Bethany Home Senior Living

Type of visit: Required - 1 Year

On 04/22/2026 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Administrator, Rachell Paniagua, and explained the purpose of the visit. The facility currently houses 28 residents with a max capacity of 58 residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 69.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 107.8 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 05/27/2025. At 11:30AM, LPA reviewed five (5) resident files and six (6) staff files, all found to be complete. The emergency disaster plan was last reviewed 06/26/2025. Quarterly emergency drills were last conducted 01/27/2026 with an upcoming drill 04/24/2026. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. No deficiencies cited during visit. Exit interview conducted and a copy of this report was provided to the administrator.the state’s words, verbatim · CDSS document, Apr 22, 2026

Type of visit: Case Management - Health Checks

On 03/25/26, Licensing Program Analyst (LPA) J. Clancy-Czuleger conducted an unannounced Health and Safety check due to the department receiving a priority 2 complaint. During the health and safety check, LPA observed a total of 6 staff members and 10 residents at the facility through out the shared spaces. LPA toured facility with Executive Director, including but not limited to bedrooms, kitchen, dining rooms, activities rooms. LPA observed residents comfortable in their surroundings. Residents in care appear to be safe and there are no imminent health/safety concerns on today's date. No deficiencies cited during the health and safety check. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 25, 2026

Allegation investigated: Staff did not ensure facility is clean, safe, and/or in good repair

On 10/8/2025 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and deliver findings in regards to the allegation above. LPA met with Manager, Rachell Paniagua and explained the purpose of the visit. During the course of investigation, LPA interviewed resident, 4 staff, and witnesses. LPA obtained and reviewed documents including staff roster with contact information, staff schedule, emergency information, physician's report, care plan, and facility notes. LPA observed R1's toilet was unable to flush. R1's bathroom was cluttered with wheelchairs, oxygen tanks, and hoyer lift. Based on LPA's information obtained during 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 with Rachell Paniagua. A copy of this report and appeal rights provided. Substantiated Staff did not ensure residents hygiene needs are being met Interview with staff indicated that R1 is getting showers once a week, sponge baths daily, and incontinence checks/changes every 2 hours. R1's care notes revealed that R1 has refused care from caregivers. Witness (W1) stated that R1 have refused care and food services from caregivers when W1 was present. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Rachell Paniagua. A copy of this report provided.the state’s words, verbatim · CDSS document, Oct 8, 2025 · control 15-AS-20250418091345

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Oct 24, 2025

Maintenance and Operation. (a)The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having R1's toilet in disrepair and clutter in R1's bathroom which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Oct 8, 2025

Plan of correction: Administrator has agreed to repair R1's toilet and de-clutter R1's bathroom. Administrator will submit picture proof to CCLD by POC date. Civil penalty of $250 is being assessed for a repeat violation.

Allegation investigated: Facility staff do not remain awake during overnight shifts

On 9/4/2025 at 10:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and deliver findings in regards to the allegation above. LPA met with Manager, Rachell Paniagua and explained the purpose of the visit. During the course of investigation, LPA interviewed resident, staff, and witnesses. LPA obtained and reviewed documents including physician's report, emergency information, staff schedule, and incident reports. Interview with witnesses revealed that R1 was discharged from hospital at around 1:00AM on 3/4/2025 and transported back to the facility via ambulance. Witnesses stated ambulance rang the facility bell for about an hour without response from facility staff and ambulance took R1 back to hospital around 3:00AM on 3/4/2025. Based on LPA's information obtained during 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 with Rachell Paniagua. A copy of this report and appeal rights provided. Substantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2025 · control 15-AS-20250304113131

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87415(a)(2) · Plan of correction due date: Sep 19, 2025

Night Supervision. In facilities caring for sixteen (16) to one hundred (100) residents at least one employee shall be on duty on the premises, and awake. Another employee shall be on call, and capable of responding within ten minutes. This requirement is not met as evidence by: Based on interviews, licensee did not comply with the section cited above by not having an awake staff at night shift which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Sep 4, 2025

Plan of correction: Facility has agreed to create a written plan to address night staff schedule to ensure awake staff is present during night shift. Facility will submit plan to CCLD by POC date. Additionally, facility will submit an updated LIC500 to CCLD by POC date.

