Rialto Assisted Living

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Michelle Echeverria conducted an unannounced visit to this facility to initiate an investigation of complaint number: 56-AS-20260519100155. LPA met with MedTech Supervisor, Darcy Poua. Darcy phone called Administrator and handed the cell phone over to LPA. LPA introduced self to Administrator and informed him about the purpose of the visit. Administrator stated that staff present did not have access to LPA requested documents like personnel files, detailed staff schedule, resident roster, facility sketch, etc. Administrator stated that he was the only one with access and was currently far away from the facility and was not going to be able to provide the requested documents to LPA. Administrator stated that he will email the unavailable documents to LPA on the following day. LPA informed Administrator about a deficiency being issued for records unavailability. During today's visit, LPA reviewed limited facility records, and did a walk-through of the facility. LPA found the following issue: Staff present did not have access to the LPA requested documents due to Administrator not being present and only having access. This poses an immediate health and safety risk to residents in care. Refer to LIC 809D for deficiency cited. An exit interview was conducted where this report, LIC809, LIC809D, and appeal rights were discussed with and provided to Darcy Poua.the state’s words, verbatim · CDSS document, May 20, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87755(c) · Plan of correction due date: May 21, 2026

87755(c)Inspection Authority of the Licensing Agency (c) The licensing agency shall have the authority to inspect, audit, and copy resident or facility records upon demand during normal business hours.... and 87508(b). This requirement was not met as evidenced by: Based on observation, interview and limited record review, the administrator did not comply with the section cited above by not providing access to the requested records to LPA due to staff present not having access which poses an immediate health, safety and personnal rights risk to persons in care.the state’s words, verbatim · CDSS document, May 20, 2026

Plan of correction: Administrator stated that he will review regulation cited and submit a statement of understanding to LPA via email by POC due date.

Type of visit: Required - 1 Year

On 2/12/2026 at approximately 9:17 AM Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Rialto Assisted Living Facility unannounced to conduct an Annual Inspection. LPA introduced self to Med-Tech Darcy Poua and stated purpose of the visit. Darcy notified Administrator, Tae Kim of LPA's arrival and LPA was provided a space to work in the Library. LPA later meet with Administrator. LPA discussed the purpose of the visit and conducted a tour of the facility. LPA Farlow was escorted by Beverly Robertson to inspection the facility and the following information was observed: Physical Plant: LPA observed the facility's temperatures to be comfortable and measured at 75, 78, and 75 degrees Fahrenheit. LPA observed the hot water temperature throughout the resident residents, and common area bathrooms. The water temperature in the residents bathroom and common area bathrooms measured at 109.3, 122.7, 116.5 and 117.3, which is within regulations. LPA observed bathrooms and found that showers sinks and toilets are operable. Each bathroom contained adequate amounts of hand hygiene and paper products. LPA observed 1 resident shower was used as a storage to maintain and store a shower chair, wheelchair , and a over the toilet commode. A Deficiency cited. The facility houses a laundry room ran by housekeeping staff. LPA observed that linens and hygiene items are enough for residents in care. Each resident room included lamps, night-lights and appropriate lighting to ensure residents comfort and safety. The facility is equipped with smoke alarms and carbon monoxide detectors. The facility maintains a contract with a third party company who conducts fire/disaster drills on a regular basis. (LIC809C Continued) No abnormal notes made. Fire Extinguishers were observed throughout the facility. Fire Extinguishers were last inspected November 3, 2025. Food Service: Nonperishable and perishable food items observed were sufficient for number of residents in care. Food is being prepared and stored properly. Facility offers a variety of food options and snacks for residents. Kitchen Staff maintain a food menu which is updated on a monthly basis. Care & Supervision: Facility has sufficient care staff; toxic items are inaccessible to residents in care and stored and kept secure in closets throughout the facility. LPA observed the facility successfully completed the Hospice increase from 4 to 10 hospice residents in care. Record Review and Resident/Staff Files: LPA reviewed records for seven (7) residents currently living at the facility. LPA reviews the records for the following documents: Admission Agreement, Physician Reports, Centrally Stored Medication log/MARs, and Needs and Services Plans. LPA observed that 1 out of 7 residents had an incomplete Admission agreement, meaning several signature and initials were missing from the resident, residents responsible party and Administrator. A Technical Violation issued. LPA observed 2 out of 7 residents did not a have a current Physician Report. 1 out of 7 residents were missing a current Needs and Service Plan. Deficiencies cited. LPA additionally reviewed seven (7) staff files for Training Records, CPR/First Aid Certificate, Criminal Record Clearance, and Health Screening Report/TB Test results. LPA observed 2 out of 7 staff missing a Health Screening Report, LPA did identify a TB test results available. A Deficiency cited. LPA observed that 2 out of 7 staff had expired CPR/First Aid Certificate. A Technical Violation issued. Administration: Disaster Plan, Ombudsman poster, Administrator Certificate, and facility license are posted in a prominent place. Emergency Disaster Plan is current. Facility files are maintained in secure locations in the facility main office. Medication/Medical Related Services: LPA observed that the residents' medication is centrally stored and locked in the facility Medications Room; managed by Medication Technicians. LPA observed that 1 out of 7 resident MAR was missing a Med-Tech signature stating the medication wasn't dispensed for whatever reason. There wasn't any notes providing a explanation for the missed medication. One (1) MARs was missing a notation of a dispensed medication. A Deficiency cited. Based on observations, five deficiencies cited and two technical violation issued per Title 22, California Code of Regulations. An exit interview conducted and copy of this report LIC809, LIC809C, LIC809D, LIC9102TV, and appeal rights reviewed and discussed, then provided to Administrator, Tae Kimthe state’s words, verbatim · CDSS document, Feb 12, 2026

