Escondido Elder Care

Allegation investigated: Staff do not treat residents with dignity and respect Staff are not ensuring residents are provided privacy Staff did not safeguard residents property and valuables

Licensing Program Analyst (LPA), Robert Campbell, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Alexa Cardenas - Caregiver, and over the phone with Administrator - Nikita Mundhadar, where the LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of interviews with staff and witnesses, file reviews and observations. On April 07, 2026, Community Care Licensing Division (CCLD) received a complaint alleging staff do not treat residents with dignity and respect, staff are not ensuring residents are provided privacy, and staff did not safeguard residents’ property and valuables. Regarding the allegation that staff do not treat residents with dignity and respect, it was reported Staff#2 would block Resident from exiting out of the kitchen, using the refrigerator door. It was also reported that Staff#2 told Resident#1 to lift their walker over the refrigerator door in order to not be blocked. Continued on 9099C Unsubstantiated continued..... Information obtained from interview with Administrator stated that it would be impossible for Staff#2 to block Resident#1 with the refrigerator door because the refrigerator doors are not long enough to block the access into the living. Information obtained from interview with Staff#2 denied that he would block Resident#1 from exiting out of the kitchen. Staff#2 stated he would tell residents to wait to go down the ramp, in the event the ramp was wet from mopping. Staff#2 also denied telling any resident to lift their walker over a refrigerator door. Staff#2 denied that opening the refrigerator door would block residents from moving around because the refrigerator doors were not long enough to block the residents. Information obtained from interview with Resident#1 stated that Staff#2 did stop Resident#1 from going down the ramp by blocking Resident#1 with the refrigerator door. LPA observed that the refrigerator door was unable to block residents from freely moving from the kitchen down the ramp into the living room. Regarding the allegation that the staff are not ensuring residents are provided privacy, it was reported that the facility were failing to stop Resident#3 from entering Resident #1’s bedroom. Information obtained from interview with Administrator indicated he was advised of the concerns and purchased a lock for Resident #1’s door on April 13, 2026. Information obtained from additional staff interviews confirmed that there was an issue with Resident #3 entering other residents’ rooms, but the issue was rectified. Interview with residents corroborated the information and stated there were no further concerns. Regarding the allegation that staff did not safeguard resident’s property and valuables, it was reported that Resident #1’s rosary was broken by a resident. Information obtained from interview with Administrator stated that staff found Resident#1 Rosary necklace on the floor under Resident#1 bed. Information obtained from interviews with staff stated that none of them saw who or how Resident#1 Rosary necklace was broken. Information obtained from Resident#1 stated that he believes Resident#3 wandered into Resident#1 room and broke Resident#1 Rosary necklace. Additional interviews with residents indicated there were no concerns regarding their personal property being safeguarded. Based on interviews, record reviews, and observations, the allegations that staff do not treat residents with dignity and respect, staff are not ensuring residents are provided privacy, and staff did not safeguard residents’ property and valuables are deemed UNSUBSTANTIATED. A finding that the allegations 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. An exit interview was conducted. A copy of this report was provided to Alexa Cardenas - Caregiver.the state’s words, verbatim · CDSS document, Jul 17, 2026 · control 18-AS-20260423164339

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA), Robert Campbell conducted a case management visit to the facility for the purpose of issuing deficiencies related to complaint investigation 18-AS-20260429153831. LPA Robert met with Alexa Cardenas - Caregiver and explained the purpose of the visit and assisted LPA. LPA toured the facility, observed, took pictures of the following physical environment Type B deficiencies, missing (plug plate Room#1) or broken plates for light switches in room numbers two (2), four (4), & five (5). LPA observed missing smoke detectors in the hallway between rooms three (3) to six (6) and a missing smoke detector in room five (5). Facility will review deficiencies on the 809D document. LPA during interviews of Administrator, two (2) Staff, cell phone video on Caregivers phones, that there is a violation of Resident#2 personal rights by videoing the Resident on cell phones in Resident#2 bedroom while having behaviors without consent. LPA will cite the facility with a Type B deficiency of violating the personal rights of Resident#2. Facility will review deficiency on the 809D document. An exit interview was conducted, and this report was discussed and provided to Alexa Cardenas - Caregiver.the state’s words, verbatim · CDSS document, May 5, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: May 8, 2026

87303(a) The facility shall be clean, safe, sanitary and in good repair at all times. Not Met evidenced by the following: LPA observation and photos of missing (plug plate Room#1) or broken plates for light switches in room numbers two (2), four (4), & five (5). LPA observed missing smoke detectors in the hallway between rooms three (3) to six (6) and a missing smoke detector in room five (5).the state’s words, verbatim · CDSS document, May 5, 2026

