New Alamo Residence Home

Type of visit: Required - 1 Year

On 2/4/2026 at 8:30 AM, Licensing Program Analysts (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Meeran Saxena and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. LPA toured facility with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedrooms are occupied by staff. All outdoor and indoor passageways are not kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. There is a minimum of 2-day supply of perishable foods. Centrally stored medication and sharps were not locked and inaccessible to residents. Hot water temperature measured at 121.0 and 119.9 Degrees Fahrenheit. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last purchased on December 2025. Emergency Disaster Plan was last posted on 11/24/2024 (TV issued). First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/2025. At 10:00am, LPA reviewed 6 residents records. At 10:30 am, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. Report continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:14am LPA observed under kitchen sink cabinet unlocked with cleaning solutions/poisons, also observed on kitchen counter unsecured blue/cheeta print scissors/ yellow lighter and pink scissors in shared bathroom At 9:15am LPA observed unsecured prescription and PRN medications in kitchen cabinets (Aleve, Amlodipine), also unsecured medication in refrigerator on door (stomach relief, Lactulose, and NyQuil) At 9:20am LPA observed that the facility does not have enough food and of variety to meet the nutritional needs of residents At 9:21am LPA observed an unsupervised burning candle in room 2 At 9:21am LPA observed full bed rails on R6's bed without the required documentation/exception At 9:27am LPA observed that both bathrooms do not have non-skid mats At 9:30am LPA observed that hot water measured at 121 degrees Fahrenheit in 1 of 2 bathrooms At 9:36am LPA observed that extra supplies/PPE are being stored in a shed in the backyard and observed rat droppings throughout At 9:37am LPA observed fire exit from living room slider blocked with a stick placed to prevent the door from being opened inside At 10:15am during file review LPA observed R1, and R3 do not have up to date physicians reports or appraisals At 10:30am during file review LPA observed S2 and S3 do not have their required yearly training's up to date. At 12:10pm LPA observed the facility is not serving balanced meals and had to advise them during lunch (served boiled carrots, meatballs, cake, water) LPA observed throughout visit that facility does not have planned activities and also no activity calendar ***An immediate civil penalty for $500 is being assessed on todays date*** ***A civil penalty in the amount of $250 is being assessed for repeat violation on todays date*** Administrator Had to leave for an appointment and approved Caregiver, Steven Bagunas to sign off on report(s). Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 3/1/2026: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurancethe state’s words, verbatim · CDSS document, Feb 4, 2026

The state marks this report as 14 pages; the online copy we transcribed has 10. You can request the full file from the county licensing office.

Allegation investigated: Staff did not maintain a comfortable temperature for residents Staff did not provide resident(s) with adequate food services.

On 8/8/2025 at 8:30AM, Licensing Program Analyst (LPA) A Gomez arrived unannounced to deliver findings in regard to the allegations above. LPA met with Licensee, Meeran Saxena and explained the purpose of the visit. During the investigation, LPA conducted interviews, toured facility, and reviewed files. On 2/21/2025 LPA interviewed S1 and S2. Durring LPA's visit on 2/21/2025 LPA observed the facility temprature at 64 degrees F and that the facility did not have the required 2 days of perishables and 7 days of non- perishable foods. Substantiated Pertaining to allegations: Staff threw an item at resident, Staff spoke to resident in an inappropriate manner, and Staff solicited a monetary gift from resident. On 2/21/2025 LPA interviewed S1 who stated that they have not heard any staff speak to residents inappropriately. LPA gave examples of what might be inappropriate comments/conversations and S1 maintained that they have not witnessed that behavior. S1 also stated that no staff have ever thrown any items at residents or requested monetary gifts. S1 stated that sometimes around the holidays families will give small gifts to staff but never the residents. On the same day LPA interviewed S2 who stated that they have never observed staff throw any items at residents. S2 did confirm that they have witnessed staff speak to residents inappropriately and ask for gifts but that they believe that when staff asked for gifts it was in a joking manner. Although S2 confirmed that they have witnessed other staff speak to residents inappropriate S2 did not provide specific staff which brought into question their credibility. LPA did not witness any staff speaking to residents inappropriately during any visits. LPA briefly spoke with R1 an annual visit who expressed happiness at the facility and had no complaints. LPA was unable to interview other residents due to their cognitive abilities. Therefore the allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided. LPA did conduct subsequent visits and observed that the temperature was within the 68-85 degree Fahrenheit range and that the facility had purchased additional food. Therefore the above allegations are SUBSTANTIATED. Based on LPAs observations and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Aug 8, 2025 · control 15-AS-20250220114249

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(b)(1) · Plan of correction due date: Aug 8, 2025

(b) A comfortable temperature maintained at all times.(1)The facility shall...minimum of 68 degree F, (20 degrees C). This requirement is not met as evidence by: Based on observation, the licensee did not comply with the section cited above. On 2/21/25 LPA observed the facility temprature at 64 degrees F which posed a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 8, 2025

Plan of correction: Facility has removed the automatic temprature adjustment and now the facility is the correct temprature POC clear

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(26) · Plan of correction due date: Aug 8, 2025

(b) The following...shall apply:(26)Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained... This requirement is not met as evidence by: Based on observation, the licensee did not comply with the section cited above. LPA observed that the facility did not have the required 2 days of perishables and 7 days of non- perishable foods. which posed a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 8, 2025

Plan of correction: The facility has purchased additional food. POC clear

Type of visit: Required - 1 Year

On 2/15/2024 at 3:00 PM, Licensing Program Analysts (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Meeran Saxena and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 4 bedrooms are occupied by the residents and 2 bedrooms are occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Hot water temperature measured at 117.2 Degrees Fahrenheit. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last purchased on 1/25/2025. Emergency Disaster Plan was last posted on 11/24/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/02/2025. At 10:45am, LPA reviewed 4 residents records. At 11:30 am, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 14, 2025

Type of visit: Required - 1 Year

On 2/15/2024 at 3:00 PM, Licensing Program Analysts (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Meeran Saxena and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. There are 6 residents and 2 staff present during inspection. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedrooms are occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Hot water temperature measured at Degrees Fahrenheit. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was serviced on 3/17/2023. Emergency Disaster Plan was last updated on 3/23/2023. First aid kit was observed to be complete. Fire drill was last done 12/18/2023 At 3:30 PM, LPA reviewed 3 staff records and 2 of 3 have current first aid training and at least 1 staff have CPR training per shift. REPORT CONTINUES 809C Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 2/29/2024 LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No Deficiencies cited during visit Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 15, 2024