Ave's Board and Care

Allegation investigated: Staff physically abused resident in care. Staff did not provide timely medical attention to resident. Facility has physical plant issues.

At 8:00am on 02/26/2026, Licensing Program Analyst (LPA) Jeffries and arrived unannounced to deliver final finding to the allegations to this complaint additionally LPA was at the facility to conduct the annual facility inspection during the same visit.. LPA's met with Administrator, Christine Ave announced who he is and the reason for there visit. As to the allegation of, “Staff physically abused resident in care.” and “Staff did not provide timely medical attention to residents.” It was alleged that, “care provider beat Resident 1 (R1) with her fists, for not sitting.” It was discovered through documentation and interviews, that on 12/05/2025, LPA Jeffries conducted in person interviews with R2, R3, and R4 who all denied having any issues with facility staff and care. R2, R3 and R4 all stated that staff have never hit or abused residents in care. R2, R3, and R4 all feel safe and treated with dignity and respect at this facility. On 12/05/2025, LPA Jeffries conducted interviews with Staff 1 (S1), S2, and S3. Unsubstantiated All Staff stated that they have had training on mandated reporting of abuse and care of residents. All three staff stated that they have never abused or seen another staff abuse a resident in care at this facility. All staff interviewed stated they have never used fist or hands and have never been rough with residents in care. On 12/05/2025, LPA Jeffries conducted an interview with facility Administrator, Thelma Tablada, who stated that R1 did have a fall at this facility and was taken to the hospital on 07/02/2025 as a result of that fall, R1 returned to the facility on the same day. Administrator stated that there were no other falls that R1 had at the facility that required medical attention. Administrator stated that all the staff has had mandated reporter training, and current on all regulated annual training hours including the 8 hours of required specific dementia care training. On 12/05/2025, 12/06/2025 and 12/09/2025 LPA Jeffries attempted to contact R1’s responsible party by phone, LPA left contact information on voicemail with no contact as of 02/26/2026. LPA reviewed R1’s documentation at new facility with an Admission Agreement date of 11/01/2025, additionally R1 had a competed a physician’s report (LIC602) dated 10/24/2025 which provided no additional evidence of physical abuse. On 01/09/2026 LPA Jeffries conducted an over the phone interview with R1’s current facility Administrator, who stated, “R1 had no evidence of bruising on hands or arms at the time of admission or currently (01/09/2026). Administrators also stated that they were not told of any recent or past abuse of R1 in care. Administrator stated that R1’s current condition would result in no response to interview questions. At this time, based on interviews, and documentation there is not enough evidence to support the allegations of, “Staff physically abused resident in care.” and “Staff did not provide timely medical attention to residents.” and both are unsubstantiated at this time. As to the allegation of, “Facility has physical plant issues. “It was alleged that the facility was not clean, toilet not working and windows not closing. On 12/05/2025, LPA Jeffries conducted a physical tour of the facility. LPA noted that all commodes in the facility were clean and in good repair, and all windows were functioning properly. On 12/05/2025, LPA conducted an interview with facility Administrators who stated R1’s family member was not happy with the smell of the facility during a recent fire, but all windows were working properly. LPA conducted interviews with R2, R3, and R4, all who stated that there are no issues with facility bathroom fixtures and facility windows operating as normal. On 12/05/2025, LPA interviewed S1, S2, and S3, all staff stated that the facility is always clean and in good repair. Based on interviews, and observations, there is not enough evidence at this time to support the allegation of, “Facility has physical plant issues.” And in unsubstantiated at this time. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Feb 26, 2026 · control 29-AS-20251203154853

