Alc Assisted Living

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Michael Hood arrived at the care home unannounced on September 17, 2026 to conduct an annual continuation visit utilizing the inspection tool following the Required-1 Year Inspection conducted on September 16, 2026. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and one (1) bathroom for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 111 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on site. LPA observed knives, cleaning products, and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed emergency exits to be unobstructed. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA reviewed two (2) residents' medications and observed medication storage to be locked away and inaccessible to the residents. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview was conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Sep 17, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the care home unannounced on September 16, 2026 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and one (1) bathroom for resident use. LPA reviewed five (5) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. LPA also requested copies of the facility's emergency disaster plan and staff roster during visit. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. LPA will return at a later time to finish touring the premises, review residents' medications, conduct interviews, and complete annual inspection. Exit interview was conducted and a copy of this report was given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Sep 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 8/28/25 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and one (1) bathroom for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 113 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed knives, cleaning products, and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA reviewed two (2) residents' medications and observed medication storage to be locked away and inaccessible to the residents. LPA reviewed six (6) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit was interview conducted and copy of report given at the conclusion of this visit.the state’s words, verbatim · CDSS document, Aug 28, 2025

Allegation investigated: Staff interfered with resident’s visits.

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with House Manager, Ruth Lita, to deliver findings for the complaint allegation listed above. During the investigation, LPA toured the facility, conducted interviews, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: Allegation: Staff interfered with resident’s visits. Relevant party reported to the Department that they have only be able to visit a resident three (3) times at the facility due to the facility requiring an appointment and advance notice for visits. Relevant party reports that they have been prevented from entering the home by staff member (S1). ** Report continued on 9099-C ** Substantiated LPA arrived at the facility on March 6, 2025 to open complaint. LPA was refused entry of the home by S1 after LPA provided proper identification and stated the purpose of their visit. LPA was eventually provided entry of home by House Manager on March 6, 2025. LPA provided technical support regarding inspection authority during visit. Interviews with staff members S1, S2, and Licensee, Jeanina Lita, indicated that visiting hours at the facility are from 10:00 AM to 4:00 PM. Interview with Licensee indicated that, if the visitor is not someone the facility staff know, they may consult with the family to confirm whether the resident knows the visitor before facilitating visitation. LPA discussed with LIcensee PIN 25-04-ASC, which states "Third parties, such as court-appointed conservators and agents under powers of attorney generally may not curtail a resident’s right to have visitors, confidential telephone calls, and personal mail unless they have explicit authority to do so." Licensee stated that, if a visitor arrives at the facility outside of visiting hours, S1 will call Licensee and inform the visitor of visiting hours. Licensee stated that the facility has accommodated visitors outside of visiting hours. Interview with S1 indicated that that S1 will not allow visitors inside the facility if they arrive on the premises outside of visiting hours. S1 stated that they will answer the door outside of visiting hours, but they will not let the individual inside the facility. S1 stated that they "are willing" to provide Licensee's phone number to visitors if they arrive outside of visiting hours. LPA reviewed Visitor Policy Addendum that is signed by residents as part of their Admission Agreement, which states "We want our residents to have visitors, but also take everyone's safety and comfort seriously- As such, our visiting hours are from 10:00 AM to 4:00 PM by appointment only. We require 24-hour notice for a visitation along with approval by our administrative staff. We reserve the right to deny a visitation if prior scheduling was not made. We also reserve the right to deny any appointment if it interferes with prescheduled activities of other residents. A second option for visitation is to have a set recurring time for visitation, this allows staff to be aware of visitation and plan facility activities accordingly. Failure to comply by this house rule will lead to termination of lease agreement." ** Report continued on 9099-C ** Based on LPA's observations, interviews conducted, and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents. Multiple interviews with R1 indicated that they feel that their care needs are being met at the facility and they have no concerns regarding the facility. R1 stated that they are treated well by facility staff. LPA observed R1 during multiple visits, including March 6, 2025, April 9, 2025, and May 28, 2025, and observed that R1 was clean and receiving care. Interview with Witness (W1) indicated that R1 receives good assistance with care. W1 stated that R1 is well taken care of, including hygiene assistance. Interviews with multiple representatives of R1's hospice agency indicated that they had no concerns regarding hygiene assistance provided by facility staff for R1. Interviews with Licensee and staff members S1 and S2 indicated that they have never witnessed a resident in need of showering or incontinence care at the facility and not receiving assistance from care staff. Interview with resident (R2) indicated that they feel that their care needs are being met at the facility and they're treated well by facility staff. R2 stated that staff do a good job providing care and providing hygiene assistance. Interview with resident (R3) indicated that they are doing "OK." Allegation: Staff neglect resulted in a resident sustaining a pressure injury. Interview with R1 indicated that they have a couple of pressure sores on their "behind." Interviews with Licensee, S1, and S2 indicated that R1's pressure injuries are managed by nurses from hospice agency. Licensee and S2 stated that R1 was receiving Home Health services prior to admission to Hospice who were providing assistance with R1's wounds. Licensee and S2 stated that, since R1 was admitted to the facility, R1 has either been receiving services from Home Health or Hospice. Interviews with W1 and multiple representatives of R1's hospice agency indicated that they have not observed any neglect from facility care staff with assistance regarding R1's pressure injuries. Interview with Hospice representative indicated that R1's pressure injuries are managed by R1's hospice agency. ** Report continued on 9099-C ** Hospice representative indicated that R1 has pressure injuries on their right great toe that is half a centimeter by half a centimeter and stage 2, on their left toe that is half a centimeter by half a centimeter and stage 2, and the plantar area of the left foot that is stage 2 and improving. Hospice representative stated that pressure injuries require dressing two (2) to three (3) times a week. Hospice representative stated that R1 has a stage 2 wound on their buttocks that is "off and on." Hospice representative stated that wound on buttocks is currently healed and a little red. Hospice representative stated that repositioning would assist with wound on buttocks but R1 often does no comply with repositioning. Hospice representative stated that R1 has purple vascular disease as their primary diagnosis along with diabetes and a history of osteomyelitis. Hospice representative stated that R1 has had to have toes amputated on both feet. Hospice representative stated that R1 has neuropathy in their legs and doesn't have good sensation in feet. Hospice representative stated that facility attempted to use a hoyer lift for R1 but R1 could not tolerate sitting up because of dizziness and hypertension. Hospice representative stated that R1 didn't want to get up anymore because it was uncomfortable and doesn't want to use the hoyer lift. Hospice representative stated that R1 was admitted to hospice with more wounds than present. Hospice representative stated that, when admitted on October 21, 2024, R1 had pressure wounds to both calves, with right calf being stage 2, as well as left buttocks. Hospice representative stated that previous wounds have healed since R1 was admitted to hospice. Hospice representative stated there is no evidence of previous pressure wounds. LPA reviewed R1's hospice records. LPA observed that information obtained from R1's hospice records coincide with statement provided to LPA by Hospice representative. Allegation: Staff did not ensure resident’s room was adequately cleaned. Relevant party reported to the Department that they observed R1's room to be unclean. Interview with R1 indicated that they feel that their room is clean and staff are good about cleaning at the facility. LPA observed R1's room during multiple visits, including March 6, 2025, April 9, 2025, and May 28, 2025, and did not observe R1's room to be unclean or malodorous. ** Report continued on 9099-C ** Interviews with Licensee, S1, S2, R2, W1, and multiple representatives of R1's hospice agency indicated that they have never witnessed anywhere in the facility be unclean or in disrepair. Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, May 29, 2025 · control 59-AS-20250304163306

