Julian Family Carehome

Type of visit: Case Management - Other

On December 5, 2025, Marcial Julian, licensee, submitted to Licensing Program Analyst (LPA) Delmundo copies of 60-day notifications provided to residents and residents' responsible person regarding closing of the facility. On January 23, 2026, licensee notified LPA that the last resident (R1) will move-out that week. On this day, January 27, 2026, at 10:55 a.m., LPA arrived unannounced to conduct a case management visit. LPA was granted entry by Olympio Bernardo, staff. LPA called and spoke over the phone with licensee and informed the reason for visit. Licensee can not come to the facility and authorized Olympio Bernardo to sign and receive this report. LPA toured the facility and observed no sign of resident and all residents rooms vacant. LPA interviewed staff who stated R1 moved-out on January 24, 2026. The license that was issued by the Department is surrendered to LPA on this same day. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Jan 27, 2026

Type of visit: Required - 1 Year

On this day, January 14, 2026, at 4:30 p.m., Licensing Program Analyst (LPA) Delmundo arrived unannounced to do an annual inspection. LPA meet with Olympio Bernardo, and informed the purpose of the visit. Julian Marcia, licensee-administrator, arrived at around 4:00 pm. LPA inspected the facility inside out. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Fire extinguishers were observed fully charge and tags showed serviced May 16, 2025. Smoke and carbon monoxide detectors were tested and observed in operating condition on this day. LPA reviewed 1 resident and 3 staff files. The following deficiency was observed during the visit: -at 3:48 p.m., Nyquil syrup in refrigerator. -at 3:49 p.m., refrigerator dirty with paper plate and an empty egg crate stuck in the one of the refrigerator vegetable drawer. -at 4:01 p.m., Vick's vaporub and ointment in the cabinet in one of the bathrooms. .....continued on 809C CONTINUATION FROM PAGE 1: -at 4:40 p.m., no disaster drill record for year 2025. LPA verified, and licensee stated they didn't conduct drill. -at 4:50 p.m., resident (R1) appraisal on file is dated 2020 and medical assessment (LIC602A) is dated 2022. -at 5:00 p.m., staff (S1 and S2) do not have the required annual training for year 2025. -at 5:05, staff (S2) has no first aid/CPR certificate on file. Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Marcial Julian. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Jan 14, 2026

Allegation investigated: Staff are financially abusing resident

On 6/19/2025, at 9:45 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to investigate the allegation above. Upon arrival, the LPA informed Caregivers S1 and S2 of the purpose of the visit. The Licensee / Administrator Marcial Julian arrived at the facility at approximately 10:05 AM. The complaint alleges staff are financially abusing resident. The LPA interviewed Witness W1 by telephone. The LPA interviewed Resident R1, reviewed R1's physician's report and R1's financial statements. The LPA interviewed the Licensee and S1. The LPA reviewed the facility's financial records. The data collected from the interviews and the review of records shows that the staff are acting in best interest of R1, which does not confirm the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 19, 2025 · control 15-AS-20250617082117

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 01/17/2025 at 09:20 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with staff Belinda Dela Cruz and explained the purpose of the visit. Administrator Julian Marcial was called and joined later. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the living room, dining area, kitchen, bedrooms, hallways, bathrooms, side and backyards. Bedrooms were observed appropriately furnished with adequate lighting and drawers. Facility has sufficient towels, extra bed sheets and comforters. Equipment and supplies for residents' personal hygiene are available and on site. Dinner and silver wares were observed sufficient for residents' use. Food supplies checked and observed good for seven days of non-perishables. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, and central storage for medications were observed with locks. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced 05/31/2024. At 10:02 am LPA reviewed 3 residents records. At 10:45 am, LPA reviewed 2 staff records and 2 of 2 were fingerprint cleared and associated to the facility. The following deficiency was observed during the visit: Cleaning chemicals left unlocked in unlocked garage and found under bathroom sink The Facility was cited, and citations can be found on the LIC 809-D. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 17, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a case management visit for the deficiency observed during investigation of complaint (15-AS-20240327144832), but was not cited on April 4, 2024 LPA learned that the administrator yelled at resident (R1) which during interview, the administrator admitted to yelling when R1 becomes verbally abusive to the caregivers. On this day, April 5, 2024, LPA met with Belinda Dela Cruz, staff. LPA called and spoke over the phone with Marcial Julian, administrator, and informed the reason for visit. Deficiency is cited from Title 22 California Code of Regulations, and listed on 809D. Failure to submit proof of correction by plan of correction due date, and any repeat violation within 12 month period may result in additional civil penalty. Deficiency and plan and proof of correction were discussed with the administrator over the phone, Administrator authorized Belinda Dela Cruz to sign and receive this report, Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Apr 5, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: Apr 19, 2024

