Kayla's Board & Care

Allegation investigated: Staff are not qualified to provide medications to residents. Staff are not providing resident nutritious meal options. Staff are not properly storing food. Staff are not background cleared. Staff do not ensure facility is free of pests.

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced complaint investigation visit to the facility regarding the above-mentioned allegations. Upon arrival, LPA was greeted by Licensee Elvie Ringor, who granted entry into the facility. LPA explained the purpose of the visit. The Department received a complaint on 06/30/2026 alleging that “Staff are not qualified to provide medications to residents,” “Staff are not providing resident nutritious meal options,” “Staff are not properly storing food,” “Staff are not background cleared,” and “Staff do not ensure facility is free of pests.” During the investigation, LPA interviewed three staff members. LPA also attempted to interview all five residents in care; however, LPA was unable to obtain reliable statements due to the residents’ cognitive abilities. LPA toured the interior and exterior of the facility and reviewed facility training records, Medication Administration Records (MARs), the facility food menu, and staff criminal record clearance information through Guardian. {***CONTINUE9099C***} Unsubstantiated Regarding the allegations that “Staff are not qualified to provide medications to residents” and “Staff are not background cleared,” it was alleged that staff were administering medications without proper training and that some staff were not properly cleared. During the investigation, three out of three staff interviewed denied the allegations. LPA reviewed staff training records and observed that staff have Basic Medication training certificates dated January 15, 2026. LPA also reviewed staff criminal record clearance information through Guardian and confirmed that all facility employees are fingerprinted and cleared. Regarding the allegations that “Staff are not providing resident nutritious meal options,” “Staff are not properly storing food,” and “Staff do not ensure facility is free of pests,” it was alleged that residents were primarily provided canned and processed foods, food was being stored in the garage despite high temperatures, and there was a cockroach infestation, particularly in the kitchen where resident meals are prepared. During the investigation, three out of three staff interviewed denied the allegations. LPA attempted to interview all five residents in care; however, reliable statements could not be obtained due to the residents’ cognitive abilities. LPA reviewed the facility food menu and observed that the menu included a variety of nutritionally based food options. LPA also reviewed staff training records, which showed that staff completed certified training in the principles of good nutrition, food preparation, and food storage on February 5, 2026. In addition, LPA conducted an interior and exterior walk-through of the facility, including resident bedrooms, restrooms, the kitchen, living room, and garage. LPA did not observe insects, bugs, cockroaches, or any evidence of pest infestation during the visit. Based on interviews, attempted resident interviews, record review, LPA observation, and information obtained during the investigation, the above allegations are deemed Unsubstantiated. Although the allegations may have happened or may be valid, there is not a preponderance of evidence to prove that the alleged violations occurred. An exit interview was conducted with Licensee Elvie Ringor, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jul 3, 2026 · control 22-AS-20260630114736

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility for the purpose of completing the annual required inspection. Upon arrival, LPA was greeted and granted entry by Office Manager, Rommel Ringor LPA toured the interior and exterior of the facility and observed the following: The facility is a single-level structure licensed to serve six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility also has a hospice waiver for six (6) residents. The home consists of four (4) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, a living room area, dining room area, kitchen, outdoor shaded seating area, and an attached two-car garage. LPA and AD tested the smoke detectors and carbon monoxide detectors in the common areas and resident bedrooms, and all were observed to be operational. Residents’ bedrooms contained the required furniture, bed linens, and adequate closet and drawer space to accommodate residents comfortably. LPA observed fire extinguishers mounted in the kitchen and garage areas. The last inspection date for the fire extinguishers was December 18, 2025. Upon review of records, the emergency drill log indicated the most recent drill was conducted on May 13, 2025. LPA observed that sharps and knives were locked in the kitchen and inaccessible to residents in care. Restroom toilets and water faucets were operational. Grab bars were secure, and showers were observed to be free of mold and mildew. The hot water temperature was measured between 109.1 degrees Fahrenheit and 109.6 degrees Fahrenheit. {CONTINUE 809} LPA and AD toured the backyard and observed a shaded seating area available for residents’ use. LPA confirmed that emergency exits were free of obstructions. LPA reviewed two (2) resident files and two (2) staff files and observed that the files contained the required documentation. Based on observations and record review conducted during today’s inspection, no deficiencies were cited pursuant to Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 19, 2026

