Angie's Home Care

Allegation investigated: Residents physically abused by Staff. Facility Staff did not keep Residents free from punishment, abuse, punitive actions. Facility did not accord residents with safe, healthful and comfortable accommodations. Licensee allowed Staff and other non-employees to be present without Criminal Record Clearances. Facility operated over capacity. Facility Staff did not ensure food served was of the quality necessary to meet the needs of the residents. Facility Staff did not provide managed incontinence care necessary to meet resident’s needs. Facility Licensee made false/misleading statements to Resident family member(s) when reporting an incident.

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. The initial visit to this investigation was made by LPA Cava on April 24, 2025. The complaint was then referred to Investigations Branch (IB) and accepted as an assignment to conduct interviews by IB Investigator, Douglas Real for three of the allegations pertaining to personal rights. LPA Cava investigated the remaining five allegations. Today, LPA met with the administrator, Angela Heath, and advised her of the complaint. Also, today's investigation consisted of interviews with residents and staff. A physical plant inspection was also made to insure facility compliance with regulation. Residents physically abused by Staff/Facility Staff did not keep Residents free from punishment, abuse, punitive actions/Facility did not accord residents with safe, healthful and comfortable accommodations: In regards to the three allegations, it’s being reported that the Licensee’s family member, an Uncleared Unsubstantiated Adult, threw Resident 1 (R1) to the ground, causing R1 to sustain a black eye. On another occasion, it was reported that this same family member pinched either Resident 2 (R2) or Resident 3 (R3), causing both residents to bleed. It was also reported that residents were forced to bathe and shower in cold water. There were no times, dates or any witnesses identified to corroborate these allegations. Investigation to these allegations are as follows · On April 24, 2025, LPA Cava made a ten day visit to conduct the Health and Safety check. Interview with the administrator between 12:50pm to 1:50pm reveal that there are only four (4) residents living in the home at this time. Administrator states only her and her husband/Staff 1 (S1) are live in staff. Administrator also confirm a family member resides in the home. Review of the facility Personnel Summary via the Licensing Information System (LIS) reveal that all three individuals, including hired staff, Staff 2 (S2), have fingerprint clearance, and are all associated. Additional interviews held with the four (4) of four residents held between 1:50pm to 2:50pm confirm that their needs are met. · On April 25, 2025, this complaint was referred to IB and accepted as an assignment. · On May 14, 2025, IB Investigators Douglas Real and Michele Salant conducted their investigation at the facility and conducted interviews with Administrator, residents and hospice personnel between 1:00pm to 2:00pm · The administrator denied any physical abuse, corporal punishment of facility residents or not providing safe and healthful environment to the residents. These residents reveal their needs are met and express no concerns with staff regarding physical abuse and/or corporal punishment. A hospice nurse who was present at the facility during the day of their investigation expressed no concerns of any personal rights violation, nor received any reports from the residents concerning facility staff. · On September 11, 2025, LPA Cava conducted another complaint (control # 31-AS-20250820130352), with similar allegations of personal rights. LPA interviewed the administrator and one (1) of one staff member, Staff 2 (S2), who both deny these allegations. Interviews with three (3) of three residents also deny any personal rights violation, stating staff are respectful, polite and attentive to their needs. · On December 5, 2025, between 8:30am to 10:30am, additional interviews were made with the Administrator and one (1) of one staff. Between 10:30am and 12:00pm, interviews with four (4) of four residents remain consistent with questions asked by LPA Cava on September 11, 2025. Based on the information obtained, there was insufficient evidence to corroborate the Personal Rights allegation. Therefore, investigation is deemed Unsubstantiated at this time. Licensee allowed Staff and other non-employees to be present without Criminal Record Clearances. In regard to this allegation, it was reported that there is a staff member and another individual, who is not an employe, present at the facility without a criminal record clearance. The individual who is not an employee is identified as the Licensee’s family member. Investigation to this allegation is as follows: · On April 23, 2025, LPA Cava reviewed and printed out the facility personnel report summary. · On April 24, 2025, LPA made a ten-day visit. Interviews with both the administrator and Staff 1 (S1) confirm there are two live-in staff working in the facility. Both confirm that their family members live in the home. A review of the facility personnel summary report per Licensing Information System (LIS) confirmed all three individuals, including Staff 2 (S2), have fingerprint clearance, and association to this facility. · On this December 4, 2025, LPA confirmed that the administrator, S1, S2 and the administrator's family are still involved in facility operation, and are still all associated to the facility. Based on the information obtained, it could not be proven that there is a staff on a non-employee present at the facility without a Criminal Record Clearance. Therefore, the allegation is deemed Unsubstantiated at this time. Facility operated over capacity In regard to this allegation, it was reported that the facility is providing care and supervision to six (6) residents, when it is only licensed for a capacity of four (4). The additional two residents would be hidden in the closet or staff room when the Licensing Agency were to show. Investigation into this allegation is as follows: · On April 24, 2025, LPA made a ten day visit to conduct the Health and Safety check. Interview