Bay Care Assisted Living

Type of visit: Required - 1 Year

On 11/13/2025 at 1:20pm, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Rose Onyeagocha and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and back yard. The facility consists of six (6) and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/22/2025. Emergency Disaster Plan was not posted. LPA reviewed two (2) staff files and were all complete. LPA reviewed all two (2) resident files and all were complete. Continued on LIC809C. CONTINUE FROM LIC80 LPA requested updated copies of the following documents from ADM to be submitted to LPA by 11/21/25: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610E- Emergency/Disaster Plan Liability Insurance The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct these deficiencies and/or repeat deficiencies within a 12 month period may result in civil penalties. LPA observed the following deficiencies: No proof of staff CPR/FIRST-AID No proof of disaster drills conducted. Emergency/Disaster Plan not posted. Exit interview conducted, appeal rights and copy of this report provided to ADM.the state’s words, verbatim · CDSS document, Nov 13, 2025

Allegation investigated: Staff does not ensure facility has adequate food supply.

On 9/18/2025 at 12:15PM, Licensing Program Analysts (LPAs) Carol Fowler and David Doidge arrived unannounced to deliver complaint findings for the allegation above. Upon arrival, LPA met with Caregiver, Evelyn Pinon and explained to her the reason for the visit. During the course of the investigation, the Department conducted interviews with staff and witnesses. The Department obtained and reviewed the following documents: Personnel report, Residents' Roster, and menu. CONTINUE ON LIC9099C Substantiated CONTINUE LIC9099 Allegation: Staff does not ensure facility has adequate food supply. Investigation Finding: Substantiated W1 reported that the facility does not have an adequate food supply for the amount of residents. LPA conducted a tour of the kitchen and observed that the facility dose not meet the minimum of one week nonperishable food supply and two day of perishable food supply which should be maintained at the facility. Therefore, this allegation is Substantiated. Based on the Department’s investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. CONTINUE FROM LIC 9099 Allegation: Resident sustained unexplained bruises while in care. Investigation Finding: unsubstantiated W1 reported that R1 had unexplained bruises, interview with S1 revealed that R1 has a habit of hitting the walls in R1s room when R1 is read to get out of bed which has caused the bruises on R1s arms. Interview with W2 revealed that due to R1 being on the heavier side the bruises could have come from R1 mobility such as getting up from bed or a fall. S2 was unsure of where the bruises came from. Therefore, this allegation is unsubstantiated. Allegation: Staff yell at residents. Investigation Finding: unsubstantiated W1 reported that facility staff have been yelling at residents in care. Interview with W2 revealed that W2 has never witnessed staff yelling at residents. Interview with R2 revealed that staff have not yelled at R2 and R2 has never witnessed staff yelling at other residents in care. Interview with R3 revealed that R3 and the Administrator had a misunderstanding which caused R3 to raise R3’s voice and Administrator raised her voice at R3, R3 also stated that once R3 understood the situation that everything was fine and the facility takes good care of R3. R3 stated that R3 has not heard any staff yelling at any residents. Interview with R4 revealed that R4 has never been yelled at by staff and has not witnessed staff yelling at the residents. Interview with S1 revealed that S1 has not yelled at any of the residents but has spoken loud due to hearing issues of residents. Interview with S2 revealed that S2 has not yelled at residents, Therefore, this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 17, 2025 · control 15-AS-20250905154629

From the deficiency page — Deficiency type: Type B · Section cited: CCR 85076(d)(1) · Plan of correction due date: Oct 1, 2025

(d) The licensee shall meet the following food supply and...requirements: (1) Supplies of staple nonperishable foods for a minimum... and fresh perishable foods for a ... premises. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in having an insufficient amount of perishables and non- perishable foods which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Sep 17, 2025

Plan of correction: Administrator to purchase a minimum of one week nonperishable foods and a minimum of Administrator shall also provide in- service training to all staff using an approved CCLD vendor on food service in compliance with Title 22 Section regulations, and submit a copy of all staff that attended training. two days fresh perishable foods for facility and submit a copy of food and the receipt to CCL by POC due date. Administrator shall also provide in- service training to all staff using an approved CCLD vendor on food service in compliance with Title 22 Section regulations, and submit a copy of all staff that attended training.