The state marks this report as 8 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Allegation investigated: Staff left resident soiled in feces for an extended period of time Staff did not ensure that resident was accorded dignity while hygiene needs were met Staff do not follow resident's special diet Staff do not ensure resident's blood sugar is checked before medication administration Staff turned off resident's call light without providing resident with requested assistance Staff do not assist resident with ambulating creating a high risk of falls

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to complete a complaint investigation on the above mentioned allegations. The investigation was conducted by Department staff. LPA conducted interviews with residents, and staff, reviewed and collected facility documents. LPA also, conducted a tour of the facility. The first allegation is staff left resident soiled in feces for an extended period of time. LPA interviewed seven (7) out of seven (7) residents in care. Interviews with R1, R4, R5, and R6 reveal that staff assist with incontinence needs and they have not been left in feces for an extended period of time. Interviews with R2, and R3 revealed that they are self sufficient and do not require assistance from staff. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff did not leave resident soiled for an extended period of time. Interview with staff revealed that staff are not familiar with R7 and R7 was not a resident in the facility. This agency has investigated the complaint alleging that staff left resident soiled in feces for an extended period of time is Unfounded. Unfounded The second allegation is staff did not ensure that resident was accorded dignity while hygiene needs were met. LPA interviewed R1, R4, R5, and R6 and residents stated they had not experienced staff not according them dignity while hygiene needs are being met. LPA interviewed five (5) out of five (5) staff and interviews with staff revealed that staff are according resident dignity while assisting with hygiene needs. Staff stated that they always keep the door closed and there is a double door that is always secured and providing privacy. LPA was unable to identify R7 on the shower log. This agency has investigated the complaint alleging that staff did not ensure that resident was accorded dignity while hygiene needs were met is Unfounded. The third allegation is staff do not follow resident's special diet. LPA interviewed seven (7) out of seven (7) residents in care. Interviews with residents revealed that some residents do have special dietary needs and the staff are following the doctors directive and other residents do not have any special diets. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff do follow resident's special diet. Interview with staff revealed that staff are following residents dietary needs. This agency has investigated the complaint alleging that staff do not follow resident's special diet is Unfounded. The fourth allegation is staff do not ensure resident's blood sugar is checked before medication administration. LPA interviewed resident in care. Interviews with residents revealed that staff do conduct regular Blood Pressure/Blood Sugar check before administering medication. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff always ensure that residents blood pressure and blood sugar is checked prior to medication being dispensed. Staff also, stated the facility maintains a log for residents blood pressure and blood sugar readings. The staff stated R7 is not and have not been a resident in this facility. This agency has investigated the complaint alleging that staff do not ensure resident's blood sugar is checked before medication administration is Unfounded. *** LIC9099 Continued*** The fifth allegation is staff turned off resident's call light without providing resident with requested assistance. LPA interviewed resident in care. Interviews with residents revealed that staff do respond to the call light and assist them or let them know they will be back to assist them. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff always respond to the residents call light. Interview with staff revealed that the Med-Tech will assist on the floor when needed. Interview with S1 and S2 revealed that Med-Tech and office staff will assist with answering the call light and helping residents in care. This agency has investigated the complaint alleging that staff turned off resident's call light without providing resident with requested assistance is Unfounded. The six allegation is staff do not assist resident with ambulating creating a high risk of falls. LPA interviewed resident in care. Interviews with residents revealed that staff do assist resident with ambulatory needs. Residents R1, R4, R5, and R6 stated staff will assist them as needed in and out of the bed, with shower and around the facility. LPA was unable to identify R7 as a resident in this facility, by reviewing the resident roster for the last three (3) months. LPA interviewed five (5) out of five (5) staff. Interviews with staff reveal that staff always assist residents in care with residents ambulating needs to ensure resident do not fall. Staff stated there is only one resident that would attempt to transfer in and out of bed without assistance in the past, but this has not been a concern for a while. This agency has investigated the complaint alleging that staff do not assist resident with ambulating creating a high risk of falls, is Unfounded. We have found that the complaint was Unfounded, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. During today’s visit no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC9099 and LIC9099C was discussed and provided to Administrator, Tae Kim.the state’s words, verbatim · CDSS document, Jan 13, 2026 · control 56-AS-20260109143629

