Bliss Assisted Living & Memory Care

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Executive Director Megan Amy Moore. Today's visit is in response to the self reported incident involving Resident 1 (R1- see LIC811 Confidential Names List). It was reported that R1 was transported to their medical appointment on 9/29/26 by an outside agency (OA). The facility contacted OA at approximately 430pm to obtain R1's ETA. OA stated that R1 was picked up from their medical appointment and then taken to R1's bank. OA stated that R1 insisted that they leave them at the bank since they were going to get food and then head back to the facility. The OA driver left R1 at the Wells Fargo bank in National City at 11:25am on 9/29/26. It should be noted that R1 resides in the memory care unit of the facility and cannot be out in the community unassisted. ED stated that they immediately contacted National City Police to file a report. ED stated that OA's management team arrived at the facility at approximately 6:20PM and searched the surrounding area for R1. R1 was located by law enforcement on 9/30/26 at approximately 1pm at the San Diego airport. R1 was transported back to facility with no injuries reported. No deficiencies were cited or observed on this date. An exit interview was conducted with Megan Amy Moore .who was provided with a copy of this report and Appeal Rights. Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Sep 30, 2026

Type of visit: Collateral

Licensing Program Analyst (LPA) conducted an unannounced visit to conduct a collateral visit in response to a complaint report submitted to a different facility. LPA disclosed the purpose of the visit with Resident Care Director Anita Crickenberger. During the visit, LPA conducted an interview with resident. No deficiencies were cited in accordance with the California Code of Regulations. An exit interview was conducted with Resident Care Director Anita Crickenberger, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Jul 7, 2026

Allegation investigated: Facility not helping resident obtain medical care

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced visit to conduct a complaint investigation and delivered findings regarding the above mentioned allegation. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Resident Services Director Anita Crickenberger. Administrator Megan Amey arrived later during the visit. Note, LPA did step out for lunch from 12:30-1:30pm. On 05/13/2026, the Department received a complaint where it was alleged that facility staff had not arranged for medical care for a resident (identified as R1) after R1 had been requesting to go to the hospital for a period of five (5) days (May 4th through 8th) due to feeling unwell and having shortness of breath. The Department’s investigation consisted of an unannounced facility visit, records review, and interviews with staff, residents, and outside sources. [Continued on LIC 9099-C] Unsubstantiated [Continued from LIC 9099] R1 is a resident at the facility currently receiving hospice services for an end stage health condition affecting their lungs. Per review of R1's Physician's Assessment, dated for March 2026, R1 does not have any diagnosis of Dementia or Mild Cognitive Impairment (MCI). Per staff interviews, R1 has a documented history of anxiety and a repeated behavior of seeking admission to the hospital with no apparent reason. Per staff interviews, it is believed the anxiety may be connected to R1's hospice diagnosis, which causes the breathing symptoms/issues R1 experiences and often claims they need hospitalization for and that the facility would respect and oblige to R1's wish for being sent out. Additional staff interview revealed that R1 would often complain of shortness of breath, but once they were accompanied by staff, they would suddenly be ok. Interview with an outside source part of R1's hospice team corroborated that R1 has increased anxiety and routinely attempts to seek hospitalization for the "normal" symptoms of their hospice diagnosis and finds comfort in the hospital setting. It was also revealed that hospice was working with R1 on anxiety reducing activities. Interviews with residents did not reveal any concerns with care by the facility or response times for calls for assistance. File review of R1's records show members of R1's hospice team having made visits with R1 daily from May 1st through the 8th. A note from a hospice worker who visited on the 7th noted that they had addressed concerns of R1's agitation and panic during their visit. A note from a visit conducted today (5/22/26) noted that R1 was experiencing "agitation, anxiety, SOB [shortness of breath] wanting to go to hospital." Facility progress notes for R1 indicate that the facility regularly took note of and updated R1's hospice agency of R1's reported symptoms. Per progress notes, R1 was hospitalized somewhere between May 5th and returned to the facility on May 12th. Per interview with Administrative staff, R1 requested to be sent out to the hospital on May 8th and was. Progress notes also highlight that R1 was hospitalized at least six (6) times since the end of January 2026 through today (5/22/26) due to symptoms associated with their condition despite being on hospice. Based on interviews and records review, while the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred – therefore the allegation has been determined to be UNSUBSTANTIATED. An exit interview was conducted with Administrator Amey to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, May 22, 2026 · control 08-AS-20260513095615

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Ramon Serrano, conducted an announced Pre-Licensing inspection. LPA met with Executive Director Megan Amey and we discussed the purpose of the visit. LPA conducted a tour of the facility, both inside and outside. Their are no bodies of water on the premises. LPA inspected three resident rooms in both the assisted living section and the memory care unit. The smoke and carbon monoxide alarms were present. Toilets intended for resident use were operating as intended, and bathing facilities were observed to be clean and kempt. The windows, curtains and paint throughout the rooms and the facility, were observed in good condition. Each room intended for resident use had the appropriate furniture, bedding and appropriate lighting. Licensee stated there are no firearms stored on the premises. Hot water temperature was measured at 115 degrees F. The ambient temperature inside the facility and resident rooms was measured at an average of 75 degrees F. The facility was observed to be clean and kempt with no strong malodors. The main kitchen refrigerator and freezer was observed to be clean and operational, with an ample amount of food to meet resident needs. Cleaning solutions were also properly secured in the various laundry rooms and storage areas. The Component III portion of the application process was completed with Executive Director Megan Amey on today's date as well. Pre-Licensing is complete and this facility has no deficiencies. An exit interview was conducted with Megan Amey and a copy of this report along with Licensee Rights was provided to Megan Amey whose signature below verifies receipt of these.the state’s words, verbatim · CDSS document, Mar 24, 2026

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 85 Census (if any clients in care): 58 COMP II Participants: Administrator Megan Amey and licensee Nitin Mehta Interview Method: Virtual interview (MS Teams) On 2/24/2026, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Feb 24, 2026