Right Choice Senior Living LLC

Allegation investigated: Lack of supervision, resulting in resident self neglect

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Natalie Bonds, Administrator. On 3/14/24, it was alleged lack of supervision, resulting in resident self-neglect. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Licensing Program Analyst (LPA) Domingo conducted an interview with Resident 1 (R1), who willingly participated. During the interview, R1 demonstrated cognitive awareness by accurately stating the current year, the name of the current president, their date of birth, and their current address. Unsubstantiated LPA reviewed R1’s LIC 602 (Physician’s Report), which indicates that R1 is capable of making decisions and does not present with any cognitive impairments. During the visit, LPA observed R1 to be well-groomed, with no visible open areas, bruising, or signs of being soiled. R1 reported no issues with skin integrity, including rashes, redness, or sores. R1 expressed satisfaction with the care provided at the facility, stating there have been no complaints. R1 noted that there are consistently at least three staff members present and that the Administrator is readily available. R1 also reported that meals are satisfactory, with ample food and beverages provided. LPA observed that R1’s wheelchair and bed were in good condition and appropriate for the resident’s needs. On the initial visit conducted on March 21, 2024, Licensing Program Analyst (LPA) Domingo toured the facility, including Resident 1’s (R1) shared room. The room was observed to be well-organized, clean, and free of clutter or unpleasant odors. The space was adequately sized to accommodate all necessary furnishings, allowing for safe mobility and comfort. R1’s personal equipment, including a wheelchair and bed, was observed to be in good condition and appropriately maintained. Licensing Program Analyst (LPA) Domingo conducted interviews with additional residents during the facility visit to assess the overall quality of care and supervision provided. Residents consistently reported feeling safe and well cared for in the facility. They described staff as attentive, respectful, and responsive to their needs. Multiple residents confirmed that staff are readily available throughout the day and night, and that the Administrator is approachable and frequently present. Residents also expressed satisfaction with the cleanliness of the facility, the quality of meals, and the availability of food and beverages. No concerns regarding neglect, lack of supervision, or unmet care needs were reported. LPA Domingo conducted an interview with Outside Source 1 (OS1) who is familiar with Resident 1’s (R1) care and well-being. OS1 reported no concerns regarding R1’s. OS1 indicated that the facility provides adequate staffing, maintains a clean and safe environment, and meets R1’s physical and emotional needs. No evidence was presented by outside sources to support the allegation. Based on interviews, inspection, and record reviews there is not a preponderance of evidence to prove lack of supervision, resulting in resident self-neglect therefore the allegations are unsubstantiated. An exit interview was conducted with Natalie Bonds Administrator, to whom a copy of this report and Licensee Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Jan 20, 2026 · control 08-AS-20240314163934

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to caregiver Aster Bezabih. Administrator Todd Brooks arrived later during the visit. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, one (1) of which may be bedridden. Bedridden resident may only reside in room #1. Additionally the facility is approved for a hospice waiver for two (2). During today’s inspection there were six (6) residents in care. LPA and Administrator Brooks toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: kitchen sink read at 105.9F. LPA examined the tankless water heater system and observed it to be set at 120F. 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 contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked an inaccessible to residents in care. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Brooks, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Last staff emergency drill conducted was on 6/27/25 for the topic of fire. Fire extinguisher was noted to have been serviced October 7th, 2024. A Type B citation was issued for failure to ensure the extinguisher was serviced or purchased annually. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. When touring the backyard, Administrator Brooks explained that the patio furniture had recently been thrown out do do weather damage. The facility does have available outdoor seating in storage as well as a sister facility next door with extra furniture should it be requested by residents. LPA interviewed one (1) staff and three (3) clients, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. The files reviewed by LPA contained required documents. One (1) staff file reviewed by LPA was unavailable and LPA was informed it was off-site due to being updated. Licensee will follow-up with submitting requested file to LPA once received. Confidential records were stored in locked areas. One deficiency was cited during the inspection for the outdated servicing of the fire extinguisher. An exit interview was conducted with Administrator Brooks to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Nov 18, 2025