Allegation investigated: Staff did not prevent resident from smoking in non-smoking areas of the facility. Staff did not assist resident with incontinence care needs in a timely manner.

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to conduct an investigation for the above mentioned allegations. LPA met with Office Assistant, Beverly Robertson and was escorted to the library. Beverly informed LPA that Administrator, Tae Kim was at lunch and she would notify him of my presents. LPA explained to Beverly, and later to Administrator of the reason for today's visit. The investigation consisted of observations, interviews with residents and staff and record review. Allegation 1: It is alleged that staff did not prevent resident from smoking in non-smoking areas of the facility. R1 stated staff have spoken to them several times about smoking in my room. R1 stated staff do assist in taking R1 outside for a cigarette break. R1 stated it took another resident talking with me to realize how dangerous it is. LPA interviewed six (6) out of (6) staff, and six (6) out of six (6) staff stated several staff have spoken to R1 about smoking in the room, the safety hazards and that it is not allowed. ***Continued LIC9099C*** Unsubstantiated S1, S4, and S5, reported that R1 cigarettes were confiscated and are maintained at the front desk. S1, S4, and S5 stated now staff give R1 cigarettes just before going out for a smoke. S4 reported that R1 asked for a room change, because R1's roommate smoke cigarette and when R1's roommate would return to the room the smell of the cigarette smoke was very tempting and hard for R1 not to smoke. Based on interviews with residents and staff the allegation is UNSUBSTANTIATED. Allegation 2: Staff did not assist resident with incontinence care needs in a timely manner. LPA interviewed R1 and six (6) staff. R1 stated that he likes it here. R1 stated staff are pretty good about changing me. R1 stated, I don't lay in pee. LPA interviewed six (6) out of six (6) staff and it was revealed that staff change R1 every 2 hours sometimes more. Several staff reported that R1 will attempt to used the urinal and often times spills urine in the bed shortly after changing R1. Several staff reported R1 only has mobility in one arm and often times spills coffee as well. Several Caregivers and Med-Tech's reported that R1 will refuse staff assistance on the NOC shift. Based on interviews with residents and staff the allegation is UNSUBSTANTIATED. Based on the information above, the allegations is unsubstantiated. A finding of UNSUBSTANTIATED means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report LIC9099 and LIC9099C was discussed, and a copy was provided to Administrator Tae Kim.the state’s words, verbatim · CDSS document, Oct 30, 2025 · control 56-AS-20251024163256

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced case management visit to the facility for the purpose of amending a report and gathering signatures. This is in reference to complaint # 56-AS-20241114215838. LPA met with Administrator, Tae Kim and greeted him and stated the purpose of the visit. . An exit interview was conducted where this report LIC809 was discussed and provided to the Administrator, Tae Kim.the state’s words, verbatim · CDSS document, Oct 13, 2025

Allegation investigated: Staff are not meeting residents dietary needs

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to conduct an investigation for the above mentioned complaint. LPA met with Office Assistant Beverly Robertson and Administrator, Tae Kim who was informed of the reason for today's visit. The investigation consisted of observations, interviews with residents and staff and record review. It is alleged that staff are not meeting residents dietary needs. R1 stated that S3 works really hard to meet R1 dietary needs. R1 stated that staff does puree my food but it's not good enough. R1 stated they have acid reflux and the food sometimes doesn't digest well. R1 stated their doctor wanted them to loose weight. LPA interviewed four staff, and (4) out of four (4) staff stated the facility does provide pureed meals for R1. Four out of four staff stated R1 prefers yogurt, oatmeal, cream of wheat, eggs, and beets. **Continued LIC9099C*** Unsubstantiated Based on interviews with residents and staff the allegation is UNSUBSTANTIATED. Based on the information above, the allegation is unsubstantiated. A finding of UNSUBSTANTIATED means 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. An exit interview was conducted where this report LIC9099 and LIC9099C was discussed, and a copy was provided to Administrator Tae Kim.the state’s words, verbatim · CDSS document, Sep 23, 2025 · control 56-AS-20250918085126

