Ecolux Assisted Living

Type of visit: Case Management - Other

On 9/2/2026 at 3:00pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit for supervision. LPA met with Ronald Doca, Caregiver and explained the purpose of the visit. Administrator, Bharat "Brad" Verma, arrived at 4:22pm with LPA T. Syess-Gibson. Upon arrival LPA observed five (5) residents sitting in common area watching television. One (1) resident was heading into the bathroom. There were two (2) staff present. One staff (1) was making plates for the residents' dinner. LPA also observed an additional lock on front door that staff have to open to allow entrance and exit to the facility. (LPA have picture). LPA obtained the medical assessment/physician's report (LIC602) for all six (6) resident, the hospice care plan for R2 and R5, personnel report (LIC500), and facility roster. *An immediate civil penalty of $500.00 will be assessed on today's date for lock on front door* Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421M, and this report provided.the state’s words, verbatim · CDSS document, Sep 2, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87203 · Plan of correction due date: Sep 3, 2026

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidence by: Based on observation and interviews the Licensee did not comply with the section cited above in having front door readily available to exit at all times. Additional lock was placed on door, which poses an immediate safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: Administrator removed lock during visit. Deficiency cleared during visit.

Type of visit: Required - 1 Year

On 07/08/2025 at 11:13AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Glesida Pike, caregiver and explained the purpose of the visit. Glesida contacted the administrator via phone. Administrator, Bharat Verma arrived at approximately 12:39PM. The Administrator currently holds a certificate # 7038089740 that expires on 05/08/2028. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility has six (6) bedrooms and three (3) bathrooms. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. Hot water temperature in the shared clients’ bathroom was measured at 120.4 degrees Fahrenheit. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 05/21/2025. Emergency Disaster Plan was last reviewed on 07/08/2026. Fire Drill was last conducted on 07/03/2026. First aid kit was observed to be incomplete. Continue on LIC809C….. Continued from LIC809 LPA reviewed five (5) staff records and six (6) residents records, they were all current and complete. LPA also reviewed a sample of medication during visit. Facility is using Electronic Medication Administer Record (E-MAR). LPA observed the following deficiencies: At 11:36AM, LPA observed Arm & Hammer, Gain Oxi Clean laundry detergent, Ultimate Fresh Fabric Softener on countertop inside unlocked laundry room. At 11:36AM, LPA observed Arm & Hammer Laundry detergent, Gentle Soft Fabric Softener, Clorox Bleach, Fabuloso multipurpose Cleaner and Pine Sol inside an unlocked cabinet inside laundry room. At 11:42AM, LPA observed missing handle on Chester of drawers in room #3. At 11:47AM, LPA observed missing handle on Chester of drawers in room #4. At 11:56AM, LPA observed unlocked medications (Humalog Kwik Pen- insulin lispro injection(4 boxes), and a bottle of Enulose Sol 10mg/15 inside kitchen refrigerator. LPA requested the following documents to be submitted to CCLD by 07/20/2026. LIC9020 Resident Roster LIC 308 Designation of Administrative Responsibility Continue on LIC809C..... Continued from LIC809C LIC 500 Personnel Report(updated) LIC 610E Emergency Disaster Plan. Liability insurance. Deficiencies were cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. Appeal Rights and a copy of this report provided to Bharat (Brad) Verma.the state’s words, verbatim · CDSS document, Jul 13, 2026