Type of visit: Case Management - Other

On 6/19/25, Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to the facility. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Mario Pauline. Administrator Todd Brooks arrived shortly after. The facility's license shows a maximum capacity of six (6) residents, all of which must be non-ambulatory. One may be bedridden and must reside in bedroom #1. Additionally, the facility is has a hospice waiver for two (2). During today’s inspection there were six (6) residents in care. LPA briefly observed staff preparing a meal and residents eating. Staff was observed to utilize personal protective equipment (PPE) to safely prepare food items. LPA observations did not reveal any licensing or regulatory concerns. No deficiencies were cited during the visit. An exit interview was conducted with Administrator Marilyn Ancho to whom a copy of this report was provided. Their signature below confirms receipt of this document.the state’s words, verbatim · CDSS document, Jun 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Michael McBride. Administrator Marilyn Ancho and Todd Brooks arrived during the visit and assisted the LPA. The facility was licensed for a capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden in room # 1. The facility also had a hospice waiver approved for two (2). Accompanied by staff, the LPA toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. 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 toxic chemicals/poisons accessible to residents. Medications were labeled, and stored in a locked area. No pools, nor bodies of water were observed on the premises. Per staff, no firearms, nor ammunition were kept at the facility. A carbon monoxide detector and facility telephone were operational. A fire extinguisher was present and readily accessible. Required licensing postings were observed in visible areas of the facility. The LPA interviewed staff and reviewed multiple staff and client records/files. No deficiencies were cited during today's annual inspection. An exit interview was conducted with Administrator Marilyn Ancho, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058) were provided.the state’s words, verbatim · CDSS document, Nov 27, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Case management visit. The LPA identified himself, and explained the purpose of the visit to Caregiver Mario Pauline. Administrator Marilyn Ancho arrived during the visit and assisted the LPA. During today's visit, the LPA secured report signatures and delivered an amended report. An exit interview was conducted with Ancho, to whom a copy of this report, and the licensee/ appeal rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Jul 2, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA identified himself and disclosed the purpose of the visit to Caregiver Irly Ruizdiaz. Administrator Natalie Bond arrived during the visit and assisted the LPA. Licensee Todd Brooks provided staff records. The facility was licensed for a capacity of six (6). Approved for six (6) non- ambulatory, a hospice waiver for two (2), and one (1) bedridden in room # 1 only. The LPA toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Client bedrooms contained the required furnishings. 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 toxic chemicals/poisons accessible to clients. Medications were labeled, and stored in a locked area. No pools, nor bodies of water were observed on the premises. Per staff, no firearms or ammunition were kept at the facility. Fire extinguisher(s), a first aid kit, and the required licensing postings were observed in visible areas of the facility. LPA interviewed staff and reviewed multiple staff and client records/files. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator Bond, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22),were provided.the state’s words, verbatim · CDSS document, Dec 28, 2023

Allegation investigated: Facility did not arrange or provide transportation to medical appointments Staff confiscated R1’s television

Licensing Program Manager (LPM) Simon Jacob and Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced visit to conclude the investigation that was initiated on 9/7/23 and issue findings. LPM and LPA stated the purpose of the visit and was granted entry by Caregiver Mary Lou Diaz and met with Licensee’s Todd & Jean Brooks It was alleged that the facility did not arrange or provide transportation to medical appointments for Resident 1 (R1) and that staff confiscated R1’s television. The department’s investigation included facility tour, a review of facility records, and interviews with facility staff and residents. Records review revealed that R1’s Admissions Agreement states that responsible persons may and are encouraged to provide basic transportation. Facility may provide resident with transportation when responsible person or an alternative arrangement is unavailable. All transportation arrangements require a minimum of 48 hour prior notice and fees are applicable. [Continued on LIC 9099-C] Unsubstantiated [Continued from LIC 9099] The facility will assist with making arrangements for transportation to and from medical and dental services. Interviews with residents corroborated information in the Admission Agreement that the facility is not responsible for transportation to and from medical appointments. Staff denied transporting clients to appointments and reported that residents handle their own transportation. During the initial visit conducted on 9/7/2023, LPM and LPA toured the facility and observed a television in R1’s bedroom. A review of R1’s facility file indicated that there was no television listed on their Personal Property and Valuables Form. Interview with R1 indicated that the television belonged to the facility. In addition, resident interviews conducted did not reveal any concern with their belongings missing or taken away. Based on interviews, inspection, and record reviews there is not a preponderance of evidence to prove that the facility did not arrange or provide transportation to medical appointments and that the facility confiscated resident’s television, therefore the allegations are unsubstantiated. An exit interview was conducted with Licensee’s Todd & Jean Brooks to whom a copy of this report and Licensee Rights (LIC9058) were provided. .the state’s words, verbatim · CDSS document, Oct 20, 2023 · control 08-AS-20230830161007