Type of visit: Required - 1 Year

At 8:00am on 02/26/2026, Licensing Program Analyst (LPA) Jeffries and arrived unannounced to the facility to conduct the annual facility inspection, additionally, LPA deliver final findings on a separate complaint during this visit. . LPA's met with Administrator, Christine Ave announced who they are and the reason for there visit. Administrator has a designation of Administrator on file, however needs to submit Administrator packet to transition to full time Administrator at this facility. Administrator and LPA conducted a physical tour of the facility. This is a 6 bedroom 5 bathroom home with a side and back yard with ample space for residents and visitors. Four of the bedrooms are single resident occupancy and one bedroom is double resident occupancy and one bedroom is a staff bedroom. There is a living room, dining room and kitchen with and adjacent office and nook. LPA noted that the medications are stored and locked in the cabinet in the office adjacent to the kitchen and the complete first aide kit is also located in this office area. Emergency water is located in the garage and there is a staff room with day bed and chairs for staff. LPA noted that the facility has at least 2 days of perishable food supply and at least 7 days of non-perishable foods on hand for 6 residents and staff. LPA noted several fire extinguisher in the facility and garage that were all primed in the green reading. LPA's tested smoke detectors and carbon monoxide detectors to all be functional and working. LPA's noted that all passage ways are free and clear of obstacles. LPA's reviewed staff and resident files. LPA reviewed the facility infection control plan, emergency disaster plan, quarterly evacuation drills, and liability insurance. LPA also reviewed centrally stored medication records. LPA noted that no violations or citations were issued as a result of the facility physical inspection. LPA's conducted a full review of the annual facility care tools. LPA noted that no violations or citations were issued as a result of the full review of the annual care tools modules. At this time there are no violations or citations issued on this annual facility inspection. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Feb 26, 2026

Type of visit: Required - 1 Year

At 8:00am on 03/25/2025, Licensing Program Analysts (LPA's) Jeffries and Haner-Tomaso arrived unannounced to the facility to conduct the annual facility inspection. LPA's met with Administrator Thelma Tablada announced who they are and the reason for there visit. Administrator and LPA's conducted a physical tour of the facility. This is a 6 bedroom 5 bathroom home with a side and back yard with ample space for residents and visitors. Four of the bedrooms are single resident occupancy and one bedroom is double resident occupancy and one bedroom is a staff bedroom. There is a living room, dining room and kitchen with and annectent office and nook. LPA's noted that the medications are stored and locked in the cabinet in the office adjacent to the kitchen and the complete first aide kit is also located in this office area. Emergency water is located in the garage and there is a staff room with day bed and chairs for staff. LPA noted that the facility has at least 2 days of perishable food supply and at least 7 days of non perishable foods on hand for 6 residents and staff. LPA noted several fire extinguisher in the facility and garage that were all primed in the green reading. LPA's tested smoke detectors and carbon monoxide detectors to all be functional and working. LPA's noted that all passage ways are free and clear of obstacles. LPA's conducted a sample medication audit. LPA's reviewed all staff and resident files. LPA's noted and cited for no lamp or lighting fixture in Bedroom #3 (CCL,87303(d)), black mold in the bathtub in bathroom number #1 (CCL, 87303(e)(6)), Staff bedroom was left unsecured with vitamins in view and unsecured. (CCL, 87309(c)), and no recent documented fire drill. (H&S 1569.695(c)). LPA's conducted a full review of the annual facility care tools. Exit interview, report read, appeal rights and report provided.the state’s words, verbatim · CDSS document, Mar 25, 2025

