Inland Christian Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. Memory Care and Assissted Living Director Denise Perez met with LPA Hernandez and LPA explained the purpose of today's visit. The facility is a residential care for the elderly (RCFE) Continuing Care Retirement Community (CCRC). The facility is licensed for a capacity of two hundred ninety-seven (297) Current census is forty-seven (47) (19 of those living on memory care and 29 of those living on assisted living side). LPA Hernandez was accompanied by Memory Care and Assisted Living Director Denise Perez, 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 Hernandez 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 Hernandez observed sufficient furniture and lighting throughout the facility. LPA Hernandez observed the water temperatures in the bathroom to be at 105 degrees F on memory care side and 109 degrees F on assisted living side. The facility is equipped with operating smoke and carbon monoxide detectors. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCL complaint poster, labor laws were posted in common area. All sharps were locked and kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than three (3) days supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Memory Care/Assisted Living Director Denise Perez and Executive Director David Steinstra present in the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Hernandez reviewed twelve (12) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. 6 of which are memory care residents and remaining six are assisted living residents. LPA Hernandez reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. Medications/Medication Administration Record (MAR) were audited during the visit on 02/27/2026, and LPA Hernandez observed no issue. No issues were observed. 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), (LIC809C) were discussed and provided to Memory Care and Assisted Living Director Denise Perez.the state’s words, verbatim · CDSS document, Feb 27, 2026

Allegation investigated: Staff did not address resident's change of condition. Staff did not ensure that resident was adequately fed. Staff did not ensure that resident's oxygen tank was functioning properly. Resident was left in soiled diapers resulting in severe rash.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Administator Daryll Whitehead and explained the purpose of the visit. The investigation consisted of interviews and document review. LPA Hernandez observed Resident #1 (R1) was admitted to skilled nursing side of facility. LPA concluded through interviews and document review R1 does not live on assisted living facility side, therefore, investigation is not within jurisdiction of licensing department. Based on the evidence gathered, the allegation is deemed UNFOUNDED. A finding that the complaint allegation is UNFOUNDED means that the allegation was without a reasonable basis. Therefore, the allegations dismissed. An exit interview was conducted where this report LIC9099 was discussed and provided to Administrator Daryll Whitehead. Unfoundedthe state’s words, verbatim · CDSS document, Oct 21, 2025 · control 56-AS-20251014211259

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. Executive Director David Steinstra met with LPA Hernandez and LPA explained the purpose of today's visit. The facility is a residential care for the elderly (RCFE) Continuing Care Retirement Community (CCRC). The facility is licensed for a capacity of two hundred ninety-seven (297) Current census is one hundred-fifty nine (159). LPA Hernandez was accompanied by Memory Care and Assisted Living Director Denise Perez, Executive Director David Steinstra and Director of Operations Daryl Whitehead 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 at 67 degrees. LPA Hernandez 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 Hernandez observed sufficient furniture and lighting throughout the facility. LPA Hernandez observed the water temperatures in the bathroom to be at 111 degrees F. The facility is equipped with operating smoke and carbon monoxide detectors. Fire extinguishers were also observed at the facility. Posters such as personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. LPA observed scissors and knives to be kept unlocked accessible to residents in care. Deficiency will be issued. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than three (3) days supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Executive Director David Steinstra present in the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Hernandez reviewed fourteen (14) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA Hernandez reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA Hernandez reviewed (6) resident's medications. No issues were observed. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), (LIC809C) and Appeal Rights were discussed and provided to Memory Care and Assisted Living Director Denise Perez.the state’s words, verbatim · CDSS document, Jan 8, 2025

Allegation investigated: Staff are sleeping on the night shift. Staff are not responding to residents call for assistance.

On 04/09/2024, at 10:00 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to deliver findings for the above allegations. LPA Brown identified herself and discussed the purpose of the visit with Memory Care Director and Assisted Living Director Denise Perez. The investigation was conducted by LPA Brown. The investigation consisted of file review and interviews with relevant parties. The first allegation indicates Staff are sleeping on the night shift. LPA Brown conducted interviews with staffs and residents and reviewed pertinent documents. Per documents review and interviews conducted, Resident #1 (R1) was independent and resided in the Independent Living Apartments of the facility, and the allegation of “Staff sleeping on the night shift," therefore is UNFOUNDED. Regarding allegation "Staff are not responding to residents call for assistance." LPA Brown conducted interviews with residents and staffs and reviewed pertinent documents. ***Continuation in LIC9099C*** Unfounded Per documents review and interviews conducted, Resident #1 (R1) was independent and resided in the Independent Living Apartments of the facility, and the allegation of "Staff are not responding to residents call for assistance," therefore is UNFOUNDED. This agency has investigated the complaint allegations. We have found that the complaint was UNFOUNDED, meaning that the allegations Staff are sleeping on the night shift (Allegation #1), Staff are not responding to residents call for assistance (Allegation #2) were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. An exit interview was conducted with Memory Care Director and Assisted Living Director Denise Perez and a copy of this report (LIC9099), was discussed and provided.the state’s words, verbatim · CDSS document, Apr 9, 2024 · control 56-AS-20231009112450

