Diamond Oak Guest Home

Type of visit: Required - 1 Year

On 8/19/2026, at 12:00 PM Licensing Program Analysts (LPA) Reza Jamaly arrived unannounced at the facility to conduct the required annual inspection. LPA met staff on duty and explained the purpose of the visit. Administrator Mohamed Massaquoi was notified and arrived shortly after. Facility is licensed to service 6 residents of which 5 maybe non-ambulatory. Rooms 1,2. 5, 6, 7 approved for non-ambulatory residents. Room 4 approved for ambulatory only. Firstly, LPA Jamaly inspected the physical plant including but not limited to the common area, kitchen, dining area, 6 resident's bedrooms, resident bathrooms, and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPAs inspected the kitchen and observed a sufficient supply of at least a seven-day supply of nonperishable food and a two-day supply of perishable food. Sharp knives were secured in a locked kitchen cabinet and inaccessible to residents. LPA checked two refrigerators and freezers; one located in kitchen and in one of the hallways. LPA inspected 6 residents’ bedrooms and observed bedrooms to be properly furnished with appropriate bedding and lighting. Resident's bathrooms were observed to be cleaned, grab bars and non-slip mats were observed to be secure and in good condition. The hot water temperature measured 114.4 at one of the resident bathroom sinks, which is within the required range of 105°F to 120°F. Facility temperature was checked at living room and observed to be 73 degree F. There are no bodies of water present. Video Surveillance cameras were installed at front entrance, living room and in the back hallway. LPA observed signed acknowledge forms for video surveillance cameras in resident’s file. Smoke detectors and carbon monoxide detectors were found at the facility. One fire extinguisher, located in the dining room and was last serviced on 01/22/2026. LPA Jamaly observed the facility to be free of odor, clean and in good repair. LPA observed that the facility maintained a public telephone in the living room and that all required licensing posters were properly displayed. Cleaning supplies and other toxic substances were observed in a cabinet in laundry room locked and inaccessible to residents. Medications were observed to be stored in a locked cabinet in the kitchen and inaccessible to residents. LPA reviewed Centrally Stored Medication and Destruction Record and observed to be complete. The first aid kit was inspected and contained all required supplies. LPA requested resident and staff records for review. LPA reviewed 3 out 6 resident's files. LPA reviewed R1’s LIC 602A and observed that TB test information to be blank. per administrator, R1 physician probably has forgotten to complete the required TB test information and signed it. Deficiency cited on LIC 809D. Two (2) staff files were reviewed and found to be complete. A review of personnel records confirmed that all staff members and other individuals required to undergo caregiver background checks had received criminal record clearances and were properly associated with the facility. The following documents were requested and will be emailed to the LPA by 8/26/2026 no later than 5 pm. 1. LIC 308 – Designation of Administrative Responsibility 2. Copy of the Administrator Certificate 3. LIC 610 – Emergency Disaster Plan 4. Proof of Current Liability Insurance 5. LIC 500 – Personnel Report 6. LIC 309 – Administrative Organization Based on today's inspection, the facility was found to be out of compliance with applicable Title 22 regulations. The deficiency is documented on the attached LIC 809-D Deficiency Report. An exit interview was conducted with Mohamed and copies of the LIC 809 Report, LIC 809-D Deficiency Report, and Appeal Rights were provided to the facility.the state’s words, verbatim · CDSS document, Aug 19, 2026

Allegation investigated: Facility staff hit resident with an object Facility staff restricted resident from having visitors

