Diana's Care Home

Allegation investigated: Illegal eviction

On 5/20/26 at around 8am Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an investigation and deliver findings on the above allegation. LPA explained the purpose of the visit to the administrator (ADM) Grace Reano- Aquino. Allegation: Illegal Eviction: Unsubstantiated During the investigation, the Licensing Program Analyst (LPA) conducted interviews with Resident 1 (R1) and staff members and reviewed relevant resident records and facility documentation regarding the allegation that the facility was conducting an illegal eviction, including but not limited to R1's physician report, needs and service plan, Kaiser notice of action letter, invoices, and communication between the facility and Kaiser. Report continued on LIC 9099c… Unsubstantiated Report continued… During an interview with LPA, R1 stated that Staff 1 (S1) personally provided R1 with a written eviction notice and explained the reason for the eviction. R1 reported that S1 informed R1 that there was an outstanding balance of approximately $30,000 owed to the facility after Kaiser reportedly discontinued payment for R1’s care following approximately four and a half years of residency at the facility. LPA confirmed that the Department received a copy of the eviction notice from the facility on 04/27/2026. LPA reviewed the notice and supporting documentation and determined that the facility had followed the required eviction procedures in accordance with applicable regulations. Additionally, R1 stated that facility staff continued to provide care and assistance during the eviction process and reported that staff were actively helping R1 secure alternative placement. Specifically, R1 stated, “Staff still assist me and are helping me find a place to stay.” During an interview with S2, LPA learned that the facility had been coordinating with a placement agency to assist R1 in locating and transitioning to another appropriate care facility. Documentation and staff interviews indicated that R1 was scheduled to relocate to another facility on 05/26/2026. The reporting party also alleged that R1 required assistance with the AWL Waiver. However, information obtained during the investigation revealed that coordination of those services was being managed through Kaiser’s Case Management (CM) services and was not related to the eviction process itself. Based on interviews conducted and records reviewed, there was insufficient evidence to support the allegation that the facility conducted an illegal eviction. Therefore, the allegation is Unsubstantiated. An exit interview is conducted a copy of this report is provided to ADM.the state’s words, verbatim · CDSS document, May 20, 2026 · control 15-AS-20260514144329

Allegation investigated: Facility is not maintained at a comfortable temperature Staff do not treat residents with dignity and respect Staff do not respond to residents needs in a timely manner Facility is not wheelchair accessible

