Bluemeadow Care

Allegation investigated: Staff interfered with the ombudsman's ability to perform their duties

On 4/17/2026 at 2:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct complaint investigation for the above allegation. LPA met with Caregiver, Edel Ann Manga and explained the purpose of the visit. Administrator Yanlin "Cynthia" Huang was unavailable and approved caregiver to sign off on report via telephone call. During the complaint investigation, LPA spoke with the Administrator over the phone who acknowledged that they did not give the documents/information for a resident to the ombudsman upon request as of todays date however upon review of regulation it was determined that the action did not violate Title 22 regulation therefore the allegation is Unsubstanciated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2026 · control 15-AS-20260413084301

Type of visit: Case Management - Other

On 04/17/2026 at 3:00PM, Licensing Program Analyst (LPA) A Gomez conducted a case management as a result of observations during complaint visit 15-AS-20260413084301. LPA met with Caregiver, Edel Ann Manga, and explained the purpose of the visit. Administrator Yanlin "Cynthia" Huang was unavailable and approved caregiver to sign off on report via telephone call. While conducting the complaint investigation LPA observed 2 staff sleeping in the garage on a bed in a makeshift bedroom. LPA observed that the are had a curtain put up for privacy, personal items, music playing, and staff asleep in the area. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. 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. Exit interview conducted, a copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 17, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: May 18, 2026

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. The following provisions shall apply: This requriment was not met as evidence by: Based on observation, the licensee did not comply with the section cited above in having staff sleeping in the garage which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 17, 2026

Plan of correction: By POC facility agrees to remove all personal items from the garage including all beds, staff clothing, dressers, and other furniture and notify CCLD. LPA will return to do a POC visit upon notification.

Type of visit: Case Management - Other

On 12/24/2025 at 8:30 AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver amended report for complaint #15-AS-20251010103344 and cite for deficiencies observed during the investigation. LPA met with Administrator, Yanlin Cynthia Huang and explained the purpose of the visit. During the course of the investigation for allegation "Facility did not provide adequate medication assistance" LPA observed the medication unlocked in the kitchen drawer and medication closet unlocked. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT ON 10/17/2025 AND 12/24/2025: Medications not secured and locked (kitchen drawer and med closet unlocked with centrally stored medications accessible) Amended report delivered to Executive Director. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 24, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Dec 24, 2025

(h) The following requirements shall apply to medications which are centrally stored:(2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidence by: Based on LPA's observation the licensee did not coply with the section cited above by med closet and kitchen drawer containing centerally stored medication unlocked which posed an immediate safety risk to residents in care.the state’s words, verbatim · CDSS document, Dec 24, 2025

Plan of correction: Licensee agrees to create a medication procedure poster and post it on the outside of the medication closet and notify CCLD.

Allegation investigated: Facility did not provide adequete medication assistance

On 10/17/2025 at 9:30AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct complaint investigation for the above allegation. LPA met with Administrator Yanlin "Cynthia" Huang and explained the purpose of the visit. During the complaint investigation, LPA conducted a tour of the medication closet and observed pre-poured medication transferred into containers for residents. S1 stated that medication is put into the containers at nightime for the following day. LPA also observed the medication unlocked in the kitchen drawer and medication closet unlocked. Based on LPAs observations and interview, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided. Substantiatedthe state’s words, verbatim · CDSS document, Oct 17, 2025 · control 15-AS-20251010103344

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(5) · Plan of correction due date: Dec 24, 2025

(h) The following requirements shall apply to medications which are centrally stored(5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers.: This requirment was not met evidence by: Based on LPA's observation and interview the licensee did not coply with the section cited above by having perscription medication transferred into a container which posed a potential safety and personnel rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 17, 2025

Plan of correction: POC clear. Administrator retrained staff and provided an in service.

Type of visit: Required - 1 Year

On 9/17/25 at 8:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee, Yanlin "Cynthia" Huang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory of which 1 may be bedridden. Room 6 only is approved for bedridden. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms which 6 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are 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 113.9 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last purchased on 9/17/2025. Emergency Disaster Plan not available. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 9/1/2024. At 10:30am, LPA reviewed 5 residents records. Resident files missing appraisal and needs of services for R1,R2, R3, and R5. At 11:12 am, LPA reviewed 4 staff records and 3 of 3 have current first aid training and associated to the facility. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report providedthe state’s words, verbatim · CDSS document, Sep 17, 2025

The state marks this report as 4 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 09/04/2024 at 9:20 AM, Licensing Program Analysts (LPAs) A. Gomez and P Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee, Yanlin "Cynthia" Huang and explained the purpose of the visit. The facility’s fire clearance was approved for 6 non-ambulatory of which one may be bedridden in room 6. LPA toured facility with Licensee including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 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 103.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is not a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were not locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was not inspected and did not have a receipt of purchase. Emergency Disaster Plan was last posted on 9/04/2024. First aid kit was observed to be complete. Emergency disaster drills were not available. LPA reviewed 6 residents records. LPAs reviewed 3 staff records. LPA reviewed a sample of resident’s medications. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: Upon arrival LPAs were greeted by a "caregiver" who was later identified as David Last name Unknown. The individual vacated the property without the LPA's knowledge. Licensee informed LPAs that the individual is not eligible to be cleared. Licensee states that they have no other information for the individual. At 9:29AM LPAs observed unlocked vitamins and over the counter medications available in Licensee's room with the door open and the Licensee in the shower. At 9:30AM LPAs observed a black butcher knife unsupervised on a red cutting board. At 9:30AM LPAs observed unsupervised resident medications on the kitchen counter At 9:31AM LPAs observed the sliding screen door to be ripped and in disrepair. Later LPAs observed screen on residents window with a large rip on the upper right corner that appeared to have been previously taped up At 9:36AM LPAs observed medication closet unlocked and accessible At 11:20AM LPAs saw on camera footage that S2 sleeps at night in the common area on the sofa next to the front door. At 12:00PM LPAs observed R1's, R2's physician report is expired At 12:10 PM LPAs observed the water temperature at 103.5. At 12:24PM LPA's observed R4, R5, and R6 to have incomplete files At 1:12 PM LPA's observed that S2 and S3 was not updated on training's. Staff files were also incomplete. At 1:12 PM LPA's observed that S3 does not have a first aid on file. At 2:30PM LPAs observed that the facility did not have enough food. Throughout visit LPAs observed that the facility did not have stimulating activities available to residents *** A civil penalty is being assessed in the amount of $500*** The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 4, 2024

The state marks this report as 14 pages; the online copy we transcribed has 11. You can request the full file from the county licensing office.