Asahi Residential Care

Allegation investigated: Staff are overmedicating resident.

On 8/13/26, at 9:00am, the department conducted an initial complaint visit to the facility and was greeted by Kristina Lacanilao, Administrator. The department explained the purpose of this visit was to gather information about the complaint, gather facility files, interview staff and residents, and deliver findings for the allegation mentioned above. The investigation consisted of the following: The department interviewed staff (S1-S3) and residents (R2-R5). The department attempted to interview R1 on their cell phone several times and left messages but did not receive a return call. The department also contacted the skilled nursing facility that the resident is in now but was not able to speak to R1. The department requested and received the following documents from the facility: Resident Roster (Dated: 08/11/2026), Personnel Report (Dated: 08/13/2026), Identification and Emergency Information (Dated: 07/16/2026, 05/05/2023, 07/31/2024, 05/01/2026, 08/11/2026), Medical Assessment (Dated: 07/14/2026), Preplacement Appraisal Information...... Report Continued On LIC9099-C Unsubstantiated (Dated: 07/16/2026), Admission Record (Dated: 07/15/2026), Medication Administration Record (Dated: 07/17/2026-07/29/2026), Prescription Order (Dated: 07/27/2026), Medication List (Dated: 07/15/2026), and Kei-Ai South Bay Healthcare Discharge Report (Dated: 07/17/2026). The investigation revealed the following: Allegation- Staff are overmedicating resident. The details of the complaint allege that facility staff are overmedicating resident. It was reported that a resident was being overmedicated in order to keep them less active. On 8/13/2026, from 9:00am-2:00pm, the department interviewed staff (S1-S3) and residents’ (R2-R5). The department attempted to interview R1 on their cell phone several times and left messages but did not receive a return call. The department also contacted the skilled nursing facility that the resident is in now but was not able to speak to R1. 3 of 3 staff denied the allegation Staff are overmedicating resident. All staff (S1-S3) stated that they have never overmedicated any resident and have always followed the resident’s medication list as prescribed by their physician. Staff (S1) stated that resident (R1) seem to be overly tired after a new medication was prescribed for them but deny that they were over medicating (R1). S1 stated the facility staff gave all medication as prescribed by (R1s) physician and has never overmedicated them to keep them less active. S1 also stated that (R1) was hospitalized recently because they were lethargic, had shallow breathing, and their oxygen saturation level was low at 73%. The department interviewed residents (R2-R5) about the allegation and 4 of 4 residents stated that they receive their medication as prescribed by their doctor. Residents deny that staff has ever tried to overmedicate them. The department reviewed the Medical Assessment (Dated: 07/14/2026), Preplacement Appraisal Information (Dated: 07/16/2026), Prescription Order (Dated: 07/27/2026), and Medication List (Dated: 07/15/2026) and observed that the resident is taking several medications that have side effects that cause drowsiness, dizziness, confusion, blurred vision, and lightheadedness. Those medications are Promethazine-dextromethorphan, Furosemide, and Meloxicam. The department also reviewed the Medication Administration Record (Dated: 07/17/2026-07/29/2026) and observed that all prescribed medication was given as prescribed and documented. The department did not find any evidence that the facility was overmedicating the resident. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that Staff are overmedicating resident. 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. No citations were issued for this complaint investigation. An exit interview was conducted with Kristina Lacanilao, Administrator, and a hard copy of this Complaint Investigation Report was provided.the state’s words, verbatim · CDSS document, Aug 13, 2026 · control 11-AS-20260804125638

