Aqua Ridge of Montclair

Type of visit: Required - 1 Year

On 9/17/2026 at 9:00 AM, Licensing Program Analysts (LPA) Eldin Serrano and Sarina Ramirez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Resident Services Director Jonnathan Rios and was granted entry to the facility. The facility is a one hundred five (105) bedrooms, seventy eight (78) bathrooms facility with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of one hundred fifty (150) non-ambulatory and fifteen (15) hospice care and twelve (12) maybe bedridden resident and the current census is ninety (90) residents. LPA was accompanied by Resident Services Director Jonnathan Rios 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 Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 76 degrees Fahrenheit. LPAs inspected resident 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. LPAs measured and observed the water temperatures in the bathroom to be at 106.3 degrees Fahrenheit at Room #112. The facility is equipped with operating smoke detectors and carbon monoxide alarms. LPAs observed the fire extinguisher were not certified. Deficiency issued. Posters such as personal rights, the CCLD complaint poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** LPAs observed that cleaning supplies, toxins, sharps, and other dangerous items were kept in a secure area or locked cabinets inaccessible to residents in care. There is a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. Food Service: Seven (7) days’ supply of Non-perishable foods and two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. LPA observed that the facility does not have the emergency food. The staff provided a copy of the emergency food ordered online. Technical violation issued. Care & Supervision: The facility has the Resident Services Director present in the facility with appropriate and enough hours to appropriately manage the facility. Record Review: LPAs reviewed five (5) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPAs audited the residents medication. No issue observed. LPAs reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. No Issues observed. Based on the observations made during today’s visit, One deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D and Appeal Rights were discussed and provided to Resident Services Director Jonnathan Rios.the state’s words, verbatim · CDSS document, Sep 17, 2026

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff confiscated resident's personal belongings Staff did not include the resident in reappraisal decision-making

On 8/10/2026 at 8:50 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegation. LPA met with executive director Monique Del Junco to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation 1: Staff confiscated resident’s personal belongings - Residents interviewed reported that no personal belongings confiscated. S1 and S2 stated R1 voluntarily provided medications to staff after receiving medical directions from the nurse practitioner. Staff reported returning R1’s inhaler once physician approval was obtained. Staff statements indicate no belongings were taken outside of medication removal conducted under medical orders. ******continuation on LIC9099C****** Unsubstantiated Allegation 2: Staff did not include the resident in reappraisal decision-making - Residents reported being included in reassessment discussions. Staff reported R1 was asked and acknowledged understanding that staff would begin administering medications. Staff stated the nurse practitioner discussed medication management with R1 and issued the corresponding directive. R1 reported not being included in the decision; however, staff statements indicate medical professionals informed R1 and staff confirmed R1’s understanding before proceeding. Based on the record review and interviews, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC 9099C were discussed and provided to executive director Monique Del Junco.the state’s words, verbatim · CDSS document, Aug 10, 2026 · control 56-AS-20260529091927

Allegation investigated: Staff admitted resident without signed residency agreement Staff refuses to provide resident with admission paperwork Staff is charging resident fees for services included in residency

On 8/10/2026 at 8:50 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA Serrano met with executive director Monique Del Junco to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation #1: Staff admitted resident without signed residency agreement – Based on file review and residents’ interview, It was confirmed that the residents signed the admission agreement upon moving into the facility. LPA was unable to substantiate the allegation. Allegation #2: Staff refuses to provide resident with admission paperwork - Based on resident interviews 6 out of 7 residents revealed that they can get a copy of the admission agreement when requested from the staff. LPA was unable to substantiate the allegation. *** Continuation in LIC9099C *** Unsubstantiated Allegation #3 Staff is charging resident fees for services included in residency - Based on interviews and record reviews, there were additional services provided to residents that the facility appropriately charged for, as these were outside the scope of the admission agreement and based on individual needs and service plans. Therefore, this allegation cannot be substantiated. Information received during investigation LPA did not find evidence to corroborate the allegations. Based on the file review and interviews, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Executive Director Monique Del Junco.the state’s words, verbatim · CDSS document, Aug 10, 2026 · control 56-AS-20260612160811

Allegation investigated: Facility staff did not comply with terms and conditions set forth in the resident's admission agreement. Facility staff threaten to evict resident in care.

On 8/10/2026 at 8:50 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA Serrano met with executive director Monique Del Junco to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation #1: Facility staff did not comply with terms and conditions set forth in the resident's admission agreement– Based on file review and residents’ interview, it was confirmed that the facility staff complied with the terms and condition set forth in the resident admission agreement. LPA was unable to substantiate the allegation. Allegation 2: Facility staff threaten to evict resident in care - Residents reported that they have never witnessed any staff threatening any residents in care with eviction. LPA was unable to corroborate the allegation. ******continue on LIC9099C***** Unsubstantiated Based on the interviews and file review, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to executive director Monique Del Junco.the state’s words, verbatim · CDSS document, Aug 10, 2026 · control 56-AS-20260629141305

Allegation investigated: Facility is in disrepair

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation regarding the above allegation. LPA Prieto met with Barrera and explained the elements of the complaint. LPA toured the Assisted Living area, dinning room, library and other common areas. LPA also toured the facility Memory Care Unit ward and found all to be clean, sanitary and in good repair. LPA did not observe any unsafe environmental conditions that may pose a risk to resident's safety. Based on the information obtained there is not enough evidence that the facility is in disrepair. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report signed by LPA Prieto and Mr Barrera and a copy was left with the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 4, 2026 · control 56-AS-20260416143854

Allegation investigated: Resident sustained 1st and 2nd degree burns due to lack of supervision