87468.1 Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. -This requirement is not met as evidenced by: -Based on interview, the licensee did not comply with the section above in yelling at the resident which posed a potential personal rights risk to person in care.the state’s words, verbatim · CDSS document, Apr 5, 2024

Plan of correction: Administrator to do the following, and submit proof by 4/19/24: 1. Read the Regulations and submit self-certification. 2. In-service the staff.

Type of visit: POC

On April 4, 2024 at 7:42 p.m., Marcial Julian, administrator, sent message to Licensing Program Analyst (LPA) Delmundo stating that R1 does not anymore have the medication in the room (deficiency section # 87465(h)(1)(C)), On this day,. April 5, 2024, at 5:05 p.m., administrator submitted the LIC9098 and POC for deficiency section # 87465(a)(4) and stated that the medication was approved, filled and delivered on this day. While at the facility for other reason on this same day, LPA asked staff, Belinda Dela Cruz, if the 2 medications are delivered. The staff stated they will be delivered at around 7:00 p.m. LPA also checked and observed the medication that was observed in R1's room is now centrally stored and locked. LPA called and spoke with the administrator and discussed the above. Administrator authorized Belinda Dela Cruz to sign and receive this report. While still at the facility, R1's medications were delivered at 6:27 p.m. Administrator to submit the in-service training for deficiency section # 87465(h)(1)(C). Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Apr 5, 2024

Allegation investigated: Staff physically abused resident (R1) in care.

Licensing Program Analyst (LPA) Delmundo arrived unannouced to investigate the above allegation. LPA met with staff, Belinda Dela Cruz, and informed the reason for visit. LPA called and spoke over the phone with Marcial Julian, administrator, who authorized Belinda Dela Cruz to sign and receive this report. It was alleged that on March 15, 2024, the administrator pushed R1. During investigation, LPA reviewed residents' files and obtained copies of documents. LPA interviewed staff (S1, S2 and administrator), residents (R1, R2 and R3) and witness (W1). .......continued on 9099C Unsubstantiated W1 stated resident (R1) told W1 that on March 15, 2024 the administrator pushed R1; however, on the alleged day of incident, the administrator was out on vacation and not in the facility which LPA confirmed with S1, S2, R2 and administrator. S1, S2, R2 and R3 stated they never observed the administrator pushed R1 nor physically abusive to any of the residents. R1 stated the administrator run into R1's leg. The administrator stated that an incident happened when he first brought R1 to appointment. He was helping R1 get into the his car and R1 put his leg first in the car which caused R1 pain. Based on information gathered. the allegation of staff physically abused resident in care is unsubstantiated. A finding that the complaint 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. No deficiency cited. Exit interview conducted, and copy of this report provided.the state’s words, verbatim · CDSS document, Apr 4, 2024 · control 15-AS-20240327144832

