Alaga Ranch

Type of visit: Case Management - Incident

On 07/10/2026, Licensing Program Analyst (LPA) Nakagawa arrived unannounced to conduct a Case Management visit regarding the incident of resident R1 eloping from the facility on 04/30/2026, unattended. LPA discussed with House Manager, Maggie Perri, via phone. Report signed by staff member, The self-reported incident report states that R1, a newly placed resident of facility, was sitting in the living room and somehow exited the facility when staff were assisting other resident. Four (4) caregivers, the groundskeeper, and neighbor searched the facility and grounds. House Manager and Sheriff were contacted, arrived on scene and helped in the search. Neighbor located R1 and contacted the facility. Sheriff picked up R1 and returned to facility without incident. R1 was assessed and found to have no injuries. LPA reviewed R1’s Physician’s Report (LIC602) which indicates R1 has Dementia and is unable to leave the facility unassisted. (Deficiency cited). Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and/or the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. An immediate civil penalty is being issued in the amount of $500 per Health and Safety Code 1568.0822(C)(3) Absence of Supervision.the state’s words, verbatim · CDSS document, Jul 10, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Jul 10, 2026

Personnel Requirements – General 87411(a) –Personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs… This requirement was not met as evidenced by:the state’s words, verbatim · CDSS document, Jul 10, 2026

Plan of correction: A $500 immediate civil penalty was assessed. Licensee/Administrator to submit in-service retraining to all staff on elopement protocols by July 13, 2026.

Allegation investigated: Staff worked while under the influence of drugs, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care Staff allowed resident in care to leave the facility without staff supervision

On 3/3/2026, Licensing Program Analyst (LPA) Nakagawa arrived unannounced to complete an investigation and deliver findings regarding the above allegations. LPA met with Facility Manager Maggie Perri. The complaint alleges Staff worked while under the influence of drugs, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care. The complainant states " It is said that the employee was under the influence of Marijuana." LPA reviewed employee records. Continued on 9099-C... Unfounded Continued from 9099..... Based on the personnel report on file at the facility and the roster of employees associated in Guardian, the individual named in the complaint (I1) does not work at the facility. This agency has investigated the complaint alleging Staff worked while under the influence of drugs, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care. We have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. The complaint alleges that Staff allowed resident in care to leave the facility without staff supervision. The complainant states "Rumor has it that a resident was lost by an employee. Resident (R1) left the house and they were not able to locate R1 for awhile". LPA conducted interviews, made observations and reviewed documents and found all exit doors have functioning alarms, R1's bed has an alarm and R1 is not physically capable of walking alone far enough to leave the facility without assistance, and the front gate is secured at all times. At no time did staff report R1 missing. In addition, police responded to a call that a resident (R1) was missing, conducted a welfare check and found R1 to be safe and secure. This agency has investigated the complaint alleging Staff worked while under the influence of drugs, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care. Based on interviews, documents and police records, we have found that the complaint was UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. No deficiencies cited. Exit interview conducted. Copy of report discussed and provided to Licensee. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Mar 3, 2026 · control 21-AS-20260227160353

Allegation investigated: Residents in care sustained falls due to neglect/lack of supervision Staff mismanaged residents' medications Staff did not ensure that the facility was kept free of rodents Staff do not have proper training