On 04/29/2026 at 9:15 AM, Licensing Program Analyst (LPA), Eldin Serrano, visited the facility to deliver the investigative findings for the above allegation. LPA Serrano identified himself and discussed the purpose of the visit with Executive Director Monique Del Junco. Allegation: – Resident sustained 1st and 2nd degree burns due to lack of supervision It was alleged that resident #1 (R1) sustained first and second-degree burns due to lack of supervision by facility staff. The Department investigation consisted of review of facility records, hospital records, and police reports, as well as interviews with outside parties. The Department was unable to interview R1. Medical records reviewed during the investigation indicated no signs or symptoms of abuse. The hospital discharge diagnosis identified the resident’s condition as a first-degree sunburn to the bilateral lower extremities with cellulitis, along with leg pain and swelling. Based on the information obtained, there is insufficient evidence to support that the resident’s condition was the result of neglect or lack of supervision by facility staff. Although the allegation may have occurred or may be valid, there is not a preponderance of evidence to establish that a violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted where this report LIC9099 was discussed and provided to executive director Monique Del Junco. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 29, 2026 · control 56-AS-20250917164528

Allegation investigated: Questionable Death. Neglect/Lack of Care and Supervision -Resident developed pressure injury while in care due to staff neglect. Facility charged resident for a service they did not receive.

On 04/29/2026 at 9:15 AM, Licensing Program Analyst (LPA), Eldin Serrano, visited the facility to deliver the investigative findings for the above allegations. LPA Serrano identified himself and discussed the purpose of the visit with Executive Director Monique Del Junco. The Department investigated the above allegations, which included a review of facility records, medical documentation, and interviews with relevant parties. Allegation: Questionable Death It was alleged that facility staff mishandled Resident #1 (R1’s) medical emergency on 08/09/2025 after he reported feeling a pill stuck in his throat. It was alleged that staff provided inappropriate care, failed to recognize the severity of the condition, and delayed calling 911, resulting in the resident’s death. Records reviewed, including facility files and medical documentation, indicate that staff followed R1’s treatment orders and monitored their condition. Documentation shows that staff remained with R1, observed changes in condition, and contacted 911 in a timely manner. Phone records reviewed during the investigation corroborate that 911 was called and that the resident’s family was contacted to provide updates and to clarify Physician Orders for Life-Sustaining Treatment prior to initiating life-saving measures. The coroner’s report identified the cause of death as hypoxemic respiratory failure, chronic atrial fibrillation, and ischemic stroke, which are consistent with the resident’s documented medical history. The coroner’s findings, as well as reports from paramedics and hospital personnel, indicated no evidence of abuse, neglect, malnourishment, or suspicious circumstances. Interviews conducted with staff were consistent with documentation reviewed. Based on the information obtained, there is insufficient evidence to support that staff delayed emergency response or failed to provide appropriate care. Therefore, the allegation is Unsubstantiated. ******conitnuation on LIC9099C****** Unsubstantiated Allegation: Neglect/Lack of Care and Supervision – Resident developed a pressure injury while in care due to staff neglect It was alleged that resident #1 (R1) developed a pressure injury while in care due to staff neglect. Records reviewed, including facility documentation and medical records, indicate that R1 had a history of medical conditions that placed R1 at high risk for skin breakdown. Documentation shows that the pressure injury was being treated by facility staff, as well as outside providers including home health nurses and wound care specialists. Medical records further indicate that the wound was actively managed by the facility in coordination with Kaiser Permanente. The home health agency reported no concerns regarding neglect during their visits. The coroner’s report noted no evidence of abuse, neglect, malnourishment, or suspicious circumstances. Documentation shows that when the pressure injury did not improve, the facility arranged for hospital evaluation and placement in a skilled nursing facility. Interviews conducted with residents did not reveal concerns related to neglect or abuse. Residents reported that staff responded to requests for assistance in a timely manner. Therefore, the allegation is Unsubstantiated. Allegation: Facility charged resident for a service they did not receive. Based on the interviews conducted with the residents and staff, it was confirmed that the facility does not charge the residents for any services not received, therefore the allegation is unsubstantiated. Based on the evidence obtained during the Department’s investigation, there is insufficient evidence to support the allegations. Although the allegations may have occurred or may be valid, there is not a preponderance of evidence to establish that a violation occurred. Therefore, the allegations are deemed Unsubstantiated. An exit interview was conducted where this report LIC9099 and LIC9099C were discussed and provided to executive director Monique Del Junco.the state’s words, verbatim · CDSS document, Apr 29, 2026 · control 56-AS-20250819104741

Allegation investigated: Staff are withholding resident's medication

On 4/16/2026 at 8:50 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegation. LPA met with executive director Monique Del Junco to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and resident as well as facility observation. Allegation: Staff are withholding resident's medication – Based on record review and interview with resident# 1(R1) and staff. It was revealed that facility doesn’t have any medication to administer to R1 because the pharmacy has not refiled R1’s medication for nonpayment from the healthcare provider. The staff offered to send R1 to the hospital to get temporary supply of medication until the resident can sort out the medical insurance issue but R1 refused because R1 thought R1 has to pay money to the hospital. LPA was unable to corroborate the allegation. Based on the evidence, the allegation mentioned above is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 was discussed and provided to executive director Monique Del Junco. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 16, 2026 · control 56-AS-20260413162054

Allegation investigated: Staff does not accord resident privacy.

