Lake Merritt Care Home

Type of visit: Required - 1 Year

On 12/23/2025 at 10:20 AM, Licensing Program Analyst (LPA) David Doidge unannounced to conduct a 1-Year Annual Required Inspection. LPA met with Caregiver Reynaldo Casildo and explained the purpose of the visit. Licensee Marie Milare arrived at 11:50 AM. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and back yards. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Hallway temperature was maintained at 72 degrees Fahrenheit. The hot water temperature was measured in a shared bathroom at 107.1 degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition. Fire extinguisher was last serviced on 07/17/2024. Emergency Disaster Plan was last posted on 07/08/2025. Emergency disaster and fire drills are conducted quarterly; last drill conducted 09/17/2025. First AID kit was observed to be complete. Continued on LIC809-C Continued form LIC809 LPA reviewed five (5) residents records and five had outdated (5) staff records; all were complete. THE FOLLOWING Deficiencies were OBSERVED: At 11:30 AM, LPA's observed that the fire extinguisher was expired with a date of 07/17/2024. At: 12:00 PM while doing record review, LPA observed all five residents had outdated Physician’s Reports. The above deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiency by POC date may result in additional Civil Penalties. Exit interview conducted, LIC809D, Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 23, 2025

Allegation investigated: Staff does not prevent physical alteration between residents.

On 12/12/2025 at 3:10 PM, Licensing Program Analysts (LPAs) David Doidge and Andrew Christy arrived unannounced to conduct the Initial 10 Day Complaint Investigation and deliver findings regarding the allegation above. LPAs met with Licensee Marie Milare and explained the purpose of the visit. During the course of the investigation, LPAs spoke with Licensee Marie Milare. LPAs obtained and reviewed the Physician’s Report, Preappraisals, Appraisal Needs and Services, Functional Capability Assessment, and the Identification Page for four (4) residents. LPAs also obtained and review the facility’s LIC500and staff training. Allegation: Staff does not prevent physical alteration between residents. Continued on LIC9099-C Unsubstantiated Continued from LIC9099 Investigation Findings: It was reported to the department that a resident in the facility reported that they had been beaten several times in the past year by another resident. It was also reported that staff said they monitor the individual and break the fights up when they occur, but a resident did not feel that that was adequate. LPAs reviewed the facility’s staff schedule and saw that there is adequate staff to monitor all residents and meet the level of care and supervision needed for the residents. Licensee reported that staff are trained in altercation prevention and trained in how to mitigate and redirect behaviors. File reviewed showed that resents are getting their needs met, and that no resident has a level of aggression or behavior that staff cannot meet. Staff do monitor residents throughout the day and actively engage with residents. Staff step in as soon as possible to prevent physical altercations and redirect residents when voices rise, or resident behavior starts to escalade. Staff are trained to report all unusual incidents to the department. All residents are able to leave the facility unassisted, and no resident requires one-on-one care. LPAs observed that residents do get along, and the facility was found to be safe and well-maintained. Staff are responsive and attentive to residents. Altercations between residents may happen, but staff do their best to prevent escalation and would step in right away should a physical altercation break out. Staff have reported to such event occurring in the recent past. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. No deficiencies observed during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 11, 2025 · control 15-AS-20251204114249

Type of visit: Case Management - Other

On 08/11/2025 at 11:30 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct the quarterly inspection of the facility to ensure that the requirements of the 05/05/2025 stipulation are being followed. LPA met with Marie Milare, Licensee and explained the purpose of the visit. During this visit, the LPA observed: (1) stipulation posted in a conspicuous place, (2) criminal record clearances or exemptions for all staff are maintained, (3) current personnel records of each employee are maintained, (4) an accurate, complete, and current weekly staff schedule, covering all shifts is available, (5) payroll records were available, (6) medications and any other toxic products, poisons, detergents, cleaning compounds and other hazardous objects and materials are properly stored and kept in a safe and locked place, and (7) records of training are being kept. Licensee is complying with all aspects of stipulation. No citations issued during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 11, 2025

Type of visit: Case Management - Other

On 08/11/2025 at 11:30 AM, Licensing Program Analyst (LPA) David Doidge arrived unannounced to conduct the quarterly inspection of the facility to ensure that the requirements of the 05/05/2025 stipulation are being followed. LPA met with Marie Milare, Licensee and explained the purpose of the visit. During this visit, the LPA observed: (1) stipulation posted in a conspicuous place, (2) criminal record clearances or exemptions for all staff are maintained, (3) current personnel records of each employee are maintained, (4) an accurate, complete, and current weekly staff schedule, covering all shifts is available, (5) payroll records were available, (6) medications and any other toxic products, poisons, detergents, cleaning compounds and other hazardous objects and materials are properly stored and kept in a safe and locked place, and (7) records of training are being kept. Licensee is complying with all aspects of stipulation. No citations issued during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 11, 2025

Type of visit: Required - 1 Year

On 12/17/2024 at 9:20 AM, Licensing Program Analysts (LPA) David Doidge arrived unannounced to conduct a annual inspection. Upon entry into the facility, the LPA informed Reynaldo Casildo of the purpose of the visit. The LPA toured the facility inside and outside. The LPA inspected the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The facility was clean, appropriately furnished, and well lit. More than the 2 days of perishable and 7 days of nonperishable food supplies were available. No body of water was on the facility grounds. Medications are centrally stored. Bathrooms and showers were observed to be fully functioning and clean. The hot water temperature in the bathroom was 109.8 degrees. The room temperature of the living room was 72 degrees. Carbon monoxide and smoke detectors were operational. The fire extinguisher was last serviced on 07/15/2024. Facility has Mitigation Plan, Emergency Disaster Plan, and maintains record of routine screening for residents, staff and visitors. LPA review five (5) resident records and five (5) staff records. All were complete. The LPA observed required postings in the facility, Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. Toxins and sharp objects were locked and inaccessible to participants. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 17, 2024

Type of visit: Case Management - Other

On 09/16/2024 at 10:00 AM Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit to follow-up on the accusation document that was provided to the facility. LPA met with Caregiver, Renaldo Casildo and explained the purpose of the visit. LPA toured facility with Caregiver, Renaldo Casildo, and observed the facility posted written notice regarding the accusation in an area behind a desktop monitor. LPA also spoke with four (4) residents to confirm if they have received written notice, only two (2) out of the four (4) residents confirmed that they did read the notice. However, individual notices were not provided to each resident, their responsible parties and the long term care ombudsman. During the visit LPA obtained a copy of the notice that was posted in the facility, a copy of resident signatures on the notice and a copy of the resident registry list. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Civil penalty assessed today at $300.00 ($100 X 3 days) and will continue to accrue until deficiency is cleared. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 16, 2024

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.38(b) · Plan of correction due date: Sep 17, 2024

§1569.38 Posting of licensing reports; disclosure to new residents(b)A licensed residential care facility for the elderly shall provide written notice to a resident, the resident’s responsible party, if any, and the local long-term care ombudsman, within 10 days from the occurrence of either of the following events: This requirement is not met as evidenced by: Based on observation and interview the licensee did not comply with the section cited above by not sending written notifications of pending action to each resident, each residents' responsible parties and the long term care ombudsman which poses a potential health, safety and personal rights risk to persons in care. Civil penalty assessed for $300 today and accruing $100/daily until cleared.the state’s words, verbatim · CDSS document, Sep 16, 2024

Plan of correction: Administrator agreed to send letters to each resident, resident's responsible parties and long term care ombudsman and send copies of letetrs to CCLD by POC date.