Aging Eternity Retirement Home 1

Allegation investigated: Staff did not treat resident with respect Staff refused to give resident water Staff gave resident medication without authorized representatives consent

On 03/26/2026 at approximately 9:00 AM, Licensing Program Analyst (LPA) Jose Anguiano conducted an unannounced complaint visit. LPA met with Administrator/Licensee Natalya Trakhtenberg. The investigation consisted of the following: On 03/26/2026, the Department interviewed three residents (R1–R3) and four staff members (S1–S4). LPA also conducted interviews via telephone with three witnesses (W1–W3). Additionally, LPA conducted observations of the facility and reviewed records including the resident’s file, physician’s report (LIC 602), hospice records, and medications on hand. The investigation revealed the following: Regarding the allegation “Staff did not treat resident with respect,” it is being alleged that staff verbally abused the resident. Interviews conducted revealed the following: Witness (W1) did not witness any concerns firsthand and reported information received from a third party. Please see report continuation on (LIC9099-C) Unsubstantiated Witness (W2) reported one statement allegedly made by staff (“shush” or “shut up”); however, W2 did not witness any abuse and reported no additional concerns. W2 further stated the resident can be difficult at times and may have misinterpreted staff statements, including possibly hearing “hush” instead of “shut up.” (W3) reported not witnessing any concerns firsthand and only received information from a third party. W3 declined to provide additional details. Staff (S1–S4) denied the allegation. Residents interviewed (R1–R3) indicated staff are respectful. Observations revealed the following: Staff were observed to be calm, respectful, and attentive to residents. No observations were made that support staff mistreatment. Records review revealed the following: No documentation was found supporting the allegation of verbal abuse. The resident’s records indicate mild cognitive impairment, history of anxiety, and significant medical decline, which may impact perception and reporting. Based on the evidence gathered, interviews conducted, observations, and records reviewed, although the allegation is valid and may have occurred, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated. Regarding the allegation “Staff refused to give resident water,” it is being alleged that staff denied the resident hydration upon request. Interviews conducted revealed the following: Staff (S1–S2) reported that residents are routinely encouraged to drink fluids. Residents interviewed (R1–R3) reported they receive water and did not express concerns regarding hydration. No witness reported denial of water. Observations revealed the following: Water was observed to be accessible in resident rooms and dining areas. Residents had water available at bedside. Based on the evidence gathered, interviews conducted and observations although the allegation is valid and may have occurred, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated. Regarding the allegation “Staff gave resident medication without authorized representative consent,” it is being alleged that the resident was administered (Ativan) without consent. Interviews conducted revealed the following: Witness (W1) did not witness medication administration and reported secondhand information. Staff (S1–S4) reported medications are administered per physician and/or hospice orders. Observations revealed the following: Medications observed on site were consistent with physician orders. Records review revealed the following: The resident’s records and hospice documentation indicate the resident was under hospice care, and medications observed were consistent with treatment for the resident’s medical condition. Lorazepam (brand name Ativan) was observed among the residents’ medications and is consistent with physician and hospice-ordered treatment. Please see report continuation on (LIC9099-C) Based on the evidence gathered, interviews conducted, observations, and records reviewed, although the allegation is valid and may have occurred, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this Complaint Report was given to the administrator.the state’s words, verbatim · CDSS document, Mar 26, 2026 · control 11-AS-20260318151924

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct an annual inspection. LPA was greeted by Precy Panlaqui Support Staff who was informed of the purpose of the visit and she allowed LPA into the facility. Natalya Trakhtenberg Administrator arrived around 10:25 AM. The facility is licensed to serve age range 60 and over, approved for (6) non-ambulatory, of which (6) may be bedridden and approved hospice waiver for 4. The facility has 8 bedrooms, 7 bathrooms, living and dining room, kitchen. During the visit there were two (2) staff members and four (4) residents present. At 9:35 AM LPA reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings which appeared to be up to date. LPA also reviewed four (4) clients’ files for admission agreements, updated physician reports, and needs and services plan which appeared to be up to date. A random audit was conducted of residents medications which appeared to be given as prescribed by their physician. At 10:45 AM, LPA and Natalya toured the physical plant. There were no bodies of water or obstructions on the premises inside or outside. LPA inspected a total of eight (8) bedrooms and seven (7) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were in good condition and operational. The water temperature ranged from 105°F to 118. °F, and the facilities temperatures ranged from 72°F to 78°F. Continued LPA observed that the facility appeared to be clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored in a way that made them inaccessible to residents in care. The kitchen was inspected, and there was a 5-day supply of perishable and a 7day supply of non-perishable food items available, which was adequately maintained/stored. The fire extinguishers, carbon monoxide and smoke detectors were fully charged and operable. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided to Natalya Trakhtenberg at the conclusion of the visit.the state’s words, verbatim · CDSS document, Aug 13, 2025

Type of visit: Required - 1 Year

On 07/10/24, Licensing Program Analyst (LPA), David España conducted an unannounced annual visit using the full CAREs tool. Upon arrival at the facility, LPA España conducted a risk assessment at the front door. Based on the assessment, the facility is clear of Covid-19 infection. LPA verified that the facility has an approved mitigation plan report. LPA was granted access and allowed to enter the facility to conduct the inspection. LPA was met by Natalya Trakhtenberg Administrator and the purpose of today’s visit was explained. The facility is licensed to serve age range 60 and over, approved for (6) non-ambulatory, of which (6) may be bedridden and approved hospice waiver for 4. Facility has 8 rooms in total of which 6 are resident bedrooms, 6 bathrooms, a front den/sitting area, attached garage, dining room, living room, back shaded patio. The resident’s bedrooms are spacious and easily accommodate their furnishings. There is a back yard with a shaded patio area and chairs. Shaded area has sufficient tables and chairs for clients and staff. LPA toured the physical plant with administrators. There were no bodies of water or obstructions on the premises. A total of 8 rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the resident’s personal belongings was observed. LIC 809C (cont) Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #1, #2, and #3 and smoke and carbon monoxide combo are all operable conditions. The water temperature measured between 105°-120°F. LPA observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. A review of 5 residents' files, 5 staff personnel files and Medication Administration Records (MAR) were maintained in order. First AID kit was checked. LPA observed the facility's infection control practices. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe deficiencies therefore no citations were issued at this time. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Natalya Trakhtenberg.the state’s words, verbatim · CDSS document, Jul 10, 2024