Casa Amore

Type of visit: Annual/Random

Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by caregiver, Melissa Gile. LPA contacted the administrator Rita Morales and explained the purpose of the visit. Rita could not meet LPA but was available by telephone. Due to technical issues the Inspection Tool was not used for this visit. The facility is licensed as a Residential Care Facility for the Elderly (RCFE) and has an approved fire clearance for six (6) non-ambulatory residents and a Hospice waiver of four (4). At 1:00 p.m., LPA initiated a physical plant tour of the facility and the following was observed: Kitchen: The kitchen was observed clean and clear of clutter. LPA observed a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility. The fire extinguisher is located in the kitchen and was observed fully charged with service date 04/16/2026. Bedrooms: There are a total of four (4) resident bedrooms, two (2) of which are shared. Bedrooms were furnished with beds, night stands, chairs, appropriate bedding and linens, and sufficient lighting. LPA observed full length bed rails on five (5) resident beds. According to the administrator Resident #6 (R6) in room #4 is not on Hospice but the facility is utilizing bed rails to prevent falls. Bathrooms: There are two (2) bathrooms designated for resident use. One (1) is located in a shared bedroom. Bathrooms were properly supplied with hand soap, toilet paper and paper towels. Hot water temperature was taken from both bathroom at 1:30 p.m. and read 127.6 and 128.3 degrees Fahrenheit. LPA observed night lights in the hallway leading to the common bathroom. (Continue on LIC809-C) Common Areas: These included the living area and dining area. The common areas were properly furnished. The couches and the dining table sits the capacity of the facility and were observed in good repair. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards and has a covered patio with outdoor furniture. The laundry room leads to the garage and is kept locked and inaccessible to residents in care. Auditory alarms leading to the outside where on and functional during visit. Resident Files: LPA conducted a file review of five (5) of six (6) resident records to insure compliance of licensing forms at at approximately 1:56 p.m. One (1), Resident #5's R5's record was not available for LPA to review. A Medical Assessment was not on file for R6. According to administrator the records should be in the facility. Staff was unable to locate R5's file or R6's medical assessment. Six (6) records did not have current medical annual visits documented. Resident #4 (R4) did not have a signed admission agreement from resident or their responsible person. Facility Files: LPA was not provided a record for staff currently working in the facility. LPA requested to review the facilities certification of liability insurance, emergency disaster plan and emergency drills. According to the administrator she is unsure if the liability insurance has been renewed and stated the facility has not conducted emergency drills but will discuss with staff what to do incase of an emergency. Medications: Medication and medication records were observed locked in the closet inaccessible to residents in care. The smoke alarms are hard wired and interconnected. A carbon monoxide detectors was observed in the hallway by the bedrooms. Smoke and carbon monoxide detector were tested at 3:37 p.m. and were observed to be functioning properly. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies were observed during the visit (refer to LIC809-D). Exit Interview Conducted. Appeal Rights provided. A copy of the report to caregiver.the state’s words, verbatim · CDSS document, Sep 1, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(2) · Plan of correction due date: Sep 2, 2026

(e) Water supplies and plumbing fixtures shall be maintained as follows:(2)... not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in two (2) out of two (2) bathrooms had a temperature reading higher than 120 degrees which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Administrator will lower water temperature and send the department a picture when complete to the department by POC due 09/02/26.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.605 · Plan of correction due date: Sep 11, 2026

...all residential care facilities for the elderly, ..., shall maintain liability insurance ...in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate,... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above LPA was not provided a copy INS at time of visit which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Administrator will email a valid certification of liability insurance to the Department by POC due date 9/11/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(a) · Plan of correction due date: Sep 11, 2026

(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in one (1) staff file notprovided to LPA at time of visit which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Administrator will send completed file to the Department by POC due date 09/11/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87463(h)(1) · Plan of correction due date: Sep 17, 2026

(h) The licensee shall request that all residents receive an annual routine visit with a licensed medical professional once every twelve months,... (1) Documentation of the annual routine visit, ..., shall be added to the resident's record. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above as 6 residents did not have current medical exams LIC 602 on file which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Updated LIC 602s will be sent to the Department by POC due date 09/17/2026

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.695(c) · Plan of correction due date: Sep 11, 2026

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. ... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above facility did not have drill at time of visit which poses/posed a potential health, safety or personal rights risk to persons in care. This requirement is not met as evidenced by:the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Administrator will send documetaiton of drill conducted to the Department by POC due date 09/11/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87506(a) · Plan of correction due date: Sep 11, 2026