On 4/29/26 at around 9 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit to the administrator (ADM), Grace Reano-Aquino. Allegation: Facility is not maintained at a comfortable temperature: Unsubstantiated During the course of the investigation, LPA reviewed residents’ files and interviewed 6 residents, ADM, and 5 staff. It was alleged that the facility is not maintained at a comfortable temperature. Based on interviews conducted with six (6) residents and five (5) staff members, as well as observations made during the visit, the facility maintained a comfortable temperature at 70 degrees Fahrenheit. Report Continued on LIC 9099c... Unsubstantiated Report continued... R1 stated that “the previous place that I’ve stayed at is always cold, not like here, very comfortable.” Residents provided mixed responses regarding the temperature within the facility. Several residents stated that the facility temperature was comfortable and that they could request adjustments if needed. Staff reported that the heating and cooling systems were functioning properly and stated that efforts are being made to maintain a comfortable indoor environment for residents. During the visit, LPA did not observe any conditions indicating that the facility temperature posed a health or safety concern. Allegation: Staff do not treat residents with dignity and respect: Unsubstantiated During the course of the investigation, LPA reviewed residents’ files and interviewed 6 residents, ADM, and 5 staff. It was alleged that the staff does not treat residents with dignity and respect. Based on interviews conducted with six (6) residents and five (5) staff members, as well as observations made during the investigation. Residents provided mixed responses regarding staff interactions; however, the majority stated that staff are respectful, assist with their needs, and communicate appropriately. R1 stated, “I was talking about the old place that I’ve stayed at, which did not respect me, and yelled at me”. Staff interviewed stated that residents are treated with dignity and respect, and that they are expected to maintain professional, respectful interactions with all residents. During the visit, LPA observed staff interacting appropriately with residents in a calm and respectful manner. Report Continue on LIC 9099c1... Report Continued LIC9099c1.. Allegation: Staff do not respond to residents' needs in a timely manner: Unsubstantiated During the course of the investigation, LPA reviewed residents’ files and interviewed 6 residents, ADM, and 5 staff. It was alleged that Staff do not respond to residents' needs in a timely manner. Based on interviews conducted with six (6) residents and five (5) staff members, as well as observations made during the investigation. R1 stated, “At the old facility, staff don’t come and help me. Staff here come when I ask them for help”. Residents provided mixed responses regarding staff response times; however, several residents stated that staff generally respond when assistance is requested and that their needs are addressed appropriately. Staff interviewed reported that they make efforts to respond to residents’ requests as promptly as possible and provide assistance based on residents’ care needs. During the visit, LPA observed staff responding to resident requests and providing assistance throughout the facility. Report continued on LIC 9099c2... Report continued LIC9099c2... Allegation: Facility is not wheelchair accessible: Unsubstantiated During the course of the investigation, LPA reviewed residents’ files and interviewed 6 residents, ADM, and 5 staff. It was alleged that the facility is not wheelchair accessible. Based on interviews conducted with six (6) residents and five (5) staff members, as well as observations made during the investigation. Residents interviewed provided mixed responses regarding accessibility within the facility; however, several stated they can move throughout the facility and access common areas without issue. R1 stated, “At the old facility, I could not go anywhere around because the place didn’t have a ramp for me to access. This facility, I use my wheelchair with no issue”. Staff reported that the facility is maintained to accommodate residents’ mobility needs and stated that accommodation is provided as needed. During the visit, LPA observed accessible pathways throughout the facility, including common areas and resident living spaces. No observations indicated that the facility was inaccessible to wheelchair users or that residents were prevented from accessing areas of the facility due to mobility barriers. Although the allegation may have occurred or be valid, there is not a preponderance of evidence to prove whether the alleged violation did or did not occur; the above allegations are unsubstantiated. An exit interview is conducted, and this report is provided.the state’s words, verbatim · CDSS document, Apr 29, 2026 · control 15-AS-20260325154357

Type of visit: Case Management - Deficiencies

On 4/2/26 LPA K. Nguyen conducted case management as a result of an observation during a complaint visit (15-AS-20260325154357) during the facility tour. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING THE VISIT: At 11:44 AM, LPA observed an exit door in the facility having a sliding Bolt lock on the exit door. LPA was not able to open the exit door. Staff stated that they lock it for resident safety. A civil penalty of $500 is assessed. At 12 PM, LPA observed that the door leading out to the patio is not working properly. The Facility was cited from the California Code of Regulations, Title 22, and/or Health and Safety Code. Failure to correct deficiencies by the POC date may result in additional Civil Penalties. An exit interview was conducted with the Administrator. Appeal Rights and a copy of this report are provided.the state’s words, verbatim · CDSS document, Apr 2, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Apr 2, 2026

87202(a) (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having a sliding Bolt lock locking on the exit door, which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 2, 2026

Plan of correction: The licensee agrees to immediately remove the sliding bolt lock from the identified area to ensure compliance with applicable regulations. The licensee will conduct a full inspection of the facility to ensure no other prohibited locking devices are present. In addition, the licensee will review applicable regulations regarding permitted locking mechanisms and provide a written self-certification to Community Care Licensing Division (CCLD) confirming compliance by the POC due date on 4/9/26. A civil penalty of $500 is assessed on today date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87303(a) · Plan of correction due date: Apr 16, 2026

87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having the door leading to the patio is not functioning properly, which poses an health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 2, 2026

Plan of correction: The licensee agrees to repair or replace the door leading to the patio to ensure it is functioning properly and safely. The licensee will submit proof of repair (e.g., receipt or photo documentation) to Community Care Licensing Division (CCLD) by the POC due date. Additionally, the licensee will conduct a review of all exits to ensure they are in proper working condition and maintain ongoing compliance.

