Diamond Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA was greeted, granted entry by staff and explained the reason for the visit. Structure: The facility is a single level structure and licensed for six non-ambulatory residents. The facility currently has six residents and five residents were present during the visit, one resident has been hospitalized for weeks. There’s a total of five bedrooms (4 resident & 1 staff), and two restrooms available. There’s a living room space, a dining space, laundry area, backyard area and an 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. Hot water measured at 105 degrees F. Kitchen: Stove was observed to be operational. Sharps are stored below the sink in a cabinet with a lock on it. Food Service: A food supply that meets regulation requirements was observed. Client & Staff Files: Resident and staff files are stored in the dining room and are not secured. Licensee/Administrator Corazon was advised all files need to be securely stored. File Review: Four resident files and one staff file were reviewed during the inspection. Medications/First-Aid Kit: Resident medications are stored in a locked medication cart across from the dining table. A first aid kit with all the required elements was observed in the living room. Medication Review: Medications for five residents were observed. There was no medication list or medication administration record for LPA to reference when checking medication. Continued on LIC809C Linens & Hygiene Supplies: Additional linens and hygiene supplies were observed in the hallway closets. Garage Area: The garage is used to store miscellaneous facility items. An additional food supply was observed. Incontinent care supplies, tools, and cleaning supplies were observed. A laundry area with a washer and dryer was observed. Backyard/Exterior: The backyard has a shaded patio area with a table and chairs. The pool and spa are covered with dirt as there are plans to construct an ADU. Bodies of Water: None. Smoke/Carbon Monoxide Detectors: Smoke and carbon monoxide detectors tested operational. Fire Extinguisher: A fire extinguisher was observed mounted on the hallway wall in the living room and in the kitchen. An emergency evacuation drill: Was conducted January 31, 2026. Evacuation drills are conducted every six months according to the licensee. Emergency Phone Numbers, House Rules, Exit Plan & Menu: Facility postings are posted on the wall in the living room. Licensee was advised there are additional posting that should be posted: personal rights, house rules, resident roster, and a staff roster. Additional Comments: Licensing fees are current. Contact information was reviewed and confirmed during the visit. Deficiencies are being cited as a result of today’s inspection. An exit interview conducted, and a copy of the report was provided.the state’s words, verbatim · CDSS document, Jul 14, 2026

The state marks this report as 17 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Allegation investigated: Resident sustained unexplained injury while in care.

On January 28, 2026, Licensing Program Analyst (LPA) Jessica Cho made an unannounced subsequent visit for the purpose of continuing the investigation into the above allegation. LPA met with Administrator Corazon Lopez and explained the reason for the visit. The investigation is as follows: On September 2, 2021, the Department received the complaint. The complaint investigation was initiated by LPA Lydia Martinez via a tele-visit call on September 13, 2021 at 8:10am. A subsequent visit was conducted by LPA Sean Haddad on October 18, 2022 and five resident and three staff interviews were obtained. On today's date, LPA Cho conducted two staff interviews. Regarding the allegation, Resident sustained unexplained injury while in care, it is alleged that Staff #1 (S1) hit Resident #1 (R1) causing bruising to the right side of R1's face. Interviews revealed that three out of five residents reported that they were not hit by S1 and did not receive care from the administrator's family member. Interviews with the two remaining residents were not obtained due to their medical condition and resident sleeping at the time of interview. Unsubstantiated Two out of three staff denied the allegation reporting R1 had fallen from the bed in August 2021. After hearing the fall via the bed alarm, R1 was immediately assisted and assessed, however no visible injuries were observed. R1 also did not complain of pain at the time per Admin. A bruise was observed the following day with no other complaints of pain by R1. First aid was administered and R1's representative was contacted was notified of the bruise which R1's representative had refused medical treatment. Admin stated that R1 was moved out the same day. Based on the investigation, LPA is unable to determine if S1 had hit R1. Additionally, facility had responded to the injury and notified R1's representative timely, and there were no other concerns. Therefore, based on the interviews which were conducted, 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 following allegation: Resident sustained unexplained injury while in care is deemed UNSUBSTANTIATED. An exit interview was conducted with Corazon Lopez, and a copy of this report including the LIC811 were provided at exit.the state’s words, verbatim · CDSS document, Jan 28, 2026 · control 22-AS-20210902153234