Type of visit: Required - 1 Year

On 09/19/25, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Administrator, Kristina Lacanilao, and the purpose of today's visit was explained. LPA was granted entry into the facility. The facility is licensed to serve six (6) non-ambulatory residents aged 60 and over, two of which may be bedridden and has an approved hospice waiver for three (3). Currently there are 5 residents residing in the facility. Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. The facility consists of five (5) bedrooms, two (2) bathrooms, living room, dining room, kitchen, front yard, backyard, and garage. The front and backyard are landscaped and maintained. LPA observed a shaded patio in the backyard with table and chairs. All ramp railings are secured. All walkways outside were observed clean, clear, and free of debris, hazards, and obstructions. LPA did not observe any bodies of water on the property. Bedrooms LPA inspected all bedrooms and found them to be clean and in good repair. LPA observed all bedrooms have the required furniture including a bed(s), dresser(s), chair(s), nightstand, and storage space for resident's personal belongings. All beds were observed with the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of linens in a cabinet in the hallway in good repair. All rooms were observed to have ample lighting. Bathrooms LPA inspected the bathrooms in the facility. All bathrooms were found to meet Title 22 regulations. Showers had secured safety handrails, nonskid mats, and shower chairs available. LPA observed an ample supply of hygiene products stored in a cabinet under the bathroom counter and are inaccessible to residents. Cleaning products were observed secured in a locked cabinet under the bathroom sink. LPA observed an ample supply of towels stored in a cabinet in the hallway. The water temperature measured 111.2- degrees and 112.3- degrees Fahrenheit. Kitchen LPA inspected the kitchen and found it to be clean and sanitary. All appliances were observed in good working repair and operable. LPA observed an ample supply of cutlery, dishware, and cookware in good repair. LPA observed a 3- day supply of perishable foods, and a 7- day supply of non-perishable foods properly labeled, dated, and packaged. Sharps and knives were observed in a secured locked drawer in the kitchen and are inaccessible to residents. Cleaning products were observed secured in a locked cabinet under the kitchen sink and are inaccessible to residents. The water temperature measured 107.3- degrees Fahrenheit. Common Rooms During the time of visit the facility was appropriately furnished. The department inspected all common room and observed them to clean and in good repair. The living room has two couches and a recliner to accommodate all residents. There is a large table in the dining room to accommodate all residents. All walkways and hallways in the home were observed to be clean, clear, and free of hazards and obstructions. All rooms were observed to have ample lighting. The facility was maintained at a comfortable temperature. Medications LPA observed Centrally Stored Medications in a locked cabinet in the hallway and are inaccessible to residents. All the medications were observed in their original packaging. LPA reviewed the medications and Medication Administration Record (MAR) for five (5) residents and found them to be consistent with properly documented records. Files LPA reviewed five (5) resident files and found they contained required documents. LPA reviewed the Administrator and four (4) staff files and observed they contained the required training, certification, and documents. Staff training is conducted on Relias and each staff completes 20- hours of training annually. LPA informed the Administrator that Licensing fees are due on 10/21/2025. LPA received and reviewed a copy of the Liability Insurance through Acord valid till 07/01/2026. Safety LPA observed a fully charged fire extinguisher mounted in the hallway last serviced on 08/22/2025. The last Fire Prevention Inspection was conducted by Torrance Fire Department on 11/3/2024. All smoke and carbon monoxide detectors were in compliance and operational. The last emergency drill was conducted on 08/11/25. LPA inspected the First Aid kit and found it contained the required items and a current manual. The facility has a working landline telephone. Infection Control LPA observed a sanitizing station in the entry with hand sanitizer, face masks, a thermometer, and visitor log. LPA observed a 30- supply of Personal Protective Equipment (PPE). All Infection Control signs were observed posted. According to the California Code of Regulations (Tittle 22, Division 6, Chapter 8) the department did not observe or cite any deficiencies. An exit interview was conducted with Administrator Kristina Lacanilao, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 19, 2025

Type of visit: Required - 1 Year

On 11/07/24, the department conducted an unannounced annual visit to the facility listed above. During today's visit the department met with Administrator, Kristina Lacanilao, and explained the purpose of today's visit. The facility is licensed to serve six (6) non-ambulatory residents aged 60 and over, two of which may be bedridden and has an approved hospice waiver for three (3). Currently there are 5 residents residing in the facility. Physical Plant/Structure The facility is a single-story home in a residential neighborhood. The home consists of five bedrooms, two bathrooms, living room, dining room, kitchen, front yard, backyard, and garage. The front and backyard are landscaped and maintained. The department observed a shaded patio in the backyard with table and chairs. All ramp railings are secured. All walkways outside were observed clean, clear, and free of debris, hazards, and obstructions. The department did not observe any bodies of water on the property. Bedrooms The department inspected all bedrooms and found them to be clean and in good repair. The department observed all bedrooms to have the required furniture including a bed(s), dresser(s), chair(s), nightstand, and storage space for resident's personal belongings. All beds were observed with the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. The department observed an ample supply of linens in a cabinet in the hallway in good repair. All rooms were observed to have ample lighting. Bathrooms The department inspected the bathrooms in the facility. All bathrooms were found to meet Title 22 regulations. Showers had secured safety handrails, nonskid mats, and shower chairs available. The department observed an ample supply of hygiene products stored in a cabinet under the bathroom counter and are inaccessible to residents. Cleaning products were observed secured in a locked cabinet under the bathroom sink. The department observed an ample supply of towels stored in a cabinet in the hallway. The water temperature measured 115.3- degrees and 116.1-degrees Fahrenheit. Kitchen The department inspected the kitchen and found it to be clean and sanitary. All appliances were observed in good working repair. The department observed an ample supply of cutleries, dishware, and cookware in good repair. The department observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods properly labeled, dated, and packaged. Sharps and knives were observed in a secured locked drawer in the kitchen and are inaccessible to residents. Cleaning products were observed secured in a locked cabinet under the kitchen sink and are inaccessible to resident. The water temperature measured 111.7-degrees Fahrenheit. Common Rooms During the time of visit the facility was appropriately furnished. The department inspected all common room and observed them to clean and in good repair. The living room has two couches and a recliner to accommodate all residents. There is a large table in the dining room to accommodate all residents. All walkways and hallways in the home were observed to be clean, clear, and free of hazards and obstructions. All rooms were observed to have ample lighting. The facility was maintained at a comfortable temperature. Medications The department observed Centrally Stored Medications in a locked cabinet in the hallway and are inaccessible to residents. All medications were observed in their original packaging. The department reviewed the medications and Medication Administration Record (MAR) for five (5) residents and found them to be consistent with properly documented records. Files The department reviewed five (5) resident files and found they contained required documents. The department reviewed the Administrator and three staff files and found they contained the required training, certification, and documents. Staff training is conducted on Relias and each staff completes 20-hours of training annually. Licensing fees are current. Safety The department observed a fully charged fire extinguisher mounted in the hallway last serviced on 08/06/24. The last inspection and fire sprinkler service was conducted by the local fire department on 11/01/24. All smoke and carbon monoxide detectors were in compliance and operational. The last emergency drill was conducted on 10/10/24. The department inspected the First Aid kit and found it contained the required items and a current manual. The facility has a working landline telephone. Infection Control The department observed a sanitizing station in the entry with hand sanitizer, face masks, a thermometer, and visitor log. The department observed a 30- supply of Personal Protective Equipment (PPE). All Infection Control signs were observed posted. According to the California Code of Regulations (Tittle 22, Division 6, Chapter 8) the department did not observe or cite any deficiencies. An exit interview was conducted with Administrator Kristina Lacanilao, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 7, 2024

