Reliance Senior Home

Type of visit: Required - 1 Year

On May 6, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Ray Santianez about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front entrance. LPA observed that Ray Santianez has a valid Administrator certificate which expires on August 18, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, five of which may be non-ambulatory, one of which may be bedridden, and a hospice waiver for six. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of five non-ambulatory residents in care, none of which are on hospice, and none are bedridden. The facility is a single story home. There are a total of six bedrooms, all of which are private resident bedrooms. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two full bathrooms. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 109.9 and 110.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in a kitchen cabinet and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. The four burner gas stove lights unassisted. Fire extinguisher was dated and tagged on February 3, 2026. LPA observed all the required postings in the hallway of the facility. LPA observed the facility conducted their last emergency disaster drill on February 8, 2026. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a cabinet in the kitchen, inaccessible to residents in care. Chemicals were observed to be locked underneath the kitchen sink. LPA observed the door leading to the attached two car garage is kept locked and inaccessible to residents in care. The door to the laundry room is kept locked. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two self-closing gates in the backyard that can be opened in case of an emergency. The pool in the backyard is kept locked and the gate surrounding it is five feet tall. During this visit, five resident files and two staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and three resident interviews were conducted. The facility has valid liability insurance that expires in July 7, 2027. Based on today's observations, there are no deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator. This report was reviewed with the Administrator and a copy was provided at the end of the visit.the state’s words, verbatim · CDSS document, May 6, 2026

Allegation investigated: Illegal eviction. Facility did not provide adequate care and supervision to meet the needs of resident in care. Facility is not following doctor's order on medication.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on February 24, 2022. LPA was greeted and granted entry into the facility and met with Caregiver Lydia Geroy. LPA explained the reason for the visit. Administrator (AD) Ray Santianez arrived shortly after. This Department has investigated the complaint alleging that facility issued an illegal eviction. Regarding the allegation the following was revealed: During the course of the interviews one of seven individuals interviewed confirmed the allegation. During the course of the investigation LPA reviewed the Orange County Regional Office Eviction Log and LPA did not observe that an Eviction notice for Resident 1 (R1) was received. During the course of the interviews with residents, R2 reported that she has not received an illegal eviction. During the interviews AD stated that R1 did not received an illegal eviction. CONTINUED ON LIC9099-C... Unsubstantiated Regarding the allegation that facility did not provide adequate care and supervision to meet the needs of resident in care, the following was revealed: During the course of the interviews one of seven individuals interviewed confirmed the allegation. During the course of the interviews with residents, R2 reported that they have very good staff. Per R2, staff do their best to provide adequate care and supervision for the residents and reported that staff are always working on something. During the course of the interviews, AD reported that staff were doing their best to care for and supervise R1. Regarding the allegation that facility is not following doctor's order on medication, the following was revealed: During the course of the investigation LPA reviewed documents including the Physician Report (LIC602) dated February 22, 2022, for R1. Per Physician Report R1 is not able to administer own prescription medications. LPA reviewed documents including the Reliance Senior Home Admission Agreement dated February 2, 2022. Per Admission Agreement R1 was admitted to the facility on February 2, 2022. LPA also reviewed the Medication Administration Record (MAR) dated February 2022 for R1. Per MAR, R1 was being giving his medications as prescribed. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA conducted an exit interview with facility representative, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 19, 2025 · control 22-AS-20220224074357

Type of visit: Required - 1 Year

On May 19, 2025, at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Helen Carcino. Administrator (AD) Ray Santianez arrived at the facility a short time later and was present during the remainder of the visit. AD Ray Santianez has an administrator certificate with an expiration date of August 18, 2025. The facility is a single level structure, licensed for six (6) non-ambulatory residents of which one (1) may be bedridden and has a hospice waiver for six (6) residents. The home consists of the following: six (6) resident bedrooms, one (1) staff rest area, two (2) bathrooms, living room area, dining area, kitchen, outdoor shaded seating areas, and an attached two car garage. During the visit, LPA Bentley obtained the facility's resident and staff rosters and LIC 500 Personnel Record. LPA toured the interior and exterior of the physical plant with AD Santianez and the following was observed:. All mandated posters were posted near the entrance. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. The water temperatures measured at 111.0 degrees F to 113.9 degrees F. A comfortable temperature of 73 degrees F was maintained throughout the facility. CONTINUE TO LIC809-C LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for cleaning supplies, toxins, and sharps objects were stored and locked. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available. There is a two car garage with a refrigerator and additional supply of perishable items. The washer and dryer were observed to be in working condition. Facility has a sufficient amount of emergency food supply and water supply. The backyard was clean and free of clutter and debris. A shaded patio area with tables and chairs was observed. Emergency safety drill was last conducted on April 10, 2025 and conducted quarterly. First aid kit is maintained and contains all the necessary elements. Smoke and carbon monoxide alarms were tested and observed operational. A working telephone (949-446-4475) remains available, and the facility has a device that can be used for video teleconference purposes. The facility has three (3) fire extinguisher that were observed charged in the kitchen, laundry room and garage, all last serviced on April 16, 2025. Liability Insurance is effective June 14, 2024 through June 14, 2025. LPA Bentley conducted an audit of six (6) resident files (R1-R6), four (4) staff files (S1-S4), two (2) staff interviews, and five (5) resident interviews. Clients’ medication was found locked and secure and a review of the Medication and Medication Administration Record (MAR) was conducted. Based on today’s observations, two Type B deficiencies were cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted, and a copy of this report, deficiency pages, and appeal rights were provided to Administrator Ray Santianez.the state’s words, verbatim · CDSS document, May 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Annual inspection. LPA was greeted and allowed entry into the facility by care giver Lydia Geroy to whom LPA discussed the purpose of the visit. Later, Administrator Ray Santianez joined the visit. According to the facility’s license, the facility has a maximum capacity of six (6) non-ambulatory clients, of which one (1) may be bedridden. Facility also has a hospice waiver for 6. LPA, accompanied Administrator Ray Santianez, to conduct a tour of 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, screens, 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 client activities. The facility’s ambient internal temperature was compliant. Hot water temperature at taps accessible to clients were all compliant. LPA observed a fenced pool, no water in pool, which was secured by fencing and a locked gate which met regulation requirements. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. LPA also conducted an inspection of the centrally stored medications. They were properly locked in medication cabinet. Medication logs and medications reviewed were current. [Continued on 809-C] [Continued form 809] LPA interviewed Administrator Ray Santianez, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed the theft and loss policy and procedures. Transportation procedures are compliant. LPA interviewed staff members and residents. LPA interviews did not raise any licensing concerns. Staff and resident records review verified that all staff records and residents are complete and compliant. Licensee presented proof of current liability insurance.Administrator’s certification is current. LPA observed that residents were being treated with dignity by staff, and there were sufficient staff on duty to meet resident’s needs. No deficiencies were observed or cited during today's annual inspection. However, LPA issued a technical violation regarding the labels on the medication containers. (refer to the attached LIC 9102-TV page). An exit interview was conducted with Administrator Ray Santianez, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Aug 16, 2024