Best Care Guest Home

Allegation investigated: Staff does not ensure resident's medical needs are met.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the purpose of delivering findings for the above allegations. LPA met with Staff Rosario Dalusung and explained today's visit. LPA contacted Administrator Richie Garcia and went over purpose of today's visit. Administrator was unable to come to facility. For the allegation, Staff does not ensure resident's medical needs are met. LPA conducted an interview with Resident #1 (R1). R1 indicated the need for medical services and was denied which led to R1 calling emergency services independently. LPA spoke with Administrator Richie Garcia who reported to not call emergency services due to no emergency being presented. Substantiated Based on the evidence gathered during today’s investigation, the one (1) allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because the preponderance of evidence the standard has been met. 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 (LIC9099) and LIC9099D was discussed and provided to Administrator Richie Garcia along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Jan 14, 2026 · control 56-AS-20251209091846

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Jan 21, 2026

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. Based on observation and interviews, the licensee did not comply with section cited above by not ensuring Resident #1 (R1) was given appropriate medical services, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 14, 2026

Plan of correction: Licensee confirmed to understand regulation cited and stated to ensure all residents are given appropriate medical treatment when needed. Plan of Correction (POC) will be cleared.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Richie Garcia and was granted entry to the facility. Licensed capacity is (14) current census (12). LPA was accompanied by Administrator Richie Garcia 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 (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (6) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA reviewed (6) resident medications. **Continuation on LIC809C* LPA observed no proper documentation for PRN administration for Resident #4 (R4). Deficiency will be issued. Additionally, LPA observed centrally stored medication log to not be maintained and updated for Resident #5 (R5) and Resident #6 (R6). Deficiency will be issued. LPA also reviewed (4) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. No issues were observed. Based on the observations made during today’s visit, deficiencies was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Richie Garcia.the state’s words, verbatim · CDSS document, Nov 21, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced Case Management Incident visit and Health and Safety check. LPA met with Administrator Richie Garcia and explained the reason for the visit. The visit is in response to the death of Client #1 (C1), who passed away on 08/21/2025. During the visit, LPA reviewed C1's file and obtained copies of the following: ID/emergency Information, Physician's reports, Medication logs and medical appointments. During today's visit, no red flags were observed, and no deficiencies were cited regarding this incident. An exit interview was conducted, and a copy of this report was provided to Administrator Richie Garcia.the state’s words, verbatim · CDSS document, Aug 21, 2025

Allegation investigated: Facility is operating out of ratio.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Staff Grace Celis and explained the purpose of the visit. The investigation consisted of staff and resident interviews along with obtaining documentation pertaining to allegation. For the allegation, Facility is operating out of ratio. LPA Hernandez conducted (4) staff interviews. 4 out of the 4 staff indicated facility has sufficient staff to supervise residents in care. Staff #2 (S2) stated most residents require limited assistance for ADL's (Activities of Daily Living). LPA Hernandez conducted (2) resident interviews. 2 out of the 2 residents stated facility staff is sufficient and denied facility needing additional staff. Unsubstantiated Additionally, LPA Hernandez reviewed Resident #1 (R1) and Resident #2 (R2) file to ensure no higher level of care may be needed. LPA Hernandez observed no residents are on hospice care or need a higher level of care. LPA Hernandez observed sufficient staff to supervise and care for residents in care. Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. During today’s visit, no deficiencies pertaining to the allegation were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Staff Grace Celis.the state’s words, verbatim · CDSS document, Jun 17, 2025 · control 56-AS-20250610153450

Allegation investigated: Staff not abiding by facility's fire clearance.