On March 9, 2026 at 8:55AM, Licensing Program Analysts (LPA) Eldin Serrano visited the facility to investigate the above-mentioned allegation and deliver findings. LPA met with Administrator Monique Del Junco to discuss the purpose of the visit. The investigation consisted of file review, interviewing relevant parties as well as observation. The allegation indicates that staff does not accord resident privacy. – Based on interviews with relevant parties and observation, it was confirmed that client #1 (C1) has a camera on C1’s room that record video and audio. Audio recording is prohibited by regulation. By allowing the camera’s audio function, the facility violated the resident’s right to personal privacy. Based on interviews, the preponderance of evidence standard has been met, therefore, the allegations are substantiated under the California Code of Regulations (Title 22, Division 6 Chapter 8). An exit interview was conducted where this report, LIC9099, LIC9099D along with appeal rights, were provided to the Administrator Monique Del Junco. Substantiatedthe state’s words, verbatim · CDSS document, Mar 9, 2026 · control 56-AS-20260226100831

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: Mar 16, 2026

Title 22, Division 6 Chapter 8 87468.2 (a)(1) (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in...facilities for the elderly shall have all of the following personal rights:(1)To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations,,,and meetings of resident and family groups.This requirement is not met as evidence by: Based on interviews and observation, the licensee did not comply with the section cited above by not ensuring that the residents have reasonable level of personal privacy in accommodation and visits which poses a potential health, safety or personal rights risk to persolns in care.the state’s words, verbatim · CDSS document, Mar 9, 2026

Plan of correction: Licensee/Administrator agrees to submit a statement of understanding to follow the regulation cited above by plan of correction (POC) due date.

Allegation investigated: Staff do not provide adequate care and supervision to the residents. Staff do not keep the facility free from bugs. Staff do not properly maintain the facility. Staff are not properly trained.

Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Resident Services Director Jonnathan Rios and explained the purpose of the visit regarding the allegations listed above. First allegation: Staff do not provide adequate care and supervision to the residents. Regarding the allegation stated above LPA conducted a walkthrough of the facility memory care unit (MC), LPA inspected 13 out of 15 rooms during the inspection LPA observed a mattress to be soiled with feces along with urine. LPA conducted an interview with S#1 regarding the condition of resident’s mattress. S#1 informed LPA that R#1 still utilizes the mattress under its condition. In addition, S#1 informed LPA that family provides the mattress and family is aware of the condition of the mattress. LPA conducted a record review of R#1 physician’s report during record review LPA discovered based on Resident #1 Physical Health Status that R#1 does not have a bowel or bladder impairment. LPA observed physician report to be current. Substantiated Second allegation: Staff do not keep the facility free from bugs. Regarding the allegation stated above, LPA conducted a walkthrough of the facility memory care unit (MC), LPA inspected 13 out of 15 rooms during the inspection LPA inspected Room #1 during the inspection LPA observed an insect that appeared to be a cockroach walking on Resident #2-bedroom floor. In addition, during the inspection LPA asked S#1 if facility provides pest control services S#1 informed LPA that facility provides treatment however, S#1 could not provide the days. LPA was informed by S#2 that facility utilizes pest control services to treat bugs/and insects. Third allegation: Staff do not properly maintain the facility. LPA conducted a walkthrough of the facility memory care unit (MC), during the inspection LPA detected a strong foul odor of urine inside memory care area. LPA brought foul odor to Staff #1 attention and S#1 informed LPA that the urine smell comes from the carpet as the carpet can get soiled. Staff #1 informed LPA that the facility shampoos the carpet, however, S#1 could not provide LPA with the times and days that the carpet gets cleaned. Fourth allegation: Staff are not properly trained. Regarding the allegation stated above, during the course of LPA’s inspection, interviews, record review, and observation, LPA has determined that facility staff is not properly reporting or addressing resident[s] change of condition. During interviews conducted with staff regarding the hazardous condition LPA discovered R#1 mattress to be in LPA was informed that Resident #1 exhibits behaviors that present R#1 to have bowel or bladder impairment however, based on R#1 physicians report it indicates that R#1 does not have bowel or bladder impairment. In addition, LPA did not find any documents that indicate or specify that R#1 may have a bowel/bladder impairment, or any behaviors concerning R#1 toileting needs.Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 regulations Personal Rights of Residents in All Facilities (a) (2) & (3), 87303 Maintenance and Operation (a)(1) from division 6, chapter, article 6, is, being cited on the attached LIC 9099 D. An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Resident Services Director Jonnathan Rios at the conclusion of the visit. Based on corroborating evidence the department has determined that the above allegations are Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator at the end of the visit.the state’s words, verbatim · CDSS document, Dec 16, 2025 · control 56-AS-20240815093125

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87468.1(a)(2) · Plan of correction due date: Dec 27, 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:...(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Based on observation and interviews the licensee did accord R#1 with comfortable accommodations and furnishings, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025

Plan of correction: The Licensee has agreed to provide training on regulation "Personal Rights of Residents in All Facilities" for all care staff and will provide signed copy by all staff to LPA by POC date 12/27/2025. Licensee will also provide LPA with an update concerning the mattress replacement for R#1.