Allegation investigated: Staff are not following their universal precaution plan Staff are not returning authorized representatives calls

On 9/4/2025 at 1:00PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and deliver findings in regards to the allegations above. LPA met with Manager, Rachell Paniagua and explained the purpose of the visit. During the course of investigation, LPA interviewed 2 staff, 4 residents, and witnesses. LPA obtained and reviewed documents including staff roster with contact information, emergency information, physician's report, care plan, facility notes, and hospice information. Staff are not following their universal precaution plan Interview with staff and residents revealed no residents was diagnosed with scabies. S1 stated that R1's family saw R1 itching/scratching and thought R1 had scabies. Interview with witnesses revealed that no resident was formally diagnosed by a doctor with scabies. (Continue on LIC9099C...) Unsubstantiated Staff are not returning authorized representatives calls Interview with residents revealed that family members are able to communicate with the facility staff and can make phone calls. Interview with witnesses indicated family members are able to communicate with staff either by phone or in-person. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Rachell Paniagua. A copy of this report provided.the state’s words, verbatim · CDSS document, Sep 4, 2025 · control 15-AS-20250626154122

Allegation investigated: Facility is in disrepair.

On 5/15/2025 at 12:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and deliver findings in regards to the allegation above. LPA met with Manager, Rachell Paniagua and explained the purpose of the visit. During the course of investigation, LPA interviewed 5 staff and complainant. LPA obtained and reviewed documents including staff roster with contact information, MAR (medication administration records), medication list, medication release form, admission agreement, physician's report, preplacement appraisal, care plan, emergency information, and refund invoice. LPA observed the 3rd level's floor was in disrepair. The flooring were lifted and some areas were taped down. Based on LPA's information obtained during 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 with Rachell Paniagua. A copy of this report and appeal rights provided. Substantiated Licensee did not ensure that resident was provided the care and supervision as promised. Interview with complainant indicated that the facility staff informed R1's family there was a 3:1 residents to staff ratio, but later observed the ratio was 15 residents to 1 staff. Interview with staff revealed residents have call buttons and response time is around 5-15 minutes. S2 stated there was no staff ratios discussed with R1's family and no promises were made. Facility failed to provide refund to responsible party. R1's admission agreement stated "no part of any monthly rate payment will be refunded..." LPA observed the facility issued a refund of $4500 to R1. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Rachell Paniagua. A copy of this report provided.the state’s words, verbatim · CDSS document, May 15, 2025 · control 15-AS-20250113123656

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: May 16, 2025

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having the 3rd level flooring in disrepair which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, May 15, 2025

Plan of correction: Manager stated the 3rd level's floor was installed about 2 weeks ago. LPA observed the flooring on the 3rd level was completely replaced. Deficiency cleared.

Type of visit: Case Management - Annual Continuation

On 5/15/2025 at 10:15AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct Case Management - Annual Continuation. LPA met with Manager, Rachell Paniagua and explained the purpose of the visit. During visit, LPA reviewed infection control plan, LIC500, and fire drill logs. Last fire drill was conducted on 4/29/2025. LPA interviewed 3 residents and 3 staff during inspection. No deficiencies are being cited on this date. Exit interview conducted with Rachell Paniagua. A copy of this report provided.the state’s words, verbatim · CDSS document, May 15, 2025

