Centinela Assisted Living Centre

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mario Leon conducted an unannounced required 1- year visit using the CARE Inspection Tool. California Department of Social Services (CDSS) met with Social Worker Elizabeth Hernandez and explained the purpose of today's Annual Inspection. CDSS verified the facility has an approved mitigation plan report and infection control plan. The facility currently has 46 residents in placement. The facility is licensed to serve elderly residents aged 60 and above. The fire clearance is for 60 ambulatory and 36 non-ambulatory residents. CDSS verified five staff fingerprints that were cleared and associated with the facility. The facility is a single-story business building located in a residential neighborhood. CDSS and Lead Maintenance Antonio Molina toured the facility's main office/receptionist areas, administrator office, medication room, nurse station, dining room, break room, kitchen, male and female's restrooms, public restrooms, activity room, laundry room located on the other side of the parking lot, patios, shaded area, and indoor/outdoor activity areas. During the visit bedrooms and bathrooms were observed. Documents have been diligently posted as mandated on the wall in the receptionist areas, nurse station, dining room, break room, and hallways. The following Title 22 regulated areas were audited and found to be in compliance: Bedrooms #52, #57/58/59, #37/38/39, #27 & #2 contain the required furniture, and bathrooms are clean and operational. Personal accommodations were observed for safety, privacy, and comfort, including the provision of non-skid surface mats. The kitchen was observed for its ability to prepare and serve food. The food service was reviewed for appropriate quantity and proper storage; there was an ample supply of perishable and nonperishable food. The resident’s medications were reviewed for proper storage, documentation, and PCC system implementation. Medications are securely locked in the medication room, records are current and up to date. Report continues, please see LIC809-C. Common areas observed for the ability to safely serve the needs of the residents, including cleanliness, and clear of any potential hazards to the residents. The first aid kit is fully stocked with manual, smoke, and carbon monoxide detectors were in compliance, the hot water temperature was measured within normal limits in the main building at , and in the bungalows as follows: #52 at 110.6°F (degrees Fahrenheit), #57/58/59 at 112.3°F, #37/38/39 at 116°F, #2 at 111.9°F and #27 at 113.2°F (all rooms are within the range of 105-120 degrees Fahrenheit). The fire extinguishers are fully charged, adequate linen supply, and the facility's telephones are tested and found to be in working order. All exit doors were found to be in compliance, the yard was free of debris hazards, and trash cans were covered. All five staff members have undergone training on reporting dependent adult and elder abuse and were presented with an alternate form of Physician's Health Assessment (LIC503). During today's inspection, there were no deficiencies observed. Therefore, there have been zero deficiencies cited during today's visit. An exit interview was held with Elizabeth Hernandez - Social Services Worker and a copy of this report has been provided.the state’s words, verbatim · CDSS document, May 21, 2026

Allegation investigated: Staff are trying to force residents to use the facility physician

On February 09, 2026, Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Raniyah Thomas and Joseph Daniel Tampoya, Medical Technician, and explained the purpose of the visit. LPA was granted entry to the facility. The Administrator Meshulem Weiss arrived later to assist with the visit. The investigation consisted of the following: On February 09,2026, LPA Bunker requested, reviewed, and obtained copies of the following documents: Personnel Report (dated 02/09/20256), Resident Roster (dated 02/09/2026) Admission Agreement (dated 05/09//2025), Identification and Emergency Information (dated 05/15/2025), Physician’s Report (dated 07/08/2025), Medical Assessment (dated 07/08/2025), Medication Administration Records (MARs) (02/09/2026 - present), Appraisal & Needs and Services Plan (dated 05/15/2025), Resident Appraisal Residential Care Facilities for the Elderly (05/15/2025), Functional Capability Assessment (dated 11/20/2025), Preplacement Appraisal Information (dated 05/15/2025), and House Rules (dated 05/09/2025), See continued LIC9099-C, page 2. Unsubstantiated Continued LIC9099-C page 2 Personal Rights (dated 05/15/2025), Consent Forms (dated 05/15/2025, Resident personal Property and Valuables (dated 05/15/2025). Interviews were conducted with Staff Members #1 through #4 (S1–S4) as well as with Residents #1 through #6 (R1–R6). Investigation revealed the following. Allegation: Staff are trying to force residents to use the facility physician. On 02/09/2026, between 10:00 a.m. and 4:30 p.m., LPA Bunker conducted interviews with staff members #1–#4 (S1–S4). 4 out of 4 staff members stated that the facility does not force residents to use the facility’s physician. 4 out of 4 staff stated residents are allowed to choose their own primary care physicians, and responsible parties are informed of this option. 4 out of 4 staff members stated that the facility provides an in-house physician for residents who prefer not to leave the facility for outside medical appointments. However, residents maintain the right to keep their personal physicians. 4 out of 4 staff members stated that a majority of residents choose the convenience of the in-house physician, who visits the facility three times per month. 4 out of 4 staff members confirmed that residents have never complained about their physicians providing care at the facility. They emphasized that staff do not pressure or coerce residents to use the facility’s physician. Each staff member denied the allegation. 4 out of 4 staff members confirmed that residents have never complained about their physician's choice or the care that is being provided at the facility. They emphasized that staff do not pressure or coerce residents to use the facility’s physician. Each staff member denied the allegation. Based on interviews and information gathered, there is no evidence to support the allegation that staff force residents to use the facility's physician. Residents retain the right to choose their own medical providers. See continued LIC9099-C – Page 2 Continued LIC9099-C page 3 On 02/09/2026, between 10:00 a.m. and 4:30 p.m., LPA Bunker interviewed residents #1–#6 (R1–R6). 6 out of 6 stated that facility staff does not force them to use the facility’s physician. 4 out of 6 residents stated they are allowed to choose their own primary care physicians. 2 out of 6 residents stated they are veterans and receive medical care both at the facility and through the VA Hospital. 3 out of 6 residents stated they chose to use the in-house physician, who visits the facility three times per month. 3 out of 6 residents stated their responsible parties were informed of this option and agreed with their decision. 3 out of 6 residents stated that they have no responsible parties or family contacts; they are independent and make their own healthcare decisions. 6 out of 6 residents denied the allegation. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 deemed unsubstantiated. There were no deficiencies cited. A copy of the Complaint Investigation Report LIC9099 and LIC9099-Cs was provided to Raniyah Thomas, Administrator. An exit interview was conductedthe state’s words, verbatim · CDSS document, Feb 9, 2026 · control 11-AS-20260202081551