Allegation investigated: Due to lack of supervision, resident AWOL'd from facility and was hit by a car and died Staff are not reporting falls to community care licensing

Licensing Program Analyst (LPA) La Vette Farlow made an unannounced visit to the facility for the purpose of concluding the complaint allegations and deliver the findings to the above mentioned complaint. LPA met with Staff, and was granted access into the facility. LPA talked to the Beverly Robertson, Office Assistant, and Darcy Poua, Med-Tech Supervisor and informed them about the purpose of the visit. LPA later met with Administrator, Tae Kim. The investigation consisted of observations, interviews with staff and records review. It is alleged that due to lack of supervision, resident AWOL'd from the facility and was hit by a car and died. Staff interviews confirmed that the resident was known to frequently walk in and out of the facility, often visiting nearby stores or the surrounding community, and had consistently returned without incident in the past. File review and staff interviews confirmed that the resident did not have a diagnosis of dementia and was able to leave the facility unassisted. Interviews with R1 family members confirmed that R1 was able to leave the facility unattended. Unsubstantiated LPA interviewed 11 staff, and 11 out of 11 staff stated they never observed any behavior from R1 that would indicate, R1 needed more supervision. 11 out of 11 staff did agree that R1 would walk a lot but would return to the facility. Based on observations, interviews and record review on the above allegation is Unsubstantiated. It is alleged that Staff are not reporting falls to community care licensing. Records review and interviews revealed that the facility is reporting falls to CCL. LPA interviewed 11 out of 11 staff and 11 of the staff reported that the facility procedure is to report any falls or any incident that requires reporting to Med-Tech and they will complete the SIR. Interviews revealed that staff never heard or experienced management telling them not to report falls. LPA interview 4 out of 4 staff stating Med-Tech are required to complete SIR and they submit them to the Administrator. LPA observed care notes and SIR on record and accessible to CCL. Based on information obtained during interview and file review, the allegation is unsubstantiated. Based on observations, interviews and record review, the allegations, due to lack of supervision, resident AWOL’ d from facility and was hit by a car and died and staff are not reporting falls to community care licensing are Unsubstantiated. A finding of unsubstantiated means 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. An exit interview was conducted where this report was discussed and provided to Administrator, Tae Kim.the state’s words, verbatim · CDSS document, May 6, 2025 · control 56-AS-20240201124236

Allegation investigated: Resident was illegally evicted by staff. Staff retaliated against resident for complaining to CCL

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to conclude the investigation of and deliver the findings to the above-mentioned complaint. LPA met with Administrator, Tae Kim who was informed of the reason for today's visit. The investigation consisted of observations, interviews with residents and staff and record reviews. Allegation: It is alleged that a Resident was illegally evicted by staff. The investigation consisted of file review, interviews with staff and resident one (R1). The interview with R1 and facility staff revealed that R1 has not been following the admission agreement and house rules. R1 has also stated there has been past and recent incidents with other residents and destruction of facility property. On 06/23/2023, a written warning was given to R1. Interviews with staff revealed that R1 has had incidents with other residents in care. It is alleged that R1 made verbal threats to a resident, and staff observed R1 to be under the influence of alcohol. ***Continued on LIC9099C*** Unsubstantiated LPA observed documentation that revealed the facility started the eviction process. LPA observed the eviction notice and it appeared to follow the regulations regarding the eviction procedure. On September 12, 2024, resident was served a 60 Day Notice of Termination of Tenancy. LPA observed that R1 still resided at the facility after the eviction date. LPA received documentation stating R1 doctor requested that R1 be admitted into the hospital. R1 refused medical treatment and on November 17, 2024, R1 was transported to the hospital via paramedics. It was reported that R1 did not return to the facility after being discharged from hospital. Allegation: It is alleged that staff retaliated against residents for complaining to CCL. LPA interviewed 6 out of 6 residents in care and based on the interviews 6 out of 6 residents stated they have not seen, or experienced staff retaliate against residents. LPA interviewed 6 out of 6 staff and based on the interviews with staff it was revealed that staff have not retaliated against residents in care, or have they seen any retaliation. Based on LPA interview with R1, R1 stated the Administrator retaliated against R1. R1 was unable to give examples of retaliations. LPA Farlow observed staff assisting R1 and observed documentation of R1 scheduled appointments and cleanliness of R1 room. A finding of UNSUBSTANTIATED means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted where this report LIC 9099 and LIC 9099C was discussed, and a copy was provided to Administrator Tae Kim.the state’s words, verbatim · CDSS document, Apr 14, 2025 · control 56-AS-20241114215838

