Bridgepoint at Los Altos

Allegation investigated: Staff do not safeguard resident's personal belongings

On 08/27/2026, Licensing Program analyst (LPA) Yi Sam Jian conducted an unannounced complaint investigation visit. LPA met with Administrator, Rod Moshiri, and disclosed the purpose of the visit. Regarding the allegation that staff do not safeguard resident's personal belongings, the Department conducted an investigation, law enforcement was contacted and investigated the reported missing personal property belong to R1. R1’s personal property inventory was signed, no items were listed, this resulted in a technical violation. Based on interviews conducted and documentation reviewed, there is insufficient evidence to establish that facility staff do not safeguard resident R1’s personal property. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove whether the allegations did or did not occur, therefore the above allegations are UNSUBSTANTIATED. Report is reviewed and a copy of this report is provided to the administrator. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 27, 2026 · control 26-AS-20260519084659

Type of visit: Required - 1 Year

On 11/18/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection visit. LPA met with the administrator Anna Allas and explained the purpose of today's visit. There are currently 134 residents in the facility during this inspection and multiple staff through out the facility. This is a multi-level facility, Age range 60 years and above. Hospice waiver for 10 residents with a total care addendum has been approved. Fire clearance for 150 non-ambulatory residents has been approved. There are 10 residents under hospice care as of today's visit. The physical plant was toured inside and outside of the facility to ensure the safety of the clients. Large dining room is clean and organized for residents. Lunch is being served during today's inspection. The facility also has a bistro adjacent to the main dining room. Dining menu and activities calendar posted. Per facility, menu's for the month and week are communicated via flyers in resident mail cubby and email for residents and family. LPA observed the facility kitchen which is clean and observed that all appliances are in good repair. Per staff, all appliances are in working condition. Knives are stored and locked and secured in the kitchen. Perishable and non-perishable food supplies are observed as in place. Kitchen grade fire extinguisher is observed as in place and with an inspection date of 06/04/2025. Canned food supplies and dried food supplies are stored within the kitchen. Cleaning substances and dish washing chemicals are properly stored and labeled. Per kitchen director, and in service training was conducted around 11/04/2025 with the facility's contracted company that handles the supply and installation of the receptacle's that administer and hold these cleaning supplies. These are observed as in place as functioning and color coded. Eye washing stations are observed as well in the kitchen. Continued on next page... Page 2 Medications are observed to be locked in the medication room and medication carts. Carts are in place in the medication room. They can be moved around the facility. LPA audited medications of residents at random with staff and all are logged and tracked accurately using an electronic based tracking system. LPA observed that there are multiple fire extinguishers in place on each floor with an inspection date of 06/04/2025. Smoke detectors, carbon monoxide detectors, and full fire sprinkler system is observed in place through out the facility. Central heating and air conditioning is in place. Laundry room is also observed as fully operational and organized. Lint area behind dryers are observed as clean with no lint or extreme dust accumulation. Janitor cart is observed on second floor and are stored in janitor closet when not in use. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Evacuation chairs are in place in emergency exit stairwells as well. Last emergency/disaster drill was conducted in 07/24/2025. Water temperature was measured in resident rooms 165, 134, 271, and 207. Water temperature was measured to fluctuate between 108F and 112F. Of those 4 resident room, LPA observed to be free of odors and contained all the required furniture per regulatory recommendations. Resident rooms have walk in showers with non-skid flooring. Rooms have a pull cord call system in resident bathroom and by the bed in the resident room. Rooms have a kitchenette, but no cooking surfaces. Resident linen supplies are in place. Facility conducted last fire/disaster drill on 10/25/2025. LPA reviewed five staff files and five resident files during today's inspection. All files are observed as current. Staff are actively conducting training and it is observed as current for the staff reviewed. The following updated forms are requested to be submitted to CCLD by 11/25/2025: • Copy administrator certificate • Copy of facility's liability insurance • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule No citations issued. Report is reviewed with Mehrad Moshiri and a copy is provided on this day. Technical violations are given on the attached LIC9102TV pages.the state’s words, verbatim · CDSS document, Nov 18, 2025

Allegation investigated: - Staff is not properly addressing rodent issue in the facility

