La Mirada Villa for the Elderly

Allegation investigated: Staff did not provide adequate communication with authorized representative.

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced 10-day complaint visit at the facility and met with caregiver, William Del Rio and LPA explained the purpose of the visit. LPA Konishi called the Administrator over the phone and LPA explained the purpose of the visit. The purpose of the visit is to investigate the above allegation. The investigation consisted of the following: LPA interviewed the Staff #1 (S1) to Staff #3 (S3), Resident #1 (R1) to Resident #5 (R5) at the home. LPA also interviewed the Administrator, Witness #1 (W1) to Witness #5 (W5) over the phone. LPA obtained copies from Resident #1 (R1’s) file such as the Appraisal Needs and Services Plan, Physician’s Report, and other pertinent documents. LPA obtained copies of the resident roster and staff roster. Unsubstantiated The investigation revealed the following: in regard to the allegation, “Staff did not provide adequate communication with authorized representative.” It is alleged that on 07/07/2026, R1’s authorized representative called the facility to confirm whether R1 was receiving the prescribed medications and to request medication orders for the authorized representative’s records. It is also alleged that the staff told the authorized representative to contact the Administrator and the disconnected the call and the facility has failed to call the authorized representative back. LPA interviewed the Administrator, three (3) out of three (3) staff that denied the allegation stating that they provide to R1’s authorized representative the prescribed medications information that R1 is receiving over the phone and stated not disconnecting the call. The Administrator also stated calling the authorized representative back on 7/9/2026 and left a voice message. LPA interviewed five (5) out of five (5) residents stating that the facility staff provides adequate communication with their authorized representative and stated having no issues being able to communicate with their authorized representative or loved one. LPA interviewed one (1) out of five (5) witnesses that corroborated with the allegation stating that the facility staff are not willing to provide information to the authorized representative and that the staff hung up on the witness once on 7/7/2026. LPA interviewed four (4) out of five (5) witnesses that denied the allegation stating that the staff provides adequate communication and that the staff are able to provide information when they ever request it and the staff also have not disconnected the call ever over the phone. There is not enough evidence to substantiate. Based on statements and interviews conducted with staff, resident, and review of resident files and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. An exit interview was held and a copy of this report was provided to the Caregiver, Nonila Ceralde.the state’s words, verbatim · CDSS document, Jul 10, 2026 · control 28-AS-20260707113650

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with William Del Rio, caregiver for the facility, and explained the purpose of the visit. Administrator Eliza De Honor arrived shortly thereafter. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) residents, all six (6) of whom may be non-ambulatory and receive hospice services. The facility consists of a kitchen, a dining room, a living room, four (4) resident bedrooms, two bathrooms of which Restroom #1 had a hot water temperature reading of 105.4 Degrees Fahrenheit, and Restroom #2 which had a hot water temperature reading of 111.4 Degrees Fahrenheit. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has a fully charged fire extinguisher kept in the facility. Operational Requirements: · Fire clearance was approved by LA County Fire Department for a capacity of six (6) residents, all of whom may be non-ambulatory and on hospice. · Care and supervision to meet the clients’ needs was observed. Staffing: · Four (4) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Four (4) staff files were reviewed for criminal background clearance and training. · Two (2) staff members had Tuberculosis clearances, however they did not have a health screening on record. · Administrator does not have a current administrator certificate and needs to be recertified. Resident Rights/Information: · Physician orders were reviewed for six (6) resident files. · Medications were also reviewed for six (6) residents. Resident Records/Incident Reports: · Six (6) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan (LIC610E) was posted in the facility. · The last emergency and disaster drill was conducted on 6/2/2026. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal There are Three (3) residents with half-bed rails, however they do not have physician orders for the rails. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit is documented on the LIC809D pages. Exit interview held and a copy of the report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with William Del Rio, caregiver for the facility, and explained the purpose of the visit. Administrator Eliza De Honor was notified of the visit by phone call. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) residents, all six (6) of whom may be non-ambulatory and receive hospice services. The facility consists of a kitchen, a dining room, a living room, four (4) resident bedrooms, two bathrooms of which Restroom #1 had a hot water temperature reading of 105.4 Degrees Fahrenheit, and Restroom #2 which had a hot water temperature reading of 111.4 Degrees Fahrenheit. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has a fully charged fire extinguisher kept in the facility. Due to time constraints, the annual inspection will need to be completed at a later date. Exit interview was held and a copy of this report was reportthe state’s words, verbatim · CDSS document, Jun 15, 2026

Allegation investigated: Staff does not administer resident’s medication as prescribed Staff does not provide resident with oxygen