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jessica Cho made an unannounced Case Management visit for the purpose of issuing a deficiency. LPA met with Administrator Corazon Lopez and explained the reason for the visit. It was discovered during the investigation of Complaint Control No: 22-AS-20210902153234, that Staff #1 (S1) was not associated to the facility. Per review of the Department's Guardian Background Check System, Staff #1 (S1) was not associated to the facility during their employment per review of the active and separated rosters. A deficiency is being issued and an Immediate Civil Penalty (ICP) is being assessed. An exit interview was conducted with Administrator Corazon Lopez, and copy of this report including the Confidential Names (LIC811), LIC421BG, and the appeal rights were provided via email at exit.the state’s words, verbatim · CDSS document, Jan 28, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Jan 29, 2026

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review… shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by: Based on the review of the Department's Guardian rosters, S1 was not associated to the facility during their employment which poses an immediate Health, Safety, and/or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 28, 2026

Plan of correction: Admin confirmed that S1 resigned approximately 2022. Admin will review the regulation and submit a written Acknowlegement of Understanding of the said deficiency to LPA via by POC due date.

Allegation investigated: Staff did not ensure resident's toileting needs were met Staff did not keep the facility free from ants

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation into the above identified complaint allegations. LPA arrived at the facility and was greeted at the door and granted entry. LPA spoke with Corazon Lopez, Administrator, and explained the purpose of the visit. Findings are based upon this investigation which included a tour of the facility, resident file review, facility file and interviews conducted. It is alleged that staff did not ensure resident’s toileting needs were met and staff did not keep the facility free from ants. Interview with 5 of 5 residents stated that they get their needs met by staff, staff help Continued on LIC9099-C Unsubstantiated them when they need help, and they check on them all the time. They have not observed any ants or insects in or around the facility. They have no issues to report. Interview with 2 of 2 staff stated that they check on residents often and change the residents as much as necessary. Staff stated they have not seen any ants in bedrooms or insects around the facility. LPA Shobhana Frank conducted a facility visit on July 29, 2022, and observed the facility to be clean and sanitary, did not observe any ants in the facility or insects. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Oct 14, 2025 · control 22-AS-20220721114113

Allegation investigated: Staff exposed resident to hazardous materials

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit to the facility to conclude investigation into the above identified complaint allegation. LPA arrived at the facility and was greeted at the door and granted entry. LPA spoke with Corazon Lopez, Administrator, and explained the purpose of the visit. Findings are based upon this investigation which included a tour of the facility,resident file review, facility file and interviews conducted. It is alleged that staff exposed resident to hazardous materials. Interview with 5 of 5 residents stated that they have not seen any toxins, cleaning supplies of chemicals out in the open. Residents stated they don’t know where they are stored either but just know they haven’t seen them just laying around. Resident stated they haven't seen staff spraying in or around residents with toxins. Interview with 2 of 2 staff stated that Continued on LIC9099-C Unsubstantiated chemicals are kept underneath kitchen sink locked and stored in the garage. Stated residents do not have access to them and are used for cleaning only. LPA Shobhana Frank conducted a visit on July 29, 2022, and toured the facility. LPA stated they observed toxins were locked underneath kitchen sink and in the garage. Based on the information mentioned above, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at facility.the state’s words, verbatim · CDSS document, Oct 14, 2025 · control 22-AS-20220725093538