Allegation investigated: Facility mismanaged resident’s medication

On 4/23/2025 at 4:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and deliver findings in regards to the allegation above. LPA met with Manager, Rachell Paniagua and explained the purpose of the visit. During the course of investigation, LPA interviewed staff. LPA obtained and reviewed documents including physician's report, emergency information, care plan, medication list, doctor's orders, and MAR (Medication Administration Record). R1's doctor's order dated 4/7/2025 states that R1's Januvia 50mg should be given 1 tablet daily. However, R1's MAR revealed that Januvia 100mg was given daily. LPA observed there was a discrepancy in medication count due to medication start date was not indicated in the Centrally Stored Records. (Continue on LIC9099C...) Substantiated Based on LPA's information obtained during 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 with Rachell Paniagua. A copy of this report and appeal rights provided. Resident’s room is not cleaned Interview with staff revealed that resident's rooms are cleaned daily including the floors. LPA observed R1's room and bathroom to be overall clean. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Rachell Paniagua. A copy of this report provided.the state’s words, verbatim · CDSS document, Apr 23, 2025 · control 15-AS-20250421151253

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(c)(2) · Plan of correction due date: Apr 30, 2025

Incidental Medical and Dental Care. Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidence by: Based on record review and observation, licensee did not comply with section cited above by not following physician's order for R1's medication which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2025

Plan of correction: Manger has agreed to inform R1's physician's of this medication error and verify medication list with R1's physician. Additionally, manager has agreed to conduct medication training with all staff that administer medications and submit documents to CCLD by POC date.

Type of visit: Required - 1 Year

On 4/23/2025 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Manager, Rachell Paniagua and explained the purpose of the visit. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in the med room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 5/17/2024. Evacuation chairs were observed in both stairwell on the third floor. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food once a week. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 37 degrees F. Hot water temperature was measured at 112.6 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. LPA reviewed 5 resident records and 5 staff records starting at 11:42AM. LPA reviewed a sample of resident's medications during inspection. LPA will return at a later time to complete annual inspection. No deficiencies are being cited on this date. Exit interview conducted with Rachell Paniagua. A copy of this report provided.the state’s words, verbatim · CDSS document, Apr 23, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff failed to provide proper care and supervision to resident resulting in multiple pressure wounds Staff failed to provide mobility equipment required to move bedridden resident in care

On 12/6/2024 at 1:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver complaint findings for the allegations above. Upon arrival, LPA met with Manager, Rachell Paniagua and explained to her the reason for the visit. During the course of the investigation, the Department conducted interviews with staff, residents, witnesses, and complainant. Resident’s physician's report, care plan, preplacement appraisal, emergency information, care notes, incident reports, medical records, home health records, and hospice records were obtained and reviewed. Staff failed to provide proper care and supervision to resident resulting in multiple pressure wounds: Home Health medical records revealed that R1 was receiving home health care from 3/10/2022 to 9/1/2022 and was documented by home health nurse as having pressure injuries on R1’s left heel, right heel, and coccyx. (Continue on LIC9099C...) Unsubstantiated Interview with W1 indicated that R1’s pressure injuries developed prior to admission to the facility. W1 believed that R1’s prior placement was responsible for R1’s pressure injuries. Incident report dated 3/23/2022 revealed that the facility reported R1 had two pressure injuries during admission. Interview with staff and residents indicates consistent statements of staff being attentive to the resident’s care needs. Staff knew to assist R1 with rotating and check on R1 frequently. R1 stated that he was receiving hospice care for coccyx pressure injury. Staff failed to provide mobility equipment required to move bedridden resident in care R1’s physician’s report dated 3/2/2022 indicated that R1 is non-ambulatory. R1’s functional capability assessment dated 3/7/2022 revealed that R1 requires assistance with transferring, but able to reposition from side to side. R1’s medical and hospice records did not indicate that R1 required mobility equipment for transfers. Interview with witness revealed that facility staff was assisting R1 in repositioning. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Chearamy Evangelista. A copy of this report provided.the state’s words, verbatim · CDSS document, Dec 6, 2024 · control 15-AS-20231003131737

Allegation investigated: Staff left resident soiled for a period of time. Staff does not allow resident to use the phone. Staff does not allow resident to have visitors. Staff does not accord resident privacy during visitations.