Allegation investigated: cility staff are not following residents care plan

On 04/23/2026 at 1:04PM, Licensing Program Analyst (LPA), T. Syess-Gibson arrived unannounced to deliver complaint findings for the allegations above. LPA met with Donald Doca, caregiver, and explained the reason for the visit. Bharat Verma, Administrator arrive at 1:47PM, LPA explained the purpose of visit. During the investigation, LPA interviewed witness (W1) and staff (S1). LPA also reviewed and obtained the following documents: Facility and staff roster, resident (R1’s) appraisal, appraisal needs and service plan, MAR, ID and Emergency, admission agreement, physician report, care plan, care notes, hospice care notes dated 10/13/2025-11/01/2025, facility care notes dated 10/13/2025-11/01/2025, facility daily caregiver checklist, staff contact information and staff training records (2025). Continue on LIC9099C Substantiated Continued from LIC9099 Facility staff are not following residents care plan Interview with S1 revealed facility is following care plan from hospice agency. Record review revealed, hospice care plan stated medication is to be administered twice a day at 7:00am and 7:00pm, facility care plan revealed facility is administering medication twice a day at 7:00am and 3:00pm. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted and a copy of this report and appeal rights were given. Continued from LIC9099 Staff not properly trained. Interview with S1 revealed that all staff are fully trained and maintain current certifications, for the required training by law such as dementia care, infection control, and medication training. In addition, S1 provides ongoing trainings on dementia behavior management, communication techniques, and personal care. Record review revealed staff have certificates of completion of trainings which meets the training requirements. Staff performed inappropriate restraint on resident Interview with S1 revealed at no time was R1 restrained in any form- physically or otherwise. R1 had full freedom of movement throughout the entire day, R1 often sit comfortably in his recliner chair, at the dining table during meals, or resting in his bedroom by choice. Hospice staff would observe R1 in these settings when they visit. Facility staff are not providing water to residents in care Interviews with S1 revealed water is given to all residents throughout the day and with each meal. Hydration reminders are part of the daily caregiver checklist. Hospice has never raised any concerns around hydration. Facility has locked resident in room Interview with S1 revealed that resident has locked himself in the bedroom a couple of times and staff immediately responded to unlock the door to ensure safety by using an sharp object to unlock door from the outside. Continue on LIC9099C..... Continued from LIC9099C... Facility staff are not assisting resident with personal hygiene Interview with S1 revealed staff provided R1 with consistent personal hygiene care. R1 fecal smearing behavior required multiple cleanings daily causing staff to above and manage the issue. Facility staff are not assisting residents with incontinence care Interview with S1 revealed staff provided R1 with incontinent checks and changed R1 regularly throughout the day. R1’s behaviors required additional attention and more checks than the other residents in care. Personal rights- resident is not treated with dignity Interview with S1 revealed R1 was treated with the respect and kindness at all times. Staff do not change any residents in the living room; our residents are treated with dignity and respect, they are either changed in restroom or their bedrooms. Based upon the information obtained during investigation. The above allegations are 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. Exit interview conducted and a copy of report was given.the state’s words, verbatim · CDSS document, Apr 23, 2026 · control 15-AS-20251103161046

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87633(d) · Plan of correction due date: Apr 24, 2026

(d) The licensee shall ensure that the hospice care plan is current, accurately matches the services actually being provided, and that the client’s care needs are being met at all times. This requirement is not met as evidenced by: Based on record review, the licensee did not comply with the section cited above by not following R1’s hospice plan regarding medications which posed an immediate health and safety risk to persons in carethe state’s words, verbatim · CDSS document, Apr 23, 2026

Plan of correction: By POC date. Licensee has agreed to read regulation 87633 and implement a plan regarding following hospice care plan for residents in care and send email of plan to CCLD.

Type of visit: Case Management - Deficiencies

On 04/23/2026 at 1:04PM, Licensing Program Analyst (LPA) T Syess-Gibson conducted a case management as a result of observation during complaint visit 15-AS-20251103161046. LPA met with Glesilda Pike, Caregiver, and explained the purpose of the visit. During visit, LPA was waiting on staff to finish assisting a resident with toileting needs. LPA observed three (3) residents sitting in chairs watching television. At 1:21PM, LPA observes one of the residents walking towards the kitchen area and beginning to open cabinet under sink. LPA walked over to resident and observed Windex, Clorox wipes, cascade platinum plus dishwasher tablets and Palmolive dishwashing liquid in unlocked kitchen cabinet. At 1:23PM, LPA observed unlocked kitchen drawer with knives and scissors. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies 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, Apr 23, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Apr 24, 2026

87309 Storage Space and Access (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in not having cleaning solution, knives and scissors inaccessible to residents which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2026

Plan of correction: Caregiver locked cabinets with cleaning solutions and drawer with knives and scissors immediately. Deficiency cleared during visit

Type of visit: Case Management - Deficiencies

On 04/08/2026 at 2:02PM, Licensing Program Analyst (LPA) T Syess-Gibson conducted a case management as a result of observation during complaint visit 15-AS-20251103161046. LPA met with Bharat Verma, Administrator, and explained the purpose of the visit. Upon arrival to conducting the complaint investigation, LPA observed front exit door (exterior) has a doorknob with a keypad, LPA heard pressing of keypad before S4 opened the front door to allow LPA in, once in the facility, LPA observed another doorknob with keypad and a child safety lock on front exit door (interior). LPA was informed by S4 that the only way in and out through the front door is with a code, staff only has the code and that the residents don’t have access to code. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. ****Civil penalty of $500 is being assessed**** Exit interview conducted, a copy of this report, LIC421IM and appeal rights providedthe state’s words, verbatim · CDSS document, Apr 8, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a) · Plan of correction due date: Apr 9, 2026