(a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility or in a central administrative location readily available to facility staff and to licensing agency staff. Based on record review, the licensee did not comply with the section cited above facility did not R5's record available for review during visit which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Administrator will send R3's file to the Department by POC due date 09/11/26.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87608(5)(B) · Plan of correction due date: Sep 2, 2026

(5) ... (B) Bed rails that extend the entire length of the bed are prohibited except for residents who are currently receiving hospice care and have a hospice care plan that specifies the need for full bed rails. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in one resident that is not receiving Hospice services has a full length bed rail which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Administrator will remove bedrail and send a picture when complete to the department by POC due 09/02/26.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87507 · Plan of correction due date: Sep 11, 2026

(c) Admission agreements shall be signed and dated, acknowledging the contents of the document, by the resident or the resident’s representative, if any,... This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above in not having a signed admission agreement for R4 which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 1, 2026

Plan of correction: Administrator will send a copy of admission agreement to the department by POC due 09/11/26.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by caregiver Melissa Gile, LPA explained the purpose of the visit. Melissa contacted the administrator Rita Morales and told her LPA was at the facility to conduct and annual inspection. Rita could not meet LPA right away but was available by telephone. LPA At 12:54 p.m., LPA initiated a physical plant tour of both the inside and outside of the facility. The following observations were made: LPA observed required postings in the entry area, a sign-in sheet for visitors and accessible hand sanitizer. Kitchen: The kitchen appliances and fixtures appeared functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility. LPA observed some opened and repackaged food was properly stored in clearly labeled, containers. LPA observed knives and sharps in a cabinet above the stove accessible to residents. The fire extinguisher is located in the kitchen and was observed fully charged with service date 08/30/2025. Bedrooms: There are a total of four (4) resident bedrooms, two (2) of which are shared. Bedrooms were furnished with beds, nightstands, chairs, appropriate bedding and linens, and sufficient lighting. Bathrooms: There are two (2) bathrooms designated for resident use. One (1) is located in a shared bedroom. Bathrooms were properly supplied with hand soap, toilet paper and paper towels. (Cont. on LIC809-C Hot water temperature was taken from one (1) bathroom at 1:12 p.m. and read between 114.6 degrees Fahrenheit. LPA observed night lights in the hallway leading to the bathroom. Common Areas: These included the living area and dining area. The common areas were properly furnished. The couches and the dining table sits the capacity of the facility and were observed in good repair. The smoke alarms are hired wired and interconnected. A carbon monoxide detectors was observed in the hallway by the bedrooms. Smoke and carbon monoxide detector were tested at 3:25 p.m. and were observed to be functioning properly. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards and has a covered patio with outdoor furniture. The laundry room leads to the garage and is kept locked and inaccessible to residents in care. Detergents and cleaning products are kept in the laundry room and garage locked. Resident Files: At approximately 1:30 p.m., LPA conducted a file review of six (6) out six (6) resident records to insure compliance of licensing forms. LPA was unable to complete review of resident, staff and facility records. LPA will return to continue with this annual visit at a later date and time. Any deficiencies observed during this visit will be cited on continuation of annual. Administrator designated caregiver to sign today's report. Exit Interview Conducted. A copy of the report issued.the state’s words, verbatim · CDSS document, Aug 18, 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

Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by caregiver Micaela Orozco. Micaela contacted the administrator Rita Morales. Rita could not meet LPA but was available by telephone. LPA contacted the Licensee Margarita Tortorici and informed them the reason for the visit. Licensee designated Micaela Orozco to sign todays report. At 12:50 p.m. LPA conducted a physical plant tour inside and out and the following was observed: LPA observed required postings in the entry area and observed the administrator certificate with expiration date 11/04/2022. LPA reviewed Community Care Licensing website and did see administrator's name on the active certificate list. Kitchen: The kitchen appliances and fixtures appeared functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. LPA observed knives and sharps in a drawer inaccessible to residents. The fire extinguisher is located in the kitchen and was observed fully charged with service date 10/17/2023. Bedrooms: There are a total of four (4) resident bedrooms. Two (2) of the bedrooms are shared. Bedrooms were properly furnished with appropriate bedding and linens and with sufficient lighting. A hallway closet by the bedroom was observed locked. LPA observed night lights in the hallway. Bathrooms: There are two (2) bathrooms for resident use. One (1) is located in a share bedroom. Bathrooms were properly supplied with hand soap, toilet paper and paper towels. Hot water temperature was taken from one (1) bathroom at 1:35 p.m. and read between 105 and 120 degrees Fahrenheit. (Continued on LIC809-C) Common Areas: These included the living area and dining area. The common areas were properly furnished. The couches and the dining table sits the capacity of the facility. The smoke alarms are hired wired and interconnected. A carbon monoxide detectors was observed in the hallway by the bedrooms. Smoke and carbon monoxide detector were tested at 3:25 p.m. and were observed to be functioning properly. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards and has a covered patio with outdoor furniture. The laundry room leads to the garage and is kept locked and inaccessible to residents in care. Detergents and cleaning products are kept in the laundry room and garage locked. Resident Files: At approximately 1:43 p.m., LPA conducted a file review of six (6) out six (6) resident records to insure compliance of licensing forms. LPA discussed with Rita the importance of proper documentation. LPA emailed Rita a list of LIC forms. LPA also reminded Rita to submit an updated Dementia Program as the one previously submitted required more information. Medications: Medication and Medication Records were reviewed for proper documentation. Medication is stored in a closet that is maintained locked. LPA observed a first aid kit and other facility supplies in the closet. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during todays visit. Exit Interview Conducted. A copy of the report Issued.the state’s words, verbatim · CDSS document, Sep 25, 2024

Allegation investigated: Facility staff are not maintaining tight covered lids on bathroom trash bins. Facility staff do not keep medication in a safe and locked location.

Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced complaint investigation. Upon arrival, LPA was greeted by caregiver, Melissa Gile. Caregiver contacted the administrator Rita Morales. LPA explained to the administrator the purpose of the visit over the telephone. Rita met LPA shortly after. Rita could not stay for the visit and designated caregiver, Melissa Gile to sign todays report. At 9:50 a.m. LPA conducted a physical plant tour to ensure the health and safety of the residents in care. Allegation#1: Facility staff e not maintaining tight covered lids on bathroom trash bins. It is alleged, trash bin in the one (1) bathroom is without a tight fitting lid. To investigate the allegation, LPA Rios interviewed the administrator at approximately 9:55 a.m. According to the administrator the trash bin in the bathroom does have a swinging lid but residents tend to find it difficult to use and will dispose of items in the toilet which has caused the toilet to clog. (Continue to LIC9099-C) Substantiated At 10:03 a.m. LPA observed one (1) of two (2) bathrooms had a trash bin with no lid or cover. Based on interview conducted, and LPA's observation the allegation is deemed Substantiated at this time. Allegation#2: Facility staff do not keep medication in a safe and locked location. It is alleged, medication closet and medication requiring refrigeration were not secured. To investigate the allegation, LPA Rios conducted a physical plant tour and reviewed four (4) of five (5) resident physician's reports. Two (2) out of four (4) physician's reports revealed a diagnosis of dementia. During physical plant tour LPA observed medication closet locked. LPA did not observe medication in the refrigerator located in the kitchen. LPA went through the unlocked door to the laundry room to get to the garage in the garage, LPA observed medication in the extra refrigerator. A second door in the garage leading to the outside side of the facility was unlocked and slightly open making the garage and the medication in the garage refrigerator accessible from the laundry room and the outside. Based on interview conducted, record review and observation the allegation is deemed Substantiated at this time. Deficiencies cited (Refer to LIC 9099-D). Exit Interview conducted. Copy of Appeal Rights and Report provided.the state’s words, verbatim · CDSS document, Jul 9, 2024 · control 31-AS-20240705080208

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jul 10, 2024

(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 is not met as evidenced by: Based on record review and LPA observation, the licensee did not comply with the section cited above in not properly securing medication making accessible to residents in care which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2024

Plan of correction: Administrator locked door leading to garage and ordered small refrigerator that is able to lock. Administrator provided copy of receipt on todays visit. POC cleared today.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(f)(4) · Plan of correction due date: Jul 19, 2024

(f) Solid waste shall be stored and disposed of as follows: (4)Movable bins when used for storing... shall have tight-fitting covers on the containers; shall be in good repair; and shall be rodent-proof unless stored in a room or screened enclosure. This requirement is not met as evidenced by: Based LPA observation, the licensee did not comply with the section cited above in not have tight-fitting cover/lid on one(1) trash bin which posed an potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2024

