Paso Robles Senior Living

Type of visit: Required - 1 Year

At 8:50am, on 7/1/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Eric Bunte, announced who he was and the reason for the visit. Lead Staff Marilyn Del Monte and LPA conducted a full tour of the facility. This facility is a two-story residential home with four resident bedrooms located on the first floor (two are dual occupancy) and one and a half bathrooms for public use. The first floor also has a living room with dining space, a kitchen and office area. Laundry machines are located in the hallway and laundry chemicals are kept in the garage. Access to the garage is through a locked door for resident safety. The second floor is for staff use only and contains a staff bedroom with en-suite full bathroom. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each resident bedroom and hallway leading to bedrooms that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the office area that was tagged current and in the green compression range, purchased on 4/8/2026. LPA tested facility hot water at 111.9°F, within regulation temperatures 105-120°F. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility has no obstructions in hallways, doorways or exits. Medications, resident and staff records are locked in a cabinet in the office area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records. LPA conducted a staff and resident file review. (Continued on LIC809-C) While reviewing centrally stored medication, at 10:13am, LPA noted two open insulin pens belonging to Resident #1 (R1). Staff removed the cap of the insulin pens revealing both having attached needles. LPA asked staff how many times each needle is used and staff stated they are used multiple times for R1. LPA instructed staff that per regulation needles may only be used once and the used needles need to be discarded. Staff had to ensure R1 had enough supply; LPA observed that the facility did have a box of replacement needles for R1 that had not been used. LPA noted one other resident requires insulin, LPA observed this second residents insulin pen did not have a used needle attached and staff state they do not reuse this residents needles because they have a large supply of replacement needles; LPA observed a supply of unused needles for this resident. LPA and Licensee conducted a review of the annual care tool modules. Exit interview conducted, deficiency cited on LIC809-D page, report signed, report and appeal rights provided to the Licensee.the state’s words, verbatim · CDSS document, Jul 1, 2026

The state marks this report as 13 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Staff are video-monitoring residents as a form of supervision

At 9:05am, on 9/22/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to investigate the allegation of this complaint. LPA met with Licensee/Administrator Eric Bunte, announced who he was and the reason for the visit. During the visit the LPA conducted interviews with residents, staff, and collected relevant documentation On the allegation, staff are video-monitoring residents as a form of supervision. It was alleged that two of the four resident rooms had video cameras and staff stated they put them in the rooms to watch the residents not record them. (Continued on 9099-C) Substantiated During today's visit LPA toured the facility to find no cameras in the residents rooms. LPA interview with Staff #1 (S1) revealed S1 installed cameras in resident bedrooms #2, 3, and 4 to watch the residents at night so they would not have to go in and disturb the resident to check on them. S1 removed them recently after a visit from the Long Term Care Ombudsman to the facility on 9/15/2025. Interview with the Licensee/Administrator and facility record review reveal the facility does not have and has not applied for a waiver to install surveillance devices in resident rooms. Licensee also stated current residents have not given consent for the camera's in their rooms and residents have not requested the cameras be installed in their bedrooms. Based on all interviews conducted and documents obtained, at this time the above allegation was found to be substantiated, based on the facility installing cameras in the residents bedroom to monitor them violating 4 of 5 resident's right to privacy. Exit interview conducted, deficiencies cited on LIC9099-D page, report signed, and report provided to the Licensee/Administrator.the state’s words, verbatim · CDSS document, Sep 22, 2025 · control 29-AS-20250918113529

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: Oct 6, 2025

Amended. Personal Rights. (a)(1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the internet, and meetings of resident and family groups. This requirement was not met as evidenced by: Based on interview and record review, the licensee placed video cameras in 3 of 4 residents rooms without resident consent which poses a potential Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 22, 2025

Plan of correction: S1 removed the cameras from the bedrooms after the LTCO visit on 9/15/2025. Licensee will review this regulation with all staff and email LPA documentation and signed training on or before 10/6/2025.