Type of visit: Required - 1 Year

On 2/5/2026 at 8:30 AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Grace Reano- Aquino and explained the purpose of the visit. The administrator certificate number: 7000015740. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 19 bedrooms in total bedrooms which 18 bedrooms are occupied by the residents, and 0 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for residents is maintained at 75-degree Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. Hot water temperature in the shared resident’s bathroom was measured at 110.7-degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. There is a minimum of one week supply of nonperishables and 2-day perishables food supply. Report Continued on LIC 809c... Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 03/18/2025. Emergency Disaster Drill was last posted on 2/3/25. First aid kit was observed to be complete. Fire drill was last conducted on 2/3/26. Liability Insurance effective on 11/28/25 to 11/28/26. At 9:30am, 6 resident records were reviewed. At 11am, 5 staff records were reviewed and 5 of 5 have current first aid training and are associated with the facility. A sample of 4 client’s medications were reviewed. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 2/13/2026: LIC 500 Personnel Report LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC 610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 5, 2026

Type of visit: Case Management - Incident

On this day, September 18, 2025, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management due to an SOC 341 between resident on resident on 9/17/2025. LPA met with Grace Aquino, administrator (ADM), and informed the reason for visit. LPA interviewed Administrator regarding the incident. Administrator called and made police report regarding the unwitnessed physical altercation between R1 and R2. R1 stated R2 was hitting R1 with R1 mug yelling that R1 is a “Chinese Grandma Prostitute in Chinese and started hitting R1.” ADM called the police R2 got sent to John George. R1 came back from the hospital and is recovering. R2 is back from John George and are scheduled to see the psychiatric on 9/19/25. Request: Police report or an incident case number from police Check in log for R1 No deficiency observed on this day. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Sep 18, 2025

Type of visit: Required - 1 Year

On 2/12/2025 at 10:00am, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced 1-Year Required inspection. LPA met with Grace Reano-Aquino, Administrator. The Administrator currently holds a certificate (#6000611740) that expires on 07/07/2025. The facility’s fire clearance was approved for thirty-five (35) residents. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, back and side yard. The facility consists of nineteen (19) total bedrooms, and six (6) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 105.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 3/29/2024. Emergency Disaster Plan was posted and updated on 2/3/2025. Liability Insurance effective date from 11/28/24 to 11/28/2025. First aid kit was observed to be complete. LPA reviewed four (4) staff files and seven (7) resident file which were all found to be complete. Continued on LIC809C... LPA observed the following deficiency: · At 12:30pm, LPA observed dish wash detergent, Lysol, Clorox wipes unlocked underneath kitchen sink, and inside unlock storage outside in the backyard area. (Deficiency Clear during visit) The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiency within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Feb 12, 2025

Type of visit: Case Management - Incident

On this day, September 5, 2024, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management due to an SOC 341 between resident on resident. LPA met with Grace Aquino, administrator, and informed the reason for visit. LPA interviewed Administrator regarding the incident. Administrator called and made police report regarding the unwitnessed physical alteration between R1 and R2. R2 was the one that provoke R1, so R1 cannot control R1 anger, but after R1 apology to R2 and everyone that R1 cannot control anger issue. R2 is still in the hospital, due to R2 needs higher level of care. Administrator and R2 family were discussing the higher of care for R2 prior to this incident, because R2 tend to have aggressive combative behavior, and server dementia. R1 is back from John George and continue to take medication daily. Requesting: Police report or an incident case number from police No deficiency observed on this day. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Sep 5, 2024