Early Horizons Home Care

Type of visit: Case Management - Deficiencies

On June 17, 2026, Licensing Program Analyst (LPA) Murial Han conducted an unannounced 10-day complaint visit and during the visit, LPA observed the following finding. LPA met with the administrator and explained the finding. During the visit, LPA observed a white plastic child proof door knob lock that was placed on the front door. According to the administrator and staff #1 (S1), this device is to prevent residents from leaving the facility unattended. LPA interviewed 3 residents (R1, R2 and R3) and all of the reported that they were not able to open the front door with the child proof door knob and they had to ask staff members to open the door. R1 stated that he/she open the door once and it was a hard struggle. Deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 17, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(6) · Plan of correction due date: Jun 18, 2026

87468.1 Personal Rights of Residents in All Facilities (6)To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day...This requirement is not as evidenced by LPA observed a child proof door knob door placed on the front door and 3 out of 3 residents reported that they were not able to open the door without staff's assistance which poses an immediate health and safety risks to residents in care.the state’s words, verbatim · CDSS document, Jun 17, 2026

Plan of correction: The administrator has removed the child proof door knob lock during the visit. The administrator will submit a plan of correction to CCL to ensure personal rights of residents are met and the plan of correction will indicate staff training. The administrator will provide a copy of the POC to CCL by 6/17/2026.

Allegation investigated: Staff threatened illegal eviction

On 12/5/2025, LPA Grace Donato conducted an unannounced complaint investigation visit to deliver findings. LPA met with Administrator, Irene Mehta and explained the purpose of this visit. Regarding the allegation that Staff threatened illegal eviction, RP stated that ADM called a case worker (CW1) to start an eviction process for R1. This has now been put on hold and the resident is attending the Adult Day program and there is no eviction in process. According to ADM, R1 was having behavioral issues and an email was sent to CW1 regarding these changes. ADM also mentioned that the behaviors were just grounds for eviction but never said that the resident will be evicted. ADM even suggested additional counselling from the social worker (SW) that works with R1. Based on records review, the department has determined that the allegation was false, could not have happened and/or is without a reasonable basis, therefore the allegation is UNFOUNDED. Nothe state’s words, verbatim · CDSS document, Dec 5, 2025 · control 14-AS-20250605212144

Type of visit: Case Management - Other

On 12/5/2025, LPA Grace Donato conducted a Case Management-Other visit to deliver amended findings to a complaint. LPA met with Administrator Irene Mehta and explained the purpose of the visit. LPA delivered amended findings for complaint number 14-AS-20250605212144. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Dec 5, 2025

Type of visit: Required - 1 Year

On 11/14/2025, LPA Yi Sam Jian made an unannounced annual visit to the facility. LPA met with staff, Nelsie Carlos, and staff, Josielyn Pataray. The licensee, Yolanda Rogayan, was contacted by phone to obtain permission for staff to sign the report. Administrator, Irene Mehta arrived later during the visit. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, bathroom, common areas, kitchen area & garage. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit. Facility has an updated log for emergency drill. Technical violations were cited for the lack of updated client appraisals and for the facility’s ongoing efforts to obtain additional drinking water for residents in the event of an emergency. No deficiencies are cited at this time. Report is reviewed with administrator and a copy is provided.the state’s words, verbatim · CDSS document, Nov 14, 2025

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff restricted residents for visitation Residents are not accorded dignity and respect Residents are not allowed to use the telephone Residents are not allowed medical services from outside vendors Staff isolated resident

