's) Renese Howell-Small and Melody Brown conducted an unannounced visit to the facility to commense a compLlaint investigation. LPA's Small and Brown were greeted and granted entrance by a staff member and icensee/Administrator Melivin Torres was contacted by a staff member and informed of the reason for our visit. LPA's Small and Brown identified themselves and discussed the purpose of the visit to staff#3 (S3), during the visit Licensee/Administrator Torres arrived and met with LPA's Small and Brown and discussed the elements of the allegation with Licensee/Administrator, Torres. The investigation was conducted by LPA's Small and Brown. The investigation consisted of file review and interviews with relevant parties. The allegation indicated that Facility staff is a joint tenant on resident's bank account.LPA's Small and Brown were able to obtain evidence to corroborate the allegation. Interview with Resident 1 (R1) indicated that R1 added Staff#2 (S2) as a beneficiary to R1's bank account. R1 reported to ***Continuation in LIC9099C*** Substantiated LPA's Small and Brown that R1 made the change of beneficiary to R1's bank account because it was S2 who was taking care of R1. LPA's Small and Brown interviewed Staff 2 (S2) and S2 confirmed that R1 made S2 as the beneficiary to R1's account on 08/21/2024. In addition, Licensee/Administrator, Melvin Torres confirmed with LPA's Small and Brown that R1 made S2 the beneficiary on R1's account on 08/21/2024. Moreover, Licensee/Administrator, Torres reported to LPA's Small and Brown that S2's a relative and has not been working at the facility since 2021. Also Licensee/Administrator, Torres added that S2 works privately for R1. Based on LPA's Small and Brown's interviews and review of records, the preponderance of evidence standard has been met. Therefore the allegation Facility staff is a joint tenant on resident's bank account is found to be SUBSTANTIATED. Health and Safety Code, Title 22, Division 6 is being cited on the attached LIC9099D. An exit interview was conducted where this report LIC9099, LIC9099D and Appeal Rights were discussed and were provided to Licensee/Administrator, Melvin Torres.the state’s words, verbatim · CDSS document, Sep 16, 2024 · control 56-AS-20240910111214

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.269(a)(29)(D) · Plan of correction due date: Oct 14, 2024

1569.269 Enumerated Rights; severability (a)Residents of residential care facilities for the elderly shall have all of the following rights: (29)To manage their financial affairs. A licensee shall not require residents...Except as provided in approved continuing care agreements, a licensee, or a spouse, domestic partner, relative...(D) Become or act as a joint tenant on any account with a resident. This requirement is not met as evidenced by: based on interviews and record review, the Licensee did not comply with the section cited above by allowing Staff 2 (S2) as Resident 1's (R1) beneficiary to R1's bank account on 08/21/2024, which poses a potential health, safety, and personal rights risk to resident in care.the state’s words, verbatim · CDSS document, Sep 16, 2024

Plan of correction: Licensee stated to cease S2 as the beneficiary to R1's bank account and submit proof to LPA Renese Howell-Small on Plan of Correction (POC) due date. Licensee stated to submit signed statement of understanding on HSC 1569.269(a)(29)(D) and a statment that will reflect that S2 will no longer be R1's beneficiary on R1's bank account to LPA Small on POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Melvin Torres and was granted entry to the facility. At the time of the visit there was three (3) staff present, and six (6) residents present. The facility is a five (5) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, and attached garage.The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (6) current census (6). LPA was accompanied by Facility Administrator, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 105 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside kitchen cabinet inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed six (6) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator Melvin Torresthe state’s words, verbatim · CDSS document, May 7, 2024