Allegation investigated: Due to lack of supervision, resident has eloped multiple times

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to the facility to conclude the investigation of and deliver findings to the above mentioned complaint. LPA met with Administrator, Tae Kim who was informed of the reason for today's visit. The investigation consisted of observations, interviews with residents and staff and record review. It is alleged that due to lack of supervision, resident has eloped multiple times. The investigation was conducted by LPA Farlow obtained evidence to corroborate the allegation above. Through the information gathered during the investigation, it was confirmed by observation, documents review and interviews that R1 requires more supervision and is unable to leave the facility unassisted. Substantiated Based on LPA Farlow's observations, interviews and records review, the preponderance of evidence standard has been met, and therefore the above allegation of due to lack of supervision, resident has eloped multiple times is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations, (Title 22, Division 6 & Chapter 6) is being cited on the attached LIC9099D. An exit interview was conducted where this report (LIC9099), LIC9099C, LIC9099D, and Appeal Rights were discussed and provided to Administrator Tae Kim.the state’s words, verbatim · CDSS document, Apr 14, 2025 · control 56-AS-20250408085050

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87463(C) · Plan of correction due date: May 14, 2025

87463(C)Behavioral expression, as defined in..that may result in harm to self or others,..unsafe wandering, elopement,..lacking in hazard awareness, or lacking in impulse control. Based on observation, record review, and interviews, the licensee did not comply with the section cited above by not ensuring resident did not leave the facility unassisted.the state’s words, verbatim · CDSS document, Apr 14, 2025

Plan of correction: Licensee agrees to provide care and supervsion as needed to ensure a safe environment for residents in care. Licensee agrees to complete a reappraisal to ensure resident is safe from wandering and elopement.

Type of visit: Case Management - Other

Licensing Program Analyst, LaVette Farlow, (LPA) arrived at Rialto Assisted Living, unannounced to conduct a Case Management Visit for health and safety and conduct interviews for a complaint. This case management visit is in response to a Special Incident Report, (SIR) submitted to the Community Care Licensing Office on 02/01/2024. LPA was greeted by Med-Tech Rayleen Moya at the Med-Tech station and escorted to the library. LPA introduced self and stated purpose of the visit. During today's visit, LPA conducted a health and safety check and conducted interviews with staff and clients. No deficiencies were observed during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to Administrator Tae Kim.the state’s words, verbatim · CDSS document, Feb 28, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Rialto Assisted Living Facility unannounced to conduct an Annual Inspection. LPA introduced self to staff and stated purpose of the visit. Staff informed Administrator, Tae Kim of LPA's visit and came to the Library to meet with LPA. LPA discussed the purpose of the visit. LPA signed in and was provided a space to work. During today's visit, LPA completed a walk through of the facility with the Marketing Director, Irene Silva, conducted staff and resident interviews and review of staff and resident files. LPA observed the following: Physical Plant: LPA observed the facility's temperatures to be comfortable and measured at 72 degrees Fahrenheit. LPA observed the hot water temperature in the kitchen, common area bathrooms and residents bathrooms. The water temperature in the residents bathroom and common area bathrooms measured at 119.6, 109.3, and 109.5, which is within regulations. The kitchen water measured at 126.9 which is out of regulations. LPA advised licensee to monitor the water temperature, resident are not at risk due to this being a restricted staff area. LPA observed bathrooms and found that showers and toilets are operable. Each bathroom contained adequate amounts of hand hygiene and paper products. The facility houses a laundry room ran by housekeeping staff. LPA observed that linens and hygiene items are enough for residents in care. Each resident room included lamps, night-lights and appropriate lighting to ensure residents comfort and safety. The facility is equipped with smoke alarms and carbon monoxide detectors. The facility maintains a contract with a third party company who conducts fire/disaster drills on a monthly basis. Last drill completed on 2/19/25. No abnormal notes (LIC809C Continued) made. Fire Extinguishers were observed throughout the facility. Fire Extinguishers were last inspected October 2024. Food Service: Nonperishable and perishable food items observed were sufficient for number of residents in care. Food is being prepared and stored properly. Facility offers a variety of food options and snacks for residents. Kitchen Staff maintain a food menu which is updated on a monthly basis. Care & Supervision: Facility has sufficient care staff; toxic items are inaccessible to residents in care and stored and kept secure in closets throughout the facility. LPA observed the facility has a current hospice waiver for four (4) resident and have eight (8) resident on hospice services. Licensee did inquired about the required step to increase the number of resident receiving hospice care with previous LPA. Unfortunately, the licensee did not complete the required steps. A deficiency was cited. Record Review and Resident/Staff Files: LPA reviewed records for six (6) residents files currently living at the facility. Resident records are complete with updated physician reports and Needs and Services Plans. LPA additionally reviewed seven (7) staff files and six (6) out of (7) staff records reflect current CPR/First Aid Certification and Criminal Record Clearance. A technical violation was issued. LPA observed 3 out of 7 staff records missing a health screening report, missing a physician signature on the report, or the TB test results were not identified on the report. A technical violation was issued. Administration: Disaster Plan, Ombudsman poster, Administrator Certificate, and facility license are posted in a prominent place. Emergency Disaster Plan is current. Facility files are maintained in secure locations throughout the facility. Medication/Medical Related Services: LPA observed that the residents' medication is centrally stored and locked in a Medications Room; managed by Medication Technicians. LPA observed that 4 out of 5 resident MAR was current and accurate. One resident file did not have 2 prescription properly logged. A deficiency was cited. Based on observations, two deficiency cited and one technical violation issued per Title 22, California Code of Regulations. An exit interview conducted and copy of this report reviewed and discussed, then provided to Administrator, Tae Kimthe state’s words, verbatim · CDSS document, Feb 28, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) LaVette Farlow conducted a case management visit to the facility and met with Administrator Tae Kim. During todays visit, LPA obtain signatures on amended complaint report 56-AS-20240913115145. An exit interview was conducted where this report was discussed and a copy provided to Administrator Tae Kim at the conclusion of the visit.the state’s words, verbatim · CDSS document, Nov 14, 2024

