La Mesa Elder Care

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced quarterly Case Management/Legal Non-Compliance visit. LPA was welcomed by, identified themselves to, and discussed the purpose of their visit to Caregivers Guadalupe Sevilla and Veronica Bojorquez. Administrator Jenifer Sequeira arrived later during the visit. On January 22, 2025, the Licensee agreed on a compliance plan for the following 24 months through January of 2027. The last prior inspection was on September 9th, 2026. During today’s visit, LPA conducted a general overall inspection of the facility, interviewed staff, reviewed records, and evaluated licensee’s ongoing compliance with the requirements described in the LIC9111. During today's visit, there were six (6) residents in care, with one (1) currently on hospice. During the visit, the facility was clean, safe, and in good repair. LPA reviewed facility records. Client records contained all required documents. As LPA examined staff training records, LPA observed that staff training records were not current as was required per the terms of the compliance conference. Per the contract, outside source training was to be conducted with all staff quarterly for specified training topics. One type B deficiency was cited for the lack of records for required staff training. [Continued on LIC 809-C] [Continued from LIC 809] There were no immediate health or safety concerns. Based upon today’s observation and interviews, the facility was not operating consistent with the terms of the compliance conference. One deficiency was issued as part of this compliance visit. An exit interview was conducted with Administrator Jenifer Sequeira, who expressed disagreement with the citation and declined to sign today's report. LPA explained that signing today's report does not necessarily mean they agree with the citation, and that it is rather acknowledgement of LPA providing documentation of the visit and documentation of Administrator Sequeira's receipt of today's report. Administrator Sequeira stated they understood and maintained their refusal to sign, and requested an office meeting be scheduled to discuss the deficiency and compliance agreement. Per Administrator Sequeira, the facility had not been made aware of the quarterly training requirement in the first place and those records had not been requested during previous quarterly compliance visits by the Department. LPA provided Administrator Sequeira a copy of today's report and attachments as well as a copy of the Licensee/Appeal Rights (LIC 9058).the state’s words, verbatim · CDSS document, Apr 23, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87412(c) · Plan of correction due date: May 7, 2026

87412(c): Licensees shall maintain in the personnel records verification of required staff training and orientation. This requirement is not met as evidenced by: Based on LPA file review and interview, the licensee did not comply with the section cited above in maintaining records of staff training as required by the non-compliance conference summary held 1/22/25, which poses a potential health, safety, and/or personal rights risk to all persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2026

Plan of correction: Licensee declined to sign the LIC 809 report if a citation was to be issued by LPA. Thus collaborative POC could not be reached.

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced quarterly Case Management/Legal Non-Compliance visit. LPA was granted entry by and disclosed the purpose of the visit to Caregiver Veronica Bojorquez Castro , Administrator Jenifer Sequeira arrived shortly after. On January 22, 2025, the Licensee agreed on a compliance plan for the following 24 months through January of 2027. The last prior inspection was on July 9, 2025. During today’s visit, LPA conducted a general overall inspection of the facility, interviewed staff, reviewed records, and evaluated licensee’s ongoing compliance with the requirements described in the LIC9111. There were no new residents from the last visit. Since last visit, one resident has passed away due to natural causes. During the visit, the facility was clean, safe, and in good repair. Records reviewed were current and complete. There were no immediate health or safety concerns. Based upon today’s observation and interviews, the facility was operating consistent with the terms of the compliance conference. No deficiencies were observed or issued as part of this compliance visit. An exit interview was conducted with Administrator Jenifer Sequeira, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Sep 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Veronica Bojorquez Castro. Administrator Jenifer Sequeira arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory and 1 may be bedridden. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Water was measured at 105 degrees F. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked cabinet. A pool is present with appropriate locked fence. Per Jenifer, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present and purchased within the last year. First aid kit was complete and readily accessible. Resident records reviewed had required documentation. Staff records reviewed contained required documentation. No deficiencies were cited on todays visit. An exit interview was conducted with Administrator Jenifer Sequeira, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided to during the visitthe state’s words, verbatim · CDSS document, Sep 9, 2025

