Huntington Elder-Care II

Allegation investigated: Staff is not allowing resident to be readmitted to facility Staff did not ensure reporting requirements were followed Staff did not ensure a needs assessment evaluation was conducted for resident in care

Licensing Program Analysts (LPAs) Ruth Martinez and Nancy Guillen conducted an unannounced visit to the facility to investigation the above identified complaint allegations and delivered findings. LPAs arrived at facility and were greeted at the door and granted entry by caregiver. LPAs spoke with Carmen Achim, Administrator, and explained the purpose of the visit. After further investigation into this complaint and information received LPAs determined that this complaint was written under the wrong facility license number. LPA’s investigation determined that resident (R1) has never resided at this facility. We have found the complaint allegations are unfounded, meaning that the allegations are false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted with Administrator and a copy of this LIC9099 report was left at facility. Unfoundedthe state’s words, verbatim · CDSS document, May 18, 2026 · control 22-AS-20260513084703

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit to the facility to complete the required annual inspection. LPA Tea was greeted and granted entry by caregiver staff, and explained the purpose of the visit. Administrator (AD) Carmen Achim arrived shortly to assist with the inspection.The facility is licensed to serve six non-ambulatory residents and has an approved hospice waiver for three residents. At the time of the visit, the facility was operating at full capacity with six residents in care and two residents were receiving hospice services. LPA Tea reviewed six resident files and two staff files. During the file review, discrepancies were identified. One resident was missing required consent forms, and another resident’s appraisal documentation was incomplete. Staff records indicated that health screening forms were not updated to reflect current health status, and personnel record forms were missing. The Administrator’s certificate is valid through December 1, 2027. LPA Tea, accompanied by staff, conducted a tour of the facility, including the physical plant, food service areas, and first aid supplies. The home consists of six resident bedrooms, one staff room, four full bathrooms, four half bathrooms, a living room, family room, dining room, kitchen, laundry room, and an attached garage. Smoke detectors and carbon monoxide detectors were observed to be operational in both common areas and resident bedrooms. Resident bedrooms were adequately furnished with appropriate bedding, linens, and sufficient storage space (Annual Inspection continued on LIC809C) to ensure comfort. Bathrooms were inspected and found to be in good repair, with functioning toilets and faucets, secure grab bars, and showers free of mold or mildew. The hot water temperature measured approximately 107.6°F. Adequate supplies of towels, toiletries, and personal hygiene items were available. Common areas were clean, orderly, and free of hazards, with unobstructed pathways. The first aid kit was complete and included all required items. The kitchen was inspected, and both perishable and non-perishable food supplies were sufficient. Sharps were secured underneath the kitchen sink, and toxic substances were properly stored and inaccessible to residents in the laundry room. The kitchen fire extinguisher was fully charged, and all appliances were operational. The most recent disaster drill was conducted on April 15, 2026. Outdoor areas were also inspected; the facility has two self-latching exit gates on either side of the home. The backyard includes shaded seating for residents. Emergency food and water supplies were observed in the garage. The facility provides activities based on residents’ preferences and health conditions. Additionally, an activities provider visits weekly to facilitate light exercise and musical entertainment. During the visit, residents were observed having lunch. Medication storage and administration were reviewed. Medications are stored in a locked cabinet in the laundry area and are being administered in accordance with physician orders. LPA Tea conducted interviews with residents regarding their quality of care and spoke with staff regarding services provided. Based on today’s inspection, deficiencies are being cited in accordance with Title 22, Division 6 of the California Code of Regulations. This report was reviewed with facility staff. A copy of this LIC 809, along with LIC 809-C, LIC 858, LIC 859, LIC 809-D, LIC 9102TV, and Appeal Rights, was provided and explained to the facility.the state’s words, verbatim · CDSS document, Apr 28, 2026

The state marks this report as 6 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with facility designated Administrator (AD) Ali Naghibi and discussed the purpose of the visit. The facility currently has five residents in care. The facility is a one story home with six resident bedrooms, one staff bedroom, eight bathrooms, kitchen, living room, dining room, laundry room and attached two car garage. The facility appears clean, safe and sanitary. LPA observed the residents napping and watching tv in their bedrooms. LPA observed all resident bedrooms had the required components and furnishings. LPA observed the restrooms to be stocked with toilet paper, paper towels and nonslip mats in the shower. LPA tested the hot water to be between 120.2 and 120.7 degrees Fahrenheit. LPA observed AD turn the water heater down. LPA observed the kitchen to be clean and free of vermin. LPA observed a fire extinguisher in the kitchen charged and with a purchase date of March 7, 2025. LPA observed the knives to be locked and inaccessible to residents in care. LPA observed the toxins and chemicals to be locked making them inaccessible to residents in care. LPA observed a two day perishable and seven day nonperishable food supply on hand. LPA observed the centrally stored medication to be in a locked cabinet located in the laundry room making them inaccessible to residents in care. LPA observed the emergency food supply to be stored in the garage. LPA observed the backyard to have a shaded seating area for resident use. LPA observed the backyard to be free of debris and obstructions. LPA and AD tested the carbon monoxide detectors and they were found to be operational. Continue on LIC 809C LPA reviewed staff files and no discrepancies were observed. LPA reviewed 4 resident files and 3 of 4 residents do not have updated needs and services plans. 2 of 4 residents do not have a tb test. 1 of 4 residents do not have a medical assessment. LPA reviewed resident medication and R1 has 2 over the counter medications that do not have a prescription from a physician and R3 has 6 over the counter medications that do not have prescriptions. Due to the facility Administrator being out and at an appointment. LPA requested liability insurance and fire drills to be emailed to LPA by COB September 19, 2025. Based on today’s observations deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility designated AD Ali Naghibi and a copy of this report along with LIC809D, LIC858, LIC9102 and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Sep 19, 2025

Type of visit: Required - 1 Year

On 8/26/2024, Licensing Program Analysts (LPAs) Janette Romero and Debbie Palacios conducted an unannounced visit to the facility for a required annual inspection. LPAs met with Administrator, Carmen Achim who was informed of the purpose of the visit. The facility has a fire clearance for six (6) non-ambulatory elderly residents and an approved hospice waiver for three (3), and LPA was informed two (2) residents are currently receiving hospice services at the facility. During today's visit, LPAs observed two (2) staff and six (6) residents present. LPAs toured the facility with Administrator Achim and observed the facility is made up of a one-story home with six (6) resident bedrooms, eight (8) bathrooms, a staff room, kitchen, dining room, living room, and attached garage. During the tour, Administrator Achim tested one (1) of the smoke alarms/carbon monoxide detectors and LPAs observed it to be operational. LPAs also observed a charged fire extinguisher mounted near the kitchen. Indoor and outdoor passageways were free of obstruction. The facility has outdoor shaded seating for the residents in care. There were no bodies of water observed on the premises. Medications are stored in a cabinet near the laundry service. Resident bedrooms had the required furniture and lighting. Bathrooms had grab bars near the toilet and in the showers. LPAs observed a hallway closet filled with clean linens and towels. The facility had a 2-day supply of perishable foods and 7-day supply of non-perishable food items. Staff present have a criminal record clearance. Resident files reviewed had updated physician's reports and admission agreements. The living room fireplace is adequately screened. Long Term Care Ombudsman information is visibly posted near the kitchen and copies of the facility sketch are posted throughout the facility. During today's visit, LPAs did not issue any citations. An exit interview was conducted where a copy of this report was reviewed and provided to Administrator Achim.the state’s words, verbatim · CDSS document, Aug 26, 2024