Las Casitas Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Patricia Duran De Garcia - House Manager and explained the reason for the visit. LPA spoke with Administrator Natalie Gonzalez over the telephone, who stated that she can not visit the facility today but designated Patricia Duran De Garcia- House Manager to sign the report. The facility is licensed to serve 17 non-ambulatory residents over the age of 60 with an approved hospice waiver for 2 residents. The facility is comprised of (6) single story cottages (casitas), each with (2) bedrooms and (1) bathroom and small living room and kitchenette. The common areas include a dining room, kitchen, TV/living area, activity /music room, staff bathroom in living area, (3) office spaces and a central courtyard area. At approximately 10:15am, with the assistance of House Manager, LPA conducted a facility tour and observed the following: The entrance is gated and kept locked from the outside, visitors are allowed in by ringing the door bell. Upon entering the front gate and upon exiting from the back gate, LPA observed functional auditory alarms being heard. There are cameras in front and back of the facility. During emergencies facility uses the back alley exit for evacuation. Smoke detector and monoxide carbon detectors are interconnected and there are fire sprinklers in common areas. There are two fire extinguishers located in the kitchen and four in the central courtyard. All fire extinguishers are fully charged with a charge date of 07/29/2025. The last fire and emergency drill was conducted on 10/01/2025. Continued on 809-C Bedrooms/Bathrooms: All the bedrooms were furnished with different style but all rooms had required beds, chairs, closets, dresser drawers and linens. Bedrooms # 35 and #39 are currently vacant. There is one shared bathroom in each cottage. All bathrooms had required non-skid mats, grab bars, liquid soap and paper towels. At 11/38am LPA pulled the cord in bedroom # 35 and wihtin 2 minutes staff came for assistance. Water temperature in four bathrooms were measured and hot water temperature measured between 108.1 °F. and 119.1°F; within the required range. Kitchen: All kitchen appliances and surfaces were clean and sanitary. The sharp objects were locked in a cabinet. The pantry and the refrigerator were supplied with a sufficient supply of perishable (2 days) and non-perishable (7 days) foods. LPA observed several expired containers of tomato sauce in the pantry; citation will be provided. Garage: There is an unoperable car in the garage. There are multiple cabinets and shelves for storing supplies and there is a refrigerator and freezer with food supplies. There are two laundry washers and two dryers in the garage and all detergents and chemicals are locked, inaccessible to residents. Medications: LPA observed the medications in a locked cabinet in the office, located by the kitchen. Medications for six (6) residents were counted and verified that medication were properly administered. LPA observed the medications removed from original containers and stored in weekly medicine boxes, citation will be provided. There are two complete first aid kits and first aid manual in the medicine cabinet. Staff files: LPAs reviewed staff files to ensure staff has fingerprint clearance, association to the facility, and current 1st Aid, CPR certificates. Client files: LPAs reviewed client records to ensure their files include medical assessments, appraisals, emergency contact information, and admission agreements. Pursuant to Title 22 Divisions the CA Code of Regulations, there were couple of violations observed the visit, which will be addressed by the licensee. Citations with appeal rights provided. Exit interview conducted and copy of the report issued.the state’s words, verbatim · CDSS document, Nov 24, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(8) · Plan of correction due date: Nov 24, 2025

(b) The following food service requirements shall apply: (8) All food shall be of good quality. Food in expired containers shall not be accepted, used or retained. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in maintianing several containers of expired tomato sauce/salsa in the pantry, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 24, 2025

Plan of correction: Staff immediately removed and destroyed the expired containers. Licensee will ensure there are no expired food items anywhere in the facilty and will keep a record of the purchase dates. POC cleared on today's visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87465(h)(5) · Plan of correction due date: Nov 24, 2025

(h) Medications which are centrally stored: (5) Each resident's medication shall be stored in its originally received container. No medications shall be transferred between containers. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above, medications were stored in weekly pills boxes, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Nov 24, 2025

Plan of correction: Staff immediately removed the medications from the pill boxes. Licensee will ensure medications are always kept in original containers and only removed during medication administration. POC cleared on today's visit.