Type of visit: Required - 1 Year

On 11/6/2024 at 9:35am, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Rose Onyeagocha and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and back yard. The facility consists of six (6) and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 115.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/21/2024. Emergency Disaster Plan was last posted on 10/10/2024. LPA reviewed three (3) staff files and were all complete. LPA reviewed all three (3) resident files and all were complete. Continued on LIC809C. continue from LIC 809 LPA requested the following documents to be submitted to CCLD by 11/15/2024. Resident Roster LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 6, 2024

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff are not meeting resident's toileting needs Staff do not keep the home clean or sanitary Staff do not meet resident hygiene needs Staff do not keep the facility free from odor Staff are not providing residents adequate food service

On 01/04/24 at 10AM, Licensing Program Analyst (LPA) D Panlilio conducted a subsequent visit and met with administrator (ADM) to deliver findings of above allegations. LPA explained the purpose of the visit with ADM. Allegation: Staff are not meeting residents’ toileting needs Finding: Unsubstantiated During investigation, LPA observed staff assisting a resident with toileting and changing another resident inside her bedroom on 11/30/23. During visit, resident ‘s (R2) responsible party (F2) confirmed with LPA that he visits R2 every other day and has observed staff assist residents with their daily toileting needs, giving them showers, changing diapers, providing sufficient variety of meals and giving them prescribed medications. LPA observed staff take resident (R3) to the toilet on 01/04/24 at 11:45AM. Continued on next page, LIC-9099C Unsubstantiated Allegation: Staff do not keep the home clean or sanitary Finding: Unsubstantiated During investigation, LPA toured the facility with administrator (ADM) including but not limited to common living room, dining room, kitchen, bathrooms, residents' bedrooms, laundry closet and storage shed. LPA observed cleaning supplies (Clorox, Lysol, wipes) and detergent stored locked in the backyard storage shed. LPA also observed residents to be well-groomed, no urine or feces smells on them or inside their bedrooms. ADM stated staff clean and disinfect commonly touched surfaces with Clorox and Lysol every day. LPA observed the facility to be clean, odor free, sanitary and in good repair Allegation: do not meet resident hygiene needs Finding: Unsubstantiated During investigation, R4 confirmed with LPA that staff change her diapers 3 or 4 times a day or as needed. She stated that staff assist her with her hygiene needs (toileting, showering, grooming, dressing) each day. During visit on 11/30/23, LPA observed residents (R1, R2, R3, R4) to be clean, odor free and well groomed. free. ADM stated that staff checks on residents every 2 hours and changes their diapers as needed. LPA observed staff assisting resident (R3) in the toilet during visit while another staff was changing another resident (R4) inside her bedroom. Allegation: Staff do not keep facility free from odor Finding: Unsubstantiated During investigation, LPA toured the facility with administrator (ADM) including but not limited to common living room, dining room, kitchen, bathrooms, residents' bedrooms, laundry closet and outside storage shed. LPA did not smell any foul odors inside or outside the facility. LPA did not observe any garbage or dirty laundry that may cause an odor. LPA observed the facility to be clean, odor free and in good repair. Continued on next page, LIC-9099C1 Allegation: Staff are not providing residents adequate food service Finding: Unsubstantiated During investigation, LPA observed the facility has a minimum of 2-day perishable and 7-day non-perishable food supply including fresh fruits and vegetables, cereals, bread, juice, milk, water, coffee and meats stored in the kitchen refrigerator, freezer, pantry and garage refrigerator/freezer. On 11/30/23 at 12PM, LPA observed residents eating chicken stew, bread, fresh fruit with water & juice. LPA observed weekly menu showed a variety of meals scheduled from Monday to Sunday. Residents (R1, R4) and responsible party (F2) confirmed with LPA that staff provide a variety of food for breakfast, lunch, snacks and dinner with drinks every day. ADM stated residents are provided extra helpings of food and drinks upon request. Based on records review, interviews conducted, and observations made, the department has investigated the above allegations and found them to be unsubstantiated. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the above allegations are unsubstantiated. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 4, 2024 · control 15-AS-20231121122835

Allegation investigated: Staff are not adequately trained. Staff are not adequately maintaining residents' records.