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87468.1(3) · Plan of correction due date: Dec 27, 2025

87468.1 Personal Rights of Residents in All Facilities...(3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. Based on observation the licensee did not comply with personal rights regulation which LPA found insect (cockroach) in Room#1 in R#2 room floor, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025

Plan of correction: The Licensee has agreed to provide training in the regulation listed above concerning facilities to be free of insects and rodents. Licensee will also provide updated invoices for all rooms being serviced by pest control to LPA by POC date 12/27/2025.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a)(1) · Plan of correction due date: Dec 17, 2025

87303 Maintenance and Operation...(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors...(1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition. This requirement is not met as evidenced by: Based on observation and interviews the licensee did comply with Maintenance and Operation regulation, by maintaining facility clean, sanitary, and odorless condition. which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025

Plan of correction: The Licensee has agreed to provide training on regulation “Maintenance and Operation" to all care staff and will provide a signed copy by all staff to LPA by POC date 12/27/2025. License will also ensure that Memory Care Unit is maintained clean, sanitary, and odorless condition.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Dec 27, 2025

Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. This requirement is not met as evidenced by: Based on observation and interviews the licensee did comply with Personnel Requirements regulation, by ensuring staff to be competent to provide the services necessary to meet resident needs, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 16, 2025

Plan of correction: The Licensee has agreed to provide training on regulation " Personnel Requirements - General" to all care staff and ensure that care staff reports and updates all residents’ change of conditions. Licensee will provide a signed copy by all staff to LPA by POC date 12/27/2025.

Allegation investigated: Staff do not properly safeguard the facility grounds Staff do not ensure the residents are being changed Staff are mishandling the residents medications Staff do not meet the minimum qualifications required Staff are not properly trained Staff are not following proper food handling techniques Staff do not provide adequate care and supervision Staff do not meet the residents bathing needs Staff do not keep the facility free from infestation

On 10/02/2025 at 2:45 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to investigate and deliver the findings of the above allegations. LPA Serrano met with Resident Care Director Jonnathan Rios to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staff and residents as well as facility observation. Allegation #1: Staff do not properly safeguard the facility grounds – Based on LPA's observation and upon touring of the facility, LPA did not find any evidence of broken windows for the alleged multiple break-ins at the facility. The facility is in good repair and has found no issues. Allegation #2: Staff do not ensure the residents are being changed - Based on interviews with staff and residents, it was revealed that the residents’ diapers were being changed as needed. It was also revealed that if the residents are independent and if they need assistance with changing their diapers the staff is there to assist. LPA was unable to corroborate the allegation. *** Continuation in LIC9099C *** Unsubstantiated Allegation #3 Staff are mishandling the residents’ medications - Based on record review and medications audit, LPA found no issues. Allegation #4 Staff do not meet the minimum qualifications required – Based on interview and information received. It indicated that all the staff have undergone 40 hours of computer training. If the staff is interested in being a Medtech then the staff must do another 20 hours of training specifically for Medtech and get a certificate plus 3-5 days of hands-on training and 2 additional days of paperwork training. LPA was unable to corroborate the allegation. Allegation #5 Staff are not properly trained – Based on record review the facility provided all the Medtech certificate that they all have completed the required training to administer medication. Allegation #6 Staff are not following proper food handling techniques – Based on interview and LPA observation, LPA was unable to corroborate the allegation. Interview with the facility cook revealed that the facility never recycled uneaten food or leftovers to be eaten the next day. LPA observed the facility recycling bin designated for food waste outside of the facility specifically for trash/garbage. LPA took pictures of the recycling bin. Allegation #7 Staff do not provide adequate care and supervision – Based on interviews and record review, it was revealed that the facility has sufficient staff to supervise and care for the resident in care. Based on interviews with residents, they all stated that they are provided with adequate care and supervision by the staff. Allegation #8 Staff do not meet the residents bathing needs – Based on interview and record review, LPA was unable to corroborate the allegation. Interviews with staff stated that they follow the facility shower schedule. Interviews with the residents all indicated that they get their showers as scheduled or if they are independent and need help from the staff they are given assistance with showers. Facility also provided shower schedules. ******continue on LIC9099C******* Allegation #9 Staff do not keep the facility free from infestation – Based on record review, the facility provided a copy of their contract with Integrated Pest Control Management that monitors and treats any pests issue at the facility. Information received during investigation did not corroborate with the allegation. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Resident Care Director Jonnathan Rios.the state’s words, verbatim · CDSS document, Oct 2, 2025 · control 56-AS-20250904133849

Type of visit: Required - 1 Year

On 10/02/2025 at 08:50 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Resident Care Director Jonnathan Rios and was granted entry to the facility. The facility is a one hundred five (105) bedrooms, seventy eight (78) bathrooms facility with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of one hundred fifty (150) non-ambulatory and twelve (12) hospice care and twelve (12) maybe bedridden resident and the current census is seventy one (71) residents. LPA was accompanied by Resident Care Director Jonnathan Rios 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 Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA inspected resident 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 bathroom to be at 114.4 degrees Fahrenheit at Room #113. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** LPA observed that cleaning supplies, toxins, sharps, and other dangerous items were kept in a secure area or locked cabinets inaccessible to residents in care. There is a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPA observed complete first aid kit and first aid book at the facility. LPA observed that the emergency disaster plan was not signed to determine if they updated or reviewed the plan. Technical violation issued. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has the Resident Care Director present in the facility with appropriate and enough hours to appropriately manage the facility. Record Review: LPA reviewed five (5) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPAs observed that the medication for resident #5 (R5) was not properly logged and tracked as to the accuracy of date of administration in the electronic medication administration record (EMAR). Deficiency issued. LPA reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Based on the observations made during today’s visit, One deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D and Appeal Rights were discussed and provided to Resident Care Director Jonnathan Rios.the state’s words, verbatim · CDSS document, Oct 2, 2025

The state marks this report as 5 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 August 20, 2025, Licensing Program Analyst (LPA) Eldin Serrano conducted an announced visit to the facility for the purpose of increasing the capacity. LPA was greeted and granted entrance by the Executive Director Monique Del Junco. Per the LIC200, Licensee requested for the change of capacity from one hundred fifteen (115) non-ambulatory and of which twelve (12) maybe bedridden to one hundred fifty (150) non-ambulatory and twelve (12) of which can be bedridden. The fire clearance request was approved on 7/28/2025 for one hundred thirty-eight (138) non-ambulatory and twelve (12) bedridden residents, for a total capacity of one hundred fifty (150). The licensee was advised that the noted designated capacity for each room is to remain in compliance. LPA observed that the client bedrooms were appropriately furnished and had functional lighting. The physical plant is ready for an increase in capacity. LPA will update the facility's file and issue a new license stating change in capacity. An exit interview was conducted where this report LIC809 was discussed and provided to the Executive Director Monique Del Junco.the state’s words, verbatim · CDSS document, Aug 20, 2025

Allegation investigated: Staff do not administer resident's medications as prescribed.