Plan of correction: Licensee will have all repairs by POC date. Facility Staff installed new plug plate, light plates, and smoke detectors at time of visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87468.2(a)(1) · Plan of correction due date: May 26, 2026

In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities....residential care facilities for the elderly shall have all of the following personal rights: (1)To have a reasonable level of personal privacy in accommodations.... Not Met evidenced by the following: LPA during interviews of Administrator, two (2) Staff, cell phone video on Staff/Caregivers phones, Resident#2 was videoed by cell phone in Resident#2 bedroom while having multiple behaviors without consent.the state’s words, verbatim · CDSS document, May 5, 2026

Plan of correction: All staff will stop taking videos immediately of Resident#2 in the bedroom and Licensee will get documented signed consent from power of attorney by POC date. Licensee will have all staff in - serviced with material, sign in sheet on personal rights by POC date.

Allegation investigated: Facility staff handled resident in a rough manner

On 3/23/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of delivering investigative finding into the allegation listed on the complaint report. LPA Flores met with Administrator Nikkita Mundhada and explained the purpose of the visit. Information received alleged Staff #1 (S1) handled Resident #1 (R1) in a rough manner. Interview with (3) three staff report that R1 was very difficult to work with often refusing care assistance. Staff report that R1 was temporarily restricted to a wheelchair and went against physician orders by attempting to ambulate independently. Staff recall an interaction where R1 was sliding off of the bed and S1 assisted R1 by placing R1’s legs back onto the bed. Staff report that R1’s responsible persons were present to the incident and can account that S1 did not handle R1 in a rough manner. (Continue to LIC9099C) Unsubstantiated (Continuation from LIC9099) Attempts to interview R1 and R1’s responsible persons were unsuccessful. Interviews with (5) five out of (5) five residents reported that staff have not handled them in a rough manner. Therefore, the allegations staff handled resident in a rough manner is deemed unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted where this report was discussed and provided to Administrator.the state’s words, verbatim · CDSS document, Mar 23, 2026 · control 18-AS-20251218164759

Type of visit: Required - 1 Year

On 9/9/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required annual visit. LPA met with House Manager, Alexa Cardenas, and explained the purpose of the visit. LPA conducted a tour of the facility with Alexa. During today's visit, LPA Flores observed the following: The physical plant is a two story structure. The top story consisted of (6) six resident bedrooms and (3) three bathrooms, living room, dining area, laundry room, and kitchen. The bottom story is restricted for staff living only. Residents bedrooms were equipped with the required bedding, furniture, and functional lighting. Additional linen and towels are available for residents and appear to be in good repair. LPA did not observe no pools or bodies of water. The facility met the (2) two-day supply of perishable food and (7) seven-day supply of non-perishable items. Per Administrator, Nikita Mundhada, there are no firearms or ammunition on the premises. Indoor/outdoor passageways were free of obstructions. LPA observed a fully charged fire extinguisher mounted in the kitchen. Smoke alarms and carbon monoxide detectors were deem fully operable. LPA observed knives and other sharp instruments locked in a cabinet located in the kitchen. Centrally stored medication was placed in a locked closet. Water temperature measured at 105.3-degree Fahrenheit meeting within the department's requirements. (Continue to LIC809C...) (Continuation from LIC809) Emergency disaster plan, facility sketch, See Something Say Something,facility License, and Infection Control plan were posted on a walls throughout the facility. Facility staff records review include but are not limited to criminal record clearance, health screenings, and First-aid/CPR training, and relevant trainings to provide Assistance with Activities of Daily Living (ADL's). Resident records included but not limited to physician reports, pre-appraisals, appraisals, Needs and Services plan, and Functional Capabilities. The Medication Administration Record (MAR) was reviewed for (5) five out of (5) five residents. LPA did not observe any discrepancies. No deficiencies were cited during today's visit. An exit interview was conducted where a copy of this report was provided to Administrator, Nikita Mundhada.the state’s words, verbatim · CDSS document, Sep 9, 2025

