Morningside Manor

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced required annual inspection. The facility file was reviewed prior to the visit. LPA Silveira identified herself, disclosed the purpose of the visit and was granted entry by Administrator Regina Jackson. According to the facility’s license, the facility is licensed to serve six (6) non-ambulatory elderly residents, one of whom may be bedridden at any time. All bedrooms are approved to house the bedridden resident. Hospice waiver approved for six (6). There are currently 5 residents living at the facility, and 4 residents are non-ambulatory. LPA, accompanied by Regina, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. Hot water temperature at taps accessible to s in bathrooms were also complaint: sink #1:114.3 F, sink #2: 111/4 F, sink #3: 114.7 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in a locked cabinet. No pools or bodies of water on the premises. Per Regina, there are no firearms or ammunition kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] Fire extinguisher was present (01) and a first aid kit was complete and readily accessible. LPA reviewed staff and client records. The files which LPA reviewed contained required documents. Confidential records were stored in a locked cabinet. Required licensing postings were observed in a visible area of the facility. LPA conducted interviews with residents, the interviews did not raise any concerns. There were no deficiencies observed or cited during today's annual inspection. An exit interview was conducted with Regina, to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Aug 7, 2026

Allegation investigated: Facility Staff is unable to care for resident

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Administrator Regina Jackson-Patton. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents and outside sources. On January 11, 2024 Community Care Licensing (CCL) received a complaint alleging the facility staff is unable to care for a resident Unsubstantiated According to the allegation received, Resident 1 (R1), was not adequately cared for by staff. Outside source 4 (OS4) stated that the facility staff called the Fire department for a lift assist for R1 from the bathroom to R1's bedroom on 01/07/2024. Records reviewed revealed that R1 was on Hospice care and was in an appropriate setting for the care R1 required. On 01/09/2024 the facility staff called the Paramedics for assistance for a medical transport for an unwitnessed fall. R1 and Outside source 4 (OS4) requested to not be transported to the hospital. The hospice company following R1 was contacted and reviewed R1's medication and R1's current condition and stated that R1's condition was in line with R1's hospice diagnosis. R1 was assisted to R1's bed and was made comfortable. R1's wishes was to remain at the facility. Staff interviews revealed that they have received appropriate training and were confident in their ability to meet R1's care needs. Staff provided documentation showing regular communication with medical professionals and adherence to the resident's care plan. Outside source interviews revealed that they have received appropriate training and were confident in their ability to meet R1's care needs. Staff provided documentation showing regular communication with medical professionals and adherence to the resident's care plan. LPA reviewed care logs, medication administration records, and the care plan for R1. All records were up-to-date, and no discrepancies were noted in care or supervision. Staff training records and schedules were also reviewed, confirming that the staff working with R1 were properly trained and available according to facility standards. Based on interviews, LPA observations, and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred; therefore, the allegation is UNSUBSTANTIATED. An exit interview via telephone was conducted with Administrator Regina Jackson-Patton, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Dec 18, 2025 · control 08-AS-20240111160527

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced required annual inspection. The facility file was reviewed prior to the visit. LPA Silveira identified herself, disclosed the purpose of the visit and was granted entry by Administrator Regina Jackson. According to the facility’s license, the facility is licensed to serve six (6) non-ambulatory elderly residents, one of whom may be bedridden at any time. All bedrooms are approved to house the bedridden resident. Hospice waiver approved for six (6). LPA, accompanied by Regina, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. Hot water temperature at taps accessible to clients in bathrooms were also complaint: sink #1:115.5 F, sink #2: 114.1 F, sink #3: 117.2 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to clients. Medications were properly labeled, as required, and stored in locked room which LPA inspected. No pools or bodies of water on the premises. Per Regina, there are no firearms or ammunition kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] Fire extinguisher was present (01) and serviced within the last 12 months. First aid kit was complete and readily accessible. LPA reviewed staff and client records. LPA’s visit did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked cabinet. Required licensing postings were observed in a visible area of the facility. There were no deficiencies observed or cited during today's annual inspection. An exit interview was conducted with Regina, to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received.the state’s words, verbatim · CDSS document, Jul 31, 2025

Allegation investigated: Unlawful eviction. Facility staff are not meeting the needs of the resident.

Licensing Program Analyst (LPA) Liliana Silveira conducted an unannounced visit to conduct a complaint investigation visit regarding the above mentioned allegations. LPA stated the purpose of the visit, was granted entry by Administrator Regina Jackson-Patton. The Department’s investigation consisted of observations, interviews and a records review. On April 23, 2025 it was alleged that resident #1 (R1) was issued an unlawful eviction. A review of resident records revealed that there are no recorded documents regarding an eviction. An interview with (2) two outside sources who advocate for R1 revealed that no eviction procedure for R1 had been reported. An interview with the facility Administrator revealed that, while R1 did have issues paying for board & care, there were no current intentions by the facility to evict them. The payment issue is being worked out by an outside agency that assists residents with board & care payments. An interview with staff revealed that there was no knowledge of an eviction taking place for this resident. There was not enough evidence to corroborate this allegation. (CONTINUED ON NEXT PAGE, LIC 9099-C) Unsubstantiated (CONTINUED FROM FIRST PAGE, LIC 9099) It was also alleged that facility staff are not meeting the care needs of R1. Observations based on a health & safety check conducted by the Department on May 2, 2025 revealed that all five (5) residents residing at the facility were clean and appeared to be healthy. The facility was clean and well-staffed. An interview with R1 did not raise any concerns. An interview with Resident #2 (R2) revealed that they are happy with the care they receive at the facility. An interview with outside sources that visit R1 at the facility revealed that there are no concerns regarding the care that R1 is receiving by facility staff. Interviews with staff revealed that there are no care concerns regarding other staff or facility management. Finally, an interview with the Long Term Care Ombudsman revealed that there are no health & safety concerns regarding this facility. There was not enough evidence to corroborate this allegation. Due to a lack of corroborating evidence, the allegations that there was an unlawful eviction and that R1’s care needs are not being met were unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are unsubstantiated. **NOTE: LPA left the facility for a period of 3 hours for a lunch break and to evaulate findings. LPA returned to the facility to conclude the investigation. LPA Silveira conducted an exit interview with Regina. The Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 03/22) were provided to Regina.the state’s words, verbatim · CDSS document, May 2, 2025 · control 08-AS-20250423093756