Allegation investigated: Staff are not properly maintaining resident’s bathroom

Licensed Program Analysts (LPAs) LaVette Farlow and Magda Malcore arrived at facility to commence a complaint investigation. LPAs met with Administrator, Tae Kim and discussed the purpose of the visit. The investigation consists of LPAs observations, obtaining and reviewing facility records, and interviews with staff and residents. It is alleged that staff are not properly maintaining resident’s bathroom. During staff interviews, it was revealed that Housekeeping is conducting a daily spot check of all residents rooms and a weekly deep cleaning of residents rooms. After speaking with Staff #3 (S3), it was revealed that (S3) noticed the shower curtain needed to be replace in Resident #1s (R1s) bathroom. (S3) asked (R1) if they had another curtain. (S3) stated that (R1) stated they did not. (S3) stated they had a very busy day and was unable to change the curtain that day. (S3) further stated they became ill and was out for several days. Upon return, (S3) was reminded to replace the curtain. (R1) stated that the curtain was replaced yesterday, 10/09/24. Unsubstantiated LPAs conducted a tour of the facility and observed that five (5) out of (5) residents' rooms were maintained to be free of odor and clean. LPAs observed that each bathroom, sink, toilet, and shower were maintained clean. Five (5) out of five (5) residents stated that housekeeping cleans their rooms once a week or more often as needed. Based on interviews conducted, the one (1) above allegation is deemed Unsubstantiated. A finding of unsubstantiated means 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. An exit interview was conducted this report was reviewed, discussed, then provided to Administrator, Tae Kim, at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 10, 2024 · control 56-AS-20241003140957

Allegation investigated: Staff unlawfully evicted a resident

*** This is an amended report to correct LIC 9099 dated and signed on 09/17/2024*** Licensed Program Analysts (LPAs) Lavette Farlow, and Bernardette Allen conducted an unannounced visit to the facility to conduct a investigation and deliver finding. LPAs were granted entrance into the facility by Irene Silva, Marketing Director. LPAs identified themselves and discussed the purpose of the visit. LPAs conducted interviews with staff, resident, reviewed and obtained documents and conducted a walk-through of the facility. The investigation consisted of file review, interviews with staff and resident 1 (R1). The interview with R1 and facility staff, stated R1 has not been in compliance with the admission agreement and house rules. R1 has also stated there has been past and recent incidents with other residents and destruction of facility property. On 06/23/2023, a written warning was given to R1. Since that time their has been several incidents with other residents in care of where R1 had made verbal threats and on another occasion staff observed R1 and he appeared to be under the influence of alcohol. Unsubstantiated Based on the evidence gathered during investigation, the above allegation was Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted where this report LIC9099, LIC9099C was discussed and provided to Tae Kim Administrator at the conclusion of the visit with appeal rights.the state’s words, verbatim · CDSS document, Sep 17, 2024 · control 56-AS-20240913115145

Allegation investigated: Staff did not maintain a comfortable temperature for residents in care

