Especially You Assisted Living

Allegation investigated: Staff left resident's medication accessible to another resident in care Staff do not ensure that resident's prescriptions are taken as prescribed

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegations. LPA met with Administrator Nadia Roop and reviewed records. Based on records reviewed and interviews conducted, LPA found evidence to support the allegations listed above. The investigation revealed, staff left a small cup of medication containing pills in a different residents room. The cup was discovered by a residents family member and given to staff. Based on records reviewed, the morning medication on 01/23/2026 was documented as given, but interviews conducted showed R1 refused the medications and they were put in a plastic baggy and given to the bus driver to take to the day program. Staff of the day program were not given any documentation for the pills and did not administer. The pills were properly destroyed. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Nadia Roop and Appeal rights were given. Substantiatedthe state’s words, verbatim · CDSS document, Mar 3, 2026 · control 21-AS-20260125210427

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(H)(2) · Plan of correction due date: Mar 4, 2026

87465 Incidental Medical and Dental Care:(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 interviews conducted Licensee did not ensure medication was not accessible to residents. Medications were left in a residents room accessible. This poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 3, 2026

Plan of correction: Licensee conducted medication training with each staff to ensure staff are following policy and regulation. Cleared during visit

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Mar 4, 2026

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure medications were given per physician orders. Medications were marked as given, but were given to the day program to administer where they were not given as there was no documentation included. This poses an immediate Health, Safety or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 3, 2026

Plan of correction: Licensee conducted medication training with each staff to ensure staff are following policy and regulation. Cleared during visit

Type of visit: Required - 1 Year

At approximately 10:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator Nadia Roop and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for 8 residents. At approximately 10:55AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and back yard. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required supply of perishable and non-perishable food. Emergency water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. First aid kit was present. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills monthly.. Due to time constraints, LPA will return at a later date to review staff and resident records. No citations issued during today's visit.the state’s words, verbatim · CDSS document, Dec 16, 2025

Allegation investigated: Staff sexually abused resident in care

At approximately 1:15PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver finding from an investigation conducted by the Department into the above allegation. LPA met with Administrator Amanda Mitchell and interviewed staff. Based on interviews conducted by the Department, R1 denied ever being raped at the facility and denied ever saying they were raped. Staff interviewed stated since this incident they have adopted two person assistance for R1 when assisting them. 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 allegation is Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 22, 2025 · control 21-AS-20250602155219

Type of visit: Required - 1 Year

At approximately 11:00AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Administrator Amanda Mitchell. At approximately 11:15AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 11:45AM, LPA reviewed 5 of 11 resident records. LPA observed 5 of 5 records did not contain current appraisals. All records contained current and signed admission agreements. Medication records are thorough and contained physician's orders for each resident. At approximately 12:45PM, LPA reviewed 5 staff records. Documentation of completed training was on file and evidence of first aid and CPR training were current. At approximately 12:50PM, LPA reviewed the facility emergency disaster plan. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts disaster drills quarterly. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Amanda Mitchell and Appeal rights were given.the state’s words, verbatim · CDSS document, Jan 27, 2025

Type of visit: Required - 1 Year

At approximately 10:45AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Administrator Amanda Mitchell. At approximately 11:00AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Facility has fire sprinklers throughout. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 11:30AM, LPA reviewed 5 resident records which all contained the required documents. Physician reports and care plans were current. All records contained current and signed admission agreements. Medication records are thorough and contained physician's orders for each resident. At approximately 12:00PM, LPA reviewed 5 staff records. 5 of 5 records did not contain documentation of completed training as required. Evidence of first aid and CPR training were current. Continued on LIC809-C... At approximately 12:50PM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducts disaster drills quarterly. LPA received evidence of Liability Insurance during this visit. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Amanda Mitchell and Appeal rights were given.the state’s words, verbatim · CDSS document, Jan 8, 2024

Allegation investigated: Staff are verbally abusing residents and physically intimidating them

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver findings from an investigation into the above allegation. LPA met with Jessie Regnier. Based on interviews conducted and documents reviewed, there was no evidence that staff verbally abused or intimidated resident. On the contrary, based on records reviewed and interviews conducted, R1 was verbally abusive to staff and when asked to stop, would accuse staff of being assaultive. R1 would threaten to hit staff if they did not do what was asked. 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 allegation is Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 31, 2023 · control 21-AS-20230804105626

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.