Licensing Program Analyst (LPA) Nakagawa arrived unannounced to complete an investigation and deliver findings regarding the above allegations. LPA met with House Manager Maggie Perri. The complaint alleges Staff did not ensure that the facility was kept free of rodents. The reporting party states that staff have seen several rats in the food storage room. LPA performed an inspection of the facility on 11/07/2025 and 02/05/2026 and found no sign of rodents or rodent droppings in the facility including food storage areas by the refrigerators on the back porch or in food storage areas in the kitchen or pantry. AM duty staff were questioned and 3 of 3 staff said that they had not seen any rodents inside the facility. Continued on 9099-C.... Unsubstantiated Continued on 9009-C..... House Manager provided billing statement from pest control who regularly inspect and mitigate rodents and other pests from infesting the facility. LPA found the facility taking all necessary precautions, including providing barriers at the base of the doors to keep pests from entering the premises, setting traps and employing pest control company. Based on LPA’s inspections and facility’s mitigation practices the allegation that Staff did not ensure that the facility was kept free of rodents is UNSUBSTANTIATED although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED. The complaint alleges that Residents in care sustained falls due to neglect/lack of supervision. The reporting party stated that Staff are not able to supervise all residents in care, which has resulted in falls. RP provided no information about the names or dates of residents sustaining falls. LPA reviewed incident reports from April 1, 2025 through November 30, 2025 and found only one reported fall of Resident (R1) on 5/14/2025. LPA interviewed House Manager and Lead Caregiver who stated they check on residents at least every two hours, and there was only the one unwitnessed fall of R1. Resident 1’s care plan does not indicate resident required on one-to-one supervision. LPA observed that residents routinely spend the day together in the great room of the main building, under constant care and supervision of care staff. Based on LPA observation, residents’ care plan, incident reports and staff interviews, the allegation that Residents in care sustained falls due to neglect/lack of supervision is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence to substantiate the allegation therefore the allegation that Residents in care. The complaint alleges that Staff mismanaged residents’ medications and staff do not have proper training. The reporting party states Staff are not able to provide medications to residents on time and some staff do not have medication training which has caused medications errors. RP did not recall each resident’s name or specify a date or time when the incidents allegedly occurred. On 11/7/2025 and 02/05/2026 LPA reviewed the medication administration record (MAR) for the facility and found no irregularities for the months reviewed (October, November, December 2025 and January 2026). Continued on 9099-C Continued from 9099-C LPA also reviewed training records and found that staff administering medications had received the training required. Based on review of training records, the Medication Administration Record (MAR), the allegation that Staff mismanaged residents’ medications and staff do not have proper training are Unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED. No deficiencies were cited.the state’s words, verbatim · CDSS document, Feb 5, 2026 · control 21-AS-20251106083953

Type of visit: Required - 1 Year

On 02/05/2026 Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual inspection and was greeted by Facility Director Maggie Perri. Fire Clearance has been approved for 23 non-ambulatory, 10 of which may be bedridden. There were 12 residents and 4 staff at the time of inspection. LPA conducted a tour of the facility grounds and found them to be clear of debris. The property also supports goats and chickens, fruit trees and many safe pathways for residents to enjoy the outdoors. The interior of the facility was clean and odor-free. Fire extinguishers throughout the facility were found to be last charged on 11/13/2025. Smoke detectors and carbon monoxide detectors were found to be in working order. An additional supply of hygiene, continence and paper products are located in a secured storage closet. Hallways are illuminated around the clock for accessibility and resident safety. Bedrooms had required furnishings and linens. Kitchen was clean and sanitary and well-stocked with perishable and non-perishables, as required per regulation and sufficient for the 12 residents in care. Bathrooms were updated and provide easy access for showering. Water faucets providing water to residents measured 118.5 degrees F which is within regulation of 105-120 degrees F. Cleaning products and other toxins and chemicals are kept out of client access and found secured in the office. Continued from 809.... Medications are centrally stored and secured in locked medication carts in both buildings with Centrally Stored Medication Records and several other medication related forms on file. Client specified files including care plans, medical reports and dietary restrictions are secured in office located off the main building with all appropriate staffing records, program operation documentation and emergency disaster information The second residential building is called La Casita and has four residents. There is a kitchen, living room and dining room with a large deck for residents to enjoy. All required furnishings and additional amenities were in place. Residents from both houses socialize together regularly. La Casita has a large deck with seating to observe the nearby pasture which has horses and goats. The facility has an up-to-date Activity Calendar with activities planned throughout the day. Staff are very interactive with residents. Discussion regarding emergency preparedness and infection control was conducted for the upcoming fire and flu seasons. No deficiencies found at the time of inspection. No citations issued. This report was reviewed with Facility Director and a copy was provided to the Licensee.the state’s words, verbatim · CDSS document, Feb 5, 2026

