Hamner Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Rico met with Administrator Lesly Vannoy. The capacity is (6) current census is (0).The facility is a five (5) bedroom, three (3) bathroom home with a kitchen/dining area, living room and attached garage. The facility is Residential Care Facility for the Elderly (RCFE). LPA Rico toured the facility and observed no residents inside the facility. The Administrator stated the facility is not accepting new residents at the moment. In addition, the Administrator told LPA that she will notified Community Care Licensing for the proper closure. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Lesly Vannoy.the state’s words, verbatim · CDSS document, Mar 20, 2026

Allegation investigated: Facility does not allow resident to utilize personal bank account. Facility is not meeting the needs of the resident. Facility staff is verbally abusive towards resident.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Administrator Lesly Vannoy and staff April Lopez and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, document reviews, and facility tour. First Allegation:Facility does not allow resident to utilize personal bank account. During staff interviews, 2 out of the 2 staff informed LPA that R1 did not had an identity card to open a bank account so R1 could not go to bank to open a bank account. R1 managed own money recived from Social security. R#2 stated that they manage their own money and R#3 has family as a responsible party in records. Unsubstantiated Second Allegation: Facility is not meeting the needs of the resident. During staff interviews, 2 out of the 2 staff informed LPA that staff looks after the resident and ensures that resident needs are met. 1 out of the 2 residents, stated staff always meets their needs and never had any issues regarding the care in the facility. Third Allegation: Facility staff is verbally abusive towards resident. During staff interviews, 2 out of the 2 staff informed LPA that staff never verbally abusive towards the residents in care. 1 out of the 2 residents, stated staff is never verbally abusive towards residents and treat them with respect and care. Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC 9099, LIC 9099C were discussed and provided to Administrator Lesley Vannoy.the state’s words, verbatim · CDSS document, Jul 23, 2025 · control 56-AS-20230515142801

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator April Lopez and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by Administrator April Lopez and House Manager Maria Abaya to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (3) resident medications and (1) hospice file. During medication audit LPA Rico observed R1 PRN medications response and time were not documented. Furthermore, LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, (1) deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809)(LIC809D) was discussed and provided to Administrator April Lopez.Along with a copy of appeal rights.the state’s words, verbatim · CDSS document, Mar 20, 2025

Allegation investigated: Staff failed to seek medical attention for resident in a timely manner

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegation listed above. LPA met with Administrator Lesly Vannoy and staff April Lopez and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, document reviews, and facility tour. For the allegation, Staff failed to seek medical attention for resident in a timely manner. During staff interviews, 4 out of the 4 staff informed LPA that R1 receives medical attention in a timely manner. 3 out of the 4 staff informed LPA that R1 has behaviors where she does not sleep and yells throughout the night/day. In addition, 2 out of the 4 staff stated they have reached to R1 Physician for a re-evaluation on medications and staff are now providing 1 on 1 care. Unsubstantiated During resident interviews, 2 out of the 5 residents indicated they receive medical attention in a timely manner. During resident interviews, LPA Rico did not find evidence to corroborate the allegation. During record review, LPA discovered that on 4/23/2024 the facility requested a re-evaluation for R1. On 4/26/2024 facility received new medication order for R1. LPA did not observed bruises on R1 face. R1 refused for photo to be taken by LPA Rico. Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Lesley Vannoy along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Jun 12, 2024 · control 56-AS-20240607153815

Type of visit: Required - 1 Year

On 03/08/2024 at 08:30 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. At the time of the visit there were three (3) staff present, and five (5) residents present. Licensee/Administrator Lesley Vannoy was contacted and arrived during the visit. LPA Brown explained the purpose of the visit to Licensee/Administrator Vannoy. The facility is a six (6) bedroom, three (3) bathroom home with a kitchen/dining area, living room, laundry room and detached garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) residents of which two (2) can be non-ambulatory residents. The facility has two (2) Hospice Waiver. The current census is five (5) residents. LPA Brown was accompanied by Staff #4 (S4) to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA Brown observed no obstructions to outdoor and indoor passageways. The facility is maintained at a comfortable temperature. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed grab bars and non-skid mat in the resident bathrooms. Also, LPA Brown observed Resident #5 (R5) with full bed rails and Licensee/Administrator Vannoy reported to LPA Brown that R5 is not on Hospice Care and no written order from the physician was observed indicating the need for postural support/full bed rail. LPA Brown observed no exception letter submitted and approved by Community Care Licensing Division (CCLD) for R5's full bed rail. Deficiency will be issued. To add to that, LPA Brown observed Resident #1 (R1), Resident #3 (R3), and Resident #4 (R4) have half bed rails and no written order from their physician indicating the need for half bed rail for mobility. Deficiency will be issued. ***Continuation in LIC809C *** LPA Brown measured and observed the water temperature in the bathroom to be at 115 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCLD complaint poster and the disaster plan were posted in a common area. There was a designated storage space for resident/staff files. There is a cabinet with the resident’s medications locked. Moreover, LPA Brown observed one (1) bottle of cleaning supply in the residents' shared bathroom cabinet, not locked and accessible to residents in care. Deficiency will be issued. Food Service: Seven (7) days non-perishable and two (2) days perishable food supply observed at the facility. Care & Supervision: The facility has an administrator present in the facility. LPA Brown observed sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and resident appraisals. The files were complete with updated physician’s reports, admissions agreements, and preadmissions/resident appraisals. LPA reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) result. LPA found that Staff #6 (S6) working at the facility with criminal background clearance but the facility did not transfer S6 criminal background clearance to the facility. Licensee confirmed to LPA Brown that S6 had been working at the facility since 08/23/2017. Deficiency and civil penalty of $500.00 will be issued during the facility visit today, 03/08/2024 and will continue to be assessed of $100.00 per day until corrected. Furthermore, two (2) residents medication were audited and LPA Brown observed Resident #4 (R4) one (1) medication dispensed and staff did not update R4's dispensed medication in R4 Medication Administration Record (MAR). Deficiency will be issued. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG, LIC9102TA and Appeal Rights were discussed and provided to Licensee/Administrator Lesley Vannoy.the state’s words, verbatim · CDSS document, Mar 8, 2024

The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.