Type of visit: POC

Licensing Program Analyst (LPA) Michael Tea made an unannounced visit for the purpose of conducting a Plan of Corrections Inspection for deficiencies issued on 07/08/2025 during the required annual inspection conducted by LPA Tea. LPA was greeted and granted entry by Administrator Corazon Lopez. LPA discussed the purpose of the inspection with the administrator. LPA Tea toured the facility to check the deficiencies that have been corrected with the administrator. The broken ceiling light in the bathroom was fixed. LPA checked the resident and staff files were complete and organized. LPA verified the last quarterly emergency disaster was conducted on July 21, 2025. Based on LPA Tea's observation on today's visit, the Plan of Corrections has been fulfilled by the assigned POC due date of 07/29/2025, thus clearing the Type B deficiencies CCR 87412(a), 87506(a), 87303(a) and HSC 1569.695(c). An exit interview was conducted with Administrator Corazon Lopez and a copy of this report was provided to the facilitythe state’s words, verbatim · CDSS document, Jul 29, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Administrator (AD) Corazon Lopez and explained the reason for the visit. The facility is licensed for a capacity of six, approved for six non-ambulatory, with a hospice waiver for two. Currently there are five residents, and there are two on hospice during today's visit. LPA Tea reviewed five resident files. Resident files contained most of the required documents but was not organized and difficult to decipher for the required documents. The staff records were not available. AD Lopez is working on organizing and compiling the staff records together. LPA did observe that staff training is current. The administrator certificate expires on February 28, 2027. LPA Tea along with administrator toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The home is a one-story facility that consists of four resident bedrooms, one staff private room, 2 full bathrooms, living room, kitchen, dining area, and attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured around 105.8 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements Annual Inspection continued LIC809C including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps secured underneath the kitchen sink. LPA also observed toxin substances to be secured and locked and inaccessible to residents underneath the kitchen sink and garage. The fire extinguishers throughout the facility are fully charged. Administrator said she conducts disaster drills but does not keep a record. Kitchen appliances are operational during today's visit. LPA observed emergency food and water supply in the kitchen and garage. There was not enough water for residents in case of emergency. LPA toured the outside grounds. There is a shaded patio area for residents to sit outside. There is a pool in the backyard that is secured and locked. The gates on both sides of the house are self-latching and operational. Facility provides activities based on resident’s personal preference and health condition and limitations, like walking or drawing. Sometimes the residents solve puzzles. At the time of the visit, LPA observed residents watching TV. LPA reviewed medication storage and administration. Medications are stored in a locked cart in the dining area. Medications are being administered per physician orders. LPA interviewed clients regarding their quality of care and spoke to the staff present regarding the care provided. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with Administrator Corazon Lopez and a copy of this report LIC809, 809-C, LIC809-D, LIC858, and LIC9102TV were read and provided to the facilitythe state’s words, verbatim · CDSS document, Jul 8, 2025

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit on this day for the purpose of conducting an Annual Required inspection. LPA met with Licensee/Administrator (AD) Corazon Lopez. The facility is a single story home with an attached garage, four resident bedrooms, one resident bathroom, one staff bedroom, kitchen, dining room and living room. The facility has a pool which is secured by an iron fence. Of the five resident's in care AD Lopez reports there is one resident receiving hospice services. LPA Martinez, along with Staff conducted a tour of the inside and outside of the facility, and observed the following: LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. Lighting is sufficient for safety and comfort. LPA observed a table and chairs in back porch area for residents and visitors. Bedrooms were observed to be spacious and easily accommodate furnishings such as lamps, chair, dresser and a bed. Bathroom was observed to be clean, have a supply of soap and paper towels. Hot water temperature was within regulatory requirements. Linen and hygiene supplies were stocked. Emergency Phone Numbers and Exit Plan were reviewed. Food prep area is clean and organized. Food supply meets the requirement of one (1) week supply of non-perishable and two (2) day supply of perishables. Smoke detectors and carbon monoxide detectors were found to be operational. Fire Extinguishers were charged and mounted. Stove burners, dishwasher, microwave, washer, and dryer are operational. Chemicals and sharps are made inaccessible to the residents. Laundry is done in the garage. Medications are centrally stored in a locked medication cart. Medications reviewed appear to have been dispensed accurately. LPA Martinez interviewed 4 of 5 residents and reviewed five resident files. LPA observed the following but not limited to: admission agreements, physician reports, consent forms and personal rights. LPA review staff files and observed the following but not limited to: criminal record clearance, criminal record statement, First Aid, and TB test. LPA confirmed Administrator has a current Administrator's certificate which expires 2/28/2025. Based on the observations made during today's visit, no deficiency is being cite. An exit interview was conducted with Administrator and a copy of this report was provided at the end of the visit via email.the state’s words, verbatim · CDSS document, Jul 24, 2024

Allegation investigated: Staff physically abused residents resulting in bruises. The facility is not clean and well maintained resulting in insects in the facility.

