Best Elder Care

Type of visit: Required - 1 Year

On 10/09/2025 at approximately 09:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Fabiola Igid arrived shortly after to assist with today’s visit. LPA asked for the census, Staff/Resident Roster, and Liability Insurance. LPA conducted a physical plant tour at approximately 11:00 AM and the following was noted: The facility is a single-story building with five (5) bedrooms and two (2) bathrooms. The facility is currently occupying five (5) residents. There is a designated staff room. The facility has an approved fire clearance for six (6) non-ambulatory residents. Hospice waiver approved for one (1). Common areas: The living rooms and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 73°F. LPA observed a fire extinguisher to be located near the hallway’s passageway and dated 8/28/2025. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located throughout the common areas. A working telephone was observed. LPA observed the fireplace to be covered and inaccessible to residents. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Knives/sharps were observed to be kept in a locked kitchen drawer. The cleaning solutions/toxins were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. (continued on LIC 809-C) Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in cabinets located within the hallway’s passageway. Staff Room: LPA observed the staff room to be kept locked. Bathrooms: The bathrooms were checked for cleanliness and proper operation. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed there to be a locked shed. There is no body of water located at the facility. Laundry Room: The laundry room was observed to be located near the garage. LPA observed cleaning solutions and toxins stored appropriately within the laundry room and inaccessible to residents. The laundry appliances were observed to be working and in proper condition. Garage: The garage was observed to be located near the laundry room and can be accessed from inside of the facility. The garage was observed to be kept locked and used for storage purposes. Extra refrigerator and freezer with additional food for residents was observed. Medications: The medications along with staff and residents’ files were observed to be kept in a locked filing cabinet located in the hallway’s passageway. First-aid kit observed to be equipped with but not limited to bandages, scissors, digital thermometer and tweezer. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records appeared to be complete. Staff records: LPA conducted a complete file review of three (3) staff records. Staff records appeared to be complete and updated. There were no immediate health and safety hazards observed during the day of inspection. Exit interview conducted and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 9, 2025

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 10/15/2024 at approximately 10:00 am, Licensing Program Analysts (LPAs) Angelica Segovia and Gina Saucedo met with caregiver Gemma Wanawan for a One (1) Year Required, Unannounced visit for this facility. LPA explained the reason for the visit. LPA asked for census, staff, and resident files…. LPAs conducted a physical plant tour at approximately 11:00 am and the following was noted: There is only one entrance being utilized at the facility. The facility is a single unit building with five (5) bedrooms and two (2) bathrooms currently occupying six (6) residents. One (1) bedroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents. Hospice waiver for one (1) resident. Required postings such as Personal Rights and Ombudsman were located at the main entrance. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. Both living and dining rooms are neat, clean, and organized. Both rooms are properly furnished and in good repair. The facility maintains a comfortable temperature at 73°F. Fire extinguisher located in the kitchen and last inspected on 08/29/24. Additional required postings were observed aside the kitchen such as: Yes poster, Fire Drill and Disaster Plan. The kitchen observed to be fully stocked with two (2) days perishable and seven (7) days non-perishable food. Kitchen observed to be clean and inaccessible to pests. Knives and sharps observed to be locked in a kitchen drawer and inaccessible to residents. Cleaning solutions are kept locked in a cabinet under the sink. Stove observed to be working and in proper condition. (continued on LIC 809-C) The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. There is no body of water in the facility. Smoke detectors and carbon monoxide observed to be working properly and were tested. The Garage can be accessed from the inside of the facility. The garage is equipped with an extra refrigerator and fully stocked with food. Laundry room is located along the bedroom hallway leading to the garage. Laundry detergents, cleaning agents, and other toxins are stored in a locked cabinet in the laundry area inaccessible to residents. The Residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Residents have sufficient personal hygiene product which is provided by the licensee. The bathrooms were checked for cleanliness and proper operation. LPAs observed the appropriate grab bars in the toilets and showers. The hot water temperature was measured at a range of 119.1°F. Towels and washcloths are not shared. Sufficient availability of clean linen stored in hallway cabinet. Medications: LPAs observed medication in the bedroom hallway cabinet to be locked and inaccessible to residents. Medication usage recorded and stored properly. LPAs along with Caregiver Wanawan conducted a review of the medication to ensure compliance. First-aid kit observed to be equipped with but not limited to: bandages, scissors, digital thermometer, tweezer, and manual. Resident records: LPAs conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPAs conducted a complete file review of staff records. Staff records appeared to be complete and updated. An exit interview was conducted, two (2) citations were issued, appeals rights and a copy of this report was given to the administrator.the state’s words, verbatim · CDSS document, Oct 15, 2024

Allegation investigated: Staff does not ensure resident is spoken to in an appropriate manner. Staff did not allow resident access to their walker.