Type of visit: Required - 1 Year

On 10/27/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit to the facility listed above. During today's visit LPA met with House Manager, Kristina Lacanilao , and explained the purpose of today's visit. The facility is serves clients age 60 and over, is approved for six non-ambulatory, two of which may be bedridden and a hospice waiver of 3. Currently there are 5 residents residing in the facility. Physical Plant/Structure The facility is a single-story home in a residential neighborhood. The home consists of five bedrooms , two bathrooms, living room, dining room, kitchen, front yard, backyard, and garage. LPA toured the facility and found it to be in good repair. The front and backyard are landscaped and maintained. LPA observed a shaded patio in the backyard with table and chairs. All ramp railings are secured. All walkways outside were observed clean, clear, and free of debris, hazards and obstructions. LPA did not observe any bodies of water on the property. Bedrooms LPA inspected all bedrooms and found them to be clean and in good repair. LPA observed the rooms to have the required items including a bed(s), dresser(s), chair(s), nightstand, and storage space for resident's personal belongings. All beds had the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of linens in a cabinet in the the hallway in good repair. All rooms had were observed to have ample lighting. Bathrooms LPA inspected all bathrooms and found them to be clean and operational. Showers were observed to have nonskid matts and shower chairs available. The safety hand rails were securely fastened. LPA observed an ample supply of hygiene products stored in a cabinet under the counter and are inaccessible to residents. Cleaning products were observed secured in a locked cabinet under the sink. LPA observed an ample supply of towels stored in a cabinet in the bathrooms. The water temperature measured 114.6- and 116.2-degrees Fahrenheit. Kitchen LPA inspected the kitchen and found it to be clean and sanitary. All appliances were observed in good working repair.LPA observed an ample supply of cutleries, pots, and pans in good repair. Continued on LIC809-C LPA observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods. All food was observed properly stored and dated. Sharps were observed in a secured locked drawer in the kitchen and are inaccessible to residents. Cleaning products were observed secured in a locked cabinet under the kitchen sink. The water temperature measured 112.4-degrees Fahrenheit. Common Rooms LPA inspected all common room and observed them to clean and in good repair. The living room has two couches and a recliner to accommodate all residents. There is a large table available for activities. The dining room has a large rectangle table and chairs to accommodate all residents. All walkways and hallways were observed to be clean, clear, and free of hazards and obstructions. All rooms were observed to have ample lighting. The facility was maintained at a comfortable temperature. Medications All Centrally Stored Medications were observed in a locked cabinet in the hall way and are inaccessible to residents. LPA reviewed the medications and MAR for two residents and found them to be consistent with properly documented records. Files and Interviews LPA reviewed all five residents files and found they contained required document. LPA interviewed all residents and all were happy with the service and care they receive from staff. LPA reviewed the Administrator and three staff files and found they contained the required training, certification, and clearance. Staff training are done on Relias and each staff completes 20-hours of training annually. LPA interviewed the two staff who were present during the inspection and both staff were able to answer questions regarding policy, and resident care and rights. Safety LPA observed all required postings on a board near the entrance. LPA observed a fully charged fire extinguisher mounted in the hallway last serviced on 09/11/23. The last inspection and fire sprinkler service was conducted by the local fire department on 04/06/23. All smoke and carbon monoxide detectors were in compliance and operational. The last emergency drill was conducted on 09/15/23. LPA inspected the First Aid kit and found it contained the required items and a manual. All doors in the facility sound when they are opened to notify staff. All gates on the side of the home are easily accessible for an exit. Infection Control LPA observed a visitor log and Covid-19 screening upon entry. LPA observed multiple sanitizing stations throughout the facility. LPA observed a 30- supply of PPE. All Infection Control signs were observed posted. According to the California Code of Regulations (Tittle 22, Division 6, Chapter 8) LPA did not observe or cite any deficiencies. An exit interview was conducted with House Manager Kristina Lacanilao, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 27, 2023