On 02/25/2025 at 09:30 AM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility to deliver findings for the allegation listed above. LPA Brown was greeted and granted entry by a staff member and Administrator Richie Garcia was contacted and informed of the visit. LPA Brown explained the purpose of the visit to Staff #4 (S4). The investigation consisted of observation, interviews, and a review of pertinent documentation. The investigation was conducted by LPAs Elecia Weathersby and Melody Brown. The investigation consisted of records review, observations and interviews with relevant parties. The allegation indicates that staff not abiding by facility's fire clearance. LPAs Weathersby and Brown obtained evidence to corroborate the allegation above. Through the information gathered during the investigation on 07/13/2021, it was confirmed by observation, documents review and interviews that staffs’ are not abiding by facility’s fire clearance. Interviews with Resident #1 (R1), Resident #2 (R2) and Resident #4 (R4) indicated that staffs’ at the facility are locking the side gate and front gate around 06:00 PM, 7:00 PM or 07:30 PM. **Cont. in LIC9099C*** Substantiated Staff #1 (S1) and Staff #3 (S3) interviews indicated that they are locking the front gate around 07:00 PM but the side gate is always open. However, during the facility visit on 07/13/2021, LPAs Weathersby and Brown observed a padlock in the side gate/perimeter fence gate. Moreover, during the visit on 07/13/2021, LPAs asked that S1 remove the lock and S1 complied. Moreover, during the facility visit today, 02/25/2025, LPA Brown will assessed immediate civil penalty of $500.00 for the CCR 87203 Fire Safety deficiency issued. Based on LPAs Weathersby and Brown’s observations and interviews, the preponderance of evidence standard has been met, and therefore the above allegation of staff not abiding by facility's fire clearance is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations, (Title 22, Division 6 & Chapter 8) is being cited on the attached LIC9099D. An exit interview was conducted where this report, LIC9099, LIC9099D, LIC421BG and Appeal Rights were discussed and provided to staff Rosario Dalusong. The second allegation indicates that staff do not treat residents with dignity and respect. Seven (7) of eight (8) residents reported that staffs’ are treating them with dignity and respect. Three (3) of three (3) staff indicated that they always treat their residents with dignity and respect, and they did not witness a staff at the facility not treating residents with dignity and respect. During the facility visit on 07/13/2021, LPAs Weathersby and Brown observed staffs’ at the facility assisting residents and treating residents with dignity and respect. Based on interviews and observation, the allegation staff threatened resident (Allegation #1), and staff do not treat residents with dignity and respect (Allegation #2) are UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, where this report (LIC9099) was discussed and provided to staff Rosario Dalusong.the state’s words, verbatim · CDSS document, Feb 25, 2025 · control 18-AS-20210708140835

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Feb 26, 2025

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidenced by: Based on observation and interviews, the Licensee did not comply with the regulation cited above by not ensuring to protect life and property against fire and panic. LPAs observed the side gate/perimeter fence gate that exits to the front yard with a locked pad lock. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 25, 2025

Plan of correction: During the facility visit on 07/13/2021, the licensee agrees to remove the padlock observed on the side gate/perimeter fence gate and stated not to lock the side gate/perimeter fence gate without Licensing and Fire Marshall approval. Licensee immediately removed the padlock observed on the side gate/perimeter fence gate during visit on 07/13/2021. Plan of Correction (POC) cleared.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Richie Garcia and was granted entry to the facility. Licensed capacity is (14) current census (11). LPA was accompanied by Administrator Richie Garcia 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 (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (6) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA reviewed (6) resident medications. **Continuation on LIC809C* No issues were observed. Additionally, LPA also reviewed (6) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. No issues were observed. Based on the observations made during today’s visit, no deficiencies was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Richie Garcia.the state’s words, verbatim · CDSS document, Nov 7, 2024

Allegation investigated: Facility staff sexually abused resident. Staff inappropriately touched resident. Staff does not ensure resident is provided personal privacy during meetings.

