Carmichael Estates No. 2

Allegation investigated: -Staff are leaving residents unsupervised at the care home

Licensing Program Analyst (LPA) Angela Hood arrived at the care home today and met with the Administrator, Rebecca McFadden, to deliver complaint investigation findings regarding the above stated allegation. During the course of the investigation, LPA conducted interviews, made observations, and obtained documentation pertinent to the investigation. *********************************************Continued on LIC9099-C**************************************************** Unsubstantiated LPA conducted visits at the care home on April 22, 2026, May 20, 2026, and May 28, 2026. During all visits, LPA observed care staff at the home. Interviews with residents (R1, R2, and R3) indicated that they have never been left at the facility without care staff. Interview with the Licensee indicated that there is always a care staff at the care home. Interview with the Administrator indicated that they are live-in staff and that there is always a care staff at the home. Administrator indicated that if they have to leave, then there is always another caregiver at the home. Interview with staff (S1) indicated that, if the Administrator has to leave the facility, they will fill in and the facility is never left unattended. Interview with hospice staff and R2's responsible party indicated that they have never witnessed the facility left unattended by staff members. According to the LIC500, the facility has staff scheduled during all shifts. Based on interviews conducted, observations, and documentation, 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. No deficiencies are being cited. Exit interview conducted. A copy of the report was provided.the state’s words, verbatim · CDSS document, May 28, 2026 · control 59-AS-20260416165916

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced and met with the Administrator, Rebecca McFadden, to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are four (4) bedrooms and two (2) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 113.3 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke and carbon monoxide detectors are operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed three (3) resident files and also reviewed two (2) staff files. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.the state’s words, verbatim · CDSS document, May 20, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection and met with Rebecca McFadden, Administrator. LPA observed (5) residents resting in their rooms at the start of the inspection. The facility is licensed for (6) non-ambulatory residents, (1) of whom may be bedridden. Since the last annual inspection in April 2024, local fire department has approved room #5 for an ambulatory resident. LPA to update the fire clearance information in the system and issue an updated license. Pest Control staff were present at the start of the inspection for the monthly treatment. LPA and the Administrator toured the interior/exterior of the facility including the common areas, (3) shared resident bedrooms, (2) resident bathrooms, kitchen, laundry. LPA observed the facility to be clean, in good repair and to have sufficient furniture and lighting throughout. The bathrooms have the necessary grab bars, non-skid flooring, soap, paper towels, and a 20-second hand-washing sign will be posted at each sink. Sharps and toxins are locked in the kitchen and medications are secured nearby in the office. Hot water measured 113*F in a bathroom and inside temperature measured 68*F. Smoke/monoxide alarms are in working order. Quarterly disaster drills are being conducted. There are sufficient linens/towels/blankets and a complete First Aid kit. Required postings are visible in the common area, including the Emergency Disaster Plan, and Resident Personal Rights. There are open exits in the backyard. Currently there is a patio project going on to add seating and flowers. Residents participate in art work, pet therapy. LPA reviewed (2) resident files and (3) staff files. Files were organized, current and complete. Medications were reviewed for (1) resident, orders match medications being administered, and documentation is current. Staff is cleared and associated and completing the required initial/continuing annual training. Administrator RCFE #7020839740- exp 11/15/25. Discussed updated regulations. LPA requested an updated copy of liability insurance, LIC308 and LIC500 be submitted by 4/15/25. There were no deficiencies observed and no citations being issued. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Case Management - Annual Continuation

On 5/9/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct an annual continuation visit from the annual inspection conducted on 4/9/2024. LPA met with Administrator and explained the purpose of the visit. During today's visit, LPA and Administrator conducted a file review of residents and personnel files. LPA observed the required documents present. LPA completed the full care inspection tool and no deficiencies cited today. At this time, LPA is requesting facility liability insurance to be emailed to LPA by Monday May 13, 2024. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, May 9, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a 1-year annual inspection utilizing the full CARE tool. LPA met with Administrator, Rebecca McFadden, and explained the purpose of the visit. LPA and Administrator toured the interior of the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathrooms, kitchen and dining. During annual inspection, based on LIC 999 FACILITY SKETCH provided, LPA observed two residents to be in Room 1, two residents to be in Room 2, Room 3 was occupied as a staff room, Room 4 was utilized as a private room, and Staff Room was occupied by R5. Staff Room does not have a clearance for non-ambulatory status. LPA requested a copy of R5's LIC 602. LPA informed Administrator LIC 200 and updated facility sketch is to be submitted to LPA Yang for a new fire inspection request. File review was unable to be completed today. A case management- annual continuation visit will be conducted to complete annual inspection along with file review. Deficiencies cited. Exit interview conducted. Report copy and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 9, 2024