Type of visit: Post Licensing

On 10/02/2025 Licensing Program Analyst (LPA) Jill Nakagawa conducted a post-licensing inspection and was greeted by Facility Director Maggie Perri. Fire Clearance has been approved for 23 non-ambulatory, 10 of which may be bedridden. There were 12 residents and 4 staff at the time of inspection. LPA conducted a tour of the facility grounds and found them to be clear of debris. The property houses goats and chickens, fruit trees and many safe pathways for residents to enjoy the outdoors. The interior of the facility was clean and odor-free. Residents were enjoying games and socialization during the visit. The facility is homey and decorated for Fall. Fire extinguishers throughout the facility were found to be last charged on 11/14/2024. Smoke detectors and carbon monoxide detectors were found to be in working order. Last fire drill was held on 06/18/2025. Water temperature was measured throughout the facility and found within regulation between 105 & 120 degrees F. An additional supply of hygiene, continence and paper products are located in a secured storage closet. Hallways are illuminated around the clock for accessibility and resident safety. Bedrooms had required furnishings and linens. Kitchen was clean and sanitary and well-stocked with perishable and non-perishables, as required per regulation and sufficient for the 12 residents in care. There is a sufficient amount of dishes and cooking supplies with sharps and other hazardous items kept secured in designated drawer. A sample menu is posted in the kitchen located on the refrigerator and indicates a healthy and balanced set of meals for residents in care. Cleaning products and other toxins and chemicals are kept out of client access and found secured in the office and laundry room cabinets. Continued on 809-C Continued from 809.... Medications are centrally stored and secured in locked medication carts in both buildings with Centrally Stored Medication Records and several other medication related forms on file. Client specified files including care plans, medical reports and dietary restrictions are secured in an office located off the main building with all appropriate staffing records, program operation documentation and emergency disaster information The second building is called La Casita and has four residents. There is a kitchen, living room and dining room with a large deck for residents to enjoy. All required furnishings and additional amenities were in place. Residents from both houses socialize together from time to time. La Casita has a large deck with seating to observe the pasture nearby, which has horses and goats. The facility has an up-to-date Activity Calendar with activities planned throughout the day. No deficiencies found at the time of inspection. No citations issued. This report was reviewed with Facility Director and a copy was provided to the Licensee.the state’s words, verbatim · CDSS document, Oct 2, 2025

Type of visit: Prelicensing

On 02/07/2025 Licensing Program Analyst (LPA) Jill Nakagawa conducted a pre-licensing inspection and was greeted by Facility Director Maggie Perri. LIcensee/Administrator Douglas Abdalla was reached via phone. This pre-licensing inspection is being conducted for a change in ownership. Fire Clearance has been approved for 23 non-ambulatory, 10 of which may be bedridden. LPA conducted a tour and inspection of the indoor portions of both buildings and outdoor portions of the facility. Facility was found to be clean and comfortable temperature with bedroom doors free from obstruction. Fire extinguishers throughout the facility were found to be last charged on 11/14/2024. Smoke detectors and carbon monoxide detectors were tested in common areas and client bedrooms all of which were found to be in working order. Water temperature was measured throughout the facility and found within regulation between 105 & 120 degrees F. There was an ample supply of linens with appropriate bedding equipped in resident rooms. An additional supply of hygiene, continence and paper products are located in a secured storage closet. Hallways are illuminated around the clock for accessibility and resident bedrooms have appropriate furnishings. There is a sufficient amount of dishes and cooking supplies with sharps and other hazardous items kept secured in designated drawer. Cleaning products and other toxins and chemicals are kept out of client access and found secured in the office and laundry room cabinets. LPA observed adequate supply of both perishable and non-perishable food sufficient for the fourteen (14) residents in care. The facility will be conducting weekly grocery replenishment with consideration to resident preferences and dietary restrictions. A sample menu is posted in the kitchen located on the refrigerator and indicates a healthy and balance set of meals for residents in care. Continued on 809-C.... Continued from 809... Medications are centrally stored and secured in locked medication carts in both buildings with Centrally Stored Medication Records and several other medication related forms on file. Client specified files including care plans, medical reports and dietary restrictions are located in an office located off the main building with all appropriate staffing records, program operation documentation and emergency disaster information. The facility has appropriate staffing in place. The second building is called La Casita and has four residents. There is a kitchen, living room and dining room with a large deck for residents to enjoy. All required furnishings and additional amenities were in place. The grounds of the facility features a large yard and deck with seating for client outdoor use, as well as pastures to watch horses and goats, chicken pen and walking paths with flowers and fruit trees. The facility has an Activity Calendar with activities planned throughout the day. Windows, screens and blinds are all found to be in good repair. The facility and facility operation plan are found to be adequate and tour of the facility completed. Component III orientation was conducted with the Licensee/Administrator- Applicant via phone and the Facility Director on site. The pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager. This report was reviewed with applicant and a copy was provided to the Licensee.the state’s words, verbatim · CDSS document, Feb 7, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: CHANGE OF OWNERSHIP Capacity: 23 Census (if any clients in care): 14 COMP II Participants: DOUGLAS ABDALLAH Interview Method: Telephone interview On January 30, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jan 30, 2025