Right Choice Senior Living University City

Type of visit: Office

On 12/9/25, an informal meeting was held at the San Diego Regional Office. In attendance were Licensee/Administrator Todd Brooks, Facility Director of Operations Marilyn Ancho, Licensing Program Analyst (LPA) Arian Golbakhsh, Licensing Program Manager (LPM) Robyn Clark, and Regional Manager Jerry Romero, who joined virtually. During the meeting, the department addressed the licensees’ questions, provided consultation on the Health & Safety Code and the California Code of Regulations, Title 22, and discussed ongoing collaboration with the department. In addition, LPM Clark explained Licensee rights, including the right to appeal, the right to jointly develop plans of correction, and, the availability of waivers where applicable. LPM introduced the department’s optional Technical Support Program and distributed related materials. A copy of this report, laws and regulations discussed, and licensee appeal rights were provided to License/Administrator Brooks, whose signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Dec 9, 2025

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 Jorge Barajas. LPA spoke with Administrator Todd Brooks over the phone, and they arrived later during the visit. The facility's license shows a maximum capacity of six (6) residents, five (5) being non-ambulatory and one (1) being bedridden. Bedridden may only reside in bedroom #1 or #4. Additionally, the facility is approved for two (2) hospice waivers. During today’s inspection there were five (5) 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 was 114.6F. 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 and 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. Fire extinguisher was purchased within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. Due to time constraints, LPA was unable to conduct file review and interviews with staff and residents. LPA will return for a continuation visit at a future unannounced date to complete the inspection. Upon review of the personnel report, LPA noted that an employee currently working (identified as S1) was not associated to the facility. LPA was able to verify the employee had an eligible background clearance and associated to sister facilities, just not this one. A Type A citation was issued during the visit per California Code of Regulations, Title 22, Division 6 on the attached LIC 809-D form. In addition, a Civil Penalty is being assessed for Zero Tolerance Violations regarding Criminal Record Clearances and are noted on the attached LIC 421BG form in the total amount of $500.00. Licensee was able to associate S1 to to facility during LPA's visit. One deficiency was cited during the inspection. Administrator Brooks expressed disagreement with the citation issued and refused to sign today's report (LIC 809 and LIC 809-C) and attachments (LIC 809-D and LIC 421BG). Administrator Brooks stated they will not sign as they believe the citation does not fall under the definition of a Type A citation. LPA explained that signing today's report does not necessarily mean they agree with the citation, and that it is rather acknowledgement of LPA providing documentation of the visit and documentation of Administrator Brooks' receipt of today's report. Administrator Brooks stated they understood and maintained their refusal to sign. Administrator Brooks stated they did not feel it appropriate to sign a document for a partially completed Annual Inspection visit. LPA provided Administrator Brooks a copy of today's report and attachments as well as a copy of the Licensee/Appeal Rights (LIC 9058).the state’s words, verbatim · CDSS document, Nov 18, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced Case Management visit to follow up on an incident reported to Community Care Licensing. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Christine Coleman. Administrator Marilyn Ancho arrived later during the visit. Community Care Licensing received an Incident Report on 4/3/25 in which it was reported that Resident #1 (R1) had a fall during the night. Per the report, R1 denied multiple offers by staff to be sent out for evaluation and requested their Responsible Party (RP) to be called instead. R1's RP arrived in the morning to assist with a tele-health visit for R1, and R1 began expressing pain. RP contacted emergency services and they arrived to assist R1 into RP's car. R1 was evaluated at the hospital was determined to have multiple rib fractures sustained from their fall. During today's visit, LPA conducted file review, a health and safety visit with R1, and provided consultation with Administrator Ancho. File review and Interviews reveal R1 was not previously determined to be a fall risk nor did R1 display a change in condition immediately following their incident. Additionally, Administrator Ancho informed LPA of implemented measures to aid in R1's care and supervision moving forward, including fall monitors and increased frequency of checks. No deficiencies were cited during the visit. An exit interview was conducted with Administrator 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, May 28, 2025

Allegation investigated: Staff used full bed rails for non-hospice resident.