On 09/25/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit to deliver findings regarding the allegations received. LPA met with resident services director Ria Hernandez and explained the purpose of today's visit. During the investigation, LPA Vado and LPA Jain made observations, reviewed documentations, and conducted multiple interviews. It was found that the facility has had pest control in place for several months prior to this allegation being made. Pest control regularly came and set up traps and conducted evaluations prior to the allegation being received. Documents reviewed confirm the services from the contracted pest control. Staff were also trained to make observations and report sightings as well in order to immediately conduct spot cleaning or alerting to pest control for a return visit before the the regularly scheduled visit. Based on the information received this allegation is unsubstantiated. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed wtih resident services director Ria Hernandez and a copy of this report is provided on this day. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 25, 2025 · control 26-AS-20250616152408

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Maria Quintero. The purpose of the visit was to deliver the findings of an investigation conducted by the department. On 03/27/2024, the facility submitted an Unusual Incident/Injury Report stating that resident R1 suffered a self-inflicted injury that resulted in R1's death while under the care and supervision of the facility. R1 was an independent living resident and did not require monitoring or services. R1 was not diagnosed with any mental health conditions nor was R1 on any medications for depression. Based on information from interviews conducted with staff and records reviewed, the investigation is concluded with a finding of unsubstantiated. No deficiencies were cited under California Code of Regulations Title 22 This report was reviewed with Maria Quintero and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 17, 2025

Allegation investigated: Residents not being provided their medications as prescribed. Staff not providing adequate food service. Staff not providing services to residents in care. Residents are not provided activities.

