Rochelle Manor

Allegation investigated: Facility did not call 911 for resident screaming in pain.

Licensing Program Analyst (LPA) Kesha Lewis made an unannounced complaint visit to deliver findings on the above allegations. During the course of the investigation LPA called reporting party (RP) and conducted an interview. LPA also attempted to contact the formor LPA to obtain any documents that had been requested. The facility no longer had documents because it was past the three (3) year requirment. The RP could not recall the insdent with any detail. Based on the information gathered during the investigation the department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, the allegation the facility did not call 911 for resident screaming in pain this allegation is deemed unsubstantiated. A copy of this report will be sent to the facility Via mail. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 11, 2026 · control 22-AS-20210326161202

Allegation investigated: Facility failed to provide medical attention

Licensing Program Analyst (LPA) Kesha Lewis made an unannounced complaint visit to deliver findings on the above allegations. During the course of the investigation LPA conducted called reporting party (RP) and conducted an interview with LPA also attempted to contact the formor LPA to obtain any documents that had been requested. The facility no longer had documents because it was past the three (3) year requirment. The RP could not recall the insdent with any detail. Based on the information gathered during the investigation the department is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violation occurred; therefore, the allegation the facility failed to provide medical attention this allegation is deemed unsubstantiated. A copy of this report will be sent to the facility Via mail. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 11, 2026 · control 22-AS-20210521163331

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by facility staff and explained the reason for the visit. The Administrator, Foster Ringor arrived shortly after to assist during the visit. Facility is licensed for twenty non-ambulatory residents, with a hospice waiver for two. Currently there are ten residents residing during today's visit and no one on hospice during today's visit.. LPA Tea reviewed five resident files and three staff files. Resident files contained all required documentation. Staff files had some discrepancies with training and health screening. Administrator certificate expires on May 25, 2026. LPA Tea along with Administrator Ringor toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a two-story home. The first floor is where the residents reside, the second floor is for staff only. The first floor has ten resident rooms and 4 full bathrooms and a half bathroom for staff. There is a kitchen, living room, dining area, laundry area and attached garage. The second floor has four bedrooms and a bathroom for private use for the staff. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured around 118.4 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, dressing, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps Continuation of annual report on LIC809C locked in a kitchen drawer. LPA also observed toxin substances to be secured and locked and inaccessible to clients underneath the kitchen sink, cabinets in the laundry room and garage. Fire extinguishers are fully charged throughout the facility. The facility’s last disaster drill was conducted on January 15, 2026. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade. LPA observed emergency supplies, food and water in the garage. At the time of the visit LPA Tea observed residents relaxing in the living room. The staff provides activities to residents based on their preferences, there are puzzles, games for them to do. They play bingo. On weekends the facility takes residents on outings, to the beach, shopping and to go out to eat. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the dining area. Medications are being administered per physician order. P&I Funds were checked, there were no discrepancies and they meet department standards. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility and a copy of this report LIC809, 809-C, LIC858, LIC859, LIC809D. LIC9102TV and Appeal Rights were read and provided to the facility.the state’s words, verbatim · CDSS document, Mar 6, 2026

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Facility did not meet resident's needs. Facility did not maintain accurate facility records for resident in care.

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on August 19, 2022. LPA was greeted and granted entry into the facility and met with Administrator (AD) Foster Ringor. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility did not meet resident's needs. Regarding the allegation the following was revealed: During the course of the interviews Resident 1 (R1) reported that the facility assists him when making appointments for his medical needs and stated that he would rate the facility 9 out of 10. Per R2, he is setting up his own medical appointments and picking up his own medications from the pharmacy. R4 stated that staff are pretty good and reported that the staff are meeting his needs. Per R4, staff give him what he needs. During the course of the interviews AD reported that he had been following up with the podiatrist for R6; however, he was unreachable. Per AD, facility did try to get referral for a new podiatrist. CONTINUED ON LIC9099-C... Unsubstantiated Regarding the allegation that facility did not maintain accurate facility records for resident in care, the following was revealed: During the course of the interviews four of six residents interviewed denied the allegation. LPA was not able to qualify and/or interview two of six residents. During the course of the interviews with residents, R1 reported that he had no concerns about his medical records. Per R2, he has no concerns with facility maintaining his records. R4 stated that management keep the resident records in order. During the subsequent visit on September 17, 2025, Licensee did not have records for R6. Per California Code of Regulation, under Resident Records 87506 (a)(e) it states original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. 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 AD Ringor, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Oct 9, 2025 · control 22-AS-20220819152809