with the administrator reveal there are only four (4) residents living in the home at this time. LPA conducted a physical inspection to ensure compliance with regulation. The facility is a two story building, with five (5) bedrooms. Three (3) bedrooms are designated for residents. Two of these rooms are private, and one is shared. There is one staff room, occupied by the licensee’s family member on the first floor, and one staff room on the second floor, occupied by the administrator. Closets were checked in all rooms. Closet spaces were observed to be small to hide any person. · On September 11, 2025, in conjunction to a complaint (control # 31-AS-20250820130352), with a similar allegation, LPA Cava also conducted a required annual visit. A physical plant inspection on that date remains the same as what was observed on April 24, 2025. · On December 5, 2025, between 12:00pm and 1:00pm, LPA conducted another physical plant inspection. Both the first and second stories of the building were checked. All five bedrooms, three bathrooms and common areas checked. LPA did not observe a licensee providing care and supervision over their capacity. Based on the information obtained, it could not be proven that the facility is operating over capacity. Therefore, the allegation is deemed Unsubstantiated at this time. Facility Staff did not ensure food served was of the quality necessary to meet the needs of the residents In regard to the allegation, it was reported that residents are being served expired food. There were no witnesses identified to corroborate this allegation. Investigation into this allegation is as follows: · On April 24, 2025, LPA made a ten-day visit to conduct the Health and Safety check. Inspection of the facility kitchen/food service area was inconsistent to the allegation, as no expired foods were observed. Perishable food items in the refrigerator were observed to be freshly dated and sealed. Non-perishable/Canned foods were stocked and maintained in the pantry. Interviews with four (4) of four residents had no concerns with food service at the time. · On September 11, 2025, in conjunction to a complaint (control # 31-AS-20250820130352), with a similar allegation, LPA Cava also conducted a required annual. A physical plant inspection of the facility kitchen and food service area on that date remains the same as what was observed on April 24, 2025. · On this date December 5, 2025, between 12:00pm and 1:00pm, LPA conducted another physical plant inspection and observed the facility kitchen/food service area. LPA observed perishable food refrigerated, properly sealed and labeled. Non-perishable foods were sealed and to date. Nothing was observed spoiled or expired during the visit. Observation of food revealed nothing was exposed to contamination. Based on the information obtained, it could not be proven that staff did not ensure food served was of the quality necessary to meet the needs of the residents. Therefore, the allegation is deemed Unsubstantiated at this time. Facility Staff did not provide managed incontinence care necessary to meet resident’s needs: In regard to the allegation it was reported that residents are not taken to the bathroom when needed, and if they would urinate on themselves, administrator and staff would yell at them. There were no witnesses identified to corroborate with this allegation. Investigation is as follows: · On April 24, 2025, LPA made a ten day visit to conduct the Health and Safety check. Interviews with four (4) of four residents at the time do not corroborate with the allegation. These residents expressed their needs to be met, and had no complaints regarding their care and supervision. · On May 14, 2025, IB Investigators Real and Michele Salant conducted interviews with four (4) of four residents. These residents deny the allegation and confirm that their needs are being met. Investigators also interviewed a hospice nurse who was present. The hospice nurse stated no complaints of neglect reported to them by the residents. · On December 5, 2025, between 10:30am and 12:00pm, another interview was held with four (4) of four residents. Interviews with these residents remain consistent with previous interviews, and confirm their needs are being met. Based on the information obtained, it could not be proven that staff did not provide incontinent care necessary to meet resident's needs. Therefore, the allegation is deemed Unsubstantiated at this time. Facility Licensee made false/misleading statements to Resident family member(s) when reporting an incident In regard to this allegation, R1 sustained a black eye due to a personal rights violation from staff. It was reported to R1’s family that the black eye was caused by a fall. There were no witnesses to corroborate the personal rights violation. R1’s family also could not confirm the incident to R1. Investigation is as follows: · On May 14, 2025, IB Investigators Real and Michele Salant conducted interviews with four (4) of the four residents who deny allegations of personal rights. These residents reveal their needs are met and express no concerns with staff. Investigators also interviewed a hospice nurse who was present. The hospice nurse expressed no concerns about any personal rights violation, nor received any reports from the residents of their personal rights being violated. · On September 11, 2025, LPA Cava conducted another complaint (control # 31-AS-20250820130352), with similar allegations of personal rights. LPA interviewed the administrator and staff, who deny these allegations. Interviews with three (3) of three residents also deny any personal rights violation. · On December 5, 2025 between 8:30am and 10:30am, another interview was held with administrator and one (1) of one staff. Between 10:30am and 12:00pm, interviews with four (4) of four residents were interviewed. These interviews with the administrator, staff and the four residents remain consistent with questions asked by LPA Cava on September 11, 2025. Based on the information obtained, it could not be proven that the Licensee made false/misleading statements to Resident family member(s) when reporting an incident. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Dec 5, 2025 · control 31-AS-20250423090219