On 10/19/2024 at 09:45 AM, Licensing Program Analyst (LPA), Melody Brown, visited the facility to deliver the investigative findings for the above allegations. LPA Brown identified herself and discussed the purpose of the visit with Licensee/Administrator Richie Garcia. The investigation of the two (2) allegations were conducted by Department staff. The investigation consisted of file review and interviews with relevant parties. The first allegation indicates that facility staff sexually abused resident. Department staff interviewed Resident #1 (R1) who reported allegedly being sexual abused sometime last year but R1 could not provide any specific corresponding dates. Documents review indicated that R1 suffers from mental disorders. In addition, the Department noted that their interview with R1 was inconsistent of what occurred. Moreover, interview with R1’s family provided a pertinent history of R1’s mental condition and they stated that R1 was making a false claim due to R1 previous constant false claims of similar nature. **Continuation in LIC9099C*** Unsubstantiated Based on the evidence, there were no witnesses or documented reports corroborating that facility staff sexually abused R1. The second allegation indicates staff inappropriately touched resident. Interview with R1 indicated that Staff #2 (S2) inappropriately touched R1. During the Department investigation, it was reported that in 03/2024, R1 was assisting S2 on the computer and S2 thanked R1 by giving R1 a kiss on R1’s forehead. Staff interviews revealed that the kiss that S2 gave to R1 was merely an act of kindness and there was no bad or sexual intention behind this act. Interviews with staff and R1’s family indicated that R1 felt triggered by S2’s kiss and due to R1’s mental status, R1 added more false details regarding S2’s gesture. The Department noted that other staff was present and denied further allegation of S2 inappropriately touching R1. Due to insufficient evidence, the Department was not able to corroborate the allegation that staff inappropriately touched resident. The third allegation indicates staff does not ensure resident is provided personal privacy during meetings. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with R1 on 10/19/2024 indicated that staffs at the facility are ensuring that they are providing R1 personal privacy during R1's meetings either with family or therapist both in person or via zoom. R1 added that staffs are closing R1's door during R1's meeting to give R1 personal privacy and R1 also showed LPA Brown that there's a sign that R1 puts on R1's door that indicates "In Therapy Session! Please do not disturb." Interview with R1 revealed that there's no incident that happened at the facility that a staff did not ensure that R1's provided personal privacy during R1's meetings. Eight (8) of eight (8) residents interviewed on 10/19/2024 reported to LPA Brown that staffs at the facility are ensuring that they are provided the personal privacy during their meetings with their family, their therapist, social worker or their doctor. Interviews with five (5) of five (5) staff on 10/19/2024 indicated that they are providing R1 personal privacy during R1's meetings either in person or via zoom. Staffs interviewed reported to LPA Brown that they are all ensuring that all their residents at the facility were provided their personal privacy during their meetings in person or via zoom. Interviews with five (5) of five (5) staff revealed that there's no incident that happened at the facility that they did not ensure that their residents at the facility were provided their personal privacy during their meetings. Therefore, based on the evidence obtained during the Department's investigation, there is insufficient evidence to prove that that facility staff sexually abused resident (Allegation #1), ***Cont. in LIC9099C*** staff inappropriately touched resident (allegation #2) and staff does not ensure resident is provided personal privacy during meetings (allegation #3) are unsubstantiated at this time. Although the allegation of facility staff sexually abused resident, staff inappropriately touched resident and staff does not ensure resident is provided personal privacy during meetings may have happened or are 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 Licensee/Administrator Richie Garcia.the state’s words, verbatim · CDSS document, Oct 19, 2024 · control 56-AS-20240326155424

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to conduct a Health and Safety check of the clients in care at the facility. LPA Rico met with staff Rosario Dalusung explained the reason for the visit. The Health and Safety check included overall observation of the facility inside, and outside, including food supply, medications, physical plant, and the clients in care. LPA Rico did not observe any safety hazards. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Richie Garcia.the state’s words, verbatim · CDSS document, Mar 28, 2024

Type of visit: Required - 1 Year

On 11/15/2023 at 08:45 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with Administrator Richie Garcia, and was granted entry to the facility. At the time of the visit there were three (3) staff present, and three (3) residents present. The facility is a eleven (11) bedroom, eight (8) bathroom home with a kitchen/dining area, living room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of fourteen (14) non-ambulatory residents and the current census is twelve (12) residents. LPA Brown was accompanied by Administrator Garcia 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 (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. 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. Resident #1 (R1) did not have lamp in their bedroom. The shower in Room #2, Room #3 and Room #8 did not have a non-slip mat on the shower floor. During the tour of the facility, LPA Brown observed that Resident #12 has a half bedrail and no written order from R12's physician indicating the need for the postural support maintained in R12's facility record. Also, LPA Brown observed the side gate secured and locked with padlock. This poses an immediate and potential health, safety risk to residents in care. Deficiencies will be issued for the lamp and the non-slip mat and for locking/securing the side gate with padlock. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathroom to be at 110 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a cabinet with the majority of the resident’s medications locked in the medication room. However, LPA Brown found residents medications pre-poured in a small container for the day, up to bedtime medication for each resident at the facility. The facility will be issued a deficiency for medication issue. Food Service: Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Care & Supervision: The facility has an administrator present in the facility. LPA Brown observed sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA reviewed six (6) resident files for admission agreements, updated physician reports, and needs and services plans. The files were complete with updated physician’s reports, admissions agreements, and preadmissions appraisals. LPA reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA found that six (6) of the six (6) staff have CPR training, staff are properly trained in medication, dementia care, and basic training required for an RCFE. Medications/Medication Administration Record (MAR) were audited and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, four (4) deficiencies were 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 Administrator Richie Garcia.the state’s words, verbatim · CDSS document, Nov 15, 2023