Allegation investigated: Staff did not treat resident with dignity and respect

On 8/25/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility to investigate the allegation listed above. LPA Flores introduced herself to House Manager, Alexa Cardenas, and explained the purpose of the visit. Alexa granted LPA Flores entry, and a tour of the facility was conducted. LPA Flores did not observe any health and safety concerns. On 8/18/2025, Community Care Licensing (CCL) received a complaint alleging staff did not treat residents with dignity and respected. Information received alleged Resident #1 (R1) was called inappropriate names by Staff #1 (S1). During the time of visit, there were (2) two staff, (5) five residents, and the Administrator present. LPA Flores conducted record review, obtained copies of pertinent documents, interviewed staff and residents. Interviews conducted could not corroborate that the allegation occurred. R1 did not want to confirm nor deny the allegation and wished to retract their statement they reported to the reporting party. (Continue to LIC9099C...) Unsubstantiated (Continuation from LIC9099) During the investigation, LPA Flores did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time. An exit interview was conducted where this report was discussed and provided to Administrator, Nikita Mundhada.the state’s words, verbatim · CDSS document, Aug 25, 2025 · control 18-AS-20250818135517

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Kathleen Banrasavong made an unannounced visit to conduct a case management visit in reference to the Non- Compliance Summary (LIC 9111) signed on 01/22/2025. LPA toured the facility and did not observe any immediate health and safety concerns. LPA conducted a health and safety check and met with Administrator, Nikita Mundhada and explained the purpose of today’s visit. At the time of the LPA’s visit, there were six (6) residents who live at the facility. There was two (2) staff members present at the time of the visit. LPA conducted a tour of the inside and outside of the facility accompanied by the Administrator. The licensee is operating the facility within the conditions and limitations specified on the license, including the capacity limitation. LPA toured the interior and exterior of the plant of the facility. In the kitchen there was supply of perishable and non-perishable food supply for the 6 residents, which met regulations standards. The facility does not safeguard five (5) out of 6 (six) resident’s monies due to each resident having a responsible party, who does so. The remaining one (1) resident handles their own finances. There are no residents that are bedridden. LPA did not observe any locks in the resident’s bedroom. LPA did not observe any restraint devices at the facility. Interviews with residents and staff indicted that there are no restraint devices used at the facility. There were no residents under hospice care at the facility. The LPA did not observe any violations of CCR 87464 Basic Service, CCR 87609 Allowable Health Conditions and the Use of Home Health Agencies, CCR 87468.2 Additional Personal Rights of Residents in Privately Operated Facility, CCR 87625 Managed Incontinence, CCR 87411 Personnel Requirement, during the LPA’s visit. During the LPA’s visit, LPA reviewed copies of pertinent documentation. LPA reviewed residents’ copies of the Needs and Services Plan, Medical Assessment, Medication Logs, Medication list, Admission agreement. There were no deficiencies were cited during this visit, as there were no health and safety concerns observed during today's visit. The LPA did not observe any violations of the Title 22, Division 6, Chapter 8 regulations. An exit interview was conducted and a copy of this report, the LIC 811 were provided to the Administrator, Nikita Mundhada.the state’s words, verbatim · CDSS document, Feb 3, 2025

Allegation investigated: Facility staff do not treat residents with dignity and respect.

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Administrator, Nikita Mundhada, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of observations, interviews with staff members and residents, and a review of records. On December 6th, 2024, Community Care Licensing received a complaint alleging that facility staff do not treat residents with dignity and respect. The complaint alleged that Resident 1 (R1) had their feelings hurt by staff. It was reported that R1 was upset with staff because staff was trying to limit his soda consumption due to R1’s health issues. Information obtained from interview with Administrator stated that the facility does not purchase soda for clients. It was stated that R1 personally purchases their drinks, which R1 has the right to. Administrator denied that staff members interfere with R1’s right to choose their choice of beverages. Unsubstantiated Information obtained from interview with R1 stated that staff has made comments about R1 wanting to keep their drinks in R1’s room. Information obtained from interviews with staff stated that they respect the resident’s personal choices. It was also alleged that the facility is not respecting the resident’s personal space. On November 28, 2024, Resident 2 (R2) accidentally entered R1’s room and began to rub R1’s leg. It was advised that R2 believed the room was assigned to them. Administrator stated that all staff members have received personal rights and supervision training. Administrator stated the incident was an accident and occurred one time. Administrator indicated that the facility has sufficient staffing to care for the residents’ needs and supervision. Information obtained from interview with R1 indicated that they like to keep their room as their personal space and does not like unwelcomed guests entering, unless given permission. R1 stated that R2 entered their room with permission and it happened once. Information obtained from interview with staff members stated they try to provide all residents with privacy. It was advised that the incident where R2 entered R1’s room did occur. Interviews with additional witnesses revealed there were no issues regarding facility staff not treating residents with dignity and respect. Based on the information obtained during the investigation, this agency has investigated the complaint that facility staff do not treat residents with dignity and respect. Although the allegation may have occurred or be valid, there is not a preponderance of evidence to prove that the alleged violation(s) did or did not occur. Therefore, the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was discussed with and provided to Administrator, Nikita Mundhada.the state’s words, verbatim · CDSS document, Dec 12, 2024 · control 18-AS-20241202135528