Allegation investigated: Staff is physically abusing residents. Staff locked resident in closet. Staff is not providing medications as prescribed. Staff is serving expired foods. Staff is operating beyond the scope of license.

Licensing Program Analyst (LPA) Michael Cava conducted a subsequent complaint visit to the facility to conclude the investigation regarding the above allegations. LPA met with the administrator, Angela Heath, and advised her of the allegations. Today's investigation consisted of interviews with the administrator and staff (from 9:15am-10:00am), interviews with residents (between 10:00am-11:00am), a physical plant inspection (between 11:00am-12:00pm) and medication review (between 12:00pm-1:00pm). In conjunction with this investigation LPA Cava also conducted a Required Annual inspection. Staff is physically abusing residents: In regards to the allegation, it's been reported that there is a continued abuse of the residents in care at the facility pertaining to Resident 1 (R1) being thrown to the ground. No witnesses were identified to corroborate this allegation. Interviews with the administrator, Staff 1 (S1) and Staff 2 (S2) deny the allegation. Unsubstantiated Interviews with three (3) of three residents also deny the allegation. Moreover, a complaint report was received with a similar allegation (control #31-AS-20250423090219). This allegation was given to Investigations Branch (IB) as an assignment to conduct interviews. IB investigator's interviews conducted with staff and residents proved inconsistent with the allegation of abuse. Based on the information obtained, there was insufficient evidence to prove that staff is physically abusing residents. Therefore, the allegation is deemed Unsubstantiated at this time. Staff locked resident in closet: In regards to the allegation, it was reported that Resident 2 (R2) was locked in a closet. No witnesses were identified to corroborate with this allegation. Interviews with the administrator, Staff 1 (S1) and Staff 2 (S2) deny the allegation. Interviews with three (3) of three residents could not confirm this allegation. Moreover, a complaint report was received with a similar allegation (control #31-AS-20250423090219). This allegation was given to Investigations Branch (IB) as an assignment to conduct interviews. IB investigator's interviews with staff and residents proved inconsistent with the allegation of abuse. Based on the information obtained, there was insufficient evidence to prove that staff locked residents in a closet. Therefore, the allegation is deemed Unsubstantiated at this time. Staff is not providing medications as prescribed: In regards to the allegation, it was reported that staff is withholding resident medications. Residents whose medications being withheld were not identified to this complaint. Interviews with the administrator, Staff 1 (S1) and Staff 2 (S2) deny the allegation. Interviews with three (3) of three residents could not confirm this allegation. In addition to interviews, LPA conducted a medication review for proper storage and documentation. No discrepancies observed with medication records during this review. Based on the information obtained, there was insufficient evidence to prove that staff is not providing medications as prescribed. Therefore, the allegation is deemed Unsubstantiated at this time. Staff is serving expired foods: In regards to the allegation, it was reported that residents are being fed food that is expired. Interviews with the administrator, Staff 1 (S1) and Staff 2 (S2) deny the allegation. Interviews with three (3) of three residents expressed no complaints or concerns regarding food service. In addition to interviews, LPA conducted a physical plant inspection of the facility kitchen and food storage. Per inspection, LPA did not observe any spoiled or expired food on stock. Based on the information obtained, it could not be proven that staff is serving expired food to residents. Therefore, the allegation is deemed Unsubstantiated at this time. Staff is operating beyond the scope of license: In regards to the allegation, it was reported that the facility is overcrowded, housing six (6) residents, when the license for capacity is four (4). Interviews with the administrator, Staff 1 (S1) and Staff 2 (S2) deny the allegation, stating they never exceed capacity. Interviews with three (3) of three residents also deny the allegation. In addition, LPA conducted a physical plant inspection to insure compliance with fire-clearance and census. The facility is a two story building. There are six (6) bedrooms of which four (4) are for the resident's use. Two (2) bedrooms are designated for staff use. The second floor is designated for the licensee only. No resident access. LPA checked all six rooms, and inside closet space. LPA also inspected the second story of the building. During this inspection, LPA did not observe the facility exceeding its' capacity of four residents. Based on interviews and the physical plant inspection, it could not be proven that facility is operating beyond the scope of the license. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, Sep 11, 2025 · control 31-AS-20250820130352