Plan of correction: Administrator purchased a trash bin with sensors that will open lid automatically. Administrator provided copy of receipt on todays visit. Administrator will submit a picture of trash bins to LPA by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced Case Management - Deficiencies visit. LPA was greeted by staff Micaela Orozco. LPA requested staff contact administrator via telephone. The administrator Rita Morales informed LPA she would not be able to meet LPA at the facility. LPA explained the purpose of the visit. LPA reviewed the facility's Plan of Operation, facility's Plan of Operation did not have a plan that address the needs of residents with Dementia. Administrator designated staff Micaela Orozco to sign this report. This report is being generated to address the deficiency observed. During the annual inspection on 10/16/2023 LPA reviewed resident files. While reviewing residents physician's reports and hospice documents LPA observed that two (2) out of the six (6) residents have a diagnosis of dementia, however licensee does not have an approved Plan of Operation that address the needs of residents with dementia. While speaking with administrator on 11/27/2023 LPA was informed that the facility has admitted residents who have a dementia diagnoses in the past. A brief discussion was held with the administrator regarding the requirements of admitting and retaining residents who have a diagnosis of dementia. According to the administrator, Licensee has been in business for a long time and has not run into this situation and no issues were brought up to the Licensee during the application process for the license. According to administrator the licensee will work on the program and send it to LPA in the next 24 hours. Per California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited: (Refer to LIC 809-D) Exit Interview Conducted Copy of Appeal Rights and Report provided.the state’s words, verbatim · CDSS document, Nov 27, 2023

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(b) · Plan of correction due date: Dec 1, 2023

(b) In addition to the requirements as specified in Section 87208, Plan of Operation, the plan of operation shall address the needs of residents with dementia... This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above in not providing CCL with a Plan of Operation that address the care needs of residents with dementia while currently providing services to residents with dementia which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 27, 2023

Plan of correction: Licensee will create and submit a Dementia Care plan for approval to CCL by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by staff #1 (S1). S1 contacted the administrator Rita Morales. Rita met LPA shortly after. LPA explained to the administrator the purpose of the visit. LPA observed required postings in the entry area. Administrator had to leave to an appointment and designated staff Micaela Orozco to sign for the report. At 10:50 a.m. LPA conducted a physical plant tour to ensure the health and safety of the residents in care. The following was observed: Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked cabinet in the kitchen. Bedrooms: There are (4) bedrooms of which four (4) are designated for residents' use. Two of the bedrooms are shared. Rooms occupied by residents were properly furnished with appropriate bedding and linens and with sufficient lighting. A hallway closet by the bedroom was observed to store extra linens, resident, staff records and medication. Bathrooms: There are two (2) bathrooms. Two (2) are designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was taken from one (1) of two (2) bathrooms at 11:15 a.m. and read between 105 and 120 degrees Fahrenheit. Common Areas: These included the living area and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. (Continued on LIC809-C) The smoke alarms are hired wired and interconnected. A carbon monoxide detectors was observed in the hallway by the bedrooms. Administrator tested smoke and carbon detector at 11:09 a.m. and were observed to be functioning properly. The fire extinguisher is located in the kitchen and was observed fully charged. Surrounding Grounds: Entry/exits were free of obstruction. The outdoor area was free of hazards and has a covered patio with outdoor furniture. The laundry room leads to the garage and is kept locked and inaccessible to residents in care. Detergents and cleaning products are kept in the laundry room and garage locked. LPA observed a second refrigerator with food in the garage. Resident Files: LPA conducted a file review of resident records to insure compliance of licensing forms at at approximately 12:15 p.m. Records revealed a Medical Assessment was not on file before admitting resident #2 (R2). According to administrator they had requested it from the responsible person but had yet to receive it. Records for Resident #4 (R4) revealed they have dementia and did not have a medical assessment and a reappraisal done at least annually for 2021, 2022 and 2023. Staff Files: LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Staff records review of two (2) staff present at the facility revealed two (2) out of two (2) staff did not have current CPR and First Aid certification on file. Record review for two (2) out of two (2) staff revealed annual training was not on file. Medications: Medication and Medication Records were reviewed for proper documentation. LPA review of Centrally Stored Medication and Destruction Records (CSMDR) for six (6) of six (6) residents revealed revealed Resident #1's (R1's) medication label was altered by someone other then the dispensing pharmacist. According to administrator medication is provided by R1's responsible person and it was already altered when provided to the facility. At approximately 3:00 p.m. LPA interviews with residents and staff revealed facility does not have planned activities. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiency observed during the visit (refer to LIC809-D). Exit Interview Conducted. Appeal Rights provided. A copy of the report Issued.the state’s words, verbatim · CDSS document, Oct 16, 2023