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to deliver findings on this complaint investigation. LPA Moleski spoke with facility administrator Mohamed Massaquoi over the phone and explained the purpose of the visit. LPA Moleski reviewed an incident report from this facility dated 12/24/23. According to this incident report, three individuals arrived at this facility unannounced on that date around 5:30 p.m. in an attempt to visit a resident (R1). The two staff members on duty (S1-S2) did not recognize the individuals, who described themselves as R1's family members, according to the report. The staff members explained that they needed to speak with R1 to ask if R1 knew the visitors, but one of the visitors jammed their foot in the door in an attempt to enter the facility, according to the report. Staff members called the facility administrator, Mohamed Massaquoi, who called R1's responsible party (R1's RP). R1's RP said that the visitors were family members of R1, but they had been "causing trouble," according to the incident report. [continued on 9099-C] Unsubstantiated R1's RP asked Massaquoi to prevent these individuals from visiting, but Massaquoi explained that he could not restrict R1's visitation unless R1 did not recognize the visitors, according to the report. Massaquoi went to the facility to address the situation, and when he arrived, one of the visitors informed him that they had called the police, per the report. A responding officer spoke with R1, and R1 permitted only two of the visitors to enter, but did not want to see the third, according to the report. The officer remained to monitor the visitation, according to the report. LPA Moleski reviewed a police report, dated 7/15/24, regarding this incident. According to the report, a prior call had been made on 12/24/23. LPA Moleski reviewed a call log regarding this incident. According to the call log, multiple visitors were allowed into the facility, but complained that they were "kicked out." The facility owner (presumably Mohammed Massaquoi) also called officers and said that R1 did not want to see the visitors. According to the call log, one of these visitors was making threats that they might "get physical." Officers advised the person not to make threats. The call was cleared by a "mediated visit," according to the call log. The follow up report dated 7/15/24 included a statement made by one of the visitors. In the statement, the visitor said that "the officers helped facilitate a visit" between R1 and the other visitors "but I was told [R1] did not want to see me." In interviews, Massaquoi and S2 said that R1's RP had requested to restrict R1's visitation, but they explained to R1's RP that the facility was required to permit visitation with whomever R1 wanted to see. Both Massaquoi and S2, who arrived at the facility on 12/24/23 after the staff members on duty (S1 & S4) called, said that R1's two family members were allowed to visit, but the third individual who R1 had requested not to see remained outside. In an interview, S1 largely corroborated the narrative of the incident report as described above. S1 said that on 12/24/23, R1 did not want to see some of the visitors, but others did come inside and visit R1. In an interview, an ombudsperson who responded to visitation concerns said that the resident themselves had chosen to restrict who visited them. [continued on 9099-C] The complainant alleged that R1 was struck by a staff member in January 2024, but did not share any specific information such as a date of occurrence or the names of any individuals involved. LPA Moleski requested police reports regarding this incident from the local police department, but the only report on file was made by a CDSS employee in December 2024, immediately after this complaint was filed with CDSS. LPA Moleski interviewed Massaquoi and three staff members (S1-S3) who were working at this facility around that time. None of these individuals reported any incidents of physical abuse as alleged by the complainant. R1's RP voiced no concerns regarding physical abuse at this facility in an interview. LPA Moleski interviewed all current residents of this facility (R4-R7). None of the residents reported any concerns with visitation and none reported any experiences of physical abuse in this facility. LPA Moleski interviewed R5's responsible party. R5's RP voiced no concerns regarding visitation or physical abuse. LPA Moleski interviewed responsible parties of two former residents (R2's RP & R3'S RP). Neither party expressed significant concerns regarding restricted visitation or physical abuse at this facility. The department has determined the following as it relates to the allegations that facility staff hit a resident with an object and that facility staff restricted a resident from having visitors: The above allegations are UNSUBSTANTIATED, which means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. No deficiencies were cited during this visit. An exit interview was held with Mohamed Massaquoi. Mohamed Massaquoi said staff member Niomi Massaquoi could sign this report in his absence. A copy of this report was left with staff member Niomi Massaquoi.the state’s words, verbatim · CDSS document, Sep 18, 2025 · control 27-AS-20241219105348

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sommer Hayes arrived unannounced to conduct a Required - 1 Year visit on 06/13/25 at 2:00pm. LPA met with Niomi Massaquoi and stated the purpose of today’s visit. The most current emergency drill was conducted on 06/01/25 at 7:30am. The facility is licensed for a capacity of 6 residents of which 5 may be non-ambulatory and 2 may receive hospice care services. There is 1 resident receiving hospice care services during this visit. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed 2-day perishables and 7-day non-perishables. The temperature inside the facility was observed to be 68 F which is within the required range of 68-85*F. The hot water temperature was measured at 119 F which is within the required range of 105-120 F. LPA observed a fire extinguisher, smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as a guide, sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, and antiseptic solution. LPA reviewed 3 resident records and 2 staff records. LPA observed the backyard of the facility. There was a shaded area for residents to enjoy. Fencing was in good repair. There were no bodies of water. Continued on 809-C The facility living room was clean and free of obstruction. Some residents were observed visiting with family and friends watching golf in the living room. The seating is efficient seating for the number of residents in this facility. Per California Code of Regulations, Title 22, no deficiencies were observed during today’s visit. Exit interview was conducted. A copy of this report was provided to DFA, Niomi Massaquoi.the state’s words, verbatim · CDSS document, Jun 13, 2025

Allegation investigated: Staff did not ensure that the resident was appropriately dressed. Staff did not ensure that the resident attended scheduled appointment on time. Staff did not ensure that the resident was picked up in a timely manner from scheduled appointment.