On 10/13/2023 at 1:30pm, Licensing Program Analyst (LPA), L. Hall arrived unannounced to deliver complaint findings for the allegations above. LPA met with Rose Onyeagocha, Administrator, and explained the reason for the visit. During the course of the investigation, the Department conducted interviews with staff, Reporting Party (RP), and reviewed records. On the allegation staff are not adequately trained. RP reported none of the staff have had the required training in direct care or first aid training when working with residents. Two staff were present during the visit and neither one was able to provide LPA with the staff or resident files. During interviews Continued on LIC9099C. Substantiated Continued from LIC9099. with staff S1 stated she has first aid training and had trained the new staff but did not record the training. During record review LPA did not observe any training records and that only one staff S3 had first aid training. On the allegation Staff are not adequately maintaining residents’ records. RP reported that the residents’ records are not current, which poses a potential problem if the staff is not aware of the residents’ conditions. LPA reviewed all the resident records and observed none of the residents have a current appraisal needs and services plan, two of four were missing the consent form, a current physician’s report, and the ID and emergency information. None of the resident records contained personal rights or safeguards for property/valuables. Based on LPAs observations, interviews conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Both substantiated allegations were cited on the required annual inspection on 10/04/2023. Exit interview conducted and a copy of this report provided. Continued from LIC9099. also changed residents while LPA was visiting. The caregiver stated she checks the resident every hour or so or changes them when at the resident’s request. S1 stated that residents should be checked at least every two hours. On the allegation facility is odiferous. RP reported the facility smells bad. Upon arrival LPA did not smell any foul odors on the outside or inside of the facility. LPA did not observe any garbage or dirty laundry that may cause an odor. On the allegation the facility is dirty. RP reported the bathroom, floors, and kitchen are filthy. LPA conducted an annual inspection on the same day as opening this complaint. LPA observed the facility being clean and sanitary. LPA did observe some items were blocking the passageways in the back yard. LPA cited the facility under the annual inspection for the items. Based upon the information obtained and the observation during the investigation. The above allegations are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Exit interview conducted and a copy of report was given.the state’s words, verbatim · CDSS document, Oct 13, 2023 · control 15-AS-20230928111639

Type of visit: Required - 1 Year

On 10/4/2023 at 10:15am, Licensing Program Analyst (LPA) L. Hall conducted an unannounced 1-Year Required inspection. LPA met with Mary Burgess-Shaw, Caregiver, and explained the purpose of the visit. Rose Onyeagocha, Administrator, arrived at 11:08am. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and back yard. The facility consists of six (6) and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 116.4 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/20/2022. Emergency Disaster Plan was last posted on 10/10/2019. LPA reviewed four (4) staff files and three (3) of four were incomplete. LPA reviewed all four (4) resident files and all were incomplete. Continued on LIC809C. Continued from LIC809. LPA observed the following deficiencies: At 10:25am, LPA observed S2 was fingerprinted or associated to the facility. At 10:35am, LPA observed facility does not have a 7-days of non-perishables and 2-days perishables available for residents. At 10:40am, LPA observed during record review there is not a doctor's order for a hospital bed for R1. At 10:50am, LPA observed a chest of drawers, 2 wheelchairs, a walker, a step ladder, and a bedframe in back yard.. At 11:15am, LPA observed during record review that resident records were incomplete. At 11:30am, LPA observed during record review that staff records were incomplete. At 11:30am, LPA observed during record review three (3) of the four (4) staff records does not contain a first aid certification. At 11:30am, LPA observed during record review that staff does not have any training records. LPA requested the following documents to be submitted to CCLD by 10/11/2023. Resident Roster LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (9 pages) Liability Insurance Continued on LIC809C. Continued from LIC809C. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. *An immediate $500.00 civil penalty will be assessed on today's date for association.* Exit interview conducted. A copy of the LIC421BG, this report and appeal rights provided.the state’s words, verbatim · CDSS document, Oct 4, 2023