At 10:20 a.m. Licensing Program Analysts (LPAs) Evelin Rios and Angelica Segovia arrived at the facility to conduct an unannounced complaint visit. Upon arrival, LPAs knocked on the door and were greeted by staff, Gemma Wanawan who granted access. LPA requested Gemma contact the administrator. LPA Rios spoke to the administrator Fabiloa Igid and LPA explained the reason for the visit. The administrator informed LPAs that she is not available to meet them at the facility but would be available via telephone. The administrator designated staff, Gemma to sign today's report. At approximately 10:30 a.m. LPAs conducted a physical plant inspection to assure the health and safety of the residents in care. From 10:41 a.m. to 11:40 a.m. LPAs interviewed two (2) staff, two (2) residents present at the facility and conducted a telephone interview with the administrator. From 11:41 a.m. to 12:00 p.m. LPAs reviewed and requested copies of documents relevant to this investigation. LPAs obtained the facility roster, LIC 500, facility notes on resident #1(R1), R1's physician report, preplacement appraisal, resident appraisal and appraisal needs and services. (Continued on LIC9099-C) Substantiated Interview with resident #2 (R2) had no issues or concerns with cleanliness of the facility or receiving assistance when requesting staff to clean something in their room. LPA’s interview with R2 also revealed they have no issues or concerns with the cleanliness of the bathrooms. Furthermore, LPA’s interview with R1 revealed they do not have issues or concerns with staff cleaning their bedroom and they have an arrangement with staff about how and what they are allowed to clean in their room. LPA Rios, confirmed with staff that they are not allowed to dust R1’s TV and dresser area. LPA observed R1's room to be clean and maintained at the time of the visit. Based on the interviews and physical plant inspection the allegation is deemed Unsubstantiated at this time. Exit interview. Copy of report provided. Allegation: Staff does not ensure resident is spoken to in an appropriate manner. Regarding this allegation, it was reported that resident #1 (R1) and staff #2 (S2) got into a verbal altercation. To investigate the allegation LPAs interviewed the administrator, two (2) out of two (2) staff and two (2) out of five (5) residents present at the facility. LPA’s interview with R1 revealed they got into an argument with S2 over cleaning out a trash bin R1 had vomited in. According to R1, staff #2 (S2) was yelling and making threats to throw R1 in a trash bin. LPA’s interview with S1 and S2 corroborates there was an argument between R1 and S2. Interview with S2 confirms they did get "a little loud" but that S2 was explaining to R1 that they should have courtesy towards others. Interview with the administrator revealed, R1 has an attitude and staff and other residents have complained about R1’s behavior. The administrator directed staff to keep notes on incidents that occur involving R1. Based on interviews the allegation is deemed Substantiated at this time. Allegation: Staff did not allow resident access to their walker. In regards to the allegation, it was reported staff #2 (S2) took resident #1’s (R1’s) walker out of their room as a form of punishment. To investigate the allegation LPAs interviewed the administrator, two (2) out of two (2) staff and two (2) out of five (5) residents present at the facility. LPA’s interview with R1 revealed they got into an argument with S2 over cleaning out a trash bin R1 had vomited in. According to R1 they had informed Gemma, staff #1 (S1) that the trash bin needed to be emptied because they had vomited in it. R1 then stated they could hear S2 yell at S1 and later S2 approached R1 threatening to throw R1 in the trash bin. R1 states that it could have been a misunderstanding. R1 went on to say S2 took R1s walker, and they argued back and forth about returning the walker. R1 states the walker was eventually returned and the issue was resolved. LPA’s interview with S1 and S2 corroborates there was an argument between R1 and S2. Staff state R1 was the instigator. Interview with S2 corroborates that they took the walker to show R1 a lesson, by stating, "for example if your walker is not here you cannot walk, same as us if we are not here you cannot eat." LPA’s interview with R1 and the administrator confirmed, R1 needs a walker to move around. Based on interviews this allegation is deemed Substantiated at this time. Deficiencies cited (refer to LIC9099-C). Exit interview conducted. Appeal right provided. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 3, 2024 · control 31-AS-20240826142332

