Roxies Elderly Homes I

Type of visit: Case Management - Health Checks

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 Esperanza Sotto. Today's visit was in response to the facility's pending closure, and to confirm relocation progress for the residents in care. During today's visit, LPA conducted a wellness check at the facility and no health or safety issues were identified. LPA also spoke with caregiver Emma Hamto over the phone to obtain updates about the pending resident move-outs. No deficiencies were cited during the inspection. An exit interview was conducted with Caregiver Sotto 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, Jul 22, 2026

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Nacole Patterson 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 Esperanza Sotto. Today's visit was in response to the facility's pending closure, and to confirm relocation progress for the residents in care. LPA conducted a wellness check at the facility; no health or safety issues were identified. No deficiencies were observed or cited during the facility visit. An exit interview was conducted with Caregiver Esperanza Sotto, 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, Jul 15, 2026

Type of visit: Office

A scheduled virtual office meeting was conducted on 06/30/2026 with Licensing Program Managers (LPMs) Lizzette Tellez and Simon Jacob, Licensing Program Analysts (LPAs) Nacole Patterson, Arian Golbakhshs, and Eryn Kane, and family members of Licensee Ashley Schmitt and Andrew Roxas-Asevo. The purpose of the meeting was to discuss the plan for the facility due to the passing of Licensee Teresita Roxas. During the meeting Ashley Schmitt and Andrew Roxas-Asevo informed of their intent to close the facility. Closure procedures and a transition plan were discussed, including required notifications, facility visits, and placement plans for all residents currently living at the facility. No deficiencies were cited during today's office meeting. An exit interview was conducted with Ashley Schmitt and Andrew Roxas-Asevo, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided via Adobe Sign.the state’s words, verbatim · CDSS document, Jun 30, 2026

Type of visit: Case Management - Health Checks

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 Caregivers Eduardo Palis, Esperanza Sotto, and Emma Hamto. LPA additionally spoke with designated Administrator Ashley Schimitt over the phone. Today's visit was in response to the unexpected passing of Licensee/Administrator Teresita Roxas, who passed away 06/26/26. During today's visit, LPA conducted a wellness check at the facility and no health or safety issues were identified. No deficiencies were cited during the inspection. An exit interview was conducted with Caregiver Hamto 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, Jun 29, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced Case Management Visit. LPA was greeted by and met with caregiver Emma Hamto to discuss the purpose of the visit. Designated Administrator Ashley Schimitt was available by phone. Today's visit is in response to the unexpected passing of Licensee Teresita Roxas, who passed away this morning 06/26/26. LPA conducted a wellness check at the facility; no health or safety issues were identified. No deficiencies were cited or observed on this date. An exit interview was conducted with caregiver Emma Hamto, who was provided with a copy of this report and Appeal Rights (LIC9056 03/22). Their signature confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jun 26, 2026

Allegation investigated: Facility staff locked resident (s) in their room.

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegation. LPA identified herself to, was greeted by, and explained the purpose of the visit to Licensee Teresita "Roxie" Roxas. The Department’s investigation consisted of interviews with staff and outside sources and a tour of the facility. It was alleged that facility staff locked residents in their room. Interviews revealed that there are no residents from 2021 at the faciliy. Other interviews revealed that the residents have not been locked in their rooms and have not observed any staff locking the other residents in their rooms. Interviews with staff denied the allegation of locking residents in their rooms and revealed they have not observed any staff locking the residents in their rooms. Based on the evidence obtained from interviews, the complaint allegation is unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Teresita Roxas, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 4, 2026 · control 08-AS-20210831174458