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced quarterly Case Management/Legal Non-Compliance visit. LPA was granted entry by and disclosed the purpose of the visit to Caregiver Guadalupe Sevilla, Administrator Jenifer Sequeira arrived shortly after. On January 22, 2025, the Licensee agreed on a compliance plan for the following 24 months through January of 2027. The last prior inspection was on March 6, 2025. During today’s visit, LPA conducted a general overall inspection of the facility, interviewed staff, reviewed records, and evaluated licensee’s ongoing compliance with the requirements described in the LIC9111. There were no new residents from the last visit. During the visit, the facility was clean, safe, and in good repair. Records reviewed were current and complete. There were no immediate health or safety concerns. Based upon today’s observation and interviews, the facility was operating consistent with the terms of the compliance conference. No deficiencies were observed or issued as part of this compliance visit. An exit interview was conducted with Administrator Jenifer Sequeira, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jul 9, 2025

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced quarterly Case Management/Legal Non-Compliance visit. LPA was granted entry by and disclosed the purpose of the visit to Administrator Jenifer Sequeira. On January 22, 2025, the Licensee agreed on a compliance plan for the following 24 months through January of 2027. During today’s visit, LPA conducted a general overall inspection of the facility, interviewed staff, reviewed records, and evaluated licensee’s ongoing compliance with the requirements described in the LIC9111. During the visit, the facility was clean, safe, and in good repair. Records reviewed were current and complete. Staff records reviewed contained required documentations.There were no immediate health or safety concerns. Based upon today’s observation and interviews, the facility was operating consistent with the terms of the compliance conference. No deficiencies were observed or issued as part of this compliance visit. An exit interview was conducted with Administrator Jenifer Sequeira, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Mar 6, 2025

Allegation investigated: Neglect/Lack of Supervision resulted in multiple injuries.

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to deliver findings in the above-mentioned complaint allegation. LPA identified herself and discussed the purpose of the visit with Abhinav Singh, Business Manager. On November 7, 2024, Community Care Licensing (CCL) received a complaint alleging Resident 1 (R1) was observed to have multiple minor injuries. During the investigation, LPA Strong collected pertinent resident records, facility documentation, photographs, video and conducted multiple outside sourced interviews. According to the allegation, R1 was observed to have bruises with unknown causes as of November 4, 2024. R1’s Physician Report signed October 17, 2023, R1 is dependent on a wheelchair, does not require medication management, and is able to communicate need. Unsubstantiated Interview with staff present on the morning of November 4, 2024, revealed that R1 left the facility to a medical appointment and returned to the facility later that afternoon with multiple minor injuries. Video collected from the facility determined that R1 did not have any injuries as of 8:05 am on November 4, 2024. Staff also revealed that when R1 returned from medical appointment, R1 had minor bruising on the forehead, ear, fingers, and ears. According to pictures reviewed and statements from staff, the bruises became larger and darker as time progressed. Interview with Outside Source 1 (OS1) revealed that there was an external investigation and found no further explanation of injuries to R1. Interview with Outside Source 2 (OS2) established that the medical transport was also investigated and found no facts to determine how R1 was injured. Interview with Outside Source 3 (OS3) did not reveal any additional information to determine cause of injuries. Lastly R1 was unable to explain injuries to facility staff, Administrator or Licensing Program Analyst. Based on multiple interviews, record reviews, photographs, and video there is not a preponderance of evidence to prove alleged violations occurred, therefore the allegations are unsubstantiated. An exit interview was conducted with Abhinav Singh, Business Manager, to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jan 22, 2025 · control 08-AS-20241107113808

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Araceli Mora. Administrator Jenifer Sequeira arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory and 1 may be bedridden. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. . Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked cabinet. A pool is present with appropriate locked fence. Per Jenifer, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was present. First aid kit(s) were complete and readily accessible. Resident records reviewed had required documentation. Staff records reviewed contained required documentation. Upon entry to the facility, LPA Strong observed pad lock and additional latch lock on the inside of the front door. Pad lock code is required to unlock top deadlock and a key is required to unlock top latch if used. An deficiency is being cited per California Code of Regulations along with an immediate civil penalty due to fire clearance violation. An exit interview was conducted with Administrator, to whom a copy of this report LIC 809-D, LIC421IM, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Oct 17, 2024