Allegation investigated: Staff did not properly safeguard the residents medications Staff allowed the residents access to a harmful material while in care

At 09:10am on 8/7/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the initial investigation to the above allegations of this complaint. LPA met with Licensee/Administrator Eric Bunte, LPA announced who he was and the reason for the visit. During LPA visit from 09:10am to 10:00am, LPA interviewed staff and Licensee and obtained copies of documents. On the allegations: Staff did not properly safeguard the residents medications and staff allowed the residents access to a harmful material while in care. It was alleged by a reliable source, Person #1 (P1), that during a visit to the facility on the morning of 8/4/2025 P1 observed the pad lock on the door of the closet containing resident medications left unlocked and there was a gallon of bleach in the hallway on top of the washing machine. These items were accessible to the residents and this facility is licensed for dementia care. (Continued on LIC9099-C) Substantiated LPA toured the facility upon arrival to find no chemicals on the washer and dryer, the garage door, cabinets under the kitchen sink and bathrooms containing hazardous materials all locked. LPA noted the pad lock in an unlocked position hanging from the hasp latch lock on the medication closet. Staff were close by the medication closet and stated they were actively assisting residents with medications. During LPA interview with Staff #1 (S1) and Staff #2 (S2), S1 admitted on the morning when P1 visited they left a half gallon of bleach on top of the washer or dryer and left it unattended within reach of residents in care while they cared for a resident in the bedroom closest to the front door of the facility. S2 stated they were in the kitchen not within sight of the bottle of bleach. S1 showed LPA the bottle of bleach that was left out, LPA photographed the bottle and noted it to be more than half full. Staff interview also revealed the pad lock on the hatch latch of the medication closet was left unlocked and unattended the same morning. Based on all interviews conducted, at this time the above allegations were found to be substantiated, there is a preponderance of the evidence to prove that the alleged violation occurred. During LPA visit on 7/16/2025 to the facility for an annual inspection LPA cited on Title 22 regulation 87309(a). The Licensee/Administrator submitted their plan of correction for this citation on 7/28/2025 which included staff training on keeping medications and disinfectants locked and inaccessible to residents. As this is a repeat violation of the same regulation within 12 months a civil penalty in the amount of $250 for a repeat violation is being assessed on the attached LIC 421FC. Exit interview, deficiencies cited on 9099-D, report signed, report, LIC421FC and appeal rights given.the state’s words, verbatim · CDSS document, Aug 7, 2025 · control 29-AS-20250804132130

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Aug 8, 2025

(a)... the licensee shall ensure that disinfectants, cleaning solutions,... and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above when S1 left a bottle of bleach unattended and S1 and S2 left the medication closet unlocked leaving these items accessible to residents which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 7, 2025

Plan of correction: Licensee will perform a disciplinary write-up with S1 and S2 and email this to LPA by 8/8/2025. Additionally Licensee will have them individually write a statement of understanding of this regulation, how it can affect the residents in care and ways to prevent it in the future. Licensee will email these statements to the LPA on or before 8/14/2025.

Type of visit: Required - 1 Year

At 09:15am, on 07/16/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Eric Bunte, announced who he was and the reason for the visit. Licensee/Administrator and LPA conducted a full tour of the facility. This facility is a residential home with 2 dual occupancy and 2 single occupancy resident bedrooms, one full shared bathroom and one half shared bathroom. On the second floor is a live-in staff bedroom with full staff bathroom. There is a living room with dining space, a kitchen and office area. While touring the kitchen LPA noted fresh fruit and snacks in the kitchen for residents to enjoy. At 9:42am in the kitchen LPA noted over fifteen prescription and non-prescription medications in four unlocked cabinets and a bottle of liquid lorazepam unlocked in the kitchen refrigerator, all accessible to residents in care. Access to the laundry room is in the hallway. The garage containing cleaning supplies and laundry detergent is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. While touring the backyard at 10:15am LPA noted nine bottles of chemicals (including bleach and Cascade dish washing soap) unlocked and accessible to residents in care. The facility has wired smoke detectors in each bedroom and hallway leading to a bedroom that are all working, the carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the office area that was tagged current and in the green compression range, purchased on 08/14/2024. LPA tested facility hot water at 110.4*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. (Continued on LIC809-C) LPA noted that the facility has no obstructions in hallways, doorways or exits. Medications, staff and resident records are locked in a cabinet in the hallway. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review. LPA and Licensee/Administrator conducted a review of the annual care tool modules. Deficiencies were cited at this time. Exit interview, report signed, deficiencies cited on LIC809-D, appeal rights, and report provided.the state’s words, verbatim · CDSS document, Jul 16, 2025