On 6/18/2025 at 1:05 PM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Serrano met with Executive Director Monique Del Junco to explain the purpose of the visit. The investigation consisted of file review, interviews with facility staffs and residents as well as facility observation. Allegation: Staff do not administer resident's medications as prescribed. – Based on interview and record review, 4 out 4 residents and 2 out 2 staff stated that the residents medication were administered as prescribed. Resident #1 (R1) stated that R1's medication is administered as prescribed. R1 just want a copy of her medication list. Information received during investigation did not corroborate with the allegation. During the investigation, LPA did not find evidence to corroborate the allegations. *** Continuation in LIC9099C *** Unfounded Therefore,Staff do not administer resident's medications as prescribe is UNFOUNDED. This agency has investigated the complaint allegations. 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. We have therefore dismissed the complaint. An exit interview was conducted with executive director Monique Del Junco and a copy of this report, LIC9099 and LIC9099C were discussed and provided.the state’s words, verbatim · CDSS document, Jun 18, 2025 · control 56-AS-20250617170110

Allegation investigated: Resident's medication was not administered

On 04/11/2025 at 1:00PM Licensing Program Analyst, Renese Howell-Small, (LPA) arrived at the Aqua Ridge of Montclair unannounced to deliver findings for the complaint investigation into the allegations listed above. LPA met with Administrator, Monique Del Junco; introduced self and stated purpose of the visit. The investigation consisted of interviews and record review. The fourth allegation alleged that the resident’s medication was not administered. The Medication Administration Record (MAR) dated 04/01/2022 indicates that the water pill was a PRN and to be given once daily as needed for edema. According to the MAR, the resident was given the water pill on 04/24/2022 to 04/27/2022 at 8:00AM. The Physician’s Order indicates that the water pill was to be given every morning with a start date of 04/01/2022. The Administrator could not provide further documentation to support that the water pill was to be given as a PRN. Based upon interviews and record review, this allegation is SUBSTANTIATED Substantiated A SUBSTANTIATED complaint is defined as a violation has occurred and the preponderance of evidence has been met. An exit interview was conducted where a copy of this report along with appeal rights were provided to Administrator Monique Del Junco. An exit interview was conducted where a copy of this report LIC9099, LIC9099D and Appeal Rights were discussed and provided to Administrator Monique Del Junco. The second allegation alleged that staff handles resident in a rough manner. An interview conducted with the Administrator affirms that staff receive forty (40) hours of training in job related duties and will also shadow experienced trainers for on-the-job training. All care staff receive on-line training through Relias in various areas related to assisting residents with ADL, bathing, dressing and personal care. On 04/28/22, an interview with the hospice nurse states that R1 was transferred in a safe manner. The hospice nurse stated that R1 was not on any meds that cause bruising, not on thinners." but the "bruises are not alarming" because R1 was combative. The hospice nurse did not know how R1 could have gotten the wound but did not think that it was suspicious. Lastly, R1 had a half rail on the bed, tears and bruising may be an ongoing thing with R1, as long as R1 was combative and resistant. Six (6) out of eleven (11) staff state that staff are well trained and worked with another staff when lifting or transferring R1. The Service Plan dated 01/13/22 indicates that R1 requires a two-person assist in transferring. Based on interviews and record review, this allegation is UNSUBSTANTIATED. The third allegation is that the resident sustained an unexplained injury. The spouse of Resident 1 (R1) did not notice a skin tear on R1’s arm on 04/23/22. On 04/24/22 at 9AM, a family friend visited R1 and noticed the skin tear on R1’s left arm. An interview with the staff nurse (S4) confirmed that R1 was found on the morning of 04/25/22 with a skin tear and the family was notified. The hospice care notes indicate that on 04/26/22 a skin tear was observed on R1’s left arm. Five (5) out of eleven (11) staff denied causing injury to resident and did not observe the laceration when R1 went to bed the night of 04/23/22. Staff are trained in first aid, to document injuries and to notify both the family and a supervisor. Based upon interviews and record review, these allegations are UNSUBSTANTIATED. An UNSUBSTANTIATED complaint 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 a copy of this report LIC9099 was discussed and provided to Administrator Monique Del Junco.the state’s words, verbatim · CDSS document, Apr 11, 2025 · control 56-AS-20220425105127

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(d)(3 · Plan of correction due date: Apr 14, 2025

87465 (d)(3) Incidental Medical and Dental Care (d) If the resident is unable to determine his/her own need for a prescription... or nonprescription PRN medication, and is unable to...: (3) The date and time the PRN medication... This requirement was not met as evidenced by: Based upon interview and record review, the Licensee/Administrator did not comply with the section cited above by not administering the water pill according to the physician’s orders, which posed an immediate risk to the health, safety and personal rights risk to resident in care.the state’s words, verbatim · CDSS document, Apr 11, 2025

Plan of correction: Licensee/Administrator will conduct training on medication and will submit proof to LPA by Plan of Correction due date.