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of delivering findings into the allegations listed above. LPA was greeted and granted entry by staff after stating the purpose of the visit. Administrator Corazon Lopez was present at the facility and assisted with the visit. An initial complaint investigation visit was held on January 4 after a complaint was filed on January 3, 2024. The complaint was investigated by the Department and consisted of two tours of the physical plant conducted with the facility’s administrator, a review of staff, resident and hospice records, a Health and Safety check conducted with no immediate health and safety issues observed with the residents, as well as additional interview with facility residents, witnesses, and facility staff. CONTINUED ON FORM LIC9099-C Unsubstantiated CONTINUED FROM FORM LIC9099 Resident R1 is an 88-year-old resident who was admitted at the facility on April 27, 2023, and discharged from it by their responsible party on December 18, 2023. R1 was then admitted to another undisclosed licensed facility. R1’s medical assessment indicates a primary diagnosis of Chronic Obstructive Pulmonary Disease and an indication of Mild Cognitive Impairment. R1 is described as displaying a high level of confusion and agitation during their admission at the facility. R1 was admitted to the facility with an admission onto hospice care present at the time and was discharged from hospice on or around December 8, 2023. Regarding the allegation that Staff physically abused resident resulting in bruises, the following has been concluded: Interviews conducted with facility staff and multiple witnesses were unable to corroborate the statements reported by R1 to their family members that a staff member was responsible for acts of physical abuse on R1’s person, resulting in bruises. A fall incident was however evidenced by facility staff, witnesses, and hospice staff to have occurred during R1’s admission however it cannot be considered to have been abuse or neglect/lack of supervision from facility staff as the toileting care was stated to have been provided by hospice staff, as verified in the hospice visit notes provided during a follow-up visit. Regarding the allegation that Facility is not clean and well maintained resulting in insects in the facility, the following has been concluded: Two distinct tours of the facility’s physical plant were conducted during unannounced visits on January 4 and March 21, 2024. Observation found the facility to be clean overall. No evidence of an insect infestation was found during either of the facility visits. Interviews conducted pointed to a previous instance of insects present at the facility which is being investigated as complaint reference #22-AS-20220721114113. The incident in question is stated to have occurred in 2022. None of the evidence gathered corroborates that the infestation alleged is still ongoing. The two allegations listed above are therefore found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted, and a copy of this report was provided to a facility representative. CONTINUED FROM FORM LIC9099-A Resident R1 is an 88-year-old resident who was admitted at the facility on April 27, 2023, and discharged from it by their responsible party on December 18, 2023, with a primary diagnosis of Chronic Obstructive Pulmonary Disease and an indication of Mild Cognitive Impairment. R1 is described as displaying a high level of confusion and agitation during their admission at the facility. R1 was admitted to the facility with an admission onto hospice care present at the time and was discharged from hospice on or around December 8, 2023. Regarding the allegation that Facility staff are not qualified to care for residents, the following has been concluded: Based on interviews conducted, facility observation and records reviewed, care and supervision at the facility is provided by the licensee and staff member S1, with very occasional relief shifts by a third staff member who has however not been scheduled to work in a long time prior to the first visit being conducted. This is corroborated by observations made during two separate unannounced facility visits. Interviews conducted also failed to corroborate that a minor residing on the premises was taking any active part in providing care and supervision to the residents in care. Additionally, LPA reviewed training records for S1 and verified that the administrator certification held by the licensee was valid and up to date. The two individuals involved in providing care and supervision at the facility were therefore confirmed to have met the training requirements to work as administrator and/or caregiver at the facility. The allegation is therefore found to be Unfounded, meaning that the allegation is false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint. No deficiencies cited. An exit interview was conducted, and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Mar 25, 2024 · control 22-AS-20240103133808

Type of visit: Case Management - Deficiencies

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch conducted a case management visit for the purpose of citing a deficiency observed during the investigation of complaint reference # 22-AS-20240103133808. LPA was greeted and granted entry by facility staff after introducing himself and explaining the purpose of the visit. During the investigation, multiple interviews confirmed that on an unspecified date, resident R1 had sustained a fall while being placed in a shower chair, either during or directly after toileting care was provided. The fall resulted in bruising which may have been amplified or increased by the fact that R1 was administered blood thinners prescribed by their physician. The fall incident was not reported to the Department at the time as required. One Type B citation is issued on the attached form LIC809-D. An exit interview was conducted and a copy of this report along with appeal rights were provided to a facility representative.the state’s words, verbatim · CDSS document, Mar 25, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80061(b)(1)(D) · Plan of correction due date: Apr 25, 2024

The California Code of Regulations Section 80061(b)(1)(D) on Reporting Requirements states: “Upon the occurrence, during the operation of the facility, of any of the events specified in (1) below, (…) a written report (…) shall be submitted to the licensing agency within seven days(...). (D) Any injury to any client which requires medical treatment.” This requirement was not met as evidenced by: Based on a review of records, no report was submitted on the fall R1 sustained. This constitutes a potential risk to the health, safety and personal rights of residents in care.the state’s words, verbatim · CDSS document, Mar 25, 2024

Plan of correction: Licensee to review applicable regulations for reporting requirements and provide additional training to staff accordingly. The proof of staff training will be submitted to LPA by the plan of corrections' due date.