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Administrator (ADM) Rod Moshiri. On 01/04/2023, the Department received a complaint with the above allegations. On 01/12/2023, LPA Marrufo conducted an initial complaint investigation visit. Additional visits were conducted on 10/10/2024 and 01/09/2025. LPA Marrufo obtained copies of the Medication Administration Records (MAR) for residents R1-R4 from the months November 2022 to January 2023. R1’s MAR indicates that R1 was provided medications as prescribed. R2’s MAR indicates that R2 was provided medications as prescribed but had empty boxes on 10:30 AM and 12:00 PM on 11/27/2022 and 10:30 AM on 12/29/2022. R3’s MAR indicates that R3 was provided medications as prescribed but had empty boxes on 12:00 PM on 11/27/2022 and 6:00 AM 12/31/2022. R4’s MAR indicates R4 was provided medications as prescribed but had empty boxes on 1:00 PM on 11/10/2022. See LIC9099-C for more information. Page 1 of 5. Unsubstantiated During interview on 03/19/2025, staff S3, Assisted Living Director, stated that the boxes in the MARs may have been due to the resident being out of the facility without the resident’s absence being recorded. During visit on 01/09/2025, LPA Marrufo interviewed 10 residents. 7 out of 10 interviewed residents stated that staff provide them their medications as prescribed. 3 out of 10 interviewed residents stated that they do not require assistance from staff with being provided medications as prescribed. LPA Marrufo obtained a copy of the Dinning Services Food Servers Schedule, which indicates that there 10 food servers scheduled per day. LPA Marrufo obtained a copy of the Kitchen Schedule, which indicates that there are four cooks scheduled each day as well as an AM and a PM dish runner. LPA Marrufo obtained a copy of the Dinning Menu, which indicates breakfast, lunch, and dinner are served each day. Lunch and dinner include soup, salad, three entrees, and dessert. During interview on 01/12/2023, ADM Moshiri stated that residents are allowed to have second servings and residents are delivered meals to their living units when residents are under quarantine or isolation. During visit on 03/19/2025, the communal dinning services were suspended due to cases of gastrointestinal symptoms at the facility. During interviews on 01/09/2025, 9 out of 10 interviewed residents stated that the thought the food service at the facility was good. 1 out of 10 residents stated the food service at the facility is sometimes good and sometimes not good. 9 out of 10 interviewed residents stated that the food is delivered on time. 1 out of 10 interviewed residents stated that the food is not always delivered on time and is sometimes delivered cold. 9 out of 10 interviewed residents stated the food quality is good. 1 out of 10 interviewed residents stated the food quality needs improvement. On 03/19/2025, LPA Marrufo interviewed staff S1, who is a cook at the facility, and staff S2, who is the Culinary Service Director. S1 stated that S1 ensures that residents are provided with adequate food service by washing and preparing foods and preparing them at temperature as well as ensuring food is not overcooked or undercooked. Page 2 of 5. S2 stated that S2 ensures that residents are provided with adequate food service by hiring qualified staff and acquiring the best ingredients. LPA Marrufo obtained copies of R1-R4s Care Plans. R1, R3, and R4’s Care Plans do not require monthly checking and recording of vitals and weight. R2’s Care Plan requires monthly checking and recording of vitals and weight. LPA Marrufo obtained a copy of R1 and R2’s Care Tracking Logs from 11/01/2022 to 01/31/2023. R1’s Care Tracking Log has 78 entries recording staff assisting R1 with toileting and 19 entries recording staff assisting R1 with dressing. R2’s Care Tracking Log has 33 entries recording staff assisting with toileting, 8 entries recording staff assisting with dressing, and six entries recording staff assisting with bathing. R2’s Care Tracking Log has entries on 11/10/2022, 12/15/2022, and 1/12/2023 in which staff checked R2’s vitals. The entries do not include the results of R2’s vitals. The entries on 11/10/2022 and 1/12/2023 indicate that R2 refused to be weighed. LPA obtained a copy of R2’s Vitals Record, which does not have any vitals data entered from 06/09/2022 to 02/09/2023. During interview on 03/19/2025, staff S3, the Assisted Living Director, stated that it is possible R2’s vitals data were recorded on apreviously used electronic MARs system, which the facility discontinued to use since July 2024 and can no longer access. On 01/09/2025, LPA Marrufo interviewed 10 residents. 9 out of 10 residents stated the staff provide them with all services. 1 out of 10 interviewed residents stated that he/she is independent and does not need staff to provide him/her with services. 7 out of 10 interviewed residents stated staff check their vitals once a month. 1 out of 10 interviewed residents stated staff check his/her vitals once a month, but sometimes the staff go longer than a month before checking his/her vitals. 2 out of 10 interviewed residents stated that they do not need the staff to check their vitals. Page 3 of 5. 6 out of 10 interviewed residents stated that the staff check their weight once a month. 1 out of 10 interviewed residents stated that staff check his/her weight, but staff have not weighed him/her during the holiday months of November and December. 1 out of 10 residents stated he/she refuses to be weighed. 2 out of 10 residents stated they do not need the staff to weigh them. On 03/19/2025, LPA Marrufo interviewed 4 staff care givers. 4 out of 4 interviewed care givers stated that they change resident diapers, shower the residents, assist them with changing clothing, and escort the residents to activities. 3 out of the 4 interviewed care givers stated that they do not remember R1 or R2. 1 out of the 4 care givers stated to have remembered both R1 and R2. The care giver stated to have assisted R1 and R2 with changing their diapers. The care giver stated to have observed R2 to be in soaked diapers from the night before. The care giver stated to believe that the night shift staff may not have checked R2’s diaper to check if it was soaked. LPA Marrufo asked the care giver how he/she knew whether R2 had a soaked diaper throughout the night or instead had urinated shortly before the care giver’s shift. The care giver stated to have not known for sure which was the case. LPA Marrufo obtained the Activities Calendar from December 25, 2022 to January 31st, 2023. The Activities Calendar indicates there were multiple activities offered each day. On 01/12/2023, LPA Marrufo interviewed staff S4, Wellness Director. S4 stated that activities are offered every day, including daily exercise activities and weekly activities such as bingo, art, and karaoke. During interview on 01/09/2025, 10 out of 10 interviewed residents stated that activities are offered at the facility. During interview on 03/19/2025, 4 out of 4 interviewed staff stated that they escort resident to activities and encourage residents to participate in activities. During visits on 01/09/2025 and 03/19/2025, LPA Marrufo toured the Activity Room and observed sign-ups for activities as well as activity materials. Page 4 of 5. Based on information from interviews conducted with staff and residents, and records reviewed, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No Deficiencies were cited under California Code of Regulations Title 22 This report was reviewed with Administrator Rod Moshiri and a copy of this report was provided. Page 5 of 5. END REPORTthe state’s words, verbatim · CDSS document, Mar 19, 2025 · control 26-AS-20230104161651