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(11) · Plan of correction due date: Jun 13, 2025

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (11) To have their visitors, including ombudspersons and advocacy representatives, permitted to visit privately during reasonable hours and without prior notice, provided that the rights of other residents are not infringed upon. This requirement is not met as evidenced by: Based on observations, interviews conducted, and records reviewed, the facility did not ensure to facilitate visitation for residents in accordance with Title 22, which poses a potential health, safety, and/or personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, May 29, 2025

Plan of correction: Facility will update Visitor Policy in accordance with Title 22 and have residents and/or their responsible parties review and sign updated policy to add to their Admission Agreement. Facility will also create a plan on ensuring visiation for residents. Facility will submit signed visitor policies and plan to LPA by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Licensee, Jeanina Lita, to follow-up regarding evidence received during a separate inspection conducted on May 29, 2025. LPA obtained a "3-Day Notice to Pay Rent or Vacate" that was issued to resident (R1) on March 5, 2025 and signed by Licensee, Jeanina Lup. The notice states, "PLEASE TAKE FURTHER NOTICE that with THREE (3) days after service of this notice, excluding Saturdays, Sundays, and court holidays, you are hereby required to pay the above-listed amount in full OR vacate the subject premises, move out, and deliver up possession of the same to Jeanina Lup. Failure to pay the rent in full OR vacate the premises WITHIN THREE (3) days as required by this notice will result in forfeiture of the lease and/or rental agreement and will institute legal proceedings for an unlawful detainer against you to declare the lease or rental agreement void or forfeited, recover rent, damages, and possession of said premises." LPA did not receive a copy of the notice prior to being issued to R1. LPA determines, after review, that the notice is a violation of R1's personal rights. As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiency is listed on 809-D pages. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, May 29, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: May 30, 2025

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature (...). This requirement is not met as evidenced by: Based on records reviewed, the facility did not ensure that resident's personal rights were protected when issuing notice to pay or vacate, which poses an immediate health, safety, and personal rights risk to the residents in care.the state’s words, verbatim · CDSS document, May 29, 2025

Plan of correction: Facility will immediately notify resident and their representative, both verbally and in writing, that 3-Day Notice to Pay Rent or Vacate has been rescinded. Facility will complete a statement of understanding regarding regulation 87468.1 and submit to LPA by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 8/22/24 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and one (1) bathroom for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 112.3 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPA observed knives to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. LPA checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed six (6) resident files and three (3) staff files. Facility has a current copy of certificate of liability insurance and LPA obtained a copy. As a result of today's inspection, deficiencies are being cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiencies are listed on 809-D pages. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. Signatures on these forms acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, Aug 22, 2024