Royal Care Family Homes

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #2 (S2). LPA met with Administrators Emelyn Asis and Rose Ann Asis Ang. The facility is a six bedroom, two bathroom single story home with an approved fire clearance of six non-ambulatory and a hospice waiver for four residents. The facility currently has a census of six residents and one resident receives hospice services. The facility accepts the Assisted Living Waiver. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms. The hot water temperature measured between 105.0 to 105.2 degrees Fahrenheit and all smoke detectors were operational. The fire extinguisher is charged and was serviced on July 29, 2025. The facility’s last fire drill was conducted on June 26, 2026. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. Toxins and chemicals were secured underneath the kitchen sink. Knives were not secured and staff moved the knives underneath the sink. A deficiency will be given. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. Medications were observed in the live-in staff bedroom and were secured. LPA observed the First Aid Kit had all of the required elements and a First Aid Manual. (Continued on LIC 809-C) (Continued from LIC 809) LPA toured the exterior and noted there were two exterior gates that were unlocked. There were several shaded seating areas and there were no hazards or obstructions in pathways. LPA observed additional emergency supplies and water in the garage and washer and dryer. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. Medical Assessments were updated to the current form with behavioral expressions. Resident bed rail orders were located and placed in resident files. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on August 3, 2026. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Rose Ann Asis Ang, Administrator and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D and Appeal Rights.the state’s words, verbatim · CDSS document, Jul 14, 2026

Allegation investigated: Resident developed a pressure injury while in care

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. It was alleged resident developed a pressure injury while in care. LPA conducted interviews with staff and residents. LPA reviewed records obtained. The investigation determined as follows: Regarding the allegation resident developed a pressure injury while in care, it was reported staff did not assist Resident 1 (R1) with repositioning, leading to a pressure injury. LPA interviews with one out of five residents stated they receive assistance twice a day with repositioning. The resident added they do not have bed sores. Two out of the remaining four residents stated they are able to reposition themselves. The remaining two residents could not be qualified for interviews. Unsubstantiated One out of those two staff added three residents are not offered activities due to their conditions. LPA record review revealed an activities calendar from April 2025 that is mainly composed of movie time, bingo, and reading books or newspapers. Based on interviews conducted and record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6), are being cited on the attached LIC 9099D. An exit interview was conducted and a copy of the report was left with the facility representative along with appeal rights. Interviews with two out of four staff stated they assist residents with repositioning. One of the remaining two staff stated they assist changing and repositioning Resident 6 (R6) three times per day. The remaining staff stated they recall R1 and R1 did not have any pressure injuries observed during their stay at the facility. The staff added R1 was able to reposition themselves. Record reviewed revealed R1 had one medical appointment from May 1, 2023 through September 30, 2023 with their primary care physician. The progress report dated September 11, 2023 did not indicate any treatment related to a pressure injury. R1’s physician’s report dated December 20, 2022 indicates R1 was non-ambulatory and not bedridden. Staff training records reviewed for the year 2023 did not include evidence of postural support or repositioning training. Based on interviews and record review, the allegation of resident developed a pressure injury while in care is therefore deemed unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of the report was left with the facility representative.the state’s words, verbatim · CDSS document, May 12, 2026 · control 22-AS-20230804125157

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87462 · Plan of correction due date: May 31, 2026

87462 Social Factors The facility shall obtain sufficient information about each person's likes and dislikes and interests and activities, ... to suggest the program of activities in which the individual may wish to participate. The requirement is not met as evidenced by: Four out of six residents stated there are no activities offered at the facility which poses a potential personal rights risks to persons in care.the state’s words, verbatim · CDSS document, May 12, 2026

Plan of correction: Assistant AD stated she will complete an activities assessment for each resident including likes and dislike and use the information to create a new activities calendar. Assistant AD will have staff sign off on completed activities every week.

Type of visit: Required - 1 Year

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Rose Ann Ang and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 10:30AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 6-bedroom, 2-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA and AD observed 2 staff and 5 residents present at the facility. Resident Bedrooms: the 5 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: LPA inspected the one staff bedroom. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 134 and 142 degrees F in the 2 resident bathrooms, before corrections. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the outdoor storage closet. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are not yet past due. At about 8:30AM, LPA reviewed 5 resident files and 3 staff files, interviewed 2 residents and 2 staff, and inspected medications for 5 residents. Facility does not handle resident money. LPA provided California Department of Public Health informational material on Legionnaires’ Disease during the inspection. During the inspection, LPA and AD observed the following: based on documents, R1, R2, R3, R4, and R5 are non-ambulatory, the facility has a fire clearance for two non-ambulatory and was unable to provide documentation showing their fire clearance request received January 8, 2025 for six non-ambulatory was approved; based on observation, the water temperature in the two resident bathrooms tested at 134 and 142 degrees F; based on observation, the licensee did not ensure staff medications were inaccessible to residents in the non-lockable staff bedroom and none of the residents are assessed as being able to safely be around unlocked medications; and based on documents, the physician's reports for R1, R2, R3, R4, and R5 are on the old form and do not contain required information, including behavioral expressions. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.the state’s words, verbatim · CDSS document, Apr 20, 2026

Type of visit: Required - 1 Year

On December 31, 2024, at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Maria Lorna Flores who called Licensee/Administrator (AD) Emelyn Asis by phone. Licensee Asis informed me that she was out of town and would send Administrator (AD) Rose Asis Ang to facilitate the tour in her place. AD Asis Ang arrived at the facility around 8:45am. AD Asis Ang has a current administrator certificate with an expiration date of August 3, 2026. The facility is licensed to operate for six (6) residents of which two (2) may be non-ambulatory, and a hospice waiver for four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, (1) staff bedroom, two (2) bathrooms, living room area, dining area, kitchen, an outdoor covered seating area, and an attached two car garage. There are currently five (5) residents in care and all were present during today’s visit. Around 9:00am, LPA Bentley toured inside and outside of the physical plant with AD Asis Ang. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for each resident’s personal belongings was observed. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4, and one Staff Bedroom. Bathrooms were found to be clean and operational. The water temperature measured between 111.4 degrees F to 119.1 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. During the visit, LPA Bentley observed the facility's infection control practices, plan of operation, and fire and disaster plan. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-630-3212) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency water, and additional supplies were stored in the garage. The facility has one (1) fire extinguisher that was observed charged, mounted in the dining area, and serviced on July 22, 2024. Liability Insurance is effective August 11, 2024 and expires on August 11, 2025. First aid kit is properly maintained and contains all the necessary elements. LPA Bentley conducted an audit of five (5) resident files (R1-R5), four (4) staff files (S1-S4), and medication administration review. LPA Bentley conducted two (2) staff interviews and five (5) resident interviews. Based on observations made during today’s inspection, deficiencies were cited during the time of the visit per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrator Rose Asis Ang.the state’s words, verbatim · CDSS document, Dec 31, 2024