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 03/19/2024, Licensing Program Analyst (LPA) Brian Phillips arrived unannounced for an unscheduled visit to conduct a required Annual site inspection visit at the facility above. When the LPA arrived, they were greeted by Licensee Linda Ave as the Administrator was unavailable, and informed them of visit reason. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. This is a Residential Care Facility for the Elderly (RCFE), with an approved fire clearance capacity of Six (6) residents. The facility is approved for 5 non-ambulatory residents, with an age range of residents sixty (60) years of age and older. The facility has an approved Hospice Waiver for Two (2) residents. The physical plant of the facility consists of resident bedrooms, restrooms, shower areas, a beauty salon, Staff offices, and a detached laundry room area. Staff areas, and utilities such as the water heater and furnace. The facility contains an outside area for residents to utilize for outdoor activities/outdoor visitations and an outdoor patio area with furniture and shade. KITCHEN: The facility maintains a kitchen room/area within the interior of the facility. The LPA inspected the kitchen/food service area and observed that knives/sharp instruments are stored in a locked drawer inaccessible to residents. Kitchen appliances were in operable condition and looked clean/in good repair. The LPA observed perishable items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food, which would last over a week (7 days). Additional perishable food items were maintained in a storage area in a locked cabinet in the kitchen area of the facility as well as an extra refrigerator and extra freezer located in a locked room/addendum off of the hallway of the facility. The hot water temperature was measured in the kitchen at an appropriate temperature as per the regulation between 105-120 degrees Fahrenheit. Items that could constitute a danger to residents are kept inaccessible to residents in the kitchen area. The kitchen was clean and sanitary, with covered trashcans and operating ventilation systems. No toxic substances are stored in any food preparation or storage area, and all cleaning supplies for the kitchen are kept in a separate area than the food supplies. Continued on 809-C The freezer and refrigerator were both the appropriate temperate Fahrenheit for the storage of food and prevention of spoiling. There is enough tableware and utensils for all residents living in the facility, and enough equipment for the storage, preparation, and service of food. COMMON AREAS: The indoor areas of the facility consist of Six (6) bedrooms, Five (5) restrooms with kitchen, living room, dining room, Staff Office area, and garage containing the laundry area of the facility. The resident bedrooms are both single occupancy resident rooms, and double occupancy bedroom for two (2) residents. At the time of the visit, the common areas of the facility were observed to be appropriately furnished, with all furniture in good condition. There is a fireplace in the facility, which is covered and inaccessible to residents. The facility maintained a comfortable temperature. Smoke detector(s) and carbon monoxide detector(s) were operational at the time of the visit. The facility has multiple fire extinguishers that were fully charged and serviced annually. This facility contains a locked centrally stored medication containment area, extra storage areas for additional perishable food, closets/rooms in the hallways of the facility containing extra linen/bedsheets/pillows, and storage areas for resident personal hygiene equipment constituting the interior areas of the facility. The LPA observed required postings throughout the common spaces including Resident Personal Rights and Contact information for Ombudsman as well as Licensing. There are activity supplies and equipment, including activity materials for the residents such as television, puzzles, games, etc. All window screens were in good repair. There is appropriate lighting in the common areas of the facility. All passageways through the common areas of the facility were free of obstruction, and all inclines are well-lit with grab bars and no stairwells/stairs for resident use. The kitchen, living room, and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors, and walls are in good repair. OUTSIDE/LAUNDRY/MISCELLANEOUS: The front outdoor area of the facility is well maintained and consists of cement walkways and grass areas. There is a main entrance into the facility which is appropriately labeled for visitors. The facility outdoor areas are maintained with no observable hazards to residents in care. The backyard/patio room is conducive for outdoor visitation. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. The exterior of the facility has a closed perimeter which consists of a wooden and chain link fence around the entire facility with latched gates. Inside of the perimeter is the outdoor/outside activity area for residents with a patio in the backyard, furniture, shade, and multiple sheds that contain outdoor maintenance materials for the facility. LPA was shown the inside of all three sheds upon request. The facility maintains a permanent storage area/building in the backyard which was inspected by the LPA with no observable hazards to residents in care. Continued on 809-C The facility has an outdoor activity area that is provided with a shaded area and furnished for outdoor use. There are no bodies of water noted on the facility property. The designated laundry area is a Staff only locked room/garage of the facility, and there is another locked storage area where cleaning products are stored, which are kept locked and inaccessible to residents. Staff members are the only individuals allowed to do laundry and the entire room is kept locked at all times. There was emergency food and water in a storage area in the back of the facility and in the extra perishable food storage area which was observed to be in good condition. Cleaning supplies, disinfectants, and