Ebadat Residential Care Home #4

Type of visit: Required - 1 Year

On 3/16/2025, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Staff Radito Murillo and Administrator Aileen Calicdan followed after. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area and backyard. LPA observed a resident leaving for day program. 2 residents are in the facility. 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 112 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked. Food supply was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide/ smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill is done every quarter. Five resident records and three staff records were reviewed. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated. Administrator will send the Liability Insurance, LIC610D, LIC308 and LIC500 to LPA. No deficiencies cited today. Report is reviewed and copy is provided.the state’s words, verbatim · CDSS document, Mar 16, 2026

Allegation investigated: Facility staff did not treat resident with dignity and respect by speaking inappropriately to a resident.

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced complaint investigation visit. LPA Rai met with Administrator, Aileen Calicdan and stated the purpose of today's visit. During visit, LPA Rai interviewed Administrator, Aileen Calicdan. LPA Rai obtained copies of the following documents of staff and resident roster. It was determined the resident pertaining to the allegation does not resident at the facility. It was determinded the staff pertaining to the allegation does not work at the facility. It was determined the incident on 12/23/2025 did not occur at this facility. The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the Department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. Nothe state’s words, verbatim · CDSS document, Dec 29, 2025 · control 26-AS-20251224125627

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Santino Fortes conducted an unannounced annual inspection, and met with Administrator (ADM) Aileen Calicdan. ADM stated facility has 3 staff and 4 clients. LPA toured the facility inside and out. There were 4 resident rooms (2 shared/ 2 single), NO staff rooms, living room, and Kitchen. LPA observed resident rooms each equipped with a chair, night stand, sufficient lighting and chest of drawers. Room temperature was 68* F. Hot water temperature was measured from resident bathroom at 110.8* F and kitchen 118.7* F. LPA observed the first aid kit to be complete. The facility was equipped with smoke and carbon monoxide detectors, that functioned properly when tested. Fire extinguishers were serviced on 4/15/24. The facility conducted a fire drill on 12/23/24. Restrooms observed to have non-skid flooring. LPAs observed perishable food supply of at least two days and non-perishable food supply of at least seven days. Refrigerator temperature was observed at 32 * F and Freezer temperature was 0*. LPA observed medication storage, and cleaning product storage locked and inaccessible to clients in care. The knives storage was unlocked but staff was next to the cabinet preparing lunch for clients. The front and back yards of the facility were inspected. Outdoor exits and walkways were unobstructed. Facility has no exterior storage sheds. The storage areas in the garage were observed to store diapers and other supplies. LPA observed Facility License and Resident Personal rights were posted. LPA reviewed facility records for 3 staff, 4 clients and observed to be complete. LPA reviewed 4 client’s medications, centrally stored medication records and observed to be complete. No deficiencies were cited during today's visit as per California Code of Regulations Title 22. Exit interview was conducted with ADM. This report was reviewed and a copy was provided to ADM for signature.the state’s words, verbatim · CDSS document, Mar 19, 2025

Allegation investigated: Resident developed dehydration while in care. Resident developed pressure injuries while in care.

On 8/28/24, LPA Grace Donato conducted an unannounced a complaint investigation visit and met with Care Staff Rad Murillo. LPA explained the purpose of the visit. Regarding the allegation of resident (R1) developed dehydration while in care & developed pressure injuries while in care. Reporting party states that Client was dehydrated and had pressure wounds on the elbows, heels, and coccyx. RP did not know the stage level of the wounds and it was not indicated in the client's medical chart. LPA was able to interview two staff members. S1 mentioned that R1 is with the facility for 21 years and can take a few steps from living room to dining room. Staff observed R1s right leg swollen and there was no fall or bruise so S1 instructed staff to elevate the leg and do ROM (Range of Motion) on arm. page 1 of 2 Unsubstantiated S1 said they wanted to wait and see if the swelling will go down before sending to the hospital since vital signs were good. However, the following day, staff found R1 not as responsive when staff asked R1 for breakfast. S1 asked staff to check on vital signs and they were good but looked pale and weak so S1 instructed staff to call 911. Another staff member, S2 also mentioned that they have tried and elevated R1s leg but the following day R1 did have a change in condition as R1 looked pale and weak. S2 also shared that residents in the facility are always provided hydration every hour, even before going to bed. LPA tried to get in touch with RP but there was no response. Based on records review, facility sent an incident report indicating that they had called 911 for further checkup due to their observations of R1 being weak while being assisted getting up from bed, a swelling of left arm and an open wound on left elbow measuring about 3cm, swollen right leg and redness on buttocks and swollen ankle. Based on interviews & records review, the department has determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Report is reviewed and copy is provided. page 2 of 2the state’s words, verbatim · CDSS document, Aug 28, 2024 · control 26-AS-20220404134358