Type of visit: Required - 1 Year

On June 11, 2025, at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Leticia Bitas. Administrator (AD) Elvie Ringor met with LPA and was present during the visit. AD Elvie Ringor has an administrator certificate with an expiration date of September 5, 2026. The facility is a single level structure, licensed for six (6) non-ambulatory residents, of which one (1) may be bedridden and has a hospice waiver for six (6) residents. The home consists of the following: Four (4) resident bedrooms, one (1) staff bedrooms, three (3) bathrooms, a living room area, dining room area, kitchen, outdoor shaded seating area, and an attached two car garage. There are three residents on census, all present during today’s visit. LPA obtained copies of pertinent documents, including facility records, clients/staff rosters, Personnel Record (LIC500), and clients/staff records. During the visit, LPA Bentley toured the interior and exterior of the physical plant with AD Ringor and the following was observed: There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. CONTINUE TO LIC809-C PAGE Bathrooms were found to be clean and operational. The water temperatures in three bathrooms measured 106.1 degrees F and 114.9 degrees F. A comfortable temperature of 74 degrees F was maintained throughout the facility. LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for cleaning supplies, toxins, and sharps objects were stored and locked. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available. There is a two car garage with two refrigerators and additional supply of perishable items. The washer and dryer were observed to be in working condition. Facility has emergency food supply and water supply. The backyard was clean and free of clutter and debris. A shaded patio area with tables and chairs was observed. Emergency safety drills was last conducted on July 15, 2019 and a deficiency is being cited. First aid kit is maintained and contains all the necessary elements. Smoke and carbon monoxide alarms were tested and observed operational. The facility has two (2) fire extinguishers that are fully charged in the kitchen and garage, with a last service date of October 22, 2024. A working telephone (714-600-7269) remains available. Liability Insurance is effective June 30, 2024 through June 30, 2025 and licensee also provided documentation for Liability Insurance is effective June 30, 2025 through June 30, 2026. LPA Bentley conducted an audit of three (3) resident files (R1-R3) and four (4) staff files (S1-S4). A review of the Medication and Medication Administration Record (MAR) was conducted. LPA observed annual training missing for three out of four staff files. Upon review of Resident #1 (R1) centrally stored medication list and medication box, four refills are not present in facility. Licensee stated refills were requested on June 9, 2025 but have not been delivered. Interviews were conducted with three (3) residents and two (2) staff. Based on today’s observations, deficiencies are being cited as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted, and a copy of this report, deficiency pages, and appeal rights were provided to Administrator Elvie Ringor.the state’s words, verbatim · CDSS document, Jun 11, 2025

Allegation investigated: Facility has uncleared individuals staying over night

Licensing Program Analysts (LPAs) Dwayne Mason Jr and Nancy Guillen conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPAs toured the facility and interviewed staff and residents. Three out of three staff deny any uncleared individuals at the facility. Facility Administrator (AD) stated a resident recently passed away and family members were visiting more frequently but never stayed the night. Interview with one out of one resident that was able to be interviewed confirms the only people who stay overnight are residents and facility staff. AD indicated formal visiting hours are 10AM to 8PM but can be flexible. AD re-stated that only facility staff and residents stay overnight. LPAs verified all staff on the LIC 500 are background cleared and associated to the facility. Based on interviews conducted and records reviewed, LPAs are unable to corroborate the allegation. Therefore, the allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. Exit interview was conducted and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 25, 2024 · control 22-AS-20241115154225

Allegation investigated: Uncleared individuals staying at the facility over the weekend.