Allegation investigated: Resident sustained multiple unexplained injuries while in care Staff did not seek timely medical attention for resident Staff dispensed wrong medication not prescribed to resident Staff did not refill resident’s medication

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Mehrad Moshiri, Executive Director. On 11/02/2022, the Department received a complaint with the above allegations. On 11/09/2022, LPA Marrufo conducted an initial investigation. On 10/10/2024, LPA Marrufo conducted an additional complaint investigation visit. On 09/13/2022, the facility submitted an LIC624 Unusual Incident/Injury Report (IR) to the Department. The IR states that on 09/07/2022, resident R1 had an unwitnessed fall in R1’s bathroom. Staff found R1 on R1’s left side. R1 was unable to answer staff questions and was slurring words when speaking. Staff called 911 immediately after finding R1 had fallen at 8:29 AM. Paramedics arrived onsite at 8:39 AM and transported R1 to the hospital for further evaluation. See LIC9099-C for more information. Page 1 of 4. Unsubstantiated LPA Marrufo obtained a copy of R1’s Physician’s Report. The Physician’s Report states R1 can bathe himself/herself, able to dress/groom himself/herself, and able to care for his/her own toileting needs. The Physician’s Report states R1 is ambulatory. LPA Marrufo obtained a copy of R1’s Care Plan, which has an effective date of 08/04/2022. R1’s Care Plan states R1 sleeps through the night usually and occasionally wakes up during the night to use the bathroom. R1’s Care Plan states R1 has no gait issues, completes all transfers independently, manages toileting independently, and has no history of falls. R1’s Care Plan does not make any mention of nightly or regular room checks. LPA Marrufo obtained a copy of R1’s Care Tracking Log. The Care Tracking Log states that staff entered R1’s living unit on 09/06/2022 at 10:04 AM to provide routine medications, on 09/06/2022 at 1:13 PM to provide another routine medication, and at 09/06/2022 at 1:51 PM to provide R1 with a PRN medication. The entry on 09/06/2022 at 1:51 PM states R1 had been complaining of neck pain and the author of the entry will endorse to the PM medication technician to recheck the resident in an hour. The Care Tracking Log does not have an entry an hour after the entry on 09/06/2022 at 1:51 PM nor does it have any later entries on that day. The Care Tracking Log entry on 09/07/2022 at 8:29 AM states R1’s medication technician called the author of the entry to R1’s apartment. R1 was found on the floor laying on R1’s left side and left arm in the middle of R1’s bedroom doorway. The author of the entry witnessed blood on the floor from a skin tear on R1’s left elbow. R1 was not responding to the staff’s questions about where R1 was, what year it was, and the name of a known family member. R1 was observed to be slurring words when speaking. Staff called 911 at 8:29 AM. The entry states that there was no witness to R1’s fall. R1’s Care Tracking Log entries from 08/02/2022 until 09/07/2022 do not indicate any report of injuries or bruising visible on R1 besides R1’s reports of neck pain. Page 2 of 4. During visit on 11/09/2022, LPA Marrufo interviewed staff S1-S7 and Administrator Maria Quintero. ADM stated that R1’s care plan did not include nightly checks or hourly checks. S1-S7 stated to have never observed R1 with bruises prior to the fall incident. R1’s Care Tracking Log entry from 07/22/2022 at 10:42 PM states staff advised R1 to press R1’s pendant if any help is needed. During visit on 12/20/2024, Administrator Mehrad “Rod” Moshiri stated that staff provide a visual demonstration of how the emergency pendant is to be used when staff provide residents with an emergency pendant. Administrator Moshiri stated that staff instruct residents on how to turn on the pendant and turn it back off after it is used. Administrator Moshiri stated that staff recommend to residents to wear the pendant at all times. During visit on 11/09/2022, LPA Marrufo interviewed staff S1-S7 and Administrator (ADM) Maria Quintero. S1 stated to have entered R1’s bedroom to provide medications to R1 and observed R1 to be laying on the floor. S1 stated to have called 911 between 8:00 AM and 9:00 AM. S1 stated to have observed R1’s emergency pendant hanging by a chair near R1’s restroom and not hanging on R1’s person. S1 stated to have not observed any medications not belonging to R1 in R1’s living unit. S1 stated that paramedics did not take any medications from R1’s living unit when they transported R1 to the hospital on 09/07/2022. S1 stated the facility policy is to provide a resident’s medication list and medication records to paramedics when paramedics come to transport a resident to the hospital. S1 stated to have provided paramedics with R1’s medication list and medication records, but not R1’s medications. S3, S4, S5, S6, stated to not have observed any migraine or diarrhea medications in R1’s living unit. S7 stated to not be able to remember if there were any medications in R1’s living unit. Page 3 of 4. S2 stated to have not been onsite during the incident. ADM stated that R1 had been put on medication management and all R1’s medications had been removed from R1’s living unit. ADM stated to have never observed any medications in R1’s living unit. R1’s Care Plan states staff will assist with routine medications and PRN medications as directed. During interview on 11/09/2022, S1 stated that R1’s pain patches for R1’s neck were ordered through the pharmacy, but the delivery of the pain patches had been delayed because R1’s insurance would not cover the costs of the pain patches and R1s doctor had not authorized a refill. S1 stated to have communicated with R1’s doctor about the pain patches. S1 stated R1’s family member contacted R1’s doctor to request authorization of the refill for the pain patches and finally decided to pay out of pocket for the pain patches. During interview on 11/09/2022, ADM Quintero stated that staff were attempting to get the pain patch refilled by R1’s doctor and the pharmacy refused to refill the order because the pain patches were not covered by R1’s insurance. LPA Marrufo obtained a copy of a fax communication sent to the pharmacy that supplied R1 with pain patches. The fax communication is dated 08/30/2022 and was sent by staff S1. The fax communication states, “Please refill all medications for this resident.” The resident named in the fax communication is R1. The fax communication includes a second page that is a list of R1’s Physician’s Orders, which includes R1’s pain patches. Based on information from interviews conducted with staff, and records reviewed, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No Deficiencies were cited under California Code of Regulations Title 22. This report was reviewed with Administrator Mehrad Moshiri and a copy of this report was provided. Page 4 of 4. END REPORTthe state’s words, verbatim · CDSS document, Dec 20, 2024 · control 26-AS-20221102143338