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Borunda conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Esperanza Sotto and Licensee Teresita "Roxie" Roxas. The facility is licensed for a maximum capacity of 6 non-ambulatory residents and has a waiver for 4 hospice residents. During today’s visit, the facility had a census of 4 residents, 3 of which were non-ambulatory. The Administrator for the facility is Teresita "Roxie" Roxas and their certificate was valid and current. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident and staff rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed on the premises. LPA did not observe any aspects of delayed egress or secured perimeter. The facility was found to be clean, safe, and in good repair. The facility’s water temperature was measured at 105.4 degrees Fahrenheit in a bathroom for resident use. The facility’s internal temperature was measured at 77 degrees Fahrenheit and LPA observed multiple fans to maintain air flow. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Teresita "Roxie" Roxas, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and labelled. LPA observed a minimum of a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 38 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Continued on LIC809-C page… Staff present at the facility during the time of the inspection had a criminal background clearance and were associated to the facility. LPA reviewed multiple resident and staff records. Each resident record contained a signed admission agreement, initial medical assessment, and updated annual reappraisal. However, 4 of 4 resident records did not contain a signed copy of personal rights. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA provided Licensee with consultation and guidance regarding the regulation changes that became effective 1/1/2025. The following deficiency was cited for personal right documentation and noted on the attached LIC809-D page. Additionally, an LIC9102TA Technical Advisory regarding egress routes was provided. An exit interview was conducted with Licensee Teresita "Roxie" Roxas, whose signature below confirms receipt of a copy of this report, the LIC9102TA and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Aug 25, 2025

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.

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management - Annual Continuation visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Licensee Teresita "Roxie" Roxas. The facility is licensed for a maximum capacity of 6 non-ambulatory residents. The facility has a waiver for 4 hospice residents. During today’s visit, the facility had a census of 5 residents, 4 of which were receiving hospice services. LPA did not observe any aspects of delayed egress or secured perimeter. The Administrator for the facility is Teresita "Roxie" Roxas and their certificate was valid and current. During today’s visit, LPA toured the facility and inspected each room of the facility, including resident rooms, bathrooms for resident and staff use, kitchen, garage, common areas, and outside space. No bodies of water were observed on the premises. The facility was found to be clean, safe, and in good repair with no pathway obstructions. The facility’s water temperature was measured at 111.7 degrees Fahrenheit in a common bathroom. The facility’s internal temperature was measured at 71 degrees Fahrenheit. LPA observed locked storage for all hazardous and/or toxic chemicals and were stored separately from food supplies. According to Roxie, no firearms or weapons are stored on the premises. LPA also observed locked storage for resident medications and resident and staff files. Resident medications are stored in their original container and label. LPA observed a 2-day supply of perishable food and a 7-day supply of non-perishable food present at the facility. The facility refrigerator was kept at 37 degrees Fahrenheit, and the facility freezer was kept at 0 degrees Fahrenheit. LPA observed linens and hygiene products provided to the residents that are in good repair and sufficient to meet their needs. Staff present at the facility during the time of the inspection had a criminal background clearance, were associated to the facility, and had a first aid certificate. Continued on LIC809-C page… LPA reviewed multiple resident and staff records. Each resident record was complete and contained a signed admission agreement, updated physician’s report and medical assessment, and documents regarding safeguarding personal property. Each staff file was complete and contained a personnel record, first aid certificate, fingerprint clearance and association, and a health screening. LPA spoke with staff and residents present at the facility during the time of the inspection and those interviews did not reveal any licensing or regulatory concerns. The Licensee will submit copies of the LIC500 Personnel Report, LIC610E Disaster Plan, and current liability insurance to the Department within 15 business days. No deficiencies were cited on today’s date. An exit interview was conducted with Licensee "Roxie" Roxas, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 22, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Licensee Teresita "Roxie" Roxas. The facility is licensed for a maximum capacity of 6 non-ambulatory residents. The facility has a waiver for 4 hospice residents. During today’s visit, the facility had a census of 5 non-ambulatory residents, 4 of which were receiving hospice services. LPA did not observe any aspects of delayed egress or secured perimeter. The Administrator for the facility is Teresita "Roxie" Roxas and their certificate was valid and current. During today's visit, LPA briefly toured the facility and observed residents in care, and reviewed facility records. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. During today's visit, LPA observed Person 1 (P1) present at the facility without a background clearance. [Licensee was provided with an LIC811 Confidential Names List to identify P1]. Per Licensee, P1 has been present at the facility for more than 5 calendar days. The following deficiency for uncleared individuals present at the facility is being cited per California Code of Regulations Title 22 and noted on the attached LIC809-D page. Additionally, a civil penalty for uncleared individuals is being cited for a total of $500 and noted on the attached LIC421BG form. An exit interview was conducted with Licensee "Roxie" Roxas, whose signature below confirms receipt of a copy of this report, the LIC421BG, LIC811, and the Licensee Appeal Rights (LIC9058 3/22).the state’s words, verbatim · CDSS document, Apr 15, 2024