Lucy's Place

Type of visit: Office

Licensing Program Manager (LPM) Sabel Martinez and Licensing Program Analyst (LPA) Rebecca Borunda conducted an announced office meeting regarding a potential change of ownership of the facility. LPM and LPA were greeted by, identified themselves to, and explained the purpose of the visit with Administrator Melanie Del Rosario. During the visit, LPM and LPA discussed the application process and regulatory requirements, and provided resources and contact information for the Centralized Application Bureau. LPA and Administrator Del Rosario attempted to contact Licensee Lucia Totanes via telephone but Licensee was not available. An exit interview was conducted with Administrator Melanie Del Rosario, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Mar 17, 2026

Allegation investigated: Neglect resulting in resident sustaining delayed medical care

On 2/24/2026, LPA Amy Rodgers conducted a subsequent visit to deliver findings regarding the above-mentioned allegation. LPA spoke with Rolando Del Rosario , care giver and explained the purpose of the visit. LPA also discussed the report with Administator Melanie Del Rosario over the phone. Regarding the allegation of Neglect resulting in resident sustaining delayed medical care, R1 had burns due to coffee spilling during breakfast. During the investigation, staff members and outside souces were interviewed, and records were reviewed. On 10/25/2024, around 2:45 AM, staff (S1) found R1 on the floor next to R1s bed. S1 assessed R1 for injuries and did not discover any. Around 7:30 AM, S1 gave R1 breakfast which included a cup of coffee. S1 left R1s room momentarily and heard R1 yell. S1 returned to the room and discovered R1 had spilled his/her coffee on the right leg and all over the floor. (Continued on LIC9099C) Substantiated (Continued from LIC9099) Hospice nurse (RN) instructed facility staff that every time R1 is found on the floor, they should treat it as a fall and call hospice for further instructions. Hospice was not notified on this occasion and R1 remained on the floor for approximately three hours and forty five minutes. During the interview, S1 said he/she checked R1 for injuries, and did not observe any, and everything looked normal. Another staff, S2, said that S1 told S2 that R1 sustained a burn on the leg about the size of the palm of his/her hand. Hospice was called after. No first aid was administered to R1 and according to Hospice CNA, R1s burn was covered with a bib when CNA arrived at the facility around 12:00 – 1:00 PM. CNA described R1s burn as red with blistering. CNA notified RN and came to the facility to evaluate it around 5:00 PM. Once RN observed R1s wound, RN notified R1s primary care physician and called 911. RN said that type of burn would be very painful, and the coffee had to be very hot to cause that type of damage. R1 went without medical care for approximately 10 ½ hours until paramedics arrived at the facility at 6:05 PM. Based on interviews which were conducted and record reviews, 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, Chapter 8, is being cited on the attached LIC 9099D. The Department has determined this violation resulted in Licensee failed to seek medical services for R1 when R1 had coffee spill causing burns in R1s leg. An immediate Civil Penalty of $500.00 is charged and is noted on the LIC421IM. Currently, according to Health and Safety Code Section 1569.49, an additional civil penalty assessment is under review by the Program Administrator of Community Care Licensing Division. An exit interview was conducted over the phone with Administrator Melanie Del Rosario as well as Rolando Del Rosario, Rolando Del Rosario,care giver, and a Plan of Correction was jointly developed. A copy of this report, LIC 9099-D, and LIC421IM and the Licensee/Appeal Rights (LIC 9058) were provided to Rolando Del Rosario,care giver, whose signature on this form confirms receipt of documents. . (Continued from LIC9099) Facility staff said R1 will occasionally climb out of bed and voluntarily place himself/herself on the floor. Staff stated R1 will occasionally refuse to get up from the floor, so staff will provide R1 a blanket and pillow and make him comfortable on the floor. According to S1, R1 did not refuse to get off the floor on 10/25/2024, and R1 was left on the floor because S1 was concerned R1 may get back out of bed in the evening. During R1s examination at the hospital on 10/25/2024, R1 had a normal range of motion in all his/her extremities and there was no hip injury discovered. Regarding the allegation of Lack of supervision, resulting in resident sustaining burns, RP stated that the facility staff gave R1 breakfast which included hot coffee that R1 ended up spilling on himself/herself giving R1 the first and second degree burns on his/her leg. R1 has no diet restrictions. R1 can feed himself/herself, and R1 drinks coffee every morning with no prior issues. On 10/25/2024, around 7:30 AM, S1 gave R1 breakfast which included a cup of coffee. S1 left R1s room momentarily and heard R1 yell. S1 returned to the room and discovered R1 had spilled his/her coffee on the right leg and all over the floor. Based on interviews and records review, the department has determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Rolando Del Rosario, care giver, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Feb 24, 2026 · control 08-AS-20241028150711

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(1) · Plan of correction due date: Feb 24, 2026

