Los Tiempos Senior Living

Type of visit: Required - 1 Year

On June 24, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Rosa Figueroa about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located in the living room. LPA observed that Rosa Figueroa has a valid Administrator certificate which expires on September 8, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver for four. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of six non-ambulatory residents in care, two of which are on hospice, and none are bedridden. The facility is a single story home. There are a total of five bedrooms, four of which are private resident bedrooms and one is a shared bedroom. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of four bathrooms, three are for residents and one is for staff. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 111.9 and 112.6 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in a kitchen cabinet and inaccessible to residents in care. Fire extinguisher was charged and located in the kitchen, living room, and garage. Fire extinguisher was serviced on June 1, 2026. LPA observed all the required postings in the kitchen. LPA observed the facility conducted their last emergency disaster drill on April 6, 2026. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a medication cabinet in the hallway, inaccessible to residents in care. Chemicals were observed to be locked in the garage, inaccessible to residents in care. LPA observed the door leading to the attached two car garage is kept locked and inaccessible to residents in care. The garage is used for storage. There is a laundry room that is kept locked and inaccessible to residents. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two self-closing gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. During this visit, six resident files and two staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and two resident interviews were conducted. The facility has valid liability insurance that expires on June 26, 2026. LPA reminded administrator that the annual fees have been paid. Based on today's observations, there are no deficiencies being cited. An exit interview was conducted with the AD. This report was reviewed with the Administrator and a copy was provided at the end of the visit.the state’s words, verbatim · CDSS document, Jun 24, 2026

Type of visit: Required - 1 Year

On June 6, 2025 at 10:15am, Licensing Program Analyst (LPA) Eboni Bentley arrived at the facility to conduct an unannounced required 1-Year annual visit using the CARE Inspection Tool. LPA announced self and stated the purpose of the visit to Caregiver (CG) Francis Fonseca and was granted entry. Administrator (AD) Rosa “Janeth” Figueroa was contacted by telephone, arrived at the facility a short time later, and was present throughout the inspection. Administrator certificate for Rosa Figueroa expires on September 8, 2025. There are six residents on census. One resident on Hospice and three with dementia currently living at the facility. During today’s visit, six residents and three staff are present. LPA obtained copies of pertinent documents for clients and staff, including facility records: resident/staff rosters, Personnel Record (LIC500), resident and staff records. The facility is a one story home licensed for 6 non-ambulatory residents and has a Hospice waiver for 4. There are 5 resident bedrooms, 4 bathrooms, a living room area, a kitchen, a dining room area, and attached two car garage. Around 11:00am, LPA conducted a tour of the facility with AD Figueroa and the following was observed: Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperatures measured between 101.3 degrees F. and 102.5 degrees F and a deficiency was cited. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. CONTINUE TO LIC 809-C PAGE Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen was inspected and found clean and sanitary. Perishable and non-perishable food supply were checked and adequately stocked at time of visit. LPA observed knives and sharps locked in a kitchen cabinet. LPA also observed toxin substances to be secured, locked and inaccessible to residents in the garage. Kitchen appliances were operational during today's visit. LPA toured the outside grounds and there is ample seating with shade and the exit gate is self-latching and operational. A carbon monoxide/smoke detector in the main hallway was tested and operational. Smoke detectors in five bedrooms were found non-operational and a deficiency was cited. The facility’s last fire drill was conducted on April 30, 2025. Emergency food and water supply observed in the garage. First aid kit had all the required elements. Three fire extinguishers are fully charged with a service date of June 4, 2024 and licensee confirmed vendor will service on June 9, 2025. A working telephone (714-964-6310) remains available, and the facility has a device that can be used for video teleconference purposes. Liability Insurance is effective June 26, 2024, through June 6, 2025 and licensee confirmed policy will be corrected to cover June 26, 2024, through June 26, 2025 LPA Bentley conducted an audit of five (5) resident files (R1-R5), five (5) staff files (S1-S5), and conducted three (3) staff interviews, and four (4) resident interviews. Residents’ medication was found locked, and a review of the Medication and Medication Administration Record (MAR) was conducted. Based on today’s observations, deficiencies are being cited and two civil penalties issued during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted with administrator, Rosa Janeth Figueroa and a copy of this report LIC809, 809-C, LIC809-D, CP421 and appeal rights provided.the state’s words, verbatim · CDSS document, Jun 6, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Brandon Lopez conducted an unannounced visit for the Required 1 Year Inspection. LPAs explained the purpose of today’s visit, and were greeted and granted entry by Caregiver Isabel Rosales. Administrator (AD) Rosa Figueroa arrived shortly after. For today’s visit, LPA observed a total of six residents in care and two staff members on duty. During today's visit LPAs observed the AD certificate for AD Rosa Figueroa which expires on September 08, 2025. LPAs toured the interior and exterior portions of the facility with AD Figueroa. The facility is a one story structure and is licensed for six non-ambulatory residents, of which four may be on hospice and zero bedridden. There are a total of five bedrooms, of which five are resident bedrooms. LPAs toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. There are a total of four restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 110.4-112.6 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged and one was located by the dining room, one in the activities/sun room and one in the garage. During today's visit LPAs observed as the residents were eating chicken, salad and spaghetti for lunch. CONTINUED ON LIC809-C... LPAs observed the emergency disaster and evacuation plan which is located by the dining room. Facility had back-up emergency food and water supply. LPAs observed that First Aid Kit had all the required components. LPAs observed that medications and toxins were locked and inaccessible to residents in care. The medication is locked in a closet by the residents' bedroom hallway. The toxins are locked in the garage. For the exterior portion, LPAs observed a shaded area, patio furniture, and the grounds were free of any hazards. There are two gates in the backyard. No bodies of water were observed. LPAs reviewed six resident files and three staff files. Two of six resident files did not include a pre-admission appraisal; a Deficiency was issued today. LPAs interviewed residents and staff present. For today's visit one deficiency was issued per Title 22 Division 6 of the California Code of Regulations. LPA advised AD Figueroa to use the general email address: CCLASCPOrangeCountyRO@dss.ca.gov for any inquiries and to specify attention to the assigned LPA. An exit interview was conducted with AD Figueroa. A copy of this report and Appeal Rights were provided at the time of exit.the state’s words, verbatim · CDSS document, Dec 20, 2024