Allegation investigated: Staff does not provide an adequate amount of food to resident Staff do not provide resident with water when requested Staff are taking away residents personal items

Licensing Program Analyst, (LPA) Kathleen Banrasavong, conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegations. LPA met with Administrator, Nikita Mundhada, where LPA explained the purpose of the visit and the elements of the allegations. The investigation consisted of observations, interviews with staff members and residents, and a review of records. On August 28th, 2024, Community Care Licensing received a complaint alleging staff does not provide an adequate amount of food to residents. It was reported that staff provided little breakfast in the morning. Information obtained from Administrator indicated that the facility provides three meals a day to residents and residents are able to receive additional servings. LPA interviewed Resident 1 (R1), who indicated that they are provided three meals a day; no concerns. LPA also interviewed staff members, who indicated that they prepare three meals for the residents and if a resident wants more servings, they are able to ask for it. Information obtained from additional resident interviews stated that they receive 3 meals a day and can ask for more servings if they wanted. Unsubstantiated LPA toured the facility and ensured that there was adequate food supply that met the regulation standards. LPA reviewed the facility’s food menu and food offered at the facility corresponded to the menu listed. Regarding the allegation that staff does not provide a resident with water when requested, it was alleged that the facility was not giving the resident water when requested. Administrator indicated that there is always water available at the facility. It was advised when R1 would ask for water, staff would give it to R1, but would complain to other staff that they weren’t given any. Administrator further stated that R1 would drink a cup of water and then advise additional witnesses that they were thirsty. LPA interviewed R1 who indicated that he was able to ask for water when he wanted it and provided in a timely manner. Interviews with other pertinent parties indicated that there were no issues with being provided water. LPA observed an adequate water supply at the facility. It was also alleged that the facility is taking away the resident's personal items. It was reported that staff members would take R1’s cell phone and not return it. R1 stated that R1’s cell phone would be taken away to charge the device and R1 would have to ask the staff members to help R1 locate it. LPA interviewed Administrator and stated that the caregivers take the phone at night, to charge it, at the request of R1’s responsible party. It was advised that staff provides the cell phone to R1 once the phone is fully charged. In the LPA’s record review, LPA observed email correspondence that relayed this message from R1’s responsible party and PACE Social Worker. Information obtained from interviews with additional witnesses revealed no concerns regarding the facility taking away the resident’s personal items. Based on the information obtained during the investigation, this agency has investigated the complaint that staff does not provide an adequate amount of food to residents, staff does not provide water when requested, and staff are taking away residents’ personal items. Although the allegations may have occurred or be valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. An exit interview was conducted, and a copy of this report was discussed with and provided to Administrator Nikita Mundhada.the state’s words, verbatim · CDSS document, Dec 12, 2024 · control 18-AS-20240828150819

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that six (6) residents live at this facility. There was three (3) staff members present. The House Manager, Alexa Cardenas Camacho was advised of the annual and conducted and completed the facility tour. Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Six (6) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/ Staffing/ Administration: LPA reviewed employee records. Two (2) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Nikita Mundhada, Administrator’s certificate expiration date was 05/30/2024 and Gaurav Rati, Administrator’s certificate expiration date was 10/03/2024. Food Service: Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a location for sharps in the kitchen. Physical Plant and Safety of Environment/Operational Requirements: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 108.0 degrees F. Laundry is done in the laundry room. There is a locked location for storing laundry soap, cleaning supplies and chemicals in the closet in the laundry room. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. LPA dialed the facility’s landline number, which rang and was operable. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are two (2) secured fireplaces at this facility. There are zero (0) pools at the facility. There is one (1) secured gate that has a self-latching lock located in the front of the house. LPA observed emergency supplies and two (2) first aid kit. The last emergency fire drill was conducted on 08/16/2024. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed that they were dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed nine (9) dual smoke detectors and carbon monoxide detectors throughout the facility. There were two (2) fire extinguishers on site, date purchased was 02/28/2024. Pursuant to Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to House Manager, Alexa Cardenas Camacho.the state’s words, verbatim · CDSS document, Sep 17, 2024