Elim Courte

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to conduct a health and safety check and met with Natasha Gutierrez, Chief of Staff, and Jennifer Lee, CEO. LPA stated the reason for the inspection was to tour the facility and see recent changes. LPA discussed how a new leadership team has been implemented. LPA and CEO conducted a tour throughout the interior. LPA observed all areas to be clean, in good repair and odor free. LPA observed upgrades to the dining room, a newly created movie theater with recliners and a big screen. The salon is open and operating, a manicurist will visit as needed, and a podiatrist will visit every 6-7 weeks. Additionally, the facility has a visiting dental hygienist, dentist, mobile x-ray and lab service. LPA observed multiple residents to be outside on the patio, or engaged in scheduled activities. There is a scheduled Labor Day BBQ dinner with family members included. The resident call system was upgraded. All residents wear either a call pendant, or a motion sensor is placed in the resident's room. Delayed egress gates and doors have been upgraded and completed. All staff will be provided with logo scrubs. There were no deficiencies observed during today's inspection. There are no citations issued in this report. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Sep 3, 2026

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to conduct a Post-Licensing Inspection and met with Brenda Cobos, Administrator, and Jennifer Lee, VP. Also present with Business Office Manager, Sela Jennings. The facility is licensed for (48) total residents, (40) of whom may be non-ambulatory and (8) may be bedridden. All residents have a diagnosis of Dementia. LPA, the Administrator, the VP toured the interior/exterior of the facility including both dining rooms, main kitchen, activity rooms, staff lounge, and common areas. LPA observed the facility to be clean, in good repair and odor free. There is new flooring throughout. There is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. Hot water measured 114*F in a guest bathroom. The Fire department was here earlier this morning for an annual fire inspection. All egress doors were checked and found to be functioning correctly. Fire extinguishers are placed throughout, were last serviced 4/28/2026, and the fire hydrant was last serviced in September 2025. There is an outside enclosed patio with new landscape planned throughout. Toxins and medications are secured. Electronic medication system is used. LPA reviewed (2) resident and (2) staff files -files are organized and contained current documentation. Required postings are visible in the common area. There were no deficiencies observed and no citations issued in this report. Exit interview. Copy of report left at facility.the state’s words, verbatim · CDSS document, May 6, 2026

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada, arrived unannounced to conduct a case management inspection and met with Administrator, Brenda Cobos. LPA stated the reason for the inspection. LPA and the Administrator discussed a variety of topics, as follows: Training in process for new Med-Techs A new nurse was recently hired, so there are now (3) nurses. There will be a nurse scheduled on every shift, (7) days per week, from 6:00 am- 10:30 pm. Changes in staffing, including new hires. New flooring installed throughout. Spring party held for resident and families last week. Recent fall of resident (R1). Facility to submit an incident report within (7) days. Coaching session held with Med-Techs regarding additional training and supervision by the nurses and Health and Services Director regarding medication administration, following proper procedure, documentation, and using the software system. LPA and Administrator toured the interior of the facility. LPA observed new flooring to be installed throughout the common areas. LPA observed the facility to be clean, in good repair and odor free throughout. LPA observed some residents to be resting in their rooms and some to be engaged in the activity room. There were no deficiencies observed. There are no citations issued in this report. Exit interview. Copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Apr 8, 2026

Allegation investigated: Staff are not meeting the needs and services for the residents. Staff are unable to meet the transferring needs for the residents. Staff do not provide adequate food service.