(a) A plan for incidental medical .... The plan shall encourage routine medical. care and provide for assistance in obtaining such care, by compliance with the following: (1) The licensee shall arrange, or assist in arranging.. care appropriate to the conditions and needs of residents. This was not met as evidenced by: Based on interviews and records review, Licensee failed to seek medical services for R1 when R1 had coffee spill causing burns in R1s leg which poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 24, 2026

Plan of correction: The immediate threat was resolved: R1 was sent by emergency service to hospital. LIcensee will provide in-Service training and will be conducted with staff regarding appropriate conditions and needs in relatation to assiting or arranging medical services to residents.. Training will be completed and submitted to LPA Rodgers with sign-in sheet and training topic clearly noted via email by 3/25/2026.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced case management visit to inspect the facility due to new resident admission. LPA identified herself to, was greeted by, and explained the purpose of the visit to Staff Priscilla Lacson. House Managers Melanie del Rosario and Roland del Rosario arrived during the visit. During today's visit, LPA conducted a tour of the facility and reviewed resident records. Review of Resident 1's records revealed that multiple documents, including R1's medical assessment, were not signed or dated. Additionally, R1's records did not contain a care plan from home health. LPA was unable to review staff records due to there not being any staff records according to interviews with the House Manager. Review of the facility's Guardian roster during the visit determined that Staff 1, Staff 2, and Staff 3 (S1, S2, and S3) have fingerprint clearance, however, S1-S3 are not associated to the facility roster. [House Manager was provided with an LIC811 Confidential Names List to identify staff and resident] Interviews with House Manager revealed that S1, S2, and S3 have been working at the facility for more than 5 calendar days. Therefore, deficiencies regarding resident records, staff records, and staff association are being cited per California Code of Regulations Title 22 and noted on the attached LIC809-D pages. Additionally, a civil penalty in the amount of $1,500 is being issued for staff association and noted on the attached LIC421BG form. An exit interview was conducted with House Manager Melanie Del Rosario, whose signature below confirms receipt of a copy of this report, LIC811, LIC421BG, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Jan 12, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Jan 13, 2026

87355 Criminal Record Clearance (e) All individuals subject to a criminal record... shall prior to working, residing or volunteering in a licensed facility: (3) Request a transfer of a criminal record clearance... This requirement has not been met as evidenced by: Based on record review, the Licensee did not ensure that the criminal background clearance for S1, S2, or S3 were transferred to the facility. This poses an immediate safety risk to 1 of 1 residents in care.the state’s words, verbatim · CDSS document, Jan 12, 2026

Plan of correction: House Manager will submit LIC9182 forms requesting the criminal background clearance transfer for S1, S2, and S3 to the Department by POC due date of 1/13/2026.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87412(a) · Plan of correction due date: Feb 13, 2026

87412 Personnel Records (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee... This requirement has not been met as evidenced by: Based on interview, the Licensee did not ensure that personnel records were completed and maintained for S1, S2, and S3. This poses a potential safety risk to 1 of 1 residents in care.the state’s words, verbatim · CDSS document, Jan 12, 2026

Plan of correction: House Manager will create personnel records for S1, S2, and S3 and will provide written notice of completion to the Department by POC due date of 2/13/2026.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(a) · Plan of correction due date: Feb 13, 2026

87506 Resident Records (a) The licensee shall ensure that a separate, complete, and current record is maintained for each resident in the facility... This requirement has not been met as evidenced by: Based on records review, the Licensee did not ensure that R1's record was complete, which poses a potential health risk to 1 of 1 residents in care.the state’s words, verbatim · CDSS document, Jan 12, 2026