Type of visit: Required - 1 Year

On 01/08/2024 at 09:05 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. Executive Director David Steinstra and Executive Director Mary Wolfe arrived at the facility during the visit. At the time of the visit there were one hundred thirty-eight (138) residents present. The facility is a residential care for the elderly (RCFE) Continuing Care Retirement Community (CCRC). The facility is licensed for a capacity of two hundred ninety-seven (297) of which eighty-two (82) Ambulatory and two hundred fifteen (215) non-Ambulatory and five (5) Hospice Waiver residents. Also, the facility’s approved for delayed egress and approved for secured perimeter. LPA Brown was accompanied by Memory Care and Assisted Living Director Denise Perez 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 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 sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperatures in the bathroom to be at 112 degrees F. The facility is equipped with operating smoke detectors however, LPA Brown observed no carbon monoxide alarms throughout the facility. Deficiency will be issued. The facility purchased the required carbon monoxide alarms during the visit on 01/08/2024 and installed it throughout the hallway of the facility. Moreover, fire extinguishers were also observed at the facility. Posters such as personal rights, the CCL complaint poster, labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPA Brown observed complete first aid kit and first aid book at the facility. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than three (3) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. All kitchen staff have their updated ServSafe Cerification and food handlers card. Care & Supervision: The facility has an Executive Director David Steinstra present in the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Brown reviewed fourteen (14) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA Brown observed that Resident #2(R2) and Resident #14 (R14) don't have their Admission Agreement in their facility file. Technical Violation Issued. Memory Care and Assisted Living Director Perez reprinted R2 and R14 Admission Agreement and kept it in their facility file during the visit on o1/08/2024. LPA Brown reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA Brown observed files reviewed were complete except for Staff #1 Administrator Certification expired and no renewal packet submitted for processing. During the visit on 01/08/2024. Deficiency will be issued. S1 mailed the renewal packet for processing. Medications/Medication Administration Record (MAR) were audited during the visit on 01/08/2024, and LPA Brown observed no issue. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D, LIC9102 forms, and Appeal Rights were discussed and provided to Memory Care and Assisted Living Director Denise Perez.the state’s words, verbatim · CDSS document, Jan 8, 2024

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff are placing multiple diapers on the residents. Staff are not providing comfortable accommodations for the residents. Staff do not have planned activities for the residents. Staff mishandle the residents medications while in care. Inland Christian Home Staff do not provide adequate food services for the residents.