On 12/6/2024 at 2:15PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct complaint investigation and deliver findings in regards to the allegations above. LPA met with Manager, Rachell Paniagua. During the course of investigation, LPA interviewed 3 residents, 3 staff, witness, and complainant. LPA obtained and reviewed documents including physician's report, emergency information, and facility notes. Staff left resident soiled for a period of time. Interview with witness revealed that R1 was not left in soiled diaper for a period of time. W1 stated there was no issues with R1's toileting needs and was pleased with the care R1 was receiving. Interview with staff indicated that residents are changed 2-3 times per shift or checked for incontinence care every 2-3 hours. (Continue on LIC9099C...) Unsubstantiated Staff does not allow resident to use the phone. Interview with residents and witness revealed that residents are able to use the phone when needed. Interview with staff indicated that some residents have their own phones and can use the facility phone when needed. Staff does not allow resident to have visitors. Interview with residents and witness revealed that residents are able to have visitors at the facility. W1 stated she has visited R1 a few times at the facility and others are able to visit R1 too. Interview with staff indicated that visiting hours are from 9AM to 6PM and residents are able to have visitors. Staff does not accord resident privacy during visitations. Interview with residents and witness revealed that residents are able to have privacy during visitations. Interview with staff indicated that residents can have privacy in their own rooms during visitation or phone calls. S3 stated that R1's phone calls and visitations are not monitored by staff. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Chearamy Evangelista. A copy of this report provided.the state’s words, verbatim · CDSS document, Dec 6, 2024 · control 15-AS-20230901100347

Allegation investigated: - Resident (R1) developed pressure injuries while in care. - Facility did not follow resident's care plan. - Resident (R1) sustained fracture resulting from fall.

On this day, September 18, 2024, Licensing Program Analyst Delmundo (LPA) Delmundo arrived unannounced to deliver the findings for the above allegations. LPA met with Manager Rachell Paniaga, and informed of the reason for visit. During the course of investigation, the Department obtained copies of LIC9020 Register of Facility Clients/Residents, staff schedule and contact information. The Department also obtained copies of residents’ following documents: medical records; home health record; LIC601 identification and Emergency Contact Information; LIC602A Physician's Report; Pre-admission Appraisal; LIC625 Appraisal/Needs and Services Plan; Unusual Incident Reports; hospital discharge documents; facility notes .....continued on 9099C (page 2) Unsubstantiated Page 2 The Department interviewed the following: staff members on 5/31/23, 6/19/23 and 7/11/23; home health staff (HH1 and HH2) on 4/19/23, 5/04/23 and 6/20/23; residents (R2 and R3) on 5/31/23. Allegation: Resident (R1) developed pressure injuries while in care. On 10/10/22, R1 fell from the bed, was transferred to hospital, and diagnosed with hip fracture. R1 had hip surgery and was discharged back to the facility. R1 was followed by home health for her wound care and to remove staples from surgery. R1 developed pressure injuries while with home health care. Home Health (HH1 and HH2) provided instructions to caregivers on how to care for the pressure injuries and instructed the caregivers to elevate R1’s legs and heels so the pressure injury could heal. HH1 stated that R1 was known to refuse to be turned, refuse to have the dressings changed, and that R1 was combative towards HH1. Interviews with staff (S3 and S4) confirmed that they were rotating R1 as directed by R1’s doctor’s and home health orders. Staff were also changing R1’s bandages in-between home health visits, when R1’s bandages became soiled or were coming off. Staff were using booties and pillows to float R1’s heels off the bed to further prevent the pressure injuries from getting bigger. An interview with facility manager, S1, revealed that staff were cleaning R1’s injures with saline solution as directed by home health to keep the wounds clean. The facility also provided R1 with booties for her heels when the equipment was not available from the home health agency. Based on all information obtained, the allegation is closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. ....continued on 9099C (page 3) Page 3 Allegation: Facility did not follow resident's care plan On 07/11/2023, a follow up interview with facility manager, S1, and caregiver, S4, revealed that the facility followed the instructions provided by the home health nurses regarding the use of pillows and booties to float R1’s feet off the bed. R1 would kick the pillows off the bed and kick the booties off. Staff would check to make sure that pillows and booties were put back on R1’s feet to prevent the pressure injuries from becoming worse. As directed by home health, the facility staff would also change R1’s bandages and clean R1’s pressure injuries with saline solution in between home health visits. Based on all information obtained, the allegation is closed as unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Allegation: Resident sustained fracture resulting from fall. On 10/10/2022, caregiver S2 was in R2’s room and witnessed R1 fall from her bed to the floor. R1 was in extreme pain and could not stand. Other caregivers came to the room and helped S2 lift R1off of the floor and onto the bed. 9-1-1 was called and R1 taken to the hospital. It was confirmed that R1’s hip was fractured from the fall. R1 did not have any injuries or hip problems before R1 fell off the bed. R1 was not a fall risk, did not have any prior falls, was able to walk on her own with the assistance of a walker, and was not required to have two or more staff help with transfers in and out of the bed. Two residents (R2 and R3) were interviewed on 5/31/23 who both stated they were never hurt by staff. Both stated staff check them but were not able to provide the timetable on how often they are checked. Based on all information obtained, the allegation is unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Sep 18, 2024 · control 15-AS-20221107163346