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced complaint visit to address the allegations listed above. LPA met with William Del Rio, caregiver for the facility, and explained the purpose of the visit. Administrator Eliza De Honor was notified of the visit by phone call however was not able to make the visit to the facility. The investigation consisted of the following: LPA conducted a tour of the facility, interviewed Staff #1 - 2 (S1 - S2), Residents #1 - 5 (R1 - R5), and also reviewed the medications along with the medication orders for R1 - R5. The investigation revealed the following: In regards to the allegation that "Staff does not administer resident's medication as prescribed, it was alleged that one of the residents of the facility had not received their medications for two (2) days in the month of January 2026. Substantiated Based on resident interviews, one (1) out of five (5) corroborated the allegation. One resident explained they were provided a nighttime medication twice, wen they are supposed to be provided it only once, on accident by facility staff approximately two (2) weeks ago. No other residents corroborated the allegation. In interviews with staff, none of them corroborated the allegation. The staff stated that they are providing medications to all residents according the physician orders and that there has not been any discrepancies. During medication or R1's medication, it was observed that their morning medication for Furosemide 20 MG is supposed to be given twice, however only one (1) was distributed and the second was found still in the bubble pack. In addition, Nystatin cream and Triamcinolone is indicated as cycle medications and were not present. Facility staff stated that they have been discontinued but their is no discontinue order. In addition C2's Azithromycin 250 MG medication was not being given due to being put on a hold by a nurse according to staff, however there is no order for this. C2 also had Ensure and Ketaconazole orders that were said to have been discontinued, however there are no discontinue orders, and C2 was also out of their Vitamin A & D ointment. In regards to the allegation that "Staff does not provide resident with oxygen," it is alleged that R1 is supposed to be on continued oxygen, however they were not given oxygen for two (2) days in the month of January 2026, and that staff turn off the oxygen machine due to concerns about setting off the facility smoke alarm. During interviews with the residents, none of them corroborated the allegation. All residents denied there had been any issues with oxygen administration. During interviews with staff, none of them corroborated the allegation as well. Staff stated that R1 that they do not turn off the oxygen for any resident, and that they are not sure what R1's oxygen order is however they believe it is not 24/7. Another staff stated that R1 only ceases to use their oxygen when using the restroom and for meals. During LPA's interview with R1 in the living room of the facility, R1 did not have their oxygen machine turned on. In addition, the facility staff were not able to provide a physician order for R1's oxygen use. Based on LPA observations, interviews conducted, and record review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC9099D. Exit interview was held, and a copy of the report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Feb 5, 2026 · control 28-AS-20260130122548

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Feb 6, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. (...) (4) The licensee shall assist residents with self-administered medications as needed. This regulation is not met as evidenced by: Based on staff/client interviews and a review of medication records, LPA determined that facility staff did not administer medications as prescribed or obtained discontinue orders for 2 out of 5 resdients (R1 - R2), which poses an immediate health and safety threat to residents in care.the state’s words, verbatim · CDSS document, Feb 5, 2026

Plan of correction: The licensee shall submit a plan to address the medication discrepancies for R1 - R2. In addition, an in-service training regarding medications shall be provided and log shall be submitted to LPA by the POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87618(b)(1) · Plan of correction due date: Feb 26, 2026

(b) In addition to Section 87611(b), the licensee shall be responsible for the following: (1) Monitoring of the resident's ongoing ability to operate the equipment in accordance with the physician's orders. This regulation is not met as evidenced by: Based on observation, staff/client interviews and a review of physician orders, LPA determined that facility staff did not monitor resident's ability to operate oxygen equipment and could not provide an order for 1 out of 5 residents (R1), which poses a potential health and safety threat to residents in care.the state’s words, verbatim · CDSS document, Feb 5, 2026

Plan of correction: Administrator is to obtain a physician order of oxygen administration for R1 and provide it to LPA, along with a plan with how the facility will ensure the order is followed to LPA by the POC due date.

Allegation investigated: Staff did not administer residents’ medications as prescribed.