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Sep 4, 2024

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature... This requirement is not met as evidenced by: Based on interviews, the licensee did not comply with the section cited above as S2 confirmed they took R1's walker to teach to them a lesson which poses an immediate Health, Safety or Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 3, 2024

Plan of correction: The Administrator will conduct in service training on the cited regulation 87468.1 Personal Rights of Residents in All Facilities and provide a staff sign in sheet by POC due date 09/04/2024 and provide copy to LPA.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468(a)(1) · Plan of correction due date: Sep 20, 2024

Personal Rights of Residents in All Facilities-To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: Based on interviews conducted it was revealed that S2 engaged in an argument with R1 and S2 confirms their voice was "a little bit loud", which posed a personal rights violation to residents in care.the state’s words, verbatim · CDSS document, Sep 3, 2024

Plan of correction: The Administrator will have in service training for how their staff are required to de-escalate a situation with a resident. Administrator will provide a copy of the sign in sheet and the training material used. POC due date 09/20/2024 and provide copy to LPA.

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPAs) Evelin Rios and Angelica Segovia arrived at the facility. LPAs conducted a case management - deficiencies visit in conjunction to complaint control #31-AS-20240826142332. LPA Rios spoke to the administrator Fabiloa Igid via telephone and LPA explained the reason for the visit. The administrator informed LPAs that she is not available to meet them at the facility but would be available via telephone. The administrator designated staff, Gemma to sign today's report. LPA's observed two (2) staff in the facility with two (2) residents. LPA's review of Guardian revealed both staff present were not associated to the facility. LPA requested staff records which revealed they did not have a clearance letter or transfers request for this facility. LPA asked S1 and S2 when they started working at the facility and both stated June 18, 2024. LPA contacted the administrator, Fabiola Igid and asked about the two (2) staff present. The administrator informed LPA she believed she sent out a request to associate them to the Regional Office (RO) via email. The administrator called LPA later and informed LPA Rios they could not find the email sent to RO and they may have forgotten to send it. LPA review of Guardian found both staff are background cleared and not associated to this facility. Administrator stated they will be at the facility today. Deficiency cited. Appeals right provided. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 3, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Sep 4, 2024

e) All individuals subject to a criminal record review...shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or... This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above as the facility did request a transfer of a criminal record clearances for two(2) staff which poses an immediate Health, Safety or Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 3, 2024

Plan of correction: The administrator will remove staff #1 (S1) and Staff #2 (S2) and not allow them to return to the facility until association or requested transfer is complete. The adminsitrator will submit an updated LIC500 and a screen grap of the facility roster on Guardian by POC due date 09/04/2024.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Gary Tan met with administrator Fabiola Igid for a One (1) Year Required visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 1:12 PM and the following was noted: There is only one entrance being utilized at the facility, there are required poster posted at the main door. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan. Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside and inside. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility has five (5) bedrooms and two (2) bathrooms currently occupying five (4) residents. One (1) bedroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents. Hospice waiver for one (1) resident. Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke detectors are hardwired and interconnected and observed to be operational. There is a carbon monoxide installed at the facility. Fire extinguishers are located in the kitchen and bedroom hallway and last inspected on 07/24/23. The backyard of the facility has shaded area with outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. (continued on LIC 809-C) (continued on LIC 809-C) The Garage has access from the inside through the laundry room. The garage was observed to be locked. It is also currently being used as a frozen and emergency food, PPE and old equipment storage. Laundry room is located along the bedroom hallway leading to the garage. Laundry detergents, cleaning agents and other toxins are stored in a locked in a cabinet in the laundry area. Food Service/Kitchen area was sufficiently stocked with two (2) days perishable and seven (7) days non-perishable food. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. Cleaning solutions are kept locked in a cabinet under the sink. The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. The bathroom was checked for cleanliness and proper operation. LPA observed the appropriate grab bars in the toilet and shower. The hot water temperature was measured at a range of 112.7°F to 119.1°F. Towels and washcloths are not shared. There was enough clean linen available in stock at the cabinet. Staff room was observed to be locked during visit. Medications: LPA observed medication in the bedroom hallway cabinet to be locked and inaccessible to residents. There is a complete first aid kit located in the kitchen. Client records: Client records are reviewed. Client records appeared to be complete and updated. Staff records: LPA conducted a complete file review of staff records. Staff records appeared to be complete and updated. Disaster drill was last conducted on 04/12/24. Required posting observed in facility (complaint hot line poster). Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, May 5, 2024