Licensing Program Analyst (LPA) Sabrina Calzada, arrived unannounced to continue the investigation for a complaint received February 27, 2026. LPA met with Brenda Cobos, Administrator and Jennifer Lee, VP, and stated the reason for today's inspection. The facility is a Memory Care facility for individuals with a diagnosis of Dementia. During the investigation, LPA toured the facility on March 3, 2026 and on March 24, 2026, including observing staffing during lunch. LPA reviewed staffing schedules for the months of January 2026, February 2026, and March 2026, and other documentation related to shower schedules and residents requiring a Hoyer Lift. LPA interviewed the Vice-President (VP) of the Corporation, Administrator, Business Office Director, and (2) caregiver staff. The results of the investigation are as follows: Allegation: Staff are not meeting the needs and services for the residents. The allegation states staff are frequently unable to provide proper care and assistance due to inadequate staffing. *cont on 9099C-1.. Unsubstantiated 9099C-1.. The Administrator, VP and Business Office Director stated that on March 24, 2026 that in January, 2026 and February 2026, there were (6) staff scheduled on the "am" and "pm" shifts. Specifically, there was (4) caregiver staff, (1) Med-Tech and (1) Nurse. During these same months on the NOC shift, there were a total of (3) staff scheduled, consisting of (2) caregiver staff scheduled and (1) Med-Tech. Starting on March 1, 2026, there were (5) staff scheduled during the "am" and "pm" shifts. Specifically, there were (3) caregivers, (1) or (2) Med-Techs and up to (1) nurse. For the NOC shift, there are (2) caregivers and (1) Med-Tech. In additional to the scheduled staff, the Administrator, Business Office Director, Activities staff and the VP are available to offer care assistance if needed. One caregiver stated on March 24, 2026 that there were currently (3) care staff working during the "am" shift today and that it there were more staff, it would be "better", but staff and managers will step in "right away" when called or if a resident needs immediate assistance. The caregiver confirmed that Med-Techs will assist with getting residents up and dressed in the morning, which is helpful. A second caregiver stated on March 24, 2026 that depending on the day,(3) caregivers is sufficient but on other days, (4) caregivers are needed and indicated that Med-Techs, nurses, managers and activity staff will sometimes assist when called for help. This staff stated it's easier to provide care on days where there are less showers scheduled. On March 24, 2026, LPA observed (27) residents present and most attending a morning activity when touring and multiple staff to be present assisting with the activity. LPA reviewed staffing schedules from January through March observed the schedules to reflect the above staffing levels. LPA reviewed shower documentation for (3) clusters and observed there to be both "am" and "pm" showers, including some residents receiving them through hospice; however some days had more showers scheduled than others. A manager stated "showers are consistently being given" but not all caregivers are completing the "Shower Review" documentation. The facility is in the process of changing from paper to electronic documentation. LPA was provided with a list of residents who received a shower from non-caregiver staff in February 2026 and March 2026. There were (14) showers given in each month to assist caregivers. Based on information obtained, the allegation is found to be UNSUBSTANTIATED- means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, *cont on 9099C-2 ... 9099C-2.. Allegation: Staff are unable to meet the transferring needs for the residents. The allegation states on many shifts, there are not enough caregivers to safely assist residents who require two person transfers or mechanical lifts (Hoyer). Documentation was reviewed showing there were (4) residents who needed assistance with a Hoyer Lift in January 2026 and February 2026, and starting in March 2026, there are (3) residents who were in need of this assistance. LPA observed the (4) residents to reside in three different clusters and the (3) to reside in (2) different clusters. Both caregiver staff stated that there are (3) to (4) residents that need a two -person assist or assistance with a Hoyer Lift, staff will "radio" for a second staff to help, and (1) staff caregiver stated staff will usually respond immediately. A second staff stated that the Med-Tech or nurse will "sometimes help, if they can", and activity staff leave their shift around 6:30 pm- 7:00 pm, so they cannot help after that time. A manager stated prior to March 1, 2026, there is a "floater staff" that helps with care and activities from 9:00 am- 6:00 pm. Both staff stated they preferred when there are more caregivers scheduled on the "am" and "pm" shifts. The administrator stated the March schedule was posted on February 27, 2026, and staff were notified during a meeting, 30 days prior to the staffing changes due to resident census. Based on information obtained, the allegation is found to be UNSUBSTANTIATED- means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, Allegation: Staff do not provide adequate food service. The allegation states there are multiple residents who require full feeding assistance during meals, which makes it extremely difficult to ensure all residents are fed safely and adequately. Managers stated there are (4)residents that need feeding assistance. One of the resident's family member(s) assist at every lunch and dinner, by choice. Additionally, there are always (2) caregivers present in the dining room with the residents who need assistance, and additional staff will step in and assist, including managers, Med-Techs, nurses and activities staff. *Cont on 9099C-3.. 9099C-3.. LPA toured both dining room during lunch on March 24, 2026 and observed residents who were independent with eating to be dining in one room and those needing assistance with feeding to be dining in the second room. LPA observed (1) resident to be receiving feeding assistance from their family member, and (3) other residents receiving feeding assistance from (2) different staff, a Med-Tech and an activities staff. Both caregivers interviewed indicated that Med-Tech and activity staff will assist (2) caregiver staff with feeding residents in the dining room when needed. One caregiver stating "sometimes two staff is enough" as she can assist with feeding (2) residents at a time. This caregiver commented that before there were (2) caregivers in each dining room, but now there are (2) caregivers in the dining room with more dependent residents and (1) caregiver in the dining room with more independent residents. Both caregivers confirmed that if they ask other staff to assist, they will. Managers stated that when the census increase, staffing levels will be re-evaluated and adjusted, if needed. Managers confirmed that there were (3) residents who frequently request room service and refuse to go to the dining room for meals. Staffing levels appear adequate based on the current census. Based on information obtained, the allegation is found to be UNSUBSTANTIATED- means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Mar 24, 2026 · control 59-AS-20260227143033