Allegation investigated: Staff do not answer residents calls for assistance timely

Licensing Program Analyst (LPA) Javier Prieto arrived at the facility to investigate the complaint mentioned above. LPA Prieto met with Executive Director Del Junco and explained the details of the complaint. Regarding the allegation that staff do not answer residents' calls for assistance in a timely manner, LPA Prieto toured the Memory Care Unit, the ward relevant to this complaint, and reviewed recent pull cord call records. The records show that the average response time to pull cord calls is 7 minutes. The ward is adequately staffed, with a 3 to 1 ratio of caregivers to the 24 residents. LPA Prieto observed residents grouped together to ensure better monitoring. All residents receive care from medical technicians three times a day and have individualized care plans that address continence care, bathing, and room cleaning. Unsubstantiated The residents were unable to explain the function or purpose of a call button. LPA Prieto noted that the residents' rooms, which are shared, have pull cords in the bathrooms rather than individual call buttons, contrary to the complaint's claims. The records show that these pull cords were activated five times, with an average response time of 7 minutes. Based on the gathered information, there is insufficient evidence to support the allegation that staff do not answer residents' calls for assistance in a timely manner. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Del Junco, and a copy was left with the facility.the state’s words, verbatim · CDSS document, Jan 30, 2025 · control 56-AS-20250124135935

Allegation investigated: Staff caused injury to resident in care Staff did not ensure resident's room was kept clean Staff falsified resident records Staff consume alcohol while on shift

On 1/03/2024 at 10:35 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility to deliver the findings of the above allegation. LPA met with Executive Director Monique Del Junco and explained the purpose of the visit. The investigation consisted of file reviews, interviews with facility staffs and residents as well as observation. Allegation: Staff caused injury to resident in care. Based on interviews conducted with 7 out of 7 residents and 7 out 7 staff all stated that they have not witness/observed or have knowledge of any staff causing injury to residents in care. Interviews with 3 out 7 residents stated that they are being taken care of and the staff are very kind and nice to them. *** Continuation in LIC9099C *** Unsubstantiated Allegation: Staff did not ensure resident's room was kept clean. Based on observation, record review, and interviews with facility staff and residents. All resident’s room are cleaned regularly as indicated in the staff cleaning schedule. Allegation: Staff falsified resident records. Based on interviews conducted with 7 out 7 residents and 7 out of 7 staff they all stated that they have not witness or have knowledge of any staff falsifying documents and there is no evidence to corroborate the allegation. One resident stated that the facility is very honest, and the facility let the residents know of what is going on. Allegation: Staff consume alcohol while on shift. Based on interviews conducted with 7 out 7 residents and 7 out of 7 staff all stated that they have not witness/observed or have knowledge of any staff drinking alcohol while on shift. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 was discussed and provided to Executive Director Monique Del Junco.the state’s words, verbatim · CDSS document, Jan 3, 2025 · control 56-AS-20241213123255

Type of visit: Case Management - Other

On 12/27/2024 at 9:10 AM, Licensing Program Analyst (LPA) Eldin Serrano arrived at the facility unannounced to conduct a Case Management Visit for health and safety check. This case management visit is in response to a phone call received at the Community Care Licensing Office on 12/24/2024. LPA was greeted by Community Relations Director (CRD) Debora Main at the front lobby. LPA introduced self and stated purpose of the visit. During today's visit, LPA discussed the purpose of the visit to Community Relations Director Deborah Main. LPA did a health and safety check and interviewed staff.. No deficiencies were observed during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to CRD Debora Main.the state’s words, verbatim · CDSS document, Dec 27, 2024

Allegation investigated: Staff do not respond to requests for assistance in a timely manner. Licensee is not ensuring that the facility has enough staff to meet the care needs of residents in care.

On November 8, 2024, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez visited the facility to investigate the mentioned allegations and deliver findings. LPA met with Executive Director (ED) Monique Del Junco to discuss the purpose of the visit. The investigation consisted of reviewing of files and interviewing relevant parties. The first allegation indicates that Staff do not respond to requests for assistance in a timely manner. Interviews with 5 residents revealed that more staff are needed because the response time was inconsistent. Interviews with five staff members revealed that more staff are needed, especially during the night shift and weekends. Staff mentioned that response times vary based on the need and if they are assisting residents who require more help. Staff also mentioned that when they are busy, response times can range from 30 to 45 minutes, which poses a health and safety risk to residents in care. *** Continuation in LIC9099C *** Substantiated The second allegation indicates licensee is not ensuring that the facility has enough staff to meet the care needs of residents in care. Interviews with 5 residents stated that more staff is needed. Interviews with five staff members reported that more staff is needed. LPA Serrano also interviewed Resident Care Director (RCD) Jonnathan Rios and requested the facility's staff schedule. It was observed that weekend staff coverage is less than during the weekdays. RCD mentioned that new staff are in training and will be ready to work once their training is complete. Based on file reviews and interviews, the preponderance of evidence standard has been met, therefore, the allegations are substantiated under the California Code of Regulations (Title 22, Division 6 & Chapter 1). An exit interview was conducted, where this report, LIC9099D along with appeal rights, was provided to the Executive Director Monique Del Junco.the state’s words, verbatim · CDSS document, Nov 8, 2024 · control 56-AS-20240910171129

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Dec 9, 2024

87411(a) - PERSONNEL REQUIREMENTS - GENERAL (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...This requirement is not met as evidenced by: Based on records review, interviews with residents and staff; the licensee did not ensure there is enough staff on schedule to meet the needs of the residents.the state’s words, verbatim · CDSS document, Nov 8, 2024

Plan of correction: The licensee agreed to hire more staff and provide CCL with an update current staff schedule with sufficient staffing to meet the needs of the resident 7 days a week and provide proof of schedule on plan of correction (POC) due date.