Type of visit: Required - 1 Year

On October 10, 2024, Licensing Program Analysts (LPAs) Kiran Jain and David Marrufo arrived at the facility at 09:00 AM to conduct the Annual 1-year required inspection. LPAs met with Maria Quintero, Assistant Executive Director and Rod Moshiri, Executive Director, and explained the purpose of the visit. The facility currently has residents in Assisted Living and Independent Living. LPAs conducted a tour in the presence of a staff member of the physical plant, including common areas, dining rooms, resident bedrooms, bathrooms, kitchen, and outdoor spaces. All exits, common areas, and outdoor areas were observed to be clear and free from obstructions. The fire extinguishers were fully charged and last serviced on 10/08/2024. The facility’s emergency disaster plan was reviewed. No accessible bodies of water or hazards were observed. The smoke detectors were last tested on 09/26/2024. LPAs tested two carbon monoxide detectors during the visit and both were fully operational. LPAs inspected 12 residents’ rooms and 12 bathrooms at random. Rooms were observed to have the required furniture and sufficient lighting. Emergency pull cords were tested in rooms and staff arrived between 4 to 10 minutes. The hot water temperature was measured in the residents’ bathrooms between 106.7°F and 118.9°F. LPAs observed the dining room and the main kitchen. The kitchen was observed to have the required 7 days of non-perishables and 2 days of perishable food. LPAs toured the walk-in refrigerator and freezer, and pantry for the dry food. No expired food items were observed and open food items were wrapped. The First Aid kit was checked and observed to be complete. Emergency drills are conducted quarterly with the last drill documented on 08/20/2024. See LIC 809-C for more information. Page 1 of 2. LPAs reviewed five resident records. All were observed to be complete. The resident’s medications are securely stored in a locked medication room. Centrally Stored Medication Logs were reviewed for 5 residents and found them to be complete. At 12:48 PM, LPAs reviewed 5 personnel records. 2 out of 5 reviewed staff records for S1 and S2, did not contain a current First Aid certificate, which poses a potential safety risk to persons in care. The following updated forms are requested to be submitted to CCLD by 10/17/2024: · LIC 500: Personnel Report · LIC 308: Designation of Facility Responsibility · Certificate of Liability Insurance A deficiency was cited under the California Code of Regulations, Title 22. Failure to correct the deficiency by the due date may result in civil penalties. See LIC 809-D page for more information. This report was reviewed with Rod Moshiri, Executive Director and a copy of this report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Oct 10, 2024