Allegation investigated: - Facility has bed bugs

On this day, Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to conduct a complaint investigation. LPA Tea was greeted and granted entry into the facility by a caregiver and explained the reason for the visit. Administrator (AD) Foster Ringor arrived later to assist with the visit. The department received a complaint on March 5, 2025, and LPA Tea conducted the initial 10-day visit a week later on March 12, 2025. It was alleged that facility has bed bugs. LPA Tea interviewed facility staff and collected pertinent documents such as staff and resident rosters, copies of Resident 1’s (R1) physician’s report, R1’s Body Check Report, furniture purchase receipts and pest control maintenance paperwork. The investigation determined the following: The department received notice about Resident 1 (R1) residing at Rochelle Manor had bed bugs on their sleigh and wheelchair at the day program they attend. The photos obtained show dead bed bugs on R1’s items and photos of dirt and debris around the wheelchair and sleigh. LPA Tea emailed the facility and Continued on LIC9099C Substantiated received a follow up email from Administrator Foster Ringor on February 4, 2025 that exterminators were coming to do inspection that day to do a home inspection and treatment to the affected room. AD Ringor followed proper procedure and reported to Orange County Public Health and Orange County Regional Center about the bed bugs. Per records obtained, Hawx Smart Pest Control paperwork shows initial inspection and agreement made for treating bed bugs in the facility. On February 10, 2025, a report from the pest control company showed the exterminators completed the bed bug service treatment for six bedrooms for bed bug activities. When asked about the cleanliness of the wheelchair and sleigh, Administrator Ringor stated that they were not on top of maintaining resident items since the incident they do daily wheelchair checks in the morning. Per interviews conducted, four out four staff confirmed that there were bed bugs at the facility. All staff interviewed said the facility treated and responded to the bed bugs right away and that there are no more bed bugs at the facility. The Body Check Report obtained show R1 having no bites or changes in skin conditions. Facility has purchased brand new replacement mattresses and bedframes for the facility as well. Therefore, based on the preponderance of evidence through records reviewed and interviews the allegation facility has bed bugs is determined to be SUBSTANTIATED, meaning the complaint allegation is valid and that a violation has occurred. The following is being cited per California Code of Regulations Title 22 Division 6 Chapter 8. An exit interview was conducted with Administrator Foster Ringor and a copy of this report and appeal rights was provided to the facility.the state’s words, verbatim · CDSS document, Mar 12, 2025 · control 22-AS-20250305141140

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(a) · Plan of correction due date: Mar 13, 2025

Maintenance and Operation ... The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement is not met as evidenced by: Facility had bed bug infestation. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Mar 12, 2025

Plan of correction: Before complaint investigation was conducted the facility had eradicated the bed bug infestation. They had pest control do initial inspection on 02/04/25 and treatment on 02/10/25. Moved resident to another room, wash and treated clothing and bedding and replaced mattresses.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by DSP staff and explained the reason for the visit. The Administrator, Foster Ringor arrived shortly after to assist during the visit. Facility is licensed for twenty non-ambulatory residents, with a hospice waiver for two. Currently there are ten residents residing during today's visit. LPA Tea reviewed five resident files and staff files. Resident files contained all required documentation. Staff files had some discrepancies with training. Administrator certificate expires on May 25, 2026. LPA Tea along with Administrator Ringor toured the facility at 10:19 AM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a two-story home. The first floor is where the residents reside, the second floor is for staff only. The first floor has ten resident rooms and 4 full bathrooms and a half bathroom for staff. There is a kitchen, living room, dining area, laundry area and attached garage. The second floor has four bedrooms and a bathroom for private use for the staff. At the time of the visit the facility is undergoing renovation improvements. The facility has hired contractors to repaint the interior of first floor and kitchen. The floors have been replaced with a nice new vinyl flooring. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and shower was free of mold/mildew. Water temperature measured between 121.1 F degrees and 125.2 F degrees. It was a bit high, Administrator Ringor adjusted the water temperature and immediately created and posted “Hot Water” caution signs around the facility sink faucets. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, dressing, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Continuation of annual report on LIC809C LPA observed sharps locked in a kitchen drawer. LPA also observed toxin substances to be secured and locked and inaccessible to clients underneath the kitchen sink, cabinets in the laundry room and garage. Fire extinguishers are fully charged throughout the facility. The facility’s last fire drill was conducted on March 10, 2025. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade. LPA observed emergency supplies and food in the garage. At the time of the visit the emergency water was being replenished for the week due the water was expired and needed to be replaced. Administrator checks the emergency supply weekly to make sure there are no expired items. At the time of the visit LPA Tea observed residents eating lunch together, and one resident knitting after lunch and a few of them putting puzzles together. The staff provides activities to residents based on their preferences, there are puzzles, games for them to do. They play bingo. From time to time the facility takes residents on outings. At 10:33 AM LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the dining area. Medications are being administered per physician order. P&I Funds were checked and meet department standards. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with Administrator Foster Ringor and a copy of this report LIC809, 809-C, LIC858, LIC859, and LIC9102TV was read and provided to the facility.the state’s words, verbatim · CDSS document, Mar 12, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by Foster Ringor, Administrator and LPA explained the nature of the visit. There are 12 residents at the facility and there are no residents receiving hospice services currently. LPA accompanied by the Administrator began the tour of the inside and outside of the facility. LPA observed residents throughout the facility in common areas and in their bedrooms. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in the refrigerator/freezer located in garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in dining room. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 114.2 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink and locked storage cabinet in laundry unit. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors were tested and found to be operational. LPA observed facility has a sprinkler system as well, which is serviced by the fire authority. LPA observed fire extinguishers throughout the facility with service date of June 07, 2023. Fire drills are conducted twice a year. LPA toured the outside of the facility and Continued on LIC809-C observed outdoor passageways are free of obstructions. LPA observed there are shaded seating areas for residents’ enjoyment. LPA began review of records. LPA reviewed three resident records. All the required documentation was present and current in the residents’ files reviewed. LPA reviewed three employee records. All employees present have a criminal record clearance and are associated to the facility. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Oct 23, 2023