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to investigate a complaint. LPA introduced herself, was granted entry into the facility, and met with caregiver, George Barjas, to whom she disclosed the reason for the visit. Administrator Todd Brooks later joined the visit. It was reported to Community Care Licensing (CCL) on March 18, 2025, that Staff used full bed rails for a non-hospice resident. More specifically, resident #1 (R1) had a full bed rail on one side of his bed, while the other side was positioned against the wall, and there were concerns that the staff might be attempting to restrain R1 with the rails due to behavior issues. [LIC 811 Confidential Names List to identify Resident #1] The Department’s investigation consisted of staff and client interviews, record reviews, investigative observation, and outside source interviews. (continued on 9099-C) Unsubstantiated (continued form 9099) According to R1’s LIC602 Physician’s Report, R1 was diagnosed with a cerebral infarction affecting the left non-dominant side as well as dementia. The admissions agreement, as well as the Hospital Discharge documents, indicate R1 has a history of falling. Interviews with staff indicate R1 prefers the left knee to be bent and leaned over against a solid surface. During today's visit, LPA Rodgers observed full bed rails on R1's bed. LPA observed four other residents beds with no full bed rails. Interviews and records review revealed that 1 of 5 residents are on hospice and 1 hospice resident (R1) has an physicians orders for full bed rails with a care plan dated 3/19/2025. Interviews and LPA observations revealed that R1 is capable of moving around in bed but prefers lying down with his left leg pressed up against a solid surface. Interviews revealed that the full bed rails are used to prevent the residents from falling during the day and night when R1 is sleeping. Interviews with staff reveal staff they picked up R1's bed from R1's previous facility and used the bed from 3/3/2025 to 3/18/2025. Interviews with outside source and staff conflict as to whether R1 had full bed rails from 3/3/2025 to 3/18/2025. However, LPA observed R1 old bed stored in the garage. The bed stored in the garage did not have full bed rails and Interviews with staff describe that was the bed R1 was using from 3/3/2025 to 3/18/2025. Interviews with staff and other Resident #2(R2), R1 roommate, do not describe behaviors that would lead R1 to attempting to leave the bed unattended. Staff #1 describes behaviors when trying to attend to incontinence needs for R1 but no other time. The hospital transfer document(dated 3/5/2025) and the Physician's report do not indicate behaviors that would lead R1 to trying to get out of bed unattended. The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Todd Brooks and the care giver George Bajara. A copy of this report was provided and their signature on this report confirms receipt.the state’s words, verbatim · CDSS document, Mar 28, 2025 · control 08-AS-20250318100259

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Continuation Annual Inspection visit. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Jorge Barajas. Administrator Marilyn Ancho arrived during the visit and assisted the LPA. During the visit, the LPA inspected the facility's carbon monoxide detectors, and ensure the bathroom water temperature was within the required range. The LPA conducted interviews and reviewed facility, staff, and resident records. Guidance was provided by the LPA and no deficiencies were cited on today's date. An exit interview was conducted with Administrator Ancho, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Dec 12, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection visit. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Jorge Barajas. Accompanied by Staff, the LPA toured the interior and exterior of the facility. The facility was clean, sanitary, and in good repair. There was at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. Medications were labeled, and stored in locked areas. No pools or bodies of water on the premises. Per staff, no firearms or ammunition were kept at the facility. A fire extinguisher, and required licensing postings were observed in visible areas of the facility. Due to time constraints, an additional visit on a subsequent day is necessary to complete the annual inspection. An exit interview was conducted with Barajas, 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: 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 Administrator Marilena Villa. Per facility License, the facility was approved for a capacity of six (6), with five (5) being non-ambulatory, and one (1) bedridden in room 1 or 4, and a hospice waiver for two (2). Administrator Todd Brooks arrived during the visit and assisted with facility records. Accompanied by Administrator Villa, the LPA toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra lines, and sufficient space to facilitate dining, laundry, visitation, meetings, and client activities, was observed by the LPA. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water on the premises. Per staff, no firearms or ammunition were kept at the facility. Fire extinguisher(s), and required licensing postings were observed in visible areas of the facility. The LPA interviewed staff and reviewed multiple staff and client records/files. The files which LPA reviewed contained required documents. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Administrator Villa, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.the state’s words, verbatim · CDSS document, Nov 29, 2023