Type of visit: Case Management - Health Checks

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced case management- Health and safety check visit for the purpose to conduct a quarterly visit as agreed during Informal Meeting held on 1/31/2024. Additional visits will be conducted for the period of one year to expire on 1/31/2025. LPA Quiroz was greeted by Caregiver and met with Licensee/Administrator (L/AD) Rosa Figueroa and discussed purpose of today's visit. During Informal Meeting held on 1/31/2024, the Licensee agreed to prepare and submit quarterly profit and loss statement with supporting documents such as monthly utility bills, lease payments and loan agreements to department audit section.First quarterly documents are to be submitted by end of first quarter 4/30/2024. During today's visit, Licensee Rosa Figueroa indicated to be working on gathering the profit and loss receipts to be able to submit them to department audit by 4/30/24. LPA Quiroz along with (L/AD) Rosa Figueroa conducted a tour of the interior and exterior portions of the facility. During today's facility inspection, LPA Quiroz observed 6 (six) residents in care, of which (2) two residents are receiving hospice services. LPA observed an ample supply of perishables and non perishables as well as adequate emergency water supply. All utilities in service during today's visit. The sharps and medications were observed to locked and secured. The Facility appears clean and sanitary and of an appropriate temperature. LPA Quiroz observed 2 caregivers working during today's visit. LPA did not observe immediate threat on the health and safety to residents in care. No citation issued during today's visit. LPA Quiroz conducted an exit interview with (L/AD). A copy of this report was provided at exit.the state’s words, verbatim · CDSS document, Mar 12, 2024

Allegation investigated: -Facility is experiencing financial distress.

On today's date, in conjunction with Informal Meeting to address with the Licensee, CCLD's concerns regarding the on going non-compliance of the Licensee’s facility Los Tiempos Senior Living, LPA Quiroz, LPM Ortiz, LPM Montoya and RM Stanic discussed the allegation listed above. During the course of the investigation, LPA Quiroz conducted facility inspection tour, documentation review but not limited to Residential Lease Agreement dated 6/18/2023, 60 day notice to vacate premises dated 5/1/2023, solvency audit report dated 10/9/2023 and interviews with interviewees consisting of staff, property landlord and other witnesses. Regarding the allegation, "Facility is experiencing financial distress," the investigation revealed the following: The Department conducted a solvency audit dated 10/9/2023. Licensee Rosa Figueroa was requested to provide documentation and information needed for the solvency audit review. The deadline to submit the documentation was 8/23/23. Although some documentation was provided timely, the Licensee failed to submit all documentation by the deadline. CONTINUED ON LIC 9099-C PAGE... Substantiated The Audit report concluded the Licensee does not have an adequate financial plan required by law as evidence by audit requested utility bills for the period between December 2022 and May 2023. Some utility bills were provided and showed material amounts of past due on recurring basis. Electricity disconnection was also noted. Income statements/monthly operating statement LIC 401 was requested but was not provided. Instead, an operating statement for year 2022 was provided. However, the reported figures were not supported and are deemed unreliable. Licensee provided loan documents reviewed concluded the Licensee has outstanding loans it remains unknown if the loans were paid on time, or if late feed were incurred as loan statements were not provided. Bank statements were requested but not provided. Monthly ending balances for statements that were available were compared with expenses for the bank records available. The ending balances/cash reserves were significantly lower than the monthly expenses. Negative balance was noted indicating insufficient cash reserves. Non sufficient funds, returned items, and overdraft fees noted in all 12 months. Documentation reviewed and interview conducted with interviewee indicate Licensee failed to pay facility leases timely on recurring basis for the auditing period. Interview concluded the Licensee was behind on payments. Property Landlord sent a vacate notice to the Licensee via email on 5/1/2023, but Licensee ignored it. In addition the lease expired and the landlord provided a lease renewal on 5/11/2023 but it was reported the Licensee refused to sign it and refused to move. However, this issue was resolved and has a current lease agreement. In conclusion, based on documentation and information provided, Licensee does bnot have an adequate financial plan required by law and is not in good financial position, therefore based on the preponderance of available evidence we have substantiated the complaint allegation as valid and that a violation has occurred. A copy of this report along with appeal rights and LIC 809-D were provided to Licensee at exit.the state’s words, verbatim · CDSS document, Jan 31, 2024 · control 22-AS-20230329142256