On 10/10/2023, at 10:09 AM, Licensing Program Analysts (LPAs) Melody Brown and Bianca Wolcott conducted an unannounced visit to the facility to deliver findings for the above allegations. LPAs Brown and Wolcott identified themselves and discussed the purpose of the visit with Memory Care Director Denise Perez. The investigation was conducted by LPAs Brown and Wolcott. The investigation consisted of file review and interviews with relevant parties. The first allegation indicates Staff are placing multiple diapers on the residents. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with Staff # 1 (S1), Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) all indicated that they never placed multiple diapers on residents, and they all added that they never witnessed an incontinent resident at the facility wearing multiple diapers. Interviews with Resident #4 (R4) and Resident #5 (R5) revealed that they are wearing one (1) diaper. Moreover, residents and staffs’ interviews revealed that staffs’ are checking on residents to check on them if they needed to be change. *** Continuation on LIC9099C *** Unsubstantiated During the facility visit on 10/09/2023, LPAs Melody Brown and Bianca Wolcott observed residents wearing one (1) diaper. The second allegation indicates Staff are not providing comfortable accommodations for the residents. Interviews with Staff #1 (S1), Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) all indicated that they are providing comfortable accommodation for the residents. S2, S3 and S4 reported that they are asking residents on wheelchair every hour to transfer to a recliner chair to be comfortable if they are in the common area watching television (TV) and there is no incident that residents are just left in their wheelchair. S2, S3 and S4 added that there are residents that sometimes refused to be transferred to a chair and recliner, but they still continue asking them every hour. Resident #4 and Resident #5 interviews confirmed that staffs are transferring them to a chair or recliner chair to be comfortable when they are watching TV. During the visit on 10/09/2023, LPAs Brown and Wolcott observed staff transferred residents on wheelchair in a recliner chair for comfort. The third allegation indicates Staff do not have planned activities for the residents. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with Staff # 1 (S1), Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4), Staff #5 (S5) all indicated that they have planned activities for their residents everyday and there is no day that they do not have activities for their residents. Interviews with Resident #4 (R4) and Resident #5 (R5) revealed that the facility have activities for them everyday. During the facility visit on 10/09/2023, LPAs Brown and Wolcott observed residents attending the scheduled activity for the day at the Activity Room. The fourth allegation indicates Staff mishandle the residents medications while in care. Interviews with Staff #1 (S1), Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) all denied mishandling residents medications while in care. S1, S2, S3, and S4 all reported that they never pre-pour residents medications and there's no incident happened that a staff pre-poured a resident medication. Resident #4 (R4) and Resident #5 (R5) both confirmed that they are receiving their medications on time and there's no incident that staff mishandle their medications. The fifth allegation indicates Inland Christian Home Staff do not provide adequate food services for the residents. During the investigation, LPAs Brown and Wolcott did not find evidence to corroborate the allegation. ***Continuation in LIC9099C *** Interviews with Staff # 1 (S1), Staff #2 (S2), Staff #3 (S3) and Staff #4 (S4) indicated that the facility provide adequate food services for the residents. During the facility visit on 08/04/2023, LPA Brown obtained records of kitchen staffs updated food handlers card and ServSafe Certificate. In addition, LPA Brown observed the facility's Daily Dish Machine Sanitation Log for the month of August 2023. During the facility visit on 10/09/2023, LPAs Brown and Wolcott obtained the facility's Daily Dish Machine Sanitation Log for the month September 2023. Also, LPAs Brown and Wolcott observed the facility kitchen clean and sanitary during the visit on 10/09/2023. Based on interviews and records review, the allegations Staff are placing multiple diapers on the residents (Allegation #1), Staff are not providing comfortable accommodations for the residents (Allegation #2), Staff do not have planned activities for the residents (Allegation #3), Staff mishandle the residents medications while in care (Allegation #4), Inland Christian Home Staff do not provide adequate food services for the residents (Allegation #5) are UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, where this report (LIC9099) was discussed and provided to Memory Care Director Denise Perez.the state’s words, verbatim · CDSS document, Oct 10, 2023 · control 56-AS-20230802093701

Type of visit: Case Management - Deficiencies

On 10/10/2023 at 10:09 AM, Licensing Program Analysts (LPAs) Melody Brown and Bianca Wolcott met with Memory Care Director Denise Perez to initiate Case Management Visit. The investigation consisted of observation, interviews, and a review of pertinent documentation. During the facility visit on 10/09/2023, Licensing Program Analysts (LPAs) Melody Brown and Bianca Wolcott reviewed documents and observed that Staff #6 (S6) does not have a current criminal background clearance and showing “in process” in Guardian system. Staff interview and records review indicated S6 had been working at the facility since 06/12/2023. In addition, LPAs Brown and Wolcott also notice Staff #7 (S7) working at the facility without a criminal background clearance since 09/18/2023. LPA Brown informed Memory Care Director Perez that deficiency will be issued as this pose immediate health, safety and personal rights risks to residents in care. Civil Penalty was assessed with the amount of $500.00 per individual during the Facility Visit for failure to obtain S6 and S7 Criminal Background Clearance. An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to Memory Care Director Denise Perez.the state’s words, verbatim · CDSS document, Oct 10, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Oct 11, 2023

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance... This requirement is not met as evidenced by: Based on observation, interviews and records review, the Licensee did not comply with the section cited above by not obtaining criminal background clearance for Staff #6 and Staff #7 before allowing them to work at the facility which poses immediate health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 10, 2023

Plan of correction: Licensee stated to train staff on CCR 87355(e)(1) and submit Training Log to LPA Brown by POC due date. Licensee stated to submit Signed Statement of Understanding on CCR 87355(e)(1) and submit to LPA Brown by POC due date.