87202 Fire Clearance (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 interview and observation, the licensee did not comply with the section cited above by having facility’s front door entrance/exit locked with child safety lock and a keypad doorknob that uses a code for entry and exiting of facility which poses an immediate safety risk to persons in care.the state’s words, verbatim · CDSS document, Apr 8, 2026

Plan of correction: By POC date Administrator agreed to remove keypad doorknob and child safety lock from front entrance and exit door, administrator will replace keypad doorknob with lock and key doorknob. Administrator will send email photo to CCL. Civil penalty of $500 is being assessed

Type of visit: Case Management - Deficiencies

On 11/17/2025 at 11:00AM Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct a Case Management visit. LPA met with Caregiver, Emma Manoa and Administrator, Bharat Verma via phone. While LPA Carol Fowler was conducting a complaint investigation (15-AS-20251103161046) on 11/03/2025. During tour of facility LPA observed staff pre-pouring residents medication and laundry room unlocked with the key hanging from the doorknob. The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Nov 17, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 87465(h)(5) · Plan of correction due date: Nov 25, 2025

(h) The following requirements shall apply to medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. Based on LPA's observation licensee did not coply with the section cited above by having medication transferred into a weekly pill organizer which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Nov 17, 2025

Plan of correction: Licensee/Administrator will submit a written statement of having read and understood the regulation and conducted in-service training with all staff, by a CCLD approved vendor by the POC date, provide CCLD with a copy of all signatures of staff attended no later than the POC date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(2) · Plan of correction due date: Nov 19, 2025

(f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. Based on observation, the licensee did not comply with the section cited above in having laundry detergent in an unlocked closet which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 17, 2025

Plan of correction: Caregiver immediately removed the key and locked the laundry room door which contained the laundry detergent. Administrator to conduct in-service and forward sign in sheet to CCLD by the POC date.

Type of visit: Post Licensing

On 07/09/2025 at 11:13AM, Licensing Program Analyst (LPA) T. Syess-Gibson arrived unannounced to conduct a post licensing inspection. LPA met with Caregiver, Gehnny Clair Marrero and explained the purpose of the visit. Gehnny contacted the Administrator via telephone. Administrator, Bharat Verma arrived at 12:58PM. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and backyard. Facility has a 2-day supply of perishable and 7-day non-perishable food supplies. LPA observed non-skid mats in the residents’ shared bathrooms. LPA observed grab bars were missing in the shower of the resident’s shared bathroom. Extra linens and towels were observed in the laundry room. Smoke and carbon monoxide combination detectors were observed. There are no bodies of water observed. Medications were centrally stored and locked in a cabinet. Fire extinguisher was observed to be full. LPA reviewed 2 resident records and 3 staff records at around 1:30PM. LPA reviewed resident's medications. Continue on LIC809C Continued from LIC809 LPA observed the following deficiencies: At 11:38AM, LPA observed linen closet converted to staff bedroom. At 11:45AM, LPA observed scissors in residents shared bathroom in an unlocked drawer. At 11:48AM, LPA observed grab bars were missing in the shower of the resident’s shared bathroom. At 11:56AM, LPA observed laxatives, lactobacillus acidophilus and rubbing alcohol in an unlocked kitchen cabinet. At 1:30PM, LPA observed during file review, S3 is not associated to the facility At 1:36PM, LPA observed R2 was in room 2 and records indicate that R2 is bedridden. Facility does not have a bedridden fire clearance. LPA requested the following documents to be submitted to CCLD by 07/16/2025. LIC9020 Resident Roster LIC 308 Designation of Administrative Responsibility Liability insurance. LIC 500 Personnel Report(updated) LIC 610E Emergency Disaster Plan. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Civil penalty of $500 is assessed for fire clearance violation. Exit interview conducted. A copy of appeal rights, LIC421IM and this report provided to Bharat Verma.the state’s words, verbatim · CDSS document, Jul 9, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(2) · Plan of correction due date: Jul 10, 2025

(a)All facilities shall maintain a fire clearance approved by the... city and county fire department... Prior to accepting or retaining any... types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved... (2) Bedridden persons This requirement was not met as evidence by: Based on observation and record review, the licensee did not comply with the section cited above by having a bedridden resident without a bedridden fire clearance which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2025

