Manteca Assisted Living

Type of visit: Post Licensing

On 7-31-2026 at 12:55pm, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct a post licensing inspection. LPA met with health and wellness director Michelle Coelho and explained the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen area, dining room, various resident bedrooms and bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is an residential care facility for the elderly (RCFE) with a current census of 89. LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place. Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 74*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked October 2025. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. First aid kit was observed to have adequate supplies and accessible to staff. {Cont.on 809C} viewed for regulatory compliance. All files contained required contents including staff training requirements. LPA observed staff on LIC 500 to contain criminal background clearances. Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. Facility does not contain any bodies of water. LPA observed personal rights and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed facility’s activity calendar and sufficient equipment and supplies to meet activity program needs of residents in care. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Facility conducts monthly fire drills. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to health and wellness director.the state’s words, verbatim · CDSS document, Jul 31, 2026

Type of visit: Required - 1 Year

On 7-31-2026 at 10:00am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with health and wellness director Michelle Coelho and explained the purpose of the visit. LPA inspected the physical plant including but not limited to the kitchen area, dining room, various resident bedrooms and bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. Facility is an residential care facility for the elderly (RCFE) with a current census of 89. LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place. Water temperature reads 105*F to 120*F in the bathroom and room temperature reads 74*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were lean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked October 2025. Facility has an emergency food and water kit. All toxins and other dangerous items including sharp objects were locked and inaccessible to residents in care. Medication storage area was observed to be locked and inaccessible to residents in care. First aid kit was observed to have adequate supplies and accessible to staff. {Cont.on 809C} During this inspection 5 resident files and 5 staffing files were reviewed for regulatory compliance. All files contained required contents including staff training requirements. LPA observed staff on LIC 500 to contain criminal background clearances. LPA completed 4 resident interviews and 4 staff interviews. Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. Facility does not contain any bodies of water. LPA observed personal rights and complaint information posted. Facility has appropriate internet access available for resident use. LPA observed facility’s activity calendar and sufficient equipment and supplies to meet activity program needs of residents in care. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Facility conducts monthly fire drills. LPA requested an updated copy of LIC 308 and LIC 500. Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to health and wellness director.the state’s words, verbatim · CDSS document, Jul 31, 2026

Allegation investigated: Staff are not assisting resident with medical needs

Unannounced complaint visit made out to this facility on 05/04/2026 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Edgar Parra, who was briefly interviewed at this time. Current census was 89 residents. The purpose of this visit was to deliver the findings from this complaint investigation to this facility, and it's representative, in regards to the above allegation at this time. Based on a review of the forms and documents that were gathered during the course of this investigation, it was learned that R1 moved into this facility back in June of 2025. Upon admission, it was learned that R1 had sustained a fall prior to admission and had underwent a medical procedure to address issues with R1's hip. It was learned that this contributed to complications for mobility and made R1 a designated fall risk upon admission to this facility. Based on a review of the forms and documents that were gathered during the course of this investigation, it was learned that R1 was diagnosed with dementia requiring the use of hearing aids, wheelchair, and a walker at this time. Unsubstantiated It was learned that R1 had a tendency to contact 911 since R1 had a personal cell phone which R1 kept on his/her person. It was learned that most of these calls were made when R1 felt a surge of pain or felt anxious about any physical concerns. It was learned that R1 sought out 911 for medical attention but would refuse to go to the emergency room once the paramedics arrived to transport R1 to the local hospital. Based on a review of the forms and documents gathered during the course of this investigation, it was noted that R1 was sent out to the local hospital for a total of (2) times only from the start of August 2025 until December of 2025. It was learned that R1 returned the same day back to this facility. On one hospital visit dated on back in October 2025, R1 returned back to this facility without any new orders or changes made to R1's medical or physical care requirements. On another hospital visit after 911 was called, R1 returned back to this facility on the same day in December 2025 with a new prescription due to loose stool and diarrhea. There weren't any new changes or additional physical care needs addressed or warranted at that time. Based on interviews conducted during the course of this investigation, it was learned that R1 was often times confused and anxious about the pain that R1 was experiencing with R1's knees. It was learned that this led R1 to act out in frustration due to the chronic pain that R1 was suffering from and R1 would often times take it out on R1's spouse and facility staff when they attempted to intervene. It was learned that R1's care plan was completed upon admission to this facility to address these issues which the facility staff were made aware and were trained on how to de-escalate and redirect when R1 got into these bouts of frustration and lashing out. It was learned that R1 did not have any contracted services for care through a home health agency, hospice, or wound care at this time. As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegation may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. There were no deficiencies observed or cited at this time. Exit Interviewthe state’s words, verbatim · CDSS document, May 4, 2026 · control 27-AS-20251209113010