Licensed Program Analysts (LPAs) Lavette Farlow, and Bernardette Allen conducted an unannounced visit to the facility to conduct a investigation. LPAs were granted entrance into the facility by Irene Silva, Marketing Director. LPAs identified themselves and discussed the purpose of the visit. LPAs also presented themselves to the Administrator Tae Kim, and discussed the purpose of the visit. LPAs conducted interviews with staff and residents, reviewed and obtained documents and did a walk-through of the facility. It is alleged that staff did not maintain a comfortable temperature for residents in care. Interview with staff and resident revealed that the facility has a functioning air condition unit and has not experienced any problems with the air coditioner being non operational or the facility being too warm. During the LPAs tour of the facility it was observed that the facility temperture was recorded at 72 degrees. Staff and residents also, stated the temperture is adjusted as needed to accomendate the residents in care. Based on the information above, the allegation is unsubstantiated. Unsubstantiated A finding of UNSUBSTANTIATED means 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. An exit interview was conducted where this report LIC 9099 and LIC 9099C was discussed, and a copy was provided to Administrator Tae Kim with appeal rights.the state’s words, verbatim · CDSS document, Sep 17, 2024 · control 56-AS-20240912140621

Allegation investigated: Staff are not addressing resident's fall risk. Resident sustained an unwitnessed fall due to lack of staff supervision.

Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Administrator Tae Kim and explained the purpose of the visit. The investigation consisted of interviews and review of records. First allegation, Staff are not addressing resident's fall risk. During interviews and review of records LPA discovered that after Resident #1 initial falls, facility addressed to Resident #1 responsible party about the concerns of resident falls along with the possibility of resident needing to be placed on a higher level of care such as a Skilled Nursing Facility (SNF). Resident #1 responsible party suggested for resident to remain at Assisting Living Facility (ALF), with increased supervision. Through record review LPA observed that Rialto Assisted Living, implemented a treatment plan for Resident #1 which included: logged hourly routine checks along with bed/wheelchair alarm sensor pads to help minimize the risks for Resident #1 from falling. On 7/12/2024 LPA conducted a room inspection for Resident #1 to confirm that Resident #1 treatment plan was implemented. During the inspection LPA observed that alarm/sensor pads were applied LPA also observed that facility implemented hourly routine check longs for Resident #1. Unsubstantiated Second Allegation, Resident sustained an unwitnessed fall due to lack of staff supervision. During interviews and review of records LPA obtained an employee roster and observed facility to have sufficient care staff coverage to provide care for all residents in care. LPA also obtained an on-call employee roster in-case the facility needs coverage to provide care for all residents. LPA conducted interviews with staff pertaining to Resident #1 unwitnessed fall and all staff indicated that resident fall was the result to Resident #1 not being able to verbalize and transferring out of bed or wheelchair without care support assistance. LPA conducted interviews with residents pertaining to their overall needs and care and five out of five residents stated not having issues or concerns pertaining to their needs and care. In addition, five out of five residents stated that their needs and care are being met by caregivers at the facility. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegations are Unsubstantiated. Unsubstantiated; meaning that 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. An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Tae Kim.the state’s words, verbatim · CDSS document, Jul 12, 2024 · control 56-AS-20240412132519

Allegation investigated: Staff did not seek medical attention for resident in a timely manner.

Licensing Program Analyst, Amber Coleman, (LPA) arrived at Rialto Assisted Living to deliver the findings of the complaint investigation. LPA introduced self and stated purpose of the visit to staff. LPA then met with Administrator, Tae Kim and reviewed the findings. It is alleged that staff did not seek medical attention for the resident in a timely manner. LPA conducted staff and resident interviews and collected documentation. During staff interviews, it was revealed that R1 has a history of falls and being independent. Staff reported they often have to remind R1 to ask for assistance when needed. On occasion R1 will refuse to ask for assistance. At the time of the incident, R1 herself did not feel the need for medical services. It was a family member who made the decision for R1. During resident interviews, LPA learned that R1's statements were consistent with staff, R1 has a history of refusing assistance and falls. At the time of the incident, it was a family member who advised medical treatment. Both staff and R1 deny that medical attention was delayed in anyway. Please see LIC9099-C Unsubstantiated Based on information above, the allegation is UNSUBSTANTIATED. A finding of UNSUBSTANTIATED means 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. An exit interview was conducted this report was reviewed, discussed, then provided to Administrator, Tae Kim,the state’s words, verbatim · CDSS document, Jan 25, 2024 · control 56-AS-20240111145609