Type of visit: Case Management - Deficiencies

While at the facility investigating a complaint (Control # 15-AS-20240327144832), Licensing Program Analyst (LPA) Delmundo learned that the administrator yelled at resident (R1) which during interview, the administrator admitted to yelling when R1 becomes verbally abusive to the caregivers. During interviews and review of records, LPA observed the following: 1. Unlocked medication in resident's (R1) room. The administrator stated R1 wants to keep the medication in the room and administer own medication, Review of LIC602A Physician's Report showed R1 can not administer own medications. 2. R1's LIC602A showed ambulatory when Pre-placement Appraisal showed non-ambulatory and R1uses wheel chair to move around and about. 3. R1's 2 medications run out; one of which with filled date 1/30/24 (quantity: 30) and the other one with filled date 2/04/24 (quantity; 30) and started administration on 2/18/24 and 2/10/24 respectively. Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. A $250.00 civil penalty is assessed for repeat violation of section 87465(h)(1)(C). Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalties. Deficiencies, civil penalty and plan and proof of corrections were discussed with the administrator over the phone who authorized Belinda Dela Cruz, staff, to sign and receive this report. Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Apr 4, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(1)(C) · Plan of correction due date: Apr 5, 2024

87465 Incidental Medical and Dental Care (h) (1) (C) Because of potential dangers related to the medication itself, or due to physical arrangements in the facility.... the medications are determined by either a physician......or Department to be a safety hazard to others. -This requirement is notmet as evidenced by: -Based on observation and interview, the licensee did not comply with the section above for medication in resident's room which poses an immediate risks to persons in care. This is a repeat violation, First citation was issued on 1/26/24.the state’s words, verbatim · CDSS document, Apr 4, 2024

Plan of correction: Administrator to have the medication locked and in-service the staff, A $250.00 civil penalty is assessed.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87465(a)(4) · Plan of correction due date: Apr 5, 2024

87465 Incidental Medical and Dental Care (a) .....(4) The licensee shall assist residents with self-administered medications as needed. -This requirement is not met as evidence by: -Based of records review, the licensee did not comply with the section above for 2 of R1's medicatons run out which pose immediate health risks to person in care.the state’s words, verbatim · CDSS document, Apr 4, 2024

Plan of correction: Administrator to obtain the medicaitons, and submit proof by 4/05/24.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87458(b)(5) · Plan of correction due date: Apr 18, 2024

87458 Medical Assessment (b) The medical assessment shall include, but not be limited to: (5) The determination whether the person is ambulatory or nonambulatory.... The assessment shall indicate whether nonambulatory status is based upon the resident’s physical condition, ... mental condition or both. -This requirement is not met as evidenced by: -Based on records review, the licensee did not comply with the section above in R1's LIC602A ambulatory status not consistent with R1's physical condition which poses health risk to person in carethe state’s words, verbatim · CDSS document, Apr 4, 2024

Plan of correction: Administrator to have the LIC602A updated and submit copy by 4/18/24.

Type of visit: Required - 1 Year

On this day, January 26, 2024, at 12:45 p.m, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Belinda Dela Cruz, staff, and informed the reason for visit. LPA called and spoke with Marcial Julian , licensee-administrator, over the phone who stated he cannot come to the facility, and authorized Belinda Dela Cruz to be with LPA during inspection and to sign and receive this report. Licensee-administratro has not submitted the LIC9282 Infection Control Plan. LPA toured the facility inside out. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Facility has 2 in 1 smoke and carbon monoxide detectors that was tested, and observed functional. Hot water temperature in one of the bathrooms was tested, and measured at 119 degrees Fahrenheit. LPA interviewed 1 staff and 2 residents. LPA observed the following: -at 1:05 p.m., scissors in kitchen cabinet without lock. -at 1:06 p.m., 2 bottles of Nyquil cough syrup and a bottle of Enulose Solution in the refrigerator. -at 1:20 p.m., Rubbing alcohol, bleach, laundry soap, aerosol sprays, staff's (S2) medications in unlocked garage. ...continued on 809C -at 1:40 p.m., empty laundry soap pails, pieces of wood, dirty box, broken dryer, rusted commode, 3 doors, mattress, metals, metal frame in the side yard. -at 1:48 p.m., tarp, pieces of wood. pieces of plastic roofing, over grown weeds on the other side of the yard. -at 3:40 p.m, licensee-administrator stated they conduct disaster drills once a year only. Residents and staff files were not available for review. Licensee-administrator stated the files are with him. Administrator to submit the following updated/current documents by February 9, 2024: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the administrator over the phone. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided to Belinda Dela Cruz,the state’s words, verbatim · CDSS document, Jan 26, 2024

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.