The state marks this report as 8 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At 12:00 pm on 08/12/2024, Licensing Program Analyst (LPA) Jeffries arrive at the facility and announced who he is and the reason for the visit. LPA met with Licensee/Administrator Eric Bunte and explained the reason for the visit. Licensee and LPA conducted a walking tour of the facility. The facility is a 5 bedroom, 3 bathroom with kitchen, small living room and dining. Two bedroom have double Resident occupancy and the other 2 Resident bedrooms are single Resident occupancy. All three facility bathrooms have hand sanitizer and paper towels. The 5th bedroom and third bathroom are staff live-in quarters and are located on the second floor of the facility. LPA observed the medication closet in hallway past the kitchen and dining room area and staff and resident files are also kept in the same closet. LPA observed all required postings in centralized hallway of the facility. LPA observed more than a two day supply of non perishable foods and more than a seven day supply of perishable foods on hand at the facility for staff and 6 residnets. LPA checked fire detectors and carbon monoxide detectors all in good working condition. LPA observed and ample amount of PPE supplies. LPA noted that all exits, hallways and doors are free from obstructions. LPA did not discover any visible deficiencies or citations at this time during the facility tour. LPA and Licensee conducted a full review of the annual control model portion of the inspection. There were no deficiencies or citations discovered at this time during the annual facility inspection. Exit interview, report signed, and report provided.the state’s words, verbatim · CDSS document, Aug 12, 2024

Allegation investigated: Cleaning supplies were accessible to residents in care. Knives were accessible to residents in care.