Type of visit: Required - 1 Year

In conjunction with complaint control #31-AS-20250820130352, Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Angela Heath and explained the reason for the visit. At approximately 8:45am, with the assistance of the administrator, LPA took a tour of the physical plant. The facility is a two story building, licensed to serve residents 60 years and above. Required postings were observed in the entry area. The smoke alarms and carbon monoxide detector were tested and are both functional. The fire extinguisher is located in the kitchen. It was last charged April 24, 2024. Kitchen: The kitchen appliances and fixtures are maintained and functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked in a cabinet. Bedrooms: There are five (5) bedrooms of which three (3) are for the resident's use. Two (2) bedrooms are designated for staff use. The bedrooms, in use by residents were properly furnished with appropriate beddings and linens with sufficient lighting. Staff rooms are located on the first and second floors. Staff room on the first floor is locked. Stairs leading to the second floor to the other staff room, has a locked gate, preventing resident access. Bathrooms: There are three (3) bathrooms of which, two (2) are designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. One (1) bathroom is designated for staff use. Hot water temperature was measured between 111 and 113 degrees Fahrenheit. Common Areas: These included the living room, television room, and dining area. The living room and television rooms were properly furnished with enough seating. There is a fireplace in both the living room and television room that are both non-functional, but properly screened. The dining room has a table large enough to seat the four residents. The auditory alarms on all exit doors were on and functional at the time of the visit. Furniture was observed in good repair. Floors were mopped and clean. Passageways were clear of obstruction. Surrounding Grounds: Back and front yards were free of any hazards. There was furniture appropriate for outdoor use. No swimming pool or any other bodies of water. Side gates checked to insure compliance with fire clearance and no locks in place. The garage: Garage is attached to the home. Garage is used to store cleaning supplies, detergents and softeners. It is kept locked and inaccessible to residents. Laundry: Laundry area is in the garage. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are stored locked in a hallway closet. Medication and Medication Records were reviewed for proper storage and documentation. Medication closet is also supplied with a complete first aid kit and manual. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Sep 11, 2025

Allegation investigated: Staff are administering expired medications to residents Staff do not treat resident(s) with dignity and respect.

Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit ot the facility to investigate the above allegations. LPA met with the administrator, Angela Heath, and advised her of the complaint. Today's investigation consisted of interviews with the administrator, staff and residents. LPA also conducted a physical plant inspection and record review. Staff are administering expired medications to residents: In regards to the allegation, it was reported that residents are being given expired medication. Report did not indicate what expired medicine was being administered, only that it was medications for the heart, diabetes and for Alzheimer's. Report also did not identify the residents expired medication was given to, staff assisting with the medicine, witnesses, and dates of when this expired medication was administered. Interview with the administrator and two (2) of two staff deny the allegation of assisting and giving the residents expired medicine. For refills, administrator stated the resident families are in charge. Family Unsubstantiated would call for the refill prescription, and deliver the resident medication to the facility themselves. LPA interviewed four (4) of four residents. Interviews with these four residents do not corroborate with the allegation of them being given expired medicine. In addition to interviews, LPA reviewed the facility medications and medication records for storage and documentation. Per review, LPA did not observe any expired medications kept, stored or recorded on file. Administrator stated medications that has expired have either been returned to the family or pharmacy for disposal. Based on the information obtained, there wasn't enough evidence to prove that staff are administering expired medications to the residents. Therefore, the allegation is deemed Unsubstantiated at this time. Staff do not treat resident(s) with dignity and respect: In regards to the allegation, it was reported that garbage bags are placed around residents. It was also reported that licensee does not provide a clean and safe environment, only cleaning when the licensing agency shows up to the facility. Interview with the administrator and two (2) of two staff deny the allegation of garbage bags being left all around the residents, and not providing residents with a clean and safe environment. Interviews with four (4) of four residents have no complaints or concerns of staff not treating them with dignity and respect, staff leaving garbage bags all around them, or not providing them a clean and safe environment. All residents stated they are happy with the care and supervision provided to them, and that all their needs are met. In addition to interviews, LPA conducted a physical plant inspection of the facility to insure compliance with regulation. Per LPA's observation during the physical plant inspection, the facility was clean, safe, sanitary and in good repair. Based on the information obtained, there wasn't enough evidence to prove that staff do not treat the residents with dignity and respect. Therefore, the allegation is deemed Unsubstantiated at this time.the state’s words, verbatim · CDSS document, May 14, 2025 · control 31-AS-20250508110214

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Angela Heath and explained the reason for the visit. At approximately 8:45am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The facility is a one story building. The smoke alarms and carbon monoxide detector are connected and functional. The fire extinguisher is located in the kitchen. It was last charged April 24, 2024. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked. Bedrooms: There are six (6) bedrooms of which four (4) are for the resident's use. Two (2) bedrooms are designated for staff use. The bedrooms, in use by residents were properly furnished with appropriate beddings and linens with sufficient lighting. Staff rooms are locked. No medications are observed in the staff room. Bathrooms: There are three (3) bathrooms of which, two (2) are designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. One (1) bathroom is designated for staff use. Hot water temperature was measured between 115 and 120 degrees Fahrenheit. LPA did not observe any cleaning supplies in the resident bathrooms during the day of the annual. Common Areas: These included the living room and dining area. The living room has two couches and up to four additional seating. There is a fireplace, that is non-functional. The dining room has a table large enough to seat the four residents. The auditory alarms on all exit doors were on and functional at the time of the visit. Furniture was observed in good repair. Floors were mopped and clean. Passageways were clear of obstruction. Surrounding Grounds: Back and front yards were free of any hazards. There was furniture appropriate for outdoor use. The garage: Garage is attached to the home but locked and inaccessible to residents. It is also being used as the laundry area. Laundry detergents, cleaning solutions and other toxins are stored in the garage. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medications are stored locked in a hallway closet. Medication and Medication Records were reviewed for proper storage and documentation. First aid kit is equipped with necessary tools and supplies. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Dec 14, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Angela Heath and explained the reason for the visit. At approximately 8:45am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms and carbon monoxide detector are connected and functional. The fire extinguisher is located in the kitchen. The charge date is 06/20/2023. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked. Bedrooms: There are six (6) bedrooms of which four (4) are for the resident's use. Two (2) bedrooms are designated for staff use. The bedrooms, in use by residents were properly furnished with appropriate beddings and linens with sufficient lighting. Staff rooms are locked. No medications are observed in the staff room. Bathrooms: There are three (3) bathrooms of which, two (2) are designated for residents' use. Both bathrooms were properly supplied and had functional fixtures. One (1) bathroom is designated for staff use. Hot water temperature was measured at 112 degrees Fahrenheit. LPA did not observe any cleaning supplies in the resident bathrooms during the day of the annual. Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Walls, windows, ceilings, floors, and doors were observed clean and maintained. Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The garage: Garage is attached to the home but locked and inaccessible to residents. It is also being used as the laundry area. Laundry detergents, cleaning solutions and other toxins are stored in the garage. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications: Medication and Medication Records were review for proper storage and documentation. Medications are stored in the hallway, locked and inaccessible to residents. First aid kit is equipped with necessary tools and supplies. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.the state’s words, verbatim · CDSS document, Jan 17, 2024