Allegation investigated: Staff did not follow medication orders as prescribed Due to staff neglect, resident developed a pressure injury Staff did not ensure residents room was clean Staff did not ensure residents hygiene needs were met Staff did not ensure residents laundry was done timely Due to lack of staff, medications were not administered timely

On 11/08/2024 at 09:00 AM, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez made an unannounced visit to the facility to deliver the findings of the above allegation. LPAs met with Executive Director Monique Del Junco and explained the purpose of the visit. The investigation consisted of file reviews, interviews with facility staffs and residents as well as observation. Allegation: Staff did not follow medication orders as prescribed. Based on interviews conducted with 3 out of 5 residents they all stated that their medications are given as prescribed. Two (2) of the 5 residents were nonverbal and unable to communicate. Five staff persons were interviewed and 4 out of 5 reported that the medications are given as prescribed. One (1) staff person reported not having knowledge if medication was given as prescribed as they do not handle medications. *** Continuation in LIC9099C *** Unsubstantiated Allegation: Due to staff neglect, resident developed a pressure injury. Based on staff interviews, and record review. Five (5) staff interviewed denied neglecting residents. Interviews revealed that if residents in care have pressure injuries, they are checked every two hours, and any concerns are reported to management, hospice, and resident family. Staff denied that residents are neglected but stated additional staff is needed. Allegation: Staff did not ensure residents’ room was clean. Based on observation, record review, and interviews with facility staff and residents. All resident’s room are cleaned regularly as indicated in the staff cleaning schedule. Allegation: Staff did not ensure residents hygiene needs were met. Based on observation, record review, and interviews with residents and facility they all deny that residents hygiene needs are not met. LPAs observed the residents showering schedule and there is no evidence to corroborate the allegation. Allegation: Staff did not ensure residents’ laundry was done timely. Based on observation, record review, and interviews with residents and facility staff. The resident’s laundry is done timely and is documented in the staff’s laundry schedule. Allegation: Due to lack of staff, medications were not administered timely. Based on record review and interviews with residents and facility staff. All resident’s medications are administered timely. There is no evidence to corroborate this allegation. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 was discussed and provided to Executive Director Monique Del Junco. Allegation: Due to lack of supervision, resident had multiple falls resulting in injury. - Based on interview and record review, Staff indicated that there’s not enough staff working in memory care to provide sufficient supervision. LPA Serrano also interviewed Resident Care Director (RCD) Jonnathan Rios and requested the facility's staff schedule. It was observed that staff coverage on the weekends is less than during the weekdays. RCD mentioned that new staff are in training and will be ready to work once their training is complete. Based on LPAs observations and interviews and records review conducted, the preponderance of evidence standard has been met, therefore, the allegation of Staff did not safeguard residents’ personal property and Due to lack of supervision, resident had multiple falls resulting in injury are SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 6 is being cited on the attached LIC9099D. An exit interview was conducted where this report (LIC 9099), LIC9099D, and Appeal Rights were discussed and provided to Executive Director Monique Del Junco.the state’s words, verbatim · CDSS document, Nov 8, 2024 · control 56-AS-20240910102504

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Dec 9, 2024

87411(a) - PERSONNEL REQUIREMENTS - GENERAL (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs...This requirement is not met as evidenced by: Based on records review, interviews with residents and staff; the licensee did not ensure there is enough staff on schedule to meet the needs of the residents.the state’s words, verbatim · CDSS document, Nov 8, 2024

Plan of correction: The licensee agreed to hire more staff and provide CCL with an update current staff schedule with sufficient staffing to meet the needs of the resident 7 days a week and provide proof of schedule on plan of correction (POC) due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87217(b) · Plan of correction due date: Nov 8, 2024

87217(b) Safeguards for Resident Cash, Personal Property, and Valuables.(b) Every facility shall take appropriate measures to safeguard residents' cash resources, personal property and valuables which have been entrusted to the licensee or facility staff. The licensee shall give the residents receipts for all such articles or cash resources.the state’s words, verbatim · CDSS document, Nov 8, 2024

Plan of correction: LIcensee agreed to submit proof of an installed latch in the closet to prevent other residents from taking properties of another resident on plan of correction (POC) due date.

Type of visit: Required - 1 Year

On 11/08/2024 at 09:00 AM, Licensing Program Analysts (LPAs) Eldin Serrano and Sarina Ramirez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPAs met with Executive Director Monique Del Junco and was granted entry to the facility. At the time of the visit there was two (2) staff present. The facility is a one hundred five (105) bedrooms, seventy eight (78) bathrooms facility with a kitchen/dining area, living room/activity room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of one hundred fifteen (115) non-ambulatory and twelve (12) hospice care and twelve (12) maybe bedridden resident and the current census is seventy one (71) residents. LPAs were accompanied by Resident Care Director Jonathan Rios 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 Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathroom to be at 117 degrees Fahrenheit at Room #106. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCLD complaint poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** LPAs observed that cleaning supplies, toxins, sharps, and other dangerous items were not kept in a secure area or locked cabinets accessible to residents in care. Deficiency will be issued. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPAs Serrano and Ramirez observed complete first aid kit and first aid book at the facility. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Executive Director present in the facility with appropriate and enough hours to appropriately manage the facility. Record Review: LPAs reviewed five (5) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPAs observed resident files reviewed were complete. LPAs reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications/Medication Administration Record (MAR) were audited and found no issue. Based on the observations made during today’s visit, one (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D forms, and Appeal Rights were discussed and provided to Executive Director Monique Del Junco.the state’s words, verbatim · CDSS document, Nov 8, 2024

Allegation investigated: Staff do not allow residents to have visitors.