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Maria Madrigal and explained the reason for the visit. The facility is licensed to serve 17 non-ambulatory residents over the age of 60 with a hospice waiver for 2. The facility is located in a residential neighborhood and is composed of (6) single story cottages each have (2) bedrooms and (1) bathroom, cottage #39 has 2 bathrooms, dining room/kitchen area, staff bathroom in living room area, (3) office space, medication room, and a courtyard area. LPA conducted a tour of the facility with Natividad Vargas - Staff and observed the following: Facility is in good repair indoor and outdoor. Dining/Kitchen area was observed clean, with an exit door to passageways. Sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed. Cleaning supplies were observed under the kitchen sink and was not lock at the time of the visit. Sharps were locked in a kitchen's drawer. Facility has Local Ombudsman and license posted in the dining room. Let-Us-Know PUB 475 and personal rights were not observed posted. LPA observed a total of 12 bedrooms each have the required furniture and bedding supplies, and sufficient lighting. A total of 7 resident bathrooms were observed in working condition, 6 out of the 7 bathrooms did not have skid mats/strips, grab bars were observed, water temperature was tested as follow: cottage #39, bathroom#1 at 135.2 degrees F., bathroom #2 at 143.8 degrees F., cottage #37 at 127.6 degrees F., cottage #35 at 117.9 degrees F., cottage #33 at 125.2 degrees F., cottage #41 at 130.1 degrees F., cottage #43 at 130.6 degrees F. Resident #5'(R5)s bedroom has an exit door to passageway with exit and does not have a sound device at door as R5 has a dementia diagnosis. Residents beds had half bed rails, except for resident #1(R1) and empty beds. Courtyard has (2) exit doors which do not have sound devices. No large bodies of water were observed. Facility has a fire sprinkler system throughout. Fire extinguishers were observed and last checked on 11/29/23. (CONTINUED ON LIC 809C) LPA reviewed medication and files for 5 residents. Residents #3-#5(R3-R5) have dementia diagnosis and their last physician's report were noted in order as follow: 6/12/19, 11/9/21, 2/15/21. R3 and R5 do not have a TB test clearance on file. There were no bed rail request on file for any of the residents. LPA reviewed 4 staff files. Administrator certificate on file #6017793740 exp. date: 6/26/14 was observed. LPA reviewed department's website to see if there is a current or pending application and no records were found. Staff #1-4(S1-S4) last CPR certificate expired in 2019. S3-S4 did not have a health screening or TB test on file. S2-S4 did not have records of training within the last 12 months. LPA reviewed Emergency Disaster plan. Last fire drill was conducted on 10/11/19. Infection control plan was not available for review. Liability insurance was observed. LPA interviewed 3 staff and 3 residents. Deficiencies were noted on LIC 809D per Title 22 Regulations. Exit interview was conducted with Patricia Garcia Manager and a copy of this report, LIC 809D, and appeal rights were provided.the state’s words, verbatim · CDSS document, Oct 26, 2024

The state marks this report as 12 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Allegation investigated: Staff did not ensure facility was free from pest resulting in resident sustaining multiple injuries

Licensing Program Analyst (LPA) Gary Tan conducted a subsequent complaint investigation at the above facility to address the above allegation. LPA Tan was met by House manager Patricia Garcia and explained that the purpose of this visit was to deliver findings for this complaint. The investigation consisted of the following: On 02/15/2023 LPA Agard initiated a complaint investigation. LPA toured the facility, conducted interviews, and requested records. All records were received at the time of visit. (continued on LIC 9099-C) Unsubstantiated (continued from LIC 9099) The investigation revealed the following: Regarding the allegation” Staff did not ensure facility was free from pest resulting in resident sustaining multiple injuries” It’s being alleged that Resident #1 (R1) sustained multiple bites on R1's neck and shoulder from a rodent. LPA attempted interviews with ten (10) out of fourteen (14) residents in total. Based on the attempted interviews, no residents were able to confirm the allegation as true. LPA attempted interviews with two (2) out of seven (7) staff in total. Both staff state that they observed R1 in distress and an unidentifiable rodent running from the resident’s bed. Paramedics were contacted and arrived at the facility to transport R1 to the hospital but informed the facility staff the request was considered a non-emergency due to the wound resembling a scratch. LPA Agard confirmed the facility receives pest control services monthly. Based on the interviews conducted and records available, the allegation is deemed unsubstantiated. An exit interview was conducted and a copy of this report was given.the state’s words, verbatim · CDSS document, Jan 9, 2024 · control 28-AS-20230215135802