Plan of correction: House Manager will review and update R1's record and will provide written notice of completion to the Department by POC due date of 2/13/2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Managers Melanie and Rolando Del Rosario. The facility has a licensed capacity of 6 non-ambulatory residents and has a hospice waiver for 4 residents. During today’s visit, the facility did not have any residents and has not had any residents since April 2025. The Administrator for the facility is Lucia Totanes and their certificate was pending payment. During today’s visit, LPA inspected each room of the facility, including resident rooms, private and common bathrooms, kitchen, garage, common areas, and outside space. No delayed egress or secured perimeter were observed on the premises. LPA observed a non-operational spa located in the backyard that was half-filled with water. LPA observed multiple tools and other hardware present in the facility and Managers stated that they were cleaning and repairing the facility in preparation to accept new residents. LPA observed linens and hygiene products for resident use. The facility’s ambient and water temperature were measured within regulatory requirements at multiple locations. LPA observed unlocked storage for hazardous and/or toxic chemicals, which were stored separately from food supplies. According to Melanie Del Rosario, no firearms or weapons are stored on the premises. The refrigerator and freezer temperatures were kept within requirements. Individuals present at the facility had criminal background clearance. The following LIC9102TV Technical Violation regarding unsecured hazardous items was provided. An exit interview was conducted with Managers Melanie and Rolando Del Rosario, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Dec 2, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Case Management - Annual Continuation. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Victoria Dao. The facility is licensed for a maximum capacity of 6 residents, 4 of which may be non-ambulatory. The facility has a waiver for 4 hospice residents. During today’s visit, the facility had a census of 2 non-ambulatory residents. The Administrator for the facility is Lucia Totanes and their certificate was valid and current. During visits on 12/6/2024 and 1/10/2025, LPA toured the facility and inspected each room of the facility, including resident and staff rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed on the premises. LPA did not observe any aspects of delayed egress or secured perimeter. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 115.2 and 118.2 degrees Fahrenheit in bathrooms for resident use. The facility’s internal temperature was measured at 70 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Victoria Dao, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and labelled. LPA observed a minimum of a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 45 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. Continued on LIC809-C page… LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, initial physician’s report and appraisal assessment, documents regarding safeguarding personal property, and personal rights. Review of staff files revealed that Staff 1 and Staff 2 records were not complete and were not accessible to licensing personnel during the visit. [Dao was provided with an LIC811 Confidential Names List to identify S1 and S2]. LPA spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. Review of facility records including plan of operation revealed that the facility did not have an infection control plan or emergency disaster plan that was available for review. The following deficiencies were cited for not having an Infection Control Plan, not having an Emergency Disaster Plan, and incomplete personnel records and noted on the attached LIC809-D pages. An exit interview was conducted with Caregiver Victoria Dao, whose signature below confirms receipt of a copy of this report, the LIC811, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: POC

Licensing Program Analyst (LPA) Rebecca Borunda conducted a plan of correction visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Victoria Dao. The purpose of the visit was to verify if the deficiencies issued on 12/6/2024 had been corrected. On 12/6/2024, the licensee was issued deficiencies 87465(h)(2) and 87465(h)(5) regarding medication management and storage with a correction due date of 12/31/2024. On 12/31/2024, Licensee Lucia Totanes submitted copies of medication training for staff as proof of correction for both deficiencies to the Department. During today’s visit, LPA Borunda conducted a brief walk through of the facility, observed a resident in care, and reviewed resident medications. LPA observed that residents' medications were stored in bubble packs and pill bottles in the facility's locked medication cabinet. LPA visually verified that medications were no longer stored in multi-day pill boxes and were not stored outside of the facility's locked medication cabinet. LPA observed that resident medications were stored in their original container and were labelled with the resident's prescription. Per Caregiver Dao, the pill boxes containing resident medications were removed from the unsecured cabinet and residents are receiving medications directly from their pill bottles or bubble packs. Caregiver Dao also verbally confirmed that staff received medication training from the medical professional listed in the correction documents submitted by Licensee Totanes. Based on the submitted documents and the observations during today's visit, the deficiencies 87465(h)(2) and 87465(h)(5) are corrected. LPA provided Caregiver Dao with a Letter of Deficiency Cited Cleared. An exit interview was conducted with Caregiver Victoria Dao, whose signature below confirms receipt of a copy of this report, Letter of Deficiency Cited Cleared, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Jan 3, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Edessa Dietsch. LPA spoke with Caregiver Victoria Dao via telephone during the visit. Licensee Lucita Totanes arrived during the visit. During today's visit, LPA toured the facility, reviewed facility records, and observed resident in care. During the facility tour, LPA observed a resident's medications were stored in a weekly pill box and medication cup and not in their original container. Additionally, the pill box and cup were stored in an unlocked cabinet drawer in a common room of the facility. LPA observed Caregiver Dietsch relocate the pill box and cup into the locked medication cabinet during the visit. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. The following deficiencies were cited for medications not stored in their original container and unsecured medications and noted on the attached LIC809-D page. An exit interview was conducted with Licensee Lucita Totanes, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Dec 6, 2024

Type of visit: POC

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Plan of Correction (POC) visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Victoria Dao. The purpose of today's visit was to verify if deficiencies cited on 11/8/2023 had been corrected. On 11/8/2023, the licensee was issued 2 deficiencies with a correction date of 11/22/2023. On 11/27/23, LPA Ruiz conducted a POC visit and issued two $500 civil penalties for failure to correct deficiencies, totalling $1,000. On 12/4/2023, LPA Ruiz conducted a second POC visit and confirmed that one of the two deficiencies had been corrected and issued a $700 civil penalty for failure to correct deficiency 87506(a). During today's visit, LPA observed residents in care, reviewed resident records, and spoke with staff. On 12/6/2023, Caregiver Dao notified LPA Ruiz that the resident records had been completed. During today's visit, LPA reviewed resident records and confirmed that they were complete and contained the required documents. Therefore, deficiency 87506(a) has been cleared as of 12/6/2023. An additional civil penalty of $100 per day for 2 days totaling $200 is being assessed for failure to correct for the time period of 12/4/2023 through 12/6/2023. No further civil penalties were assessed. An exit interview was conducted with Caregiver Victoria Dao, whose signature below confirms receipt of a copy of this report, an LIC421, and the Licensee Appeal Rights (LIC9058 01/16).the state’s words, verbatim · CDSS document, Dec 7, 2023