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit and the purpose is to correct the citation issued on 1/15/26, however, all findings remain the same. LPA met with staff and explained the purpose of the visit. On 1/15/26, LPA conducted the initial visit and toured the facility, obtained copies of the resident roster, reviewed residents’ files and their medications. LPA interviewed the Administrator via telephone, two (2) Staff, five (5) Residents, and family members. The investigation revealed the following: Allegation – Staff did not administer residents’ medications as prescribed. Per the administrator and staff interviewed, the residents are given their medications as prescribed. The facility uses a Medication Administration Records (MARs) to record the medications when given. Five (5) of the residents interviewed stated they are taking their medications daily and on time. Substantiated LPA reviewed all six (6) of the residents’ medications and discrepancies were observed for three (3) out of the six (6). Resident #2’s medication (Quetiapine Fumarate 50MG) and Resident #3’s medications (Docusate Sodium100MG and Senna 8.6MG) are not given as indicated on the MAR log. Per staff, they were instructed not to give them either by the family member or nurse. However, there were no physician’s order for the instruction. In addition, Resident #4’s medication (Acetaminophen 500MG) was not given at noon time consistently. Based on LPA observations, interviews conducted, and record review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted. The Plan of Correction was reviewed and developed with the administrator via telephone. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jan 29, 2026 · control 28-AS-20260107152642

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Jan 30, 2026

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. (4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on medication review, 3 out of the 6 residents were not receiving their medications as prescribed by the physician which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 29, 2026

Plan of correction: The licensee shall submit a plan to address the medication discrepancies for Residents #2, #3, and #4. In addition, an in-service training regarding medications shall be provided and log shall be submitted to LPA by 1/30/26.

Allegation investigated: Staff did not administer residents’ medications as prescribed.

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegation listed above. LPA arrived unannounced and met with staff. The purpose of the visit was explained. LPA toured the facility, obtained copies of the resident roster, reviewed residents’ files and their medications. LPA interviewed the Administrator via telephone, two (2) Staff, five (5) Residents, and family members. The investigation revealed the following: Allegation – Staff did not administer residents’ medications as prescribed. Per the administrator and staff interviewed, the residents are given their medications as prescribed. The facility uses a Medication Administration Records (MARs) to record the medications when given. Five (5) of the residents interviewed stated they are taking their medications daily and on time. Substantiated LPA reviewed all six (6) of the residents’ medications and discrepancies were observed for three (3) out of the six (6). Resident #2’s medication (Quetiapine Fumarate 50MG) and Resident #3’s medications (Docusate Sodium100MG and Senna 8.6MG) are not given as indicated on the MAR log. Per staff, they were instructed not to give them either by the family member or nurse. However, there were no physician’s order for the instruction. In addition, Resident #4’s medication (Acetaminophen 500MG) was not given at noon time consistently. Based on LPA observations, interviews conducted, and record review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC 9099D. An exit interview was conducted. The Plan of Correction was reviewed and developed with the administrator via telephone. A copy of this report and appeal rights were provided. LPA interviewed the administrator and staff regarding this allegation. The administrator stated that no doctors have contacted her to inquire or obtain documents for any of the residents. Administrator also stated that staff are aware that they should not be providing any information without notifying her or receiving an approval. LPA interviewed two (2) staff who stated that no doctors or family members have requested any records or ask for specific information of a resident. One of the Staff recalled a nurse contacting the facility last week to inquired if someone called about Resident #1. Staff responded no and there was no other information requested. Staff interviewed denied falsifying any residents’ records. LPA interviewed family members who stated they have not requested any of the residents’ documents and have not encountered staff providing inaccurate information. LPA reviewed three (3) residents’ files. The files appear complete, and LPA did not observe any information crossed out or appeared altered. Based on the information gathered, there is insufficient evidence to prove that staff are falsifying residents’ records. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED. An exit interview was conducted with Staff W. Del Rio. A copy of this report, along with the appeal rights, was provided.the state’s words, verbatim · CDSS document, Jan 15, 2026 · control 28-AS-20260107152642

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Jan 16, 2026

87411 Personnel Requirements - General (a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on medication review, 3 out of the 6 residents were not receiving their medications as prescribed by the physician which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 15, 2026