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87213 · Plan of correction due date: Feb 1, 2024

87213-Finances: The licensee shall have a financial plan that conforms to the requirements of Section 87155...and shall submit such financial reports as may be required upon the written request...information or examination including interim financial statements. CONT This requirement is not met as evidenced by documentation and information provided, Licensee does not have an adequate financial plan required bt law and is not in a good financial position. This poses an immediate risk to residents in care.the state’s words, verbatim · CDSS document, Jan 31, 2024

Plan of correction: Licensee is to prepare and submit quarterly profit and loss statement with supporting documents such as monthly utility bills, lease payments and loan agreements to department audit section. First quarterly documents are to be submitted by end of CONTINUE... first quarter 4/30/2024. The second quarterly documents are to be submitted by 7/31/2023. The third quarterly documents are to be submitted by 10/31/2024 and the fourth quarterly documents are to be submitted by 1/31/2025.

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: Office

At this Informal Meeting the following were in attendance: Marina Stanic Regional Manager (Orange),Alisa Ortiz, Licensing Program Manager, Lourdes Montoya, Licensing Program Manager, Rosie Quiroz, Licensing Program Analyst, Rosa Figueroa, Licensee/Administrator and Lesly Figueroa, Licensee Representative. This Informal meeting was called to discuss the following issues or deficiencies: The purpose of this Informal Meeting is to address with the Licensee, CCLD's concerns regarding the on going non-compliance of the Licensee’s facility Los Tiempos Senior Living (#306003937), Los Tiempos Senior Living #2 (#306006194) and Los Tiempos Senior Living #3 (#306004791). The applicable regulations are contained within the Title 22 Finances. The meeting process was explained to the Licensee. · On 10/9/2023, the Department initiated a solvency audit investigation against the facility after the Regional Office received a complaint. The Department’s investigation determined as follows: · The licensee is generating sufficient income to meet the operating cost. However, there is not a sufficient fund reserve in the business checking account to cover any unforeseen expenses. · The licensee does not have an adequate financial plan. · The licensee failed to carry liability insurance while operating during January 2023- June 25, 2023. · The licensee failed to submit documentation requested for audit review. Licensee agreed to do the following in order to bring the facility into compliance no later than the following dates: CONTINUED ON LIC 809-C PAGE... CONTINUED... 1) Licensee confirmed that a Certified Administrator will be working at facility at minimum of 20 hours each week. 2) Additional visits will be conducted for the period of one year to expire on 1/31/2025. 3) Licensee is to prepare and submit quarterly profit and loss statement with supporting documents such as monthly utility bills, lease payments and loan agreements to department audit section. First quarterly documents are to be submitted by end of first quarter 4/30/2024. The second quarterly documents are to be submitted by 7/31/2023. The third quarterly documents are to be submitted by 10/31/2024 and the fourth quarterly documents are to be submitted by 1/31/2025. Licensee has been advised that failure to complete the above agreed upon actions by the dates will result in this Department taking possible administrative actions. An exit interview was conducted with Licensee/Administrator Rosa Figueroa and Licensee Representative Lesly Figueroa. A copy of this report along with Appeal right and LIC 809-D were provided to the Licensee at the time of the meeting.the state’s words, verbatim · CDSS document, Jan 31, 2024

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.605 · Plan of correction due date: Feb 5, 2024

1569.605-Liability insurance; coverage requirements:On and after July 1, 2015, all residential care facilities for the elderly, except those facilities that are an integral part of a continuing care retirement community, shall maintain liability insurance covering CONT...injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000)...This requirement was not met as evidenced by: The licensee failed to carry liability insurance while operating. CONTINUED...the state’s words, verbatim · CDSS document, Jan 31, 2024

Plan of correction: Licensee agreed to read and understand HSC 1569.605 and submit proof to CCL by 2/5/2024.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87205(a)(b) · Plan of correction due date: Feb 5, 2024

87205(a)(b)- Accountability of Licensee Governing Body:(a)The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation...(b)If the licensee is a corporation or an CONTINUED... CONT...association, the governing body shall be active, and functioning in order to assure accountability. This requirement was not met as evidence by Licensee failed to submit documentation requested for audit review. This poses a potential risk to residents in care.the state’s words, verbatim · CDSS document, Jan 31, 2024

Plan of correction: Licensee agreed to read and understand CCR 87205(a)(b) and submit proof to CCL by 2/5/2024.