At 8:01am on 01/09/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to conduct the initial investigation to this complaint. LPA met with Licensee Eric Bunte announced who he is and the reason for the visit. LPA conducted a facility tour, conducted interviews, collected documents, made observations, and took photographs. LPA was able to make finial finding determinations based on the initial investigation visit as outlined below: As to the allegation of, “Cleaning supplies were accessible to residents in care.” It was alleged by a reliable source that cleaning supplies, knives, and medications were accessible to residents in care in the first week of January 2024. On 01/09/2024, LPA Jeffries conducted an unannounced investigation visit to the facility where he observed and photographed a plastic bin of approximately 30 ounces of powdered detergent with no lid, and a large (40-60 oz. approximately) fabric softener bottle on top of the dryer. CONTINUED on LIC9099-C Substantiated The facilities washer and dryer are in an open hallway closet with no door and a curtain that was slid open during the investigation visit. The washer and dryer are in direct access of entering and exiting 3 resident rooms in this facility. LPA interviewed Staff 1 (S1), who stated, “that’s where we have been keeping the detergent.” when asked by LPA. LPA instructed S1 to secure the detergent and fabric softener so that it was not accessible to resident in care. LPA noted that there is currently a resident in care that has a diagnosis of dementia which regulations require these items to be inaccessible. Items reported, and observed were accessible to residents in care. At this time there is enough evidence to support the allegation of, “Cleaning supplies were accessible to residents in care.” and is substantiated at this time. As to the allegation of, “Knives were accessible to residents in care.” It was alleged by a reliable source that cleaning supplies, knives, and medications were accessible to residents in care in the first week of January 2024. On 01/09/2024, LPA Jeffries conducted an unannounced investigation visit to the facility where he observed and photographed 3 large kitchen knives, and scissors in an open drawer in the kitchen. LPA interviewed staff 2 (S2) about the knifes, and scissors in the open drawer and S2 stated, we don’t use those knifes.” and “they have been there.” LPA noted that the drawer LPA found the knifes, and scissors was the first drawer as you would enter the kitchen and was not a secured drawer. LPA photographed the knifes and scissors in the unsecured drawer and asked S2 to secure them in the secure lockable knife drawer located adjacent to the unsecured drawer in the kitchen. LPA noted that there is currently a resident in care that has a diagnosis of dementia which regulations require these items to be inaccessible. Items reported, and observed were accessible to residents in care. Based on observations, interviews, and photographic evidence there is enough evidence to substantiate the allegation of, “Knives were accessible to residents in care.” and is substantiated at this time. Exit interview, report read, citations issued, appeal rights and report provided. LPA noted that once S2 secured the medications for the A.M. medication pass, S2 then secured the medication closet by locking the keyed padlock before administering medications. LPA noted that during the investigation visit that the medications were not accessible to residents in care at any time. LPA interviewed 3 of 5 Residents. R1-3 all stated that they had no issues with medications, food, and felt safe in this facility. LPA interviewed Staff 1 and 2. S1 and S2 both stated that the medication closet is locked unless they are working on administering medications. At this time there is not enough evidence to support the allegation of, “Medications were accessible to residents in care.” and is unsubstantiated at this time. As to the allegation of, “Facility did not have an adequate amount of fruit.” It was alleged by a reliable source that there was limited to no fruit and molded fruit on hand for the residents in care in the first week of January 2024. On 01/09/2024. LPA conducted initial investigation visit and was able to observe approximately 2 ripe bananas, 3 pomegranates, 2 ripe kiwis, 12 oranges, and 4 apples, full stock of celery, and 6 cucumbers which is an acceptable amount of perishable foods for 5 residents, for two days. LPA noted that there are more than two dozen canned fruits and vegetables in the garage pantry that have been in stock for at least 3 months according to Licensee and S2. LPA did not observe any molded, spoiled or rotten food on hand in the facility during this investigative visit. LPA interviewed S2, who stated, “we always have more then enough food” and “we always have fresh fruits and vegetables for two days.”. S2 also stated that the facility has planned food shopping every two weeks and as needed. LPA interviewed Licensee who stated that, “we shop every two weeks, but if we need something we go out and buy it as its needed.” LPA interviewed Residents 1-3, R1-3 stated, that they had no issues with medications, food, and felt safe in this facility. Based on interviews, observations, and photographs there is not enough evidence at this time to substantiate the allegation of, “Facility did not have an adequate amount of fruit” and is unsubstantiated at this time. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Jan 9, 2024 · control 29-AS-20240105150509

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(1) · Plan of correction due date: Jan 10, 2024

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (1) Knives, matches, firearms, tools and other items that could constitute a danger to the resident(s) This requirement was not met by evidence of knifes being accessible to residents in care. which poesses and immidate threat to resident in care.the state’s words, verbatim · CDSS document, Jan 9, 2024

Plan of correction: Licensee agrees to conduct 1 hour of training for all staff on care of residents with dementia, with focus on securing potentially dangerous times. This requirement must be started by 01/10/2024.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(f)(2) · Plan of correction due date: Jan 10, 2024

87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia: (2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. This requirement was not met by detergent and fabric softener being accessible to resident with dementia, which posses in immediate threat to resident in care.the state’s words, verbatim · CDSS document, Jan 9, 2024

Plan of correction: Licensee agrees to conduct 1 hour of training for all staff on care of residents with dementia, with focus on sun downing behaviors for residents with dementia. This requirement must be started by 01/10/2024.