Plan of correction: The licensee shall submit a plan to address the medication discrepancies for Residents #2, #3, and #4. In addition, an in-service training regarding medications shall be provided and log shall be submitted to LPA by 1/16/26.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with William Del Rio, caregiver for the facility, and explained the purpose of the visit. Administrator Eliza De Honor arrived shortly thereafter. There are four (4) residents residing within the home. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) residents, all six (6) of whom may be non-ambulatory and receive hospice services. The facility consists of a kitchen, a dining room, a living room, four (4) resident bedrooms, two bathrooms of which Restroom #1 had a hot water temperature reading of 107.7 Degrees Fahrenheit, and Restroom #2 which had a hot water temperature reading of 105.4 Degrees Fahrenheit. The facility was observed to be in good repair. · The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has a fully charged fire extinguisher kept in the facility. Operational Requirements: · The Program Design was reviewed. · Fire clearance was approved by LA County Fire Department for a capacity of six (6) residents, all of whom may be non-ambulatory and on hospice. · Care and supervision to meet the clients’ needs was observed. Staffing: · Four (4) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Four (4) staff files were reviewed for criminal background clearance and training. · Two (2) of the staff are not currently associated to the facility. · Two (2) of the staff do not have a health screening with TB clearance on file. · One (1) staff member does not have an active CPR certificate on file. Resident Rights/Information: · Physician orders were reviewed for four (4) resident files. · Medications were also reviewed for four (4) residents. · Two (2) residents did not have medications that were ordered from their physician. Resident Records/Incident Reports: · Five (5) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. · Two (2) residents did not have a physician’s report completed within the past year. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan (LIC610E) was posted in the facility. · The last emergency and disaster drill was conducted on 4/8/2025. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Administrator was informed that the facility has past due licensing fees that are owed. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit is documented on the LIC809D pages. Exit interview held and a copy of the report along with appeal rights will be provided by email.the state’s words, verbatim · CDSS document, Jun 5, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Erik Zaragoza conducted an unannounced Required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA explained the purpose of the visit to Diane Ragudo, caregiver for the home, and was granted entrance to the facility. Administrator Eliza De Honor arrived shortly thereafter. There are four (4) currently living in the facility, all of whom are on hospice. The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Resident Records/Incident Reports, Food Service, Planned Activities, Incident Medical and Dental, Disaster Preparedness, and Residents with Special Health Needs. Infection Control: · Infection control practices and Personal Protective Equipment (PPEs) were observed. · Infection control plan is on file. Physical Plant/Environment Safety: · The facility is a single-story home located in a residential neighborhood. It is licensed for a capacity of six (6) non-ambulatory residents, along with a hospice waiver approved for six (6) residents. The facility consists of a kitchen, two (2) living rooms, two (2) dining rooms, four (4) resident rooms, a staff room, two (2) residents bathrooms of which Restroom #1 had a hot water temperature reading measured at 107.7 Degrees F, and Restroom #2 had a hot water temperature reading measured at 109.2 Degrees F, a backyard patio area, and an attached garage that contains the facility’s washer and dryer machines and emergency food supplies. The facility’s chemicals, cleaning supplies, and knives are kept locked and inaccessible to residents. The facility was observed to be in good repair. ·The interior and exterior physical plant was inspected. Exit doors are free of any obstruction. The facility has two (2) fully charged fire extinguisher located in the kitchen of the facility as well as in the garage. · Water temperature readings were within the required range of 105 - 120 degrees Fahrenheit. Operational Requirements: · The Program Design was reviewed. · Fire clearance was approved by LA County Fire Department for a capacity of six (6) non-ambulatory residents, along with an approved hospice waiver for six (6) residents · Care and supervision to meet the clients’ needs was observed. Staffing: · Five (5) full-time staff members provide care and supervision to the clients. Personnel Records/Staff Training: · Five (5) staff files were reviewed for criminal background clearance and training. · Personnel records have health/TB screenings, certifications, and 1st Aid/CPR training. · The required twenty (20) hours of annual retraining on topics related to dementia care, hospice care, postural supports, and restricted health conditions has not been conducted by the facility staff. Resident Rights/Information: · Physician orders were reviewed for four (4) resident files. · Medications were also reviewed for four (4) residents. Resident Records/Incident Reports: · Four (4) resident files were reviewed containing admission agreements, Physician's Report, medical/functional assessments, Needs and Services Plans, TB clearance, Appraisal/Needs and Services Plan, personal rights, medical consent, and medication records were reviewed. Food Service: · The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incident Medical and Dental: · All residents have an Appraisal/Needs and Services Plan on file. · Staff training was on file. Disaster Preparedness: · Emergency and Disaster Plan was publicly posted and found within the facility. · The last emergency and disaster drill was conducted three (3) month ago in March of 2024. Planned Activities: · Sufficient Space is provided to accommodate both indoor and outdoor activities. · Sufficient equipment and supplies are provided to meet the requirements of the activity program. Residents with Special Health Care Needs: · All residents have a hospice care plan in their records are in designated non-ambulatory rooms as required by the facility fire clearance. · There is an adequate number of staff to support each resident’s physical, social, emotional, safety and health care needs as identified in his/her appraisal. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiency observed during the visit is documented on the LIC809D. Exit interview held and a copy of the report along with appeal rights were provided.the state’s words, verbatim · CDSS document, Jun 14, 2024