Type of visit: POC

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Plan of Correction (POC) visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Victoria Dao. The purpose of today's visit was to verify if deficiencies cited on 11/8/2023 had been corrected. On 11/8/2023, the licensee was issued 2 deficiencies with a correction date of 11/22/2023. On 11/27/23, LPA Ruiz conducted a POC visit and issued two $500 civil penalties for failure to correct deficiencies, totalling $1,000. During today's visit, LPA observed residents in care and spoke with staff. Caregiver Dao provided LPA Ruiz with proof of medication training completed on 11/27/2023. During a visit on 11/27/2023, LPA Ruiz observed resident medications were centrally stored and in their original container. Therefore, deficiency 87465(h)(5) has been cleared as of 11/27/23. No further civil penalties have been issued for this deficiency. Caregiver Dao stated that she has not been able to update and complete resident records. Therefore, deficiency 87506(a) remains uncorrected as of today's date. An additional immediate civil penalty of $100 per day for 7 days totaling $700 is being assessed for failure to correct for the time period of 11/28/2023 through 12/4/2023 and will be ongoing until corrected. An exit interview was conducted with Caregiver Victoria Dao, whose signature below confirms receipt of a copy of this report, an LIC421FC, and the Licensee Appeal Rights (LIC9058 01/16).the state’s words, verbatim · CDSS document, Dec 4, 2023

Type of visit: POC

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Plan of Correction (POC) visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Caregiver Victoria Dao. The purpose of today's visit was to verify if deficiencies cited on 11/8/2023 had been corrected. On 11/8/2023, the licensee was issued 2 deficiencies with a correction date of 11/22/2023. As of today's date, LPA Ruiz had not received any communication from the licensee requesting a POC extension date or correction documents. During today's visit, LPA observed residents in care, centrally stored medications, and resident records. LPA observed resident medications which were centrally stored, locked, and stored in their original container. LPA spoke to Caregiver Victoria Dao who stated that the Licensee had attempted to arrange medication training for staff but was not successful. Therefore, deficiency 87465(h)(5) remains uncorrected as of today's date. An immediate civil penalty of $100 per day for a total of $500 is being assessed for failure to correct and will be ongoing until corrected. Review of resident records revealed that they remained incomplete and were missing required documents, including admission agreements, preplacement appraisals, and needs and service documents. Therefore, deficiency 87506(a) remains uncorrected as of today's date. An immediate civil penalty of $100 per day for a total of $500 is being assessed for failure to correct and will be ongoing until corrected. An exit interview was conducted with Caregiver Victoria Dao, whose signature below confirms receipt of a copy of this report, two LIC421FCs, and the Licensee Appeal Rights (LIC9058 01/16).the state’s words, verbatim · CDSS document, Nov 27, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Administrator Lucia Totanes. The facility is licensed for a maximum capacity of 6 residents, all of which may be non-ambulatory. The facility has a waiver for 4 hospice residents. During today’s visit, the facility had a census of 4 residents, 2 of which were non-ambulatory. The facility does not have a clearance for delayed egress or secured perimeter and LPA did not observe any aspects of delayed egress or secured perimeter. The Administrator for the facility is Lucia Totanes and their certificate renewal was received by the Department as of 7/3/2023. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed near or on the premises. According to the Administrator, no firearms or weapons are stored on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 115.0 degrees Fahrenheit in a private resident bathroom and 116.4 degrees Fahrenheit in a common resident bathroom. The facility’s internal temperature was measured at 75 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. LPA also observed locked storage for resident medications and resident and staff files. 4 resident medications were observed to be stored in pillboxes with multiple days prepared. LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 40 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance and were associated to the facility. Continued on LIC809-C page... LPA reviewed multiple resident and staff records. LPA observed resident records to be incomplete and missing information. LPA spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. Administrator will submit updated copies of LIC500, LIC610E, and Liability Insurance to the Department within 10 business days. The following deficiencies were cited per California Code of Regulations and noted on the attached LIC809-D page. LPA provided Administrator technical assistance on staff records, emergency disaster plan, and infection control plan. An exit interview was conducted with Administrator Lucia Totanes, whose signature below confirms receipt of a copy of this report, two LIC9102TA forms, one LIC9102TV forms, and the Licensee Appeal Rights (LIC9058 01/16).the state’s words, verbatim · CDSS document, Nov 8, 2023

The state marks this report as 6 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.