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced required 1- year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. LPA Bunker met with Administrator Gwen Craig and Social Worker Elizabeth Hernandez and explained the purpose of today's Annual Inspection. LPA Bunker verified the facility has an approved mitigation plan report and infection control plan. The facility currently has 57 residents in placement. The facility is licensed to serve elderly residents aged 60 and above. The fire clearance is for 60 ambulatory and 36 non-ambulatory residents. LPA Bunker verified five staff fingerprints that were cleared and associated with the facility. The facility's annual fees are current. 12 Domains in the Infection Control Practices will be observed and reviewed. "I will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections." The above facility is a single-story business building located in a residential neighborhood. LPA Bunker and Administrator Gwen Craig toured the facility's main office/receptionist areas, administrator office, medication room, nurse station, dining room, break room, kitchen, male and female's restrooms, public restrooms, activity room, hair salon, bar shop, janitor closet, storage closet, storage units, laundry room located on the other side of the parking lot, patios, shaded area, and indoor/outdoor activity areas. During the visit bedrooms and bathrooms #2, #5, #8, #9, #15, #16, #20, #21, #38, #39, #43, #43, #44, #52, #54, and #55 were observed. See continued LIC809-C page 2. Continued LIC809-C page 2 Documents have been diligently posted as mandated on the wall in the receptionist areas, nurse station, dining room, break room, and hallways. The following Title 22 regulated areas were audited and found to be in compliance: Bedrooms contain the required furniture, and bathrooms are clean and operational. Personal accommodations were observed for safety, privacy, and comfort, including the provision of non-skid surface mats. The kitchen was observed for its ability to prepare and serve food. The food service was reviewed for appropriate quantity and proper storage; there was an ample supply of perishable and nonperishable food. The resident’s medications were reviewed for proper storage, documentation, and PCC system implementation. Medications are securely locked in the medication room, records are current and up to date. Common areas observed for the ability to safely serve the needs of the residents, including cleanliness, and clear of any potential hazards to the residents. The first aid kit is fully stocked with manual, smoke, and carbon monoxide detectors were in compliance, the hot water temperature was measured within normal limits in the main building at (105), and in the bungalows as follows: #1 at 108, #2 at 107, and #3 at 110 degrees Fahrenheit (within the range of 105-120 degrees Fahrenheit). The fire extinguishers are fully charged, adequate linen supply, and the facility's telephones are tested and found to be in working order, The resident's bedroom windows have no sliding window lock with thumbscrews, all exit doors were found to be in compliance, the yard was free of debris hazards, and trash cans were covered. Staff members have undergone training on reporting dependent adult and elder abuse. The facility conducted a fire drill on May 12, 2025 LPA Bunker provided Administrator Gwen Craig with a copy of the facility evaluation reports. There were no deficiencies cited. An exit interview was conducted.the state’s words, verbatim · CDSS document, May 30, 2025

Allegation investigated: Staff are financially abusing residents in care.

