Care Vitale

Allegation investigated: Facility illegally evicted resident

Licensing Program Analyst (LPA) Jerome Haley made unannounced visit to begin the investigation into the complaint received May 6, 2026. LPA Haley was greeted by staff and explained the reason for the visit upon entry. Regarding the allegation: Facility illegally evicted resident During the investigation it was discovered, Resident 1 (R1) was sent to the hospital May 4, 2026, due to running out of medications. On May 5, 2026, the resident was scheduled to be discharged; however, there was either confusion or a refusal to reassess the resident prior to hospital discharge. During an interview with Licensee/Administrator Jasmin Garcia, she confirmed, R1 did not return because the resident needed to be reassessed and possible need a higher level of care. Continued on LIC9099C Substantiated Based on the evidence gathered during interviews, the preponderance of evidence standard has been met, therefore, the allegation above is found to be SUBSTANTIATED. A violation is being cited per California Code of Regulations Title 22. An exit interview was conducted, and a copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, May 13, 2026 · control 22-AS-20260506093253

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87224(a) · Plan of correction due date: May 15, 2026

87224 (a)Eviction Procedures - The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty days written notice to the resident is required...This requirement was not met as evidenced by: Based on interview confirmation, Resident (1) was not allowed to come back to the facility after a visit to the hospital on May 4, 2026. R1 was discharged from the hospital May 5, 2026.the state’s words, verbatim · CDSS document, May 13, 2026

Plan of correction: Licensee/Administrator agrees to read and review regulation section 87224 Eviction Procedures, and send LPA Haley a signed statement of acknowledgement and understanding upon completion. POC is due by 4:00pm on the POC due date, Friday, May 15, 2026.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Jerome Haley made an announced visit to conduct the second pre-licensing inspection. LPA Haley was greeted and granted entry by Applicant Jasmine Garcia. During a tour of the facility, LPA Haley observed that the following items have been corrected: Bed – An additional bed has been purchased and placed in the shared bedroom. Stove – Front right burner has been replaced and now lights unassisted. Auditory Exit alarms – Exit alarms have been placed on the exit doors. Exit gate – Side exit gate has springs that make the side exit gate self-closing. Excess materials – Excess materials have been removed. Postings – All postings are available on the walls and on the facility postings board. All corrections have been made, and no additional corrections are needed. Component III was presented to applicant Garcia at the end of the visit. The facility is ready to be licensed and will be recommended for licensure. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 18, 2025

Type of visit: Prelicensing

Licensing Program Analysts (LPA) Jerome Haley made an announced visit for the purpose of conducting a pre-licensing evaluation. LPA Haley was greeted and granted entry by Applicant Jasmine Garcia. Initial application: To operate a Residential Care Facility for the Elderly (RCFE), with a capacity of six (3 ambulatory & 3 non-ambulatory) residents, was submitted to the department for licensure. Fire clearance: Orange County Fire Authority granted the fire clearance April 7, 2025. Structure: The facility is a one-level structure, with an attached garage. There’s a total of 6 bedrooms (5 residents’ rooms, and 1 staff room) and 1 ½ bathrooms for the residents in care. There’s a living room space, a dining space, backyard, and attached garage. Bedrooms: all bedrooms have the required furnishings: bed, lamp, chair, and storage space. Bathroom(s): Bathrooms are equipped with a working toilet, wash basin, and shower. Non-skid matts were observed. Hot water was measured in the range or 114.6 – 118.2 degrees F. Kitchen: 3 of 4 burners are operational on the gas stove. The front right burner does not light unassisted and needs to be replaced or repaired. Sharps and cleaning chemicals are kept locked below the kitchen sink. Food Service: A supply of perishable and non-perishable food items was observed in the refrigerator and pantry area. There’s also a laundry area in the kitchen with a washer and dryer. Garage Area: The garage is clean and organized. Walkways are free of obstruction and a supply of emergency water was observed. An additional washer and dryer was observed. Chemicals/Toxins: All cleaning chemicals, soaps, detergents, and cleaning solutions are inaccessible to residents and locked under the sink in the kitchen. Continued on LIC809C Resident & Staff Files: Files will be stored in the locked medication closet near the front door. Medications/First-Aid Kit: Resident medications are stored in the locked closet near the front door. A first aid kit with all the required elements and a first aid manual was observed. Linens & Hygiene Supplies: Hygiene items will be stored in the bathroom in the locked cabinet below the sink. Additional hygiene items will be stored in the garage. An additional supply of linens was observed in the main hallway cabinets. Backyard/Exterior: The backyard is clean and organized. A shaded patio area with a table and chairs was observed. The side exit gate needs to be self-closing and self-latching. There was various materials observed on the outside edges of the backyard that need to be removed. The applicant states the items will be moved in the garage for storage and other items will be taken out. Bodies of Water: None. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: Fire extinguishers were observed mounted on the wall in the kitchen and near the sliding door that leads to the backyard. Emergency Phone Numbers, House Rules, Exit Plan & Menu: There’s a postings board with emergency phone numbers, and other postings in living room area. Applicant was advised to place Resident rights and the House Rules on the facility postings board. Additional Comments: Facility contact information was reviewed and updated during the visit. Component III: was not presented at this time as the licensee has a few corrections to make. Corrections: Bed – An additional bed in the shared room needs to be purchased and assembled. Stove – front right burner needs to be replaced Auditory Exit alarms – need to be placed on doors Exit gate – needs to be self-closing Excess materials – need to be removed from the backyard Postings – Personal Rights of Residents & House Rules An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 13, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): N/A COMP II Participants: licensee/administrator Jasmin Garcia Interview Method: Telephone interview On 10/9/2025, 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, Oct 9, 2025