Type of visit: Case Management - Deficiencies

While conducting an investigation of a complaint (Control # 15-AS-20221107163346), the Department learned that the facility did not do reappraisal and update Care Plan when R1's conditions changed. Medical records revealed R1 sustained fracture as a result of fall on October 10, 2022, and S1 stated R1's Care Plan was not updated. Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with Rachell Paniagua. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Sep 18, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87463(a) · Plan of correction due date: Oct 2, 2024

87463 Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. The reappraisals shall document changes in the resident's physical, medical, mental, ....and social condition. -This requirement is not met as evidenced by: -Based on records review and interview, the licensee did not comply with the section above for not doing reappraisal when R1's condtion changed which posed a potential health, safety and/or personal rights risks.the state’s words, verbatim · CDSS document, Sep 18, 2024

Plan of correction: The resident is no longer at the facility. Administrator to read the Regulations and ensure reappraisal is completed accordingly and as needed. Self-certification to be submitted by 10/02/24.

Type of visit: Required - 1 Year

On 4/23/2024 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with receptionist, Eszter Ujvari and explained the purpose of the visit. Manager, Rachell Paniagua arrived an hour later. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, activity rooms, kitchen, common areas, and outdoor area. Centrally stored medications were locked in the med room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 5/10/2023. Evacuation chairs were observed in both stairwell on the third floor. One week supply of nonperishable and 2-day supply of perishable foods were available. Facility orders food once a week. Freezer’s temperature was registered at 0 degree F while the refrigerator’s temperature was recorded at 37 degrees F. Hot water temperature was measured at 112.6 degrees F in a resident's bathroom. Grab bars for each toilet and shower were installed. Non-skid mats were observed. LPA reviewed 5 resident records and 5 staff records starting at 10:15AM. LPA conducted interviews with 3 residents and 3 staff during inspection. LPA also reviewed a sample of resident's medications. At 2:00PM, LPA observed S2 and S3 does not have completed health screening on file. S2 does not have TB test on file. At 4:00PM, LPA observed R2's Calcium Carbonate was ordered 500mg one tab by mouth 2 times a day. However, LPA observed facility has a bottle of Calcium Carbonate 600mg that was given to R2. Also, R2 ran out of Cholecalciferol (Vitamin D3). The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 23, 2024

Type of visit: Case Management - Health Checks

On 10/4/2023 at 10:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a health and safety check as a result of a priority 2 complaint. LPA met with Manager, Rachell Paniagua and informed her the reason for visit. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, and outdoor area. Hot water temperature was measured at 108.9 degrees F in a hallway bathroom sink. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Facility purchase food once a week. Freezer temperature was measured at 0 degrees F and refrigerator temperature was measured at 39 degrees F. Resident's medications were kept locked in the medication cart located in the medication room. Medication room is locked and require security code to enter. Smoke and Carbon monoxide detectors observe. First-aid kit was complete. Fire extinguisher was observed to be full and last serviced on 5/10/2023. There are no accessible bodies of water observed. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 4, 2023