Type of visit: Required - 1 Year

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Rialto Assisted Living Facility unannounced to conduct an Annual Inspection. LPA introduced self and stated purpose of the visit. LPA met with Administrator, Tae Kim, who accompanied LPA on a tour of the facility and provided LPA with a space to work. During today's visit, LPA completed a walk through of the facility with the Administrator, conducted staff and resident interviews and review of staff and resident files. LPA observed the following: Physical Plant: LPA observed the facility to be maintained at a comfortable temperature. LPA observed resident, staff and guests restrooms all included operable appliances, adequate amounts of hand hygiene and paper supplies. The facility houses a laundry room ran by housekeeping staff; this room was observed to have operational appliances and is secure.. LPA observed that linens and hygiene items are enough for the amount of residents in care. Each resident room included sufficient lighting via lamps and night-lights to ensuring residents comfort and safety. The facility is equipped with a functional smoke/fire alarm system and carbon monoxide detectors. The facility maintains a contract with a third party company who inspects the fire alarm system, fire extinguisher conducts fire/disaster drills on a quarterly basis. Fire Extinguishers were observed throughout the facility all last inspected October 2023. Food Service: Nonperishable and perishable food items observed were in good standing and sufficient for number of residents in care. LPA's walk through occurred during snack time. LPA observed that food is being prepared and stored properly. Rialto Assisted Living Facility offers a variety of food options and snacks for residents in care. LPA observed posters for meal and snack times. Also a food menu posted in a prominent place. Care & Supervision: Facility has sufficient care staff. LPA observed that toxic items and cleaning supplies are inaccessible to residents; and stored and kept securely throughout the facility. Record Review and Resident/Staff Files: LPA reviewed resident records residents for Updated Physician's Reports, Admissions Agreements and Needs and Services Plans. LPA observed that 2 records were out of compliance. LPA additionally reviews staff records for current CPR/First Aid Certification and Criminal Record Clearance. Administration: Disaster Plan, Resident/Personal Rights, LTC Ombudsman poster, Administrator Certificate, facility sketch/evacuation plan, infection control and facility license are posted in a prominent place. Emergency Disaster Plan is current. Facility files are maintained in secure locations throughout the facility. Medication/Medical Related Services: LPA observed that the residents' medication is centrally stored and secure in a Medications Room; managed by Medication Technicians. Based on observations, a deficiency will be cited per Title 22, California Code of Regulations. An exit interview conducted and copy of this report reviewed and discussed, then provided to Administrator, Tae Kimthe state’s words, verbatim · CDSS document, Jan 25, 2024

Type of visit: Case Management - Incident

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Rialto Assisted Living facility unannounced to conduct a Case Management Visit. The Case Management visit is being conducted in response to a Special/Unusual Incident Report, (SIR) submitted to the agency on 9/27/23. LPA met with caregiver, Bernie Escueta. LPA introduced self and stated purpose of the visit. The SIR documents that on 9/25/23, Dietary Staff, Martha Garcia, (S1) observed R1 and R2 engaged in a physical altercation with one another in the Dining Room. S1 called for assistance and physically separated the residents from one another. The Paramedics were contacted to transport to the Hospital for medical evaluations. Inquiry into this incident included conducting a facility tour to assess for any Health and Safety concerns. LPA observed no imminent health and safety concerns at the time of visit. LPA was unable to interview R1 because they have relocated to another facility. Staff informed LPA R2 was out for the day with family. LPA was able to interview staff and review the residents chart. Based on the observations made during today’s visit, there were no deficiencies cited per Title 22, Division 6, of the California Code or Regulations. An exit interview to review this report was conducted and a copy of this report was provided to a facility representative.the state’s words, verbatim · CDSS document, Oct 10, 2023

Type of visit: Case Management - Incident

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Rialto Assisted Living facility unannounced to conduct a Case Management Visit. The Case Management visit is being conducted in response to a Special/Unusual Incident Report, (SIR) submitted to the agency on 10/5/23. LPA met with caregiver, Bernie Escueta. LPA introduced self and stated purpose of the visit. The SIR documents that on 10/3/23, Caregiver reported that R1 was not feeling very well and R1 reported feeling dizzy. Staff contacted an Ambulance to have the resident taken to the hospital to be medically evaluated. The SIR further documented that R1 reported to healthcare staff that she had a fall while attempting to get to the restroom in her room. Also, when R1 calls for assistance staff's response is delayed. Inquiry into this incident included conducting a facility tour to assess for any Health and Safety concerns. LPA observed no imminent health and safety concerns at the time of visit. LPA was unable to interview R1 because they are still admitted to the hospital. LPA was able to interview staff and review the resident's chart. All documents were in compliance. Based on the observations made during today’s visit, no deficiencies will be cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was reviewed discussed, then provided to facility representative.the state’s words, verbatim · CDSS document, Oct 10, 2023