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Liliana conducted a case management visit in relation to a complaint investigation visit. LPA identified herself and was granted entry by the Administrator Regina Jackson- Patton, LPA discussed the purpose of the visit with the Administrator During today's complaint investigation visit, LPA conducted a records review on four (4) resident records. LPA observed that there were no Admission Agreements for two (2) of the residents and no pre-placement appraisals for (4) of the residents. Two deficiencies were cited on the attached LIC 9099-D page for failure to complete a proper pre-placement appraisal for Resident #1, #2, #3 and #4 and for failure to complete an Admission Agreement for Resident #1 and Resident #2. An exit interview was conducted with Regina and a copy of this report, along with Licensee/Appeal Rights (LIC 9058 01/16) were provided to Regina at the conclusion of the visit.the state’s words, verbatim · CDSS document, May 2, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87457 · Plan of correction due date: May 16, 2025

87457 Pre-Admission Appraisal (c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria... This requirement was not met, as evidenced by: Based on records review and interviews, the Licensee admitted four (4) residents without a Pre-Admissions appraisal, which posed a potential safety risk to 4 out 5 residents in care.the state’s words, verbatim · CDSS document, May 2, 2025

Plan of correction: The Administrator will immediately study CCR regulations 87457 and 87507 regarding pre-placement appraisals and admission agreements. The Administrator is also set to take a vendorized course through CCLD on proper Pre-Admission appraisals by 05/10/25.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87507(a) · Plan of correction due date: May 16, 2025

87507 Admission Agreements: (a) The licensee shall complete an individual written admission agreement, as defined in Section 87101(a), with each resident or the resident's representative, if any. This requirement was not met, as evidenced by: Based on records review and interviews, the Licensee admitted that two (2) residents were admitted without an Admission Agreement, which posed a potential safety risk to two (2) out of five (5) residents in care.the state’s words, verbatim · CDSS document, May 2, 2025

Plan of correction: The Administrator will immediately study CCR regulations 87457 and 87507 regarding pre-placement appraisals and admission agreements. The Administrator is also set to take a vendorized course through CCLD on proper Pre-Admission appraisals by 05/10/25.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced Required Annual Inspection. LPA was welcomed by Nenita Grande, Caregiver to whom LPA identified himself to, and discussed the purpose of the visit. Administrator Regina Jackson-Patton was present. According to the facility’s license, the facility is approved to serve five (5) non-ambulatory and one (1) bedridden residents. LPA reviewed the CDSS Administrator Certification database and confirmed Ms. Jackson-Patton's Administrator Certificate was current with an expiration date of May 2026. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperatures in resident accessible faucets were measured and recorded within approved department range of 105-120 degrees, Fahrenheit. Cooking/dining equipment and utensils were present. Medications were labeled, as required and kept inaccessible to residents. No bodies of water were observed. Per Ms. Jackson-Patton, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit was complete and accessible. Resident, staff and facility records were reviewed and contained the required documentation. Technical advisories were issued today for storage space and care of bedridden residents. No additional deficiencies were cited on today's visit. An exit interview was conducted with Administrator Jackson-Patton, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jul 16, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced Case Management visit to observe the physical plant. LPA introduced herself and was granted entry into the facility by Regina Jackson-Patton, to whom LPA disclosed the purpose of the visit. An application for a change in room designations was received by Community Care Licensing on October 23, 2023. A fire clearance for five (5) non-ambulatory and one (1) bedridden was requested, and the fire clearance was approved on February 28, 2024, granting bedridden approval for all rooms; however, only one (1) bedridden resident may reside in the facility at any given time. During the visit, LPA toured the facility. No deficiencies were cited during the visit. The Licensee will be notified by Community Care Licensing upon a decision of the application request. An exit interview was conducted with Regina Jackson-Patton, and copies of this report and Licensee/Appeal Rights were provided to the Administrator at the conclusion of the visit. Administrator's signature below confirms receipt of the rights and a copy of this report.the state’s words, verbatim · CDSS document, Apr 23, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced case management visit. LPA identified herself and was granted entry by the Administrator. LPA met with Regina Jackson- Patton, Administrator and discussed the purpose of the visit. On January 16, 2024 the facility self reported a resident death regarding Resident 1 (R1) from January. 12, 2024 to Community Care Licensing. This visit was conducted to follow-up with the death report. During today’s visit, LPA briefly toured the facility, conducted interviews with Regina Jackson- Patton, Administrator, requested and obtained relevant records. A copy of the resident's death certificate was requested upon receipt. No deficiencies were cited during today’s visit. An exit interview was conducted with Regina Jackson- Patton, Administrator and a copy of this report, and Licensee/Appeal Rights (LIC 9058 01/16) were provided to both Managers at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 18, 2024