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada, arrived unannounced to conduct a case management inspection to issue an updated facility license. LPA met with Jennifer Lee, VP , and Brenda Cobos, Administrator and stated the reason for the inspection. LPA received an updated Fire Clearance from local fire for a follow up inspection conducted on February 13, 2026. The initial fire clearance noted the facility was cleared for (48) ambulatory residents instead of (40) non-ambulatory residents and (8) bedridden residents. LPA printed an updated copy of the license. There are no deficiencies issued in this report.the state’s words, verbatim · CDSS document, Feb 20, 2026

Allegation investigated: Staff are not properly trained.

Licensing Program Analyst (LPA) Sabrina Calzada, arrived unannounced to conduct a 10-day inspection for a complaint received February 12, 2026. LPA initially met with Brenda Cobos, Administrator and then with Jennifer Lee, VP, and stated the reason for today's inspection. During today's inspection, LPA discussed the allegation with both managers and reviewed documentation related to a resident who was under hospice care prior to recently passing. LPA also toured the interior and exterior of the community and observed many residents to be engaged in the activity area. The results of the investigation are as follows: *cont on 9099C-1.. Unfounded 9099C-1.. Allegation: Staff are not properly trained. The allegation states that during the NOC shift from Saturday, February 7, 2025 to Sunday, February 8, 2026, one resident needing Morphine to be administered on a PRN basis, were left around midnight with only (2) caregivers who have no knowledge of emergency situations and were not Med-Techs or nurses. The allegation also states these caregivers were left with Medication Room keys that include keys to Narcotic medication for specific residents. The administrator stated that there were (27) residents in the building during this NOC shift, and the scheduled Med-Tech became ill with flu type symptoms around 11:00 pm. The corporate officers arrived around 11:30 pm and counted the Narcotic medication with the Med-Tech, before leaving their shift due to being ill. The administrator further commented that there are currently no residents with medications scheduled during the NOC shift and that no PRN medications were requested or given either. The corporate Vice-President stated that she was at the building all day, on Saturday, February 7, 2026, beginning at 5:00 am, due to discovering the Wi-Fi was down, and confirmed that she remained at the community until around 6:00 pm, before taking a meal break. After leaving the community, she was continually checking if the coverage was adequate and returned around 10:20 pm, to assist staff with checking on residents, who were all observed to be calm. After leaving the building for a break nearby, the officer stated she returned with another corporate officer around 11:30 pm, after being informed the scheduled Med-Tech became ill. There were two caregivers who remained on site after midnight to complete their scheduled shift; however, the corporate officers remained on call, if needed, to administer any medications. LPA reviewed documentation that medications were counted and confirmed by (2) trained staff at each shift change on February 7, 2026 and February 8, 2026, and there were no narcotics missing. Additionally, neither caregiver entered the Medication Room during this shift. LPA reviewed medication documentation for resident (R1) who passed under hospice care on February 9, 2026. The documentation shows that (R1) had a prescription for Morphine Sulf IR 15 mg- 1 tablet every 4 hours, as needed for pain, or shortness of breath, and was administered (3) dosages on February 2, 2026, (2) dosages on February 3, 2026, (1) dosage on February 4, 2026 and a final dosage on February 9, 2026 (1:56 pm), prior to passing. Additionally, (R1) was administered (2) dosages of Lorazepam 0.5mg on February 2, 2026, as prescribed for agitation. *cont on 9099C-2.. 9099C-2.. Additionally, the VP stated that the hospice nurse had just visited (R1) earlier in the afternoon on February 9, 2026, prior to (R1) passing and returned at that time to confirm (R1's) death. (R1's) family had visited during the day on February 9, 2026 and conveyed to the VP that (R1) was very comfortable. The administrator and VP confirmed that (S1) and (S2) are seasoned employees and have completed required training through an approved vendor. Based on information obtained, LPA finds the allegation to be A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Feb 13, 2026 · control 59-AS-20260212084109