Plan of correction: Facility has agreed to notify the fire department. Facility will submit proof of notification and LIC200 to CCLD by POC date. Civil penalty of $500 is assessed for fire clearance violation.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87309(a) · Plan of correction due date: Jul 10, 2025

a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items, which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having scissors in an unlocked drawer in residents shared bathroom and an unlocked kitchen drawer with knives which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2025

Plan of correction: Caregiver immediately removed scissors and placed them in a locked drawer; Administrator repaired the lock on kitchen drawer. Deficiency cleared during visit

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jul 10, 2025

(h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by having pre poured medications in an unlocked kitchen drawer and laxatives in an unlocked kitchen cabinet, which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2025

Plan of correction: Administrator had staff removed pre poured medications from containers and place them back in the original containers. Caregiver removed medications and placed them in locked cabinet. Deficiency cleared during visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(a)(2) · Plan of correction due date: Jul 16, 2025

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) or... This requirement is not met as evidence by: Based on record review, licensee did not comply with the section cited above by not associating S3 to the facility which poses a potential health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2025

Plan of correction: Administrator agreed to associate S3 and send a self- certifying email to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87303(e)(4) · Plan of correction due date: Jul 16, 2025

(e) Water supplies and plumbing fixtures shall be maintained as follows: (4) Grab bars shall be maintained for each toilet, bathtub and shower used by residents. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not having grab bars for shower in residents shared bathrooms, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2025

Plan of correction: Administrator has agreed to send a self- certifying email to maintain grab bars for shower in residents shared restroom to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: Jul 16, 2025

All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic Based on observation and interview, the licensee did not comply with the section cited above by having a staff room in linen closet with a complete bed and clothing, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jul 9, 2025

Plan of correction: Administrator agreed to submit a LIC200, updated facility sketch or send proof (photo) of closet no longer being used for staff to CCLD by POC date.

Type of visit: Prelicensing

On 06/12/2025 at 1:00PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. This is a continuance from the previous visit conducted on 06/10/2025. LPA met with Licensee, Bharat Verma and explained the purpose of the visit. On 06/10/2025 LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has six (6) bedrooms and two and half (2 1/2) bathrooms. No bodies of water observed. There is sufficient lighting around the facility. Residents’ rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non-skid mats. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. A comfortable temperature was observed at 74 degrees. Hot water temperature is measured at 112.8 degrees Fahrenheit in shared residents' bathroom. Fire extinguisher was last purchased on 05/21/2025. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present. Facility inspection matches the sketch that was provided Continue on LIC809C Continued from LIC809 The applicant was reminded of the statute that requires CCL to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, or by fax. On 06/10/2025 Waiver of COMP III was approved by Licensing Program Manager H. Humpal. LPA observed facility has made the corrections from previous visit on 06/10/2025. LPA observed the facility is ready to be licensed. This report will be submitted to the central application unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Jun 12, 2025

Type of visit: Prelicensing

On 06/10/2025 at 10:20am, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. LPA met with Bharat Verma, Licensee/Administrator, and explained the purpose of the visit. The facility has an approved fire safety clearance for six (6) non ambulatory residents. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has six (6) bedrooms and two and half (2 1/2) bathrooms. There is sufficient lighting around the facility. There were no bodies of water present during inspection. Carbon monoxide and smoke detector was observed in operating condition. LPA observed two (2) out of the six (6) residents’ bedrooms are equipped with the proper furniture, bedding, and lighting. LPA observed Bathrooms showers/tubs were equipped with grab bars. LPA did observe nonskid mats in bathrooms shower/tubs. Continue on LIC809C Continued from LIC809 Passageways and hallways are free of obstruction. Locked cabinets available to store medications and toxins. Hot water temperature is measured at 112.8 degrees Fahrenheit in shared residents' bathroom. A comfortable temperature was observed at 74 degrees. Fire extinguisher was last purchased on 05/21/2025. First-Aid kit was observed complete. Facility inspection matches the sketch that was provided. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1.) LPA observed four (4) out of the six (6) resident's bedrooms does not have a chest of drawers 2.) LPA observed facility has stacked cardboard boxes in the garage obstructing passageway 3.) LPA reviewed dementia plan and observed the plan does not address behavior such as ingestion of toxic chemicals. Waiver of COMP III was approved by Licensing Program Manager H. Humpal. Licensee/Applicant will submit proof of corrections to CCLD by 06/12/2025. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 10, 2025