Type of visit: Case Management - Incident

On 3/28/2024, at approximately 9:30 a.m. Licensing Program Analysts (LPAs) Maria (Mita) Partoza a case management visit in regards to an incident report involving a resident and met with Executive Rod Moshiri. LPA stated the purpose of the visit. LPA conducted a file review and requested copies of the resident's file including but not limited to admission agreement, medication list and physician's report. No deficiency cited at today's visit.the state’s words, verbatim · CDSS document, Mar 28, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Rod Moshiri, Administrator. The purpose of the visit was to address an incident that occurred on 01/07/2023 and was self-reported by the facility via SOC341 Suspected Adult/Elder Abuse Form and LIC624 Unusual Incident/Injury Report (UIR) on 01/09/2023. The incident involved an unauthorized male who entered the facility through a side exit door that had been propped open. The unauthorized male proceeded to enter the facility, entered into resident R1’s living unit, and sexually assaulted R1. The incident was investigated by the Department beginning on 01/11/2023 and the Department conducted interviews with staff, residents, and witnesses and reviewed records. During interviews, staff stated the side exit doors are used and held propped open to allow easy access to and from the facility. The side exit doors are supposed to be used only if there is a fire. All residents are to use the main entrance and not the side exit doors. Side exits are to be shut, latched, and always locked. Interviews with multiple residents revealed that residents at BridgePoint at Los Altos would open the exit doors to keep the exit doors from locking. The local Police Department (PD) investigated and created an investigative report. R1 disclosed that the unauthorized male got on top of R1, “humped” R1, and used his fingers to rub R1’s genitalia. Resident R2 told PD officers that R2 observed the unauthorized male and told staff of the unauthorized male’s presence, but staff ignored R2 multiple times. Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D page for more information. This report was reviewed with Administrator Rod Moshiri and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 13, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87486.2(a)(4) · Plan of correction due date: Feb 14, 2024

In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs. This requirement was not met as evidenced by: On 01/07/2023, staff did not supervise the side door exit that had been left propped open, allowing an unauthorized male to enter the facility, which posed an immediate safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 13, 2024

Plan of correction: Licensee agrees to submit a Plan of Correction by POC date to ensure that doors are properly supervised and remain closed, including by hiring 24 hour security to monitor thinge doors during construction, upgrading the facility security camera system and changing all the emergency exit doors to the building to ensure proper closure, and conducting staff training on securing exits and enforcing facility visitor policies.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(8) · Plan of correction due date: Feb 14, 2024

In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse. This requirement was not met as evidenced by: on 01/07/2023, an unauthorized male entered the facility and sexually abused resident R1, which poses an immediate safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 13, 2024

Plan of correction: Licensee agrees to submit a Plan of Correction to conduct staff training on abuse prevention and response and reviewing resident rights.

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator Rod Moshiri. The purpose of the visit was to address incident reports filed by the facility concerning medication errors, including an LIC624 Unusual Incident/Injury Report for an incident that occurred on 12/09/2022 and reported to the Department on 12/15/2022. The incident from 12/09/2022 involved a medication technician who gave another resident's morning medications to resident R1. LPA Marrufo requests that the facility submit a Plan of Action to the Department by 02/20/2024 explaining how the facility will train staff and prevent medication errors. An Advisory Note was issued. See LIC9102 for more information. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Rod Moshiri and a copy of the report was provided.the state’s words, verbatim · CDSS document, Feb 13, 2024