Type of visit: Case Management - Incident

Unannounced case management visit made out to this facility on 07/16/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Edgar Parra, and was briefly interviewed at this time. Current census was 81 residents. The purpose of today's case management visit was to follow up on an incident hat was recently submitted into CCL. The following LIC 624 was reviewed and discussed for the following resident that was in care: R1 It was learned that the above referenced resident, R1, had left this facility without properly notifying any staff members and was found to be missing during breakfast time one day. It was learned that R1 was residing in the memory care unit at this time. It was learned that a friend of R1 had come to this facility, under the pretense of taking R1 out for a walk, and was able to get R1 out of the memory care unit. Upon exiting the memory care unit, R1 and this friend got into a car and left this facility without the proper notification to the facility staff or anyone else. A missing person's report was filed with Manteca PD and R1 was later discovered heading towards southern California since it was learned that R1 used to be a resident from that area. The responsible party for R1, who also lived in southern California, decided it was best to keep R1 close to this area and placed R1 in that area. There were no deficiencies observed or cited during today's case management visit. Exit Interviewthe state’s words, verbatim · CDSS document, Jul 16, 2025

Type of visit: Prelicensing

Unannounced Prelicensing visit made out to this facility on 06/06/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated representative, Michelle Coelho (Health Services Director), who was briefly interviewed at this time. Current census was 82 residents. It was learned that there were (8) residents under the care of hospice at this time while (12) other residents were receiving services through home health as well. This facility does have a hospice waiver approved for (15) residents and does have a program on file to address dementia care for residents at any given time. It was learned that there weren't any residents deemed to be bedridden at this time. This facility does not have a fire clearance to be able to accept/or retain any residents deemed to be bedridden at this time. A tour of this facility was conducted. The purpose of this Prelicensing visit was to follow up on items that needed to be corrected and brought into compliance in order for this facility to move forward in the licensing process for a change of ownership. The following items were reviewed at this time from the prior Prelicensing visit that was conducted on 05/09/2025: Based on facility resident record review, the licensee did not comply with the section cited above in [1] out of [5] resident files did not have an updated medical assessment completed which posed an immediate health, safety or personal rights risk to persons in care. Based on record review, the licensee did not comply with the section cited above in [1] out of [5] facility resident records was missing the determination for ambulatory/non ambulatory status which poses an immediate health, safety or personal rights risk to persons in care. There were no additional deficiencies that were observed or noted at this time. This facility was observed to be in compliance at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Jun 6, 2025

Type of visit: Prelicensing

Unannounced Prelicensing visit made out to this facility on 05/09/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Edgar Parra, who was briefly interviewed at this time. Current census was 82 residents. It was learned that there were (8) residents under the care of hospice at this time while (12) other residents were receiving services through home health as well. This facility does have a hospice waiver approved for (15) residents and does have a program on file to address dementia care for residents at any given time. It was learned that there weren't any residents deemed to be bedridden at this time. This facility does not have a fire clearance to be able to accept/or retain any residents deemed to be bedridden at this time. A tour of this facility was conducted. Administrator certificate was observed to be present for facility designated Administrator Edgar Parra. The expiration date was set for 07/29/2024. All documents have already been submitted to renew at this time. Kitchen area was toured. Cabinets and drawers were reviewed. Food preparation stations, dishwashing station, and other areas intended for meal preps were toured. Food supply was reviewed for adequate 2-day perishable and 7-day nonperishable quantities at this time. This LPA did observe additional food storage units which were present and functional at this time. A tour of the dining area, living area, and all other areas intended for resident use was conducted. Medication rooms, located on each floor, were reviewed. Policies and procedures involving dispensing, documenting, and overall administration of resident medications were discussed with the facility designated medication technicians at this time. The medication carts were observed to be locked and made inaccessible to the residents at this time. A tour of the resident bedrooms and restrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. It was learned that there were (3) different floor plans for residents on the Assisted Living portion of this facility. Hot water temperatures were taken and measured to make sure that they were within the allowed range of 105-120 degrees. Linen closet, located in the facility laundry area, was observed to contain a sufficient supply of towels, blankets, and linens to meet the needs of the residents at this time. A tour of the Memory Care unit, referred to as Expressions, was conducted. Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 08/12/2024 by the local fire extinguisher company, Jorgensen Co., and in compliance at this time. First aid kits were observed to be present and contained all of the required components at this time. Exterior grounds of this facility were toured. A review of the facility perimeter fence, side gates, and exits was conducted. A review of (5) facility resident files was conducted. A review of (5) facility personnel files was conducted. The following deficiencies were observed and will need to be brought into compliance by this facility prior to moving forward with licensure of this facility: Based on facility resident record review, the licensee did not comply with the section cited above in [1] out of [5] resident files did not have an updated medical assessment completed which posed an immediate health, safety or personal rights risk to persons in care. Based on record review, the licensee did not comply with the section cited above in [1] out of [5] facility resident records was missing the determination for ambulatory/non ambulatory status which poses an immediate health, safety or personal rights risk to persons in care. The facility designated Administrator will notify this LPA upon completion of the correction for the above deficiencies. A follow up visit will then be conducted to verify these corrections were made and that this facility is in compliance. Exit Interviewthe state’s words, verbatim · CDSS document, May 9, 2025