*** This is an amended report *** On 9/10/2025, LPA Grace Donato conducted an unannounced complaint investigation visit to deliver findings. LPA met with Administrator, Irene Mehta and explained the purpose of this visit. Regarding the allegation of Staff restricted residents for visitation, reporting party (RP) stated that the new house rules seem to limit the time that residents can spend with their family members for special occasions like Easter, birthdays, and family reunions, requiring them to be back in the house by 8PM, limit visiting hours to 10 am to 7 pm. LPA interviewed staff members. S2 mentioned that residents can go with their families as long as they need. They just need to call the facility to let them know if they will come in late so they will be aware what time the residents will be back. ADM mentioned too that as long as they call beforehand that they’ll be coming in late then its ok. page 1 of 3 Unsubstantiated *** This is an amended report *** LPA also interviewed residents. R2 mentioned that he/she has visitors sometimes and they do go out. No one has stopped any visitors from visiting him/her. Regarding the allegation of Residents are not accorded dignity and respect, RP stated that one resident complained that there were scheduled diaper changes so if someone had a wet or soiled diaper, they might have to wait more than an hour and half to be changed. According to ADM, there is no schedule to follow for change in diapers. The residents are checked every 4 hours and as needed. There was an instance where R1 doesn't want to get changed and the staff kept asking. An ombudsman arrived and talked to the resident and staff was able to change the diaper. ADM added that there are 2 residents who wear pull ups but are still able to go to the bathroom on their own. S2 also mentioned that they monitor the residents with regards to their diapers but sometimes they are the ones who doesn't want to get changed when they are having behaviors. They just wear it just in case of accidents, but all residents are able to go to the bathroom by themselves. For the allegation of Residents are not allowed to use the telephone and Staff isolated resident, RP stated that a day program attempted to contact a resident with home activities. ADM refused to give them the phone number to the house and insisted that all communication happen through her on her cell phone. According to the Day program they called the ADM and left messages. LPA interviewed the ADM and it was stated that they can call anytime and that the phone number for the facility is posted in the transparency website. ADM did not isolate any resident. Residents are able to receive phone calls. S2 also added that no one has called the facility to talk to the residents during this time. And if so, they give the phone to the resident. Other case workers and social workers also call the facility phone number. page 2 of 3 *** This is an amended report *** Residents also mentioned that they are able to talk to their family members. LPA observed during one of the facility visits that the phone was handed to a resident when a family member called. Regarding the allegation of Residents are not allowed medical services from outside vendors, RP stated that ADM was banning a medical provider from seeing his/her client at Early Horizons. LPA interviewed a third party provider (W1) and was stated that About 6 months ago, ADM blocked medical provider from providing care to one of the clients; stating that they were rude and disrespectful and not allowed in her facility. During ADMs interview, she stated that there was no health care provider being banned from seeing their clients. One of the residents (R3) needs constant reminder with appointments as sometimes residents forget. The residents doctors, social workers and managers are still the same from when ADM took over. There was an incident that happened where one of the case workers that came was shouting at R3. ADM told the case worker to lower his/her voice since there are other residents in the facility. The case worker was told to not to be disrespectful otherwise leave the facility. S2 confirmed that the case worker was shouting at the resident. Another witness (W2) mentioned that the case worker was indeed shouting at the resident. Based on interviews, records review and observations, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited today. Report is reviewed and copy is provided. page 3 of 3the state’s words, verbatim · CDSS document, Sep 10, 2025 · control 14-AS-20250605212144

Type of visit: Required - 1 Year

On 12/02/2024 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Co-Administrator Irene Mehta. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. Facility has 2 storage sheds at the back which was checked by the LPA. LPA observed some residents resting in their bedrooms and living room. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. Resident bedrooms are observed to be in good repair. Bathroom is equipped with grab bars non-skid floors. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. Three resident records and two staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Facility has a certified administrator on site with complete certification and training requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided.the state’s words, verbatim · CDSS document, Dec 2, 2024

Type of visit: Required - 1 Year

On 12/19/23 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Licensee Yolanda Rogayan. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. LPA observed some residents resting in their bedrooms. While touring the facility it was observed that the room temperature was at 74 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Resident bedrooms are observed to be in good repair. Bathroom is equipped with grab bars non-skid floors. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. Four resident records and two staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Facility has a certified administrator on site with complete certification and training requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided.the state’s words, verbatim · CDSS document, Dec 19, 2023