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang arrived unannounced to conduct the facility's annual inspection. LPA met with Licensee, Hassan Ebadat (LCN). LPA toured the facility inside and out with LCN. 2 staff and 2 residents were observed in the facility. 3 residents went to day program. Facility license, Administrator Certificate and Personal Rights posters were observed in the facility. LPA reviewed 3 resident files and 3 staff files. LPA toured the facility to include the living room, dining room, kitchen, resident bedrooms, bathroom, garage, and backyard. All fire exit routes were free and clear of obstruction. All staff present are fingerprint cleared and associated to the facility. Facility temperature maintained at 71 degrees Fahrenheit. Hot water temperature maintained at 106 degrees Fahrenheit. Facility's fire extinguisher last serviced on 04/6/2023. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet Knives closet, and cleaning product closet were observed locked. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Fire alarm and smoke detectors were tested by ADM. The fire alarm and smoke detectors were working fine. Flash lights and first aid box were observed in the facility. The last time the facility conducted the emergency and fire drill was 2/20/2024. Deficiencies noted today. See 809-D. Exit interview was conducted with LCN. The report was provided to LCN for signature. A copy of the report was provided to LCN.the state’s words, verbatim · CDSS document, Mar 6, 2024

Allegation investigated: Resident was sexually assaulted

On 07/28/23, the Department received a sexual abuse complaint that a resident (referred as R1) was sexually assaulted by a staff (S1). On 07/25/2023, at approximately 1140 hours, it was reported to law enforcement agency that a staff (referred as S1) gave R1 a goodnight kiss on the check and S1 grabbed R1’s head and kissed R1 on the lips. Based on interview with R1, R1 stated that the incident occurred on 7/16/23. R1 stated that he/she was in his/her bedroom when he/she kissed S1 on the cheek. R1 giving S1 a goodnight kiss. After R1 kissed S1, S1 grabbed R1 and kissed him/her on the lips R1 did admit to hugging and kissing the staff on the check. R1 usually gives good morning and goodnight kisses to the individuals that care for her/him. R1 stated that he/she did not give permission to S1 to kiss her/him, and he/she has not been in a relationship with S1. Unsubstantiated Based on interview with R1’s spouse (SP1), SP1 stated that R1 gives kisses of good morning and good afternoon. SP1 stated that R1 told him/her that he/she had given S1 a goodnight kiss and that S1 grabbed him/her by the neck and kissed him/her occurred on 7/16/23. Based on interview with Administrator (ADM) and Licensee (L), they were informed by R1’s spouse (SP1) that S1 grabbed and kissed R1. S1 stated the kiss was an “accident” and he/she accidentally turned his/her face and that they kissed. Facility staff informed SP1 that there have been multiple incidents where R1 had pinched them and touched their buttocks. Based on interview with S1, S1 stated that he/she with spouse stayed on the couch in the evening though he/she did not live in the facility full time. S1 denied allegation that he/she had ever kissed R1 including a good morning or good night kiss. S1 also denied kissing R1 in his/her bedroom. S1 stated that sometimes R1 would come to him/her and give him/her a kiss on the cheek to say goodnight. S1 stated that prior week at about 2100 or 2200 hours, S1 was sitting on the couch and R1 sat next to him/her. R2 said, “Thank you” and kissed S1 on the cheek. S1 got startled and he/she turned to face him/her. S1 turned towards R1’s face, S1 stated that corner of his/her mouth have touched his/her face and the contact was not intentional. S1 recalled that R1 kissed him/her on the cheek when R1 had a seizure to thank him/her. S1 described it as a fatherly gesture as a thank you for his/her care and comfort he/she provided to R1. S1 stated that R1 also kissed other staff members on the cheek as a thank you. On February 16, 2023, LPA interviewed 4 Out of 5 residents. 2 Out of 5 residents are non-verbal and could not respond to LPA's questions. 2 Out of 5 residents denied ever seeing staff touch or kiss residents in an inappropriate/sexual manner. 2 Out of 5 residents denied ever being touched or kissed by staff in an inappropriate/sexual manner. 1 Out of 5 residents was attending day program during LPA's visit. LPA interviewed staff 4 staff members (S2-S5). 4 Out of 4 staff interviewed stated staff do not touch/kiss residents. 4 Out of 4 staff stated they have not seen other staff members touch or kiss the residents. Based on investigation, records reviewed, and interviews conducted, the Department found that the above allegation is UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegations did or did not occur.the state’s words, verbatim · CDSS document, Feb 16, 2024 · control 26-AS-20230728140606