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabrina Calzada, arrived unannounced to conduct a health and safety inspection following the issuance of a new facility license on January 1, 2026. LPA met with Brenda Cobos, Administrator and Jennifer Lee, VP, and stated the reason for today's inspection. During today's inspection, a tour of the interior was conducted, and the following was discussed and/or observed: Current staffing levels Current supply of perishable/non-perishable foods New facility phone # Resident census including any recent/pending move-outs Staff training/orientation New laundry processes Other miscellaneous topics During today's tour, LPA observed the common areas and resident rooms to be clean, in good repair and odor free. Residents' beds were made and rooms were tidy and dusted. LPA observed sufficient amounts of perishable and non-perishable food in the kitchen. LPA observed residents to be preparing for lunch in the dining room. There were no deficiencies observed during today's inspection. There are no citation issued in this report. A copy of the new license was printed and provided during today's inspection since a copy has not arrived by mail yet. The prior license was also returned to LPA during today's inspection. Exit interview. Copy of report provided.the state’s words, verbatim · CDSS document, Jan 5, 2026

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 48 Census (if any clients in care): 48 COMP II Participants: RAZO, FARAH and LEE, JENNIFER Interview Method: Telephone interview On 12/23/2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 23, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to conduct a required Pre-Licensing Inspection and met with Jennifer Lee, and Farah Cuccia, Administrator. Also present with Business Office Manager, Sela Jennings and current Administrator, Brenda Cobos. The purpose of today's inspection is due to a pending change in ownership. The facility is licensed for (48) total residents, (40) of whom may be non-ambulatory and (8) may be bedridden. All residents have a diagnosis of Dementia. During today's inspection, all parties toured the interior/exterior of the facility including several resident rooms, medication room, dining rooms, main kitchen, activity rooms, staff lounge, and common areas. LPA observed the facility to be clean, in good repair and odor free. Several culinary staff were preparing lunch, and there is sufficient 2+day perishable, including fresh produce, and 7+day non-perishable supply of food. Hot water measured 117*F in a resident dining room. Fire extinguishers are placed throughout, were last serviced 3/13/2025, and the fire hydrant was last serviced in September 2025. There is an outside enclosed patio. There is no pool/fountains. Toxins and medications are secured. Resident and staff files are set up and organized. Medication Room is organized and there is electronic documentation. Required postings are visible in the common area. The facility generator needs to be serviced (last serviced in 2023) and requires that the permit be renewed. Fuel tank showed less than half of a tank during today's inspection. Component III was reviewed during today’s inspection. Pre-Licensing is complete. The facility is in substantial compliance,and this facility has no deficiencies. LPA to notify the analyst in Centralized Applications Bureau. Exit interview. Copy of report left at facility.the state’s words, verbatim · CDSS document, Dec 18, 2025