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced on 11/14/24 at 8:30am and met with Mohamed Massaquoi and stated the purpose of the visit. LPA conducted interviews of resident #1 (R1) and Home Health and Staff #1 (S1-S3) during this visit. LPA obtained a copy of text messages, discharge documents, and email and Home Health notes during this visit. Regarding allegation, "Staff did not ensure that the resident was appropriately dressed", LPA obtained information through interviews of R1, S1-S3, Home Health, and Administrator that R1 went to 2 doctor appointments with compression socks and no shoes. All concur that due to swelling, R1 refused to wear shoes in and about the home and again to both appointments. Home Health assisted with trimming the shoes to allow some foot coverage. R1 is pleased with the trimmed shoes, however, Home Health recommended shoes that can be adjusted. LPA observed that the shoes were ordered and are due to arrive today. Unsubstantiated Regarding allegation, "Staff did not ensure that the resident attended scheduled appointment on time", LPA obtained information that R1 is taken to appointments by a transportation company. Based on interviews R1 was always picked up at least 30 minutes prior to the scheduled appointment. The facility was unaware that R1 was late to the appointment. R1 has a Power of Attorney (POA) but during Dr Office visits R1 is responsible for self since admittance. The Physician Report dated 5/17/24 indicates R1 is able to leave the facility unassisted and there is no diagnosis of Mild Cognitive Impairment nor Dementia. Regarding allegation, "Staff did not ensure that the resident was picked up in a timely manner from scheduled appointment, LPA obtained information through interviews that the facility staff was unaware that R1 was picked up late from a doctor appointment by the transportation company. The Administrator indicated that contact with the POA regarding options to ensure R1 is not late for or picked up late from appointments. Based on a review of discharge documents, text messages, email and consistency of interviews, all three allegations are deemed Unsubstantiated. The investigation revealed the preponderance of evidence standards has not been met; therefore, the above allegation(s) is found to be UNSUBSTANTIATED. A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies cited. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 14, 2024 · control 27-AS-20241108145835

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a Required - 1 Year visit on 7/2/24 at 2:30pm. LPA met with Niomi Massaquoi, Mohamed Massaquoi, Angelene Harris and stated the purpose of todays visit. LPA observed the Administrator Certificate for Mohamed Massaquoi expired on 7/17/23. LPA observed Administrator submitted renewal documents to Community Care Licensing (CCL). The most current emergency drill was conducted on 4/20/24. The facility is licensed for a capacity of 6 residents of which 5 may be non-ambulatory and 2 may receive hospice care services. There is 0 residents receiving hospice care services during this visit. Non-ambulatory residents may reside in rooms 1,2,5,6,7 not in room 4. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed 2-day perishables and 7-day non-perishables. The temperature inside the facility was observed to be at 68*F which is within the required range of 68-85*F. The hot water temperature was measured at 116.6*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. Upon a file review the following items were discussed to be submitted with any changes annually: Licensing fees-Current Criminal Record Clearances LIS536-Current Administrative Organization LIC309-Current Designation of Administrative Responsibility LIC308-Submit Personnel Report LIC500-Submit Affidavit Regarding Client/Resident Cash Resources LIC400-NA Surety Bond LIC402-NA Emergency Disaster Plan LIC610E-Submit Facility Floor Plan/Plot Plan LIC999-Current Fire Clearance (consistent with terms and limitations of license)-NA Qualifications of Administrator/Facility Manager-Submit Articles of Incorporation/Organization, Constitution and bylaws-NA Partnership Agreement-NA Control of Property-Submit Plan of Operation (Restricted Health Care Plan)-NA Admission Policies and Procedures-NA Health Screening Report-Facility Personnel LIC503-NA Bacteriological Analysis of Private Water Supply-NA In-service Training Program-NA Medication Procedures-NA Transportation Procedures-NA Job Description/Personnel Policies-NA Exemptions/Waivers and Exceptions-Current First aid/CPR certificates-Current Liability Insurance-Submit Infection Control Plan-Submit Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 2, 2024