other items that could pose a danger to residents are kept in areas inaccessible to residents. There is a first aid kit that includes sterile dressings, bandages, thermometers, scissors, tweezers, and a first aid manual. The vehicles used to transport residents are in safe operating condition with appropriate insurance information. LPA did not observe any noticeable outdoor hazards in areas accessible to residents. There is a main entrance walkway into the facility and an administrative entrance area for visitors. BEDROOMS: The facility has the facility consists of Six (6) bedrooms, with the resident bedrooms varying between being single occupancy resident rooms, and double occupancy resident room(s). The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The bedrooms have storage areas for clean linens, towels, pillows, etc. Each resident’s bedroom has a single bed or beds, nightstand, and lights/nightstand lamps to provide sufficient lighting. Each closet in all the resident rooms has extra pillows, clean/fresh linens, and appropriate incontinence materials if applicable for any resident. The resident bedrooms are big enough for all the beds, furniture, and any resident assistive device a resident might need such as a wheelchair or a walker. Each room has sufficient lighting for each resident. All resident bedrooms in the facility contain sliding doors or regular wooden doors serving as a path of egress to the exterior of the facility, monitored by the facility Staff when a door exiting the facility has been opened. RESTROOMS: There are Five (5) resident restrooms, with private restrooms in certain resident bedrooms, and multiple common area restrooms. The facility restrooms were sanitized and in operating condition while the LPA toured the facility. All restrooms/showers inspected had assistive equipment for residents including grab bars and/or non-skid surfaces. The restrooms were sufficiently stocked with soap, paper towels, and additional supplies; towels and washcloths are not shared. The hot water temperature was measured in the restrooms at the appropriate degrees Fahrenheit as per the regulations between 105-120 degrees Fahrenheit. Nightlights are installed in the hallways outside of the resident restrooms. Contd. 809-C All resident restrooms consist of a sink and toilet, while the resident shower/bathing areas consist of a shower and/or bathing area with grab bars and non-skid surfaces. RECORDS: The facility keeps confidential storage of both resident and Staff member records on-site at the facility. Staff member records were reviewed for, but not limited to Health Screening Report/Tuberculosis (TB) Clearance for facility personnel, Personnel Record (employment application), verification of age over 18 years old, education, and experience, approved Certification for the Administrator, verification of first aid training, Criminal Record Statement, Criminal Record Clearance/Exemption, Verification of Staff training, Employee Rights, and Abuse Reporting Requirements. All staff members’ personnel records reviewed by LPA had the appropriate documentation. The administrator of the facility has an active Residential Care Facility for the Elderly (RCFE) Administrator Certificate which expires 10/24/2024. Resident records were reviewed for, but not limited to Pre-Admission/Placement appraisals, Resident Appraisals, Appraisal Needs and Services Plan (ANS), Physicians’ Report for RCFE, Identification and Emergency Information, Current Admission Agreement with signatures, Personal Rights for Residents, Record of Residents safeguarded cash resources, Record of Resident personal property/valuables, Physician Orders for Life Sustaining Treatment (POLST), Responsible Person or Conservator of Resident, Self-management of medications if applicable, Medication Orders, and Medication Logs. The facility also keeps records of resident vital signs and a resident weight record for all resident files reviewed. All resident records reviewed by the LPA had the appropriate documentation with no missing or incomplete information. MEDICATIONS: The facility maintains a locked centralized storage area for resident medications. Centrally Stored Medications are in a locked storage containment area within a cabinet in the Staff office area of the facility, which is located in the Main building of the facility. The medication cabinet remains locked at all times, inaccessible/locked to residents. The LPA observed the centrally stored medications as well as the Centrally Stored Medication and Destruction Record, The Medication Administration Record, and the record of Controlled Medications. LPA audited the medications for residents and noticed no irregularities or issues concerning the dispensing of medications or the logging of medications. The medications in the facility were labeled appropriately with no additional or prohibited markings by the facility. INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening and a sanitation station. The staff members will keep up signs that promote good hand hygiene and symptoms of COVID. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. Continued on 809-C The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate. FACILITY DOCUMENTATION: There are required postings throughout the facility, including emergency exit plans with necessary telephone numbers. The facility keeps posted copies of facility documentation such as the RCFE License Certificate, LIC 500 Personnel Report, Documentation of Facility Waivers, Plan of Operation, Emergency Disaster Plan for Residential Care Facilities for the Elderly (RCFE), Facility Infection Control Plan/Mitigation Plan, Certificate of Liability Insurance, Valid Administrator Certificate, and a Facility Sketch. Provider Information Notices are available and able to be presented to Staff, residents, visitors, and accessible to LPA upon request during the inspection process. No deficiencies cited. Exit interview conducted. A copy of the report was issued to the facility.the state’s words, verbatim · CDSS document, Mar 19, 2024