On 06/10/2024 at 09:00 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to commence a complaint investigation as well as to deliver findings for the allegation listed above. LPA Brown met with Resident Care Director Jonathan Rios. Executive Director (ED) Monique del Junco was contacted and arrived during the visit. The investigation consisted of file review, interviews with staffs, and residents as well as observation. The investigation was conducted by LPA Melody Brown. The investigation consisted of file review, observation and interviews with relevant parties. The allegation indicates Staff do not allow residents to have visitors. Based on interviews, observations and records review conducted, LPA Brown cannot find evidence to corroborate the allegation. Interviews with eight (8) of eight (8) residents indicated that staffs at the facility are allowing them to have visitors all the time and there's no incident at the facility that a staff did not allow residents to have visitors. Interviews with eight (8) of eight (8) residents revealed that their familiy members and visitors can come anytime to visit them. (Continuation in LIC9099C) Unsubstantiated Interviews with eight (8) of eight (8) staffs indicated that all their residents can have visitor whenever they prefer as there's no visitor restriction hours. Interviews with staffs revealed that the facility's front doors are unlocked for visitors during the hours of 9:00 AM to 06:00 PM seven days a week and a phone number's posted in the front door for visits outside these hours for a staff to let the visitor come in at the facility. Interviews with eight (8) of eight (8) staff indicated that there's no incident that happened at the facility that a staff did not allow residents to have visitors. During the visit on 06/10/2024, LPA Melody Brown observed staffs at the facility providing care and supervision to their residents, staffs allowing residents to have visitors and staffs are respectful when they communicate with residents visitors at the facility. LPA Brown reviewed facility documents and LPA Brown confirmed information reported that front doors are unlocked for visitors during hours of 9:00 AM to 06:00 PM and special arrangements for visits outside these hours are available. In addition, LPA Brown observed that a sign was posted in front with a phone number for visitors arriving at the facility when the front doors are locked to gain entry at the facility. Based on the evidence, the allegation that Staff do not allow residents to have visitors is UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 was discussed and provided to Executive Director Monique del Junco and Resident Care Director Jonathan Rios.the state’s words, verbatim · CDSS document, Jun 10, 2024 · control 56-AS-20240603083339

Type of visit: Required - 1 Year

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Aqua Ridge of Montclair, Residential Care Facility for the Elderly, (RCFE) unannounced to conduct the Annual Inspection. LPA was greeted by Business Office Director, Diana Gonzalez and asked to sign in while the Executive Director was contacted and made aware of LPA visit. During today's visit, LPA was accompanied on a tour of the facility's interior and exterior, completed resident and staff interviews and reviewed facility records. LPA observed the following: Facility: The facility is currently licensed as RCFE / Dementia Care and approved for 115 residents. Sixty, (60) and up. One hundred three residents may be non-ambulatory and 12 residents maybe bedridden. Hospice Waiver Approval for 12 Residents. LPA observed that the facility is operating in the capacity and conditions approved by Community Care Licensing (CCL). Physical Plant: During the tour of the facility, LPA observed that the facility was maintained at a comfortable temperature appropriate for outside weather conditions. Bathroom water temperature measured within regulatory limits. Bathroom appliances such as toilets, sinks, bathtubs and showers were in operable conditions. Housekeepers maintain the cleaning supplies and linens securely; Also in adequate amounts for the number of residents in care. LPA observed that each resident room, hallways and areas throughout the facility were well lit with a variety of lighting fixtures; to ensure safety of residents in care. The facility included smoke/fire alarms and carbon monoxide detectors throughout the facility. According to staff and documentation, the last fire/disaster drill was conducted on 10/24/23 no concerns listed. All fire extinguishers located throughout facility were last inspected August 2023. Please see LIC9099-C Food Service: LPA observed the facility's dining room provided adequate space, seating and lighting. LPA met with Culinary Director, Chris Riley who toured the facility kitchen. LPA observed that the facility's food supply of non-perishable and perishable food items is adequate for the amount of residents in care. All food items were in proper storage and in good standing. The facility also maintains a separate pantry of emergency food supply. The amount also adequate for the number of residents in care. Food menus are maintained on each resident dining table. Care & Supervision: LPA observed sufficient and attentive care staff present during the visit. All toxic and dangerous items are kept secure and inaccessible to unauthorized individuals. Resident and Staff Records are kept secure among staff and in their offices. Record Reviews of Staff/Resident Files: LPA reviewed fifteen, (15) resident files and found that all 15 records were complete with update physician reports, admissions agreements and needs and services plans. LPA reviewed ten, (10) staff files for current CPR/First Aid Certifications and Criminal Record Clearances. All documents were accounted for per regulation. Administration: Evacuation/Disaster Plan, Long Term Care Ombudsman Poster, Administrator Certificate, and Facility License are posted in prominent places of the facility. Emergency Disaster Plan is current. Medication/Medical Related Services: LPA observed that the residents' medication is centrally stored and secure in the Medication Technician's Office. LPA reviewed Centrally Stored Medication Logs. LPA did not observe any medication errors. Based on observations, interviews and records; no deficiencies will be cited per Title 22, California Code of Regulations. A copy of this report was read/reviewed with Jessica Sanchez signature acknowledges understanding and receipt of report and attachments.the state’s words, verbatim · CDSS document, Dec 27, 2023