Marbella San Marcos

Type of visit: Case Management - Incident

On 08/25/2026 Licensing Program Analyst (LPA) Aziz Faizi conduct an unannounced visit to the facility in order to initiate a case management incident. LPA met Executive Director Kelsi Walts who was informed of the purpose of the visit. The visit was conducted in response to an Incident Report (LIC 624) received on 08/19/2026 for an incident that occurred on 08/17/2026. LPA conducted interviews and records review to follow up on the incident and address additional concerns at the facility. No immediate health or safety issues were observed or reviewed during the time of the visit. Due to insufficient information available at this time, the incident require(s) further investigation. Possible additional visits and/or phone calls may be necessary to determine investigatory findings. An exit interview was conducted, and a copy of this report was provided to Executive Director Kelsi Walts.the state’s words, verbatim · CDSS document, Aug 25, 2026

Type of visit: Case Management - Other

On 06/22/2026, Licensing Program Analyst (LPA) Aziz Faizi conducted an unannounced case management visit to the facility to follow up on an Unusual Incident/Injury Report (LIC 624) submitted on 03/19/2026 by the facility reporting an incident involving Resident Hue Nadeau (R1). LPA met with Executive Director, Amber Rodgers (A1) who was informed of the purpose of the visit. The LIC 624 reported the following information: On 03/16/2026, at 7:50 PM Medicine Technician Maria Flores (S1) administered the wrong medication to a resident R1. Within minutes S1 recognized the error and immediately notified facility staff, management, and the residents family. As a precaution paramedics were called for further evaluation and monitoring. R1 was transported to Kaiser Hospital, where R1 remained overnight for observation. R1 returned to the facility the following day with no reported medical symptoms or complications. A1 was interviewed and reported the following information. A1 acknowledged that the medication error occurred on 03/16/2026. An in-house training session was conducted with staff to reinforce proper medication administration procedures. A1 stated it will provide LPA documentation of the completed in-house training by 06/30/2026 via email During today's visit, LPA toured the facility and did not observe any immediate health and safety concerns. Based on interviews and the facility tour no citations have been issued. An exit interview was conducted, and a copy of this report, was provided to Executive Director Amber Rodgers.the state’s words, verbatim · CDSS document, Jun 22, 2026

Allegation investigated: Staff is mismanaging medication

On 12/2/2025, Licensing Program Analyst (LPA) Valerie Flores made an unannounced visit to the facility for the purpose of delivering complaint findings into the allegation listed above. LPA met with Executive Director Amber Rodgers and explained to Amber the purpose of the visit. The investigation consisted of records review, observations, and interview. Information received alleged staff are mismanaging Resident #1 (R1)’s medication. A record review conducted of R1’s physician report detailed that R1 does not require assistance with medication management. R1 is able to administer and store their own medication. A review of R1’s admission agreement detailed that the facility would provide assistance with care services that are determined by the physician report. Interviews with Staff #1 and R1 corroborated that R1 does not require assistance with medication management and facility staff have not assisted R1 with the control and custody of R1’s medication. (Continue to LIC9099C) Unfounded (Continuation from LIC9099) Interview with R1 further reported that R1 stores their own medication and organizes their medication in a weekly pill planner to remind themselves when to administer their medication. R1 further reported that they do not need additional assistance and R1 has a friend who assists R1 with refilling R1’s medication when the medication is running low. LPA observed R1’s medication on R1’s dining table along with (3) three weekly pill planners. Therefore, the allegation of staff is mismanaging medication is deemed unfounded. A finding that the allegation is unfounded meaning that the allegation was false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided to Executive Director, Amber Rodgers.the state’s words, verbatim · CDSS document, Dec 2, 2025 · control 18-AS-20251124161305

Type of visit: Prelicensing

On 11/18/2025, Licensing Program Analyst (LPA) Valerie Flores made an announced visit to the facility for the purpose of conducting the pre-licensing evaluation. LPA Flores met with Executive Director, Amber Rodgers. An application to operate a Residential Care for the Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) on 2/4/2025. A fire clearance was granted for (245) two-hundred and forty-five residents to which (175) one hundred and seventy-five may be non-ambulatory and (0) zero bedridden residents. LPA toured the facility alongside Executive Director Amber and observed the following during today's visit: Indoor and outdoor passageways were free of obstruction. Facility maintained a pool with a secured perimeter. The facility units were apartment style: LPA toured a sample of resident bedrooms and observed the unit to be adequately furnished with the required bedding, seating, functional lighting and storage area. There are (2) two activity rooms on the premises and group activities are conducted daily. LPA toured a sample of the resident bathrooms and observed them to be equipped with the required grab bars and slip-resistant mats. Facility's courtyard has sufficient seating and shade to promote resident socialization. LPA toured the facility kitchen and observed the kitchen to be clean and free of liter. The facility maintained the required (2) two-day supply of perishable foods and (7) seven-day supply of non-perishable foods. Soaps, detergents, cleaning compounds and similar substances were stored in areas separate from food supplies. Medications are centrally stored in a locked med room along with resident files. The facility operates its own laundry services to which cleaning solutions and disinfectants are secured in a locked laundry room. Staff files are stored in the locked Business Manager office. LPA observed operating smoke detectors and carbon monoxide alarms in the facility. Per Executive Director Amber, there are not firearms and/or ammunition on the premises. (Continue to LIC809C...) (Continuation from LIC809) Emergency disaster plans, personal rights, See Something Say Something, and LTCO posters are posted on the walls throughout the facility. During today's visit, LPA did not observe any health and safety concerns. Applicants attended the Component III on 11/18/2025. LPA have determined that the facility has satisfied all operational requirements in accordance with Title 22, California Code of Regulations. Final approval of licensure will be determined by the Centralized Application Bureau (CAB). An exit interview and a copy of this report was given to Administrator Amber Rodgers.the state’s words, verbatim · CDSS document, Nov 18, 2025