The department conducted an unannounced complaint visit on Monday, January 06, 2025, Upon arrival at the facility, The department conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. The department met with Administrator Gwen Craig and explained the purpose of today's visit. The investigation consisted of the following: Interviews were conducted with staff members S1-S2 and residents 1-6 (R1-R6). Residents' records were requested and reviewed. The department requested and reviewed the resident's records and asked for copies of the following documents: Personnel report, Resident Roster, Admission Agreement, Identification and Emergency Information, Physician's Report, Medical Assessment, Medication Administration Records (MARs), Medication Logs, Consent Forms, Functional Capability Assessment, Safeguards for Cash Resources, Preplacement Appraisal Information, Appraisal and Needs Service Plan, Individual Program Plan (IPP), and Citibank bank statements and deposits. See continued LIC9099-C page 2 Unsubstantiated Continue LIC9099-C page 2 Allegation: Staff are financially abusing residents in care. S1-S2 and R1-R6 stated that the staff is not financially abusing residents in care. R1-R6 stated they received all their funds and had no complaints about their money or being financially abused by staff. S1-S2 stated that the facility is the payee for 12 residents, and their Social Security checks are sent directly to the facility's business office, where the checks are deposited into the Citibank account. S1 stated she is only responsible for issuing Personal and Incidental (P&I) funds to the 12 residents, who sign off on the amount they receive. S1-S2 and R1-R6 denied the allegation. The investigation revealed the following: Interviews were conducted with staff members 1 and 2 (S1-S2) and residents 1 through 6 (R1-R6). All individuals interviewed stated that the allegation did not occur. S1-S2 and R1-R6 stated that staff safeguard residents’ cash resources and personal property. S1-S2 and R1-R6 stated that neither the administrator nor the facility social worker is stealing money from the residents. S1-S2 and R1-R6 also reported that staff are not removing funds from residents’ bank accounts or altering records to conceal any such actions. S1-S2 stated that residents’ funds are not being taken for personal use and later returned to the accounts. S1-S2 and R1-R6 stated that residents are not complaining about not receiving their monthly payments. According to S1, the facility is the payee for 12 residents, and their checks are deposited into Citibank by the business office, not by the administrator or the social worker. S1-S2 also stated that neither the administrator nor the social worker deposits residents’ checks. A review of the bank statements for the 12 residents for whom the facility serves as payees indicated that all Personal and Incidental P&I funds are being distributed as required. The residents’ bank records appeared accurate during the investigation. S1-S2 stated that the facility adheres to Title 22 Regulations. Based on the department Interviews with S1-S2 and R1-R6, as well as a review of relevant documents, the department did not have sufficient information or documents to substantiate the allegation. Both staff and residents denied the claim. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. 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 deemed unsubstantiated. There were no deficiencies cited. An exit interview conductedthe state’s words, verbatim · CDSS document, Jan 6, 2025 · control 11-AS-20240415104646

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced required 1- year visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. LPA was properly screened for COVID-19 symptoms and temperature was checked. LPA Bunker met with Administrator Gwen Craig and explained the purpose of today's Annual Inspection. LPA Bunker verified that the facility has an approved mitigation plan report and infection control plan. The facility's annual fees are current. 12 Domains in the Infection Control Practices will be observed and reviewed. "I will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections." The above facility is a single-story business building located in a residential neighborhood. LPA Bunker and Administrator Gwen Craig toured the facility's main office/receptionist area, administrator office, medication room, nurse station, dining room, break room, kitchen, male and female's restrooms, public restrooms, activity room, hair salon, janitor closet, storage closet, laundry room located on the other side of the parking lot, patios, shaded area, and indoor/outdoor activity areas. During the visit bedrooms and bathrooms #7, #9, #15, #16, #30, #31, #38, #39, #43, #44, #53, #54, and #59 were observed. See continued LIC809-C page Continued LIC809-C page 2 Documents have been diligently posted as mandated on the wall in the receptionist area, nurse station, dining room, break room, and hallway. The following Title 22 regulated areas were audited and found to be in compliance: Bedrooms contain the required furniture, and bathrooms are clean and operational. Personal accommodations were observed for safety, privacy, and comfort, including the provision of non-skid surface mats. The kitchen was observed for its ability to prepare and serve food. The food service was reviewed for appropriate quantity and proper storage; there was an ample supply of perishable and nonperishable food. The resident’s medications were reviewed for proper storage, documentation, and system implementation. Medications are securely locked in the medication room, records are current and up to date. Common areas observed for the ability to safely serve the needs of the residents, including cleanliness, and clear of any potential hazards to the residents. The first aid kit is fully stocked with manual, smoke, and carbon monoxide detectors were in compliance, the hot water temperature was measured within normal limits at 120 degrees Fahrenheit (within the range of 105-120 degrees Fahrenheit). The fire extinguishers are fully charged, adequate linen supply, and the facility's telephones are tested and found to be in working order, The resident's bedroom windows have no sliding window lock with thumbscrews, all exit doors were found to be in compliance, the yard was free of debris hazards, and trash cans were covered. Staff members have undergone training on reporting dependent adult and elder abuse. The facility conducted a fire drill on May 14, 2024. Due to time constraints and technical difficulties, LPA Bunker will return at a later date to conclude the visit. There were no deficiencies cited. Exit interview conducted.the state’s words, verbatim · CDSS document, May 16, 2024