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the visit, LPA toured the facility and interviewed staff and residents. Regarding the allegation that uncleared individuals staying at the facility over the weekend, the investigation revealed the following: Three out of three staff deny any uncleared individuals at the facility. Facility Administrator indicates many family members as well as therapists visit on the weekend. Interview with two out of two residents and witness confirms only family members and medical personnel are at the facility on the weekend. Administrator indicated formal visiting hours are 9AM to 8PM but the facility is flexible with visitation. LPA verified all staff on the LIC 500 are background cleared and associated to the facility. Based on interviews conducted, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. An exit interview was conducted and a copy of this report was provided to a facility Administrator.. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 17, 2024 · control 22-AS-20240910082518

Allegation investigated: uncleared individuals staying at the facility over the weekend

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility, interviewed staff, residents and witness. Regarding the allegation that uncleared individuals staying at the facility over the weekend, the investigation revealed the following: LPA observed no uncleared individuals at the facility on two different occasions including a weekend visit. All staff observed are fingerprint cleared and associated. Three out of three residents, witness and five out of five staff deny any visitors spending the night at the facility and indicate the only weekend visitors are resident family members. Based on observation and interview, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. An exit interview was conducted and a copy of this report was provided to a facility representative. Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 24, 2024 · control 22-AS-20231218074941

Allegation investigated: uncleared individuals staying at the facility over the weekend

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed staff and residents. Regarding the allegation that uncleared individuals staying at the facility over the weekend, the investigation revealed the following: Two out of two residents and four out of four staff deny any overnight guests at the facility. Residents and staff indicate visitors come to the facility on the weekend but do not stay overnight. Facility licensee lives on-site at the facility and indicates periodic guests for a meal but no overnight stays have occurred. Facility schedule indicates Licensee is working on weekends with additional staff on-call. Due to conflicting information, LPA is unable to corroborate the allegation. Based on interviews conducted, the allegation is deemed to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did occur. An exit interview was conducted and a copy of this report was provided to a facility representative. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 19, 2023 · control 22-AS-20231016081604

Allegation investigated: Staff are utilizing garage as staff's living quarters

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility and interviewed Administrator and House Manager. Regarding the allegation that staff are utilizing garage as staff's living quarters, the investigation revealed the following: LPA observed two chairs and a television in the garage. House Manager/ Licensee indicates that only House Manager utilizes the area for television watching in evenings. Both indicate no staff or residents utilize the area. Code Enforcement inspected the area on 09/22/2023 and found no violations. Telephone call to Anaheim Fire confirmed the television and chairs are permissible under fire clearance granted 05/09/2023. Community Care licensing regulations state, "No room commonly used for other purposes shall be used as a sleeping room for any resident." LPA observed no evidence of the space being used as a sleeping room for resident or staff. Therefore the allegation is deemed UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was provided to facility representative. Unfoundedthe state’s words, verbatim · CDSS document, Sep 28, 2023 · control 22-AS-20230918104141

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(1) · Plan of correction due date: Sep 26, 2023

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing.. in a licensed facility: Obtain a California clearance... as required by the Department. This req is not being met as evidenced by: Based on record review, Licensee failed to ensure S1 has a criminal background clearance. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED.the state’s words, verbatim · CDSS document, Sep 28, 2023

Plan of correction: Licensee to obtain a criminal record clearance for S1 and forward proof to LPA by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint visit 22-AS-20230918104141. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the complaint investigation, LPA reviewed criminal associations for staff working at the facility. Staff 1(S1) has criminal background clearance but is not associated to the facility. Based on the observations made from today's visit, deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the Administrator and a copy was provided to Administrator as well as Appeal Rights.the state’s words, verbatim · CDSS document, Sep 28, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Oct 3, 2023

All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing... in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 87355(c). This req is not being met as evidenced by: Based on record review, Licensee failed to ensure a transfer of criminal record clearance was processed for S1. This poses an immediate health and safety risk to residents in care. CIVIL PENALTY ASSESSED.the state’s words, verbatim · CDSS document, Sep 28, 2023

Plan of correction: Licensee to process criminal record clearance for S1 and forward proof to LPA by POC due date.