Marbella Tracy

Allegation investigated: Staff are not ensuring resident's hygiene needs are met

Unannounced complaint visit made out to this facility on 07/27/2026 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator Priya Lal. A brief interview was conducted with the facility designated Administrator at this time. Current census was 102 residents. The purpose of this visit was to deliver the findings from this investigation to this facility, and it's representative, at this time. Based on a review of the forms and documents obtained during the course of this investigation, it was learned that upon R1's initial admission into this facility this resident did not opt to have this facility provide services related to bathing and showering. This service would have created an additional fee for the basic services that this facility would have had to provide but was declined by the resident and their responsible party at the time of initial admission. It was learned that the resident was then deemed to be able to conduct and perform their own showers and bathing needs while living at this facility. Unsubstantiated It was learned that as time went on the facility resident, R1, did not independently perform any bathing or showering which led to issues surrounding R1's hygiene. It was learned that this facility attempted to seek alternative avenues to get R1 to bathe and shower to no avail. It was learned that the family and responsible parties for R1 were contacted and involved in order to get R1 to take better care of R1's hygiene needs, specifically showering and bathing to keep R1 cleaner. It was learned that R1 refused to shower or bathe even with the presence, and offered assistance, from family members. After these failed attempts with facility staff and involvement of the family members, It was learned that this facility made the decision to take on the showering and bathing needs for the resident R1. A revised care plan was implemented where facility staff would have a set shower schedule for R1 and attempt to shower R1 on those designated dates and times. It was learned that these attempts were still met with resistance from R1 and properly documented by attending facility staff. It was learned that attempts to simply do a wipe down or sponge bath in R1's bed were all denied and met with resistance. It was learned that the next step would be for this facility, and the responsible parties for R1, to inquire with a licensed medical professional to see if there were any types of medications or procedures that could be deployed to ease the anxiety around showering and the use of water for R1. 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, Jul 27, 2026 · control 27-AS-20260630101820

Type of visit: Prelicensing

On 10/23/2025, Licensing Program Anayst (LPA) Arielle Pascua arrived announced to this facility to conduct a Pre-Licensing visit. LPAs met with Facility Designated Representative, Priya Lal and explained the purpose of the visit. The purpose of this Pre-Licensing visit was due to a change of ownership. This facility current has 111 residents in care. This prospective facility will serve and retain up to 180 elderly residents, of whom may be 137 non-ambulatory, and 12 bedridden residents. All rooms on the bottom floor are approved by the fire marshal for bedridden residents. This facility also has delayed egress and a hospice waiver for 15 residents. Current census was 111. A brief interview with FDR Lal was conducted. This facility designated representative has a current and active administrator certificate ##7019625740 and expires on 07/17/2027. A tour of the facility was conducted. This facility has a memory care and assisted living building. Delayed egress and other safety measures were observed to be functional at this time. All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time. Office rooms and other areas intended for resident use were toured. Hot water temperatures were taken to make sure that the hot water being dispensed was within the allowed range of 105-120 degrees at this time. Fire extinguishers, placed throughout this facility, were observed to have been annually inspected on 07/22/2025 by the local fire extinguisher company, Silicon Valley Fire, and in compliance at this time. There are two elevators present at the facility, that have an active permit until 06/27/2026. Kitchen area was toured. Facility freezer and refrigerator units were toured. LPAs reviewed the food storage supply to make sure that there was always a 2-day perishable and 7-day nonperishable food quantities at all times. Storage area for chemicals and cleaning supplies was observed to be locked and made inaccessible to the residents at this time. A tour of the facility resident bedrooms was conducted. Furniture and furnishings were observed to sufficient and able to meet the needs of the residents at this time. A review of the resident restrooms was conducted. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees. This facility will be using an Electronic Medication Administration System. First aid kit was observed to be present and contained all of the required components at this time. Exterior grounds of this facility was toured. Perimeter fence and gates were observed to be functional and in good repair at this time. Call light and alarm systems such as smoke detectors and carbon monoxide were observed to be in working condition at this time. Emergency disaster plan was discussed. This facility houses a generator on site. This facility has been observed to be in compliance at this time. Due to the observations made during this Pre-Licensing visit, the applicant has passed this Pre-Licensing component. Comp III was waived at this time. An exit interview conducted and a copy of this report was provided to the facility and the applicant.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Change of Ownership Capacity: 180 Census (if any clients in care): 112 COMP II Participants: CHRISTIAN CUMMINGS Interview Method: Telephone interview On September 11, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Sep 11, 2025