Royal Colony View Place

Type of visit: Required - 1 Year

On this day, 08/12/2026, at 11:15 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Ermi Macaraig, and informed the reason for visit. LPA also met with other staff, Edgardo Gabaca and Darnell Gabaca. LPA called and left message on Adminisrator Janelle Taburaza's voicemail. LPA spoke over the phone with Co-Administrator Rolando 'Allan' Carbonell who arrived at 12:08 pm. Business Manager Sheilha Muniz also arrived at 12:42 pm. LPA toured the facility inside out with Ermi Macaraig. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Cleaning supplies storage was also locked. Facility has smoke and carbon monoxide detectors that were tested and observed in operating condition during today's visit. Hot water temperature in one of the common bathrooms was tested and measured at 109.4 degrees Fahrenheit. Facility conducts disaster drills every month, and records showed last conducted 08/01/2026. LPA reviewed 5 staff and 5 residents records. Medications inspected and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Record. Residents' P&I checked and compared with last recorded balance. ........continued on 809C LPA observed the following: at 11:25 am, one of the smoke detectors in the kitchen has wiring exposed due to cover was missing. at 11:32 am, knives and cleaning supplies kept together in same cabinet under the sink in the laundry area. at 11:37 am, dilapidated baseboard tiles in the laundry area. from 11:20 am to 12:05 pm, cobwebs on the overhead light in the dining area, dusty floor in one of the residents' rooms, dusty electric fan in another residents' room. Administrator to submit the following updated/current documents by August 26, 2026: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies and plan and proof of corrections were discussed with the Co-Administrator who authorized Ermi Macaraig to sign and receive this report because he has to leave early. Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates and any repeat violation within 12 month period may result in civil penalties. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Aug 12, 2026

Type of visit: Office

At 2:30 pm on this day, September 26, 2025, a virtual meeting was called due to death of one of the licensees. The meeting was attended by the following: · Regional Manager Isaac Taggart · Licensing Program Manager Jeremy Fong · Licensing Program Manager Harpreet Humpal · Licensing Program Analyst Alicia Delmundo · Joseph Taburaza, licensee · Janelle Taburaza, co-administrator · Jonahlee Taburaza · Jasmine Taburaza · Joshua Taburaza The following were discussed: 1. Licensee’s commitment to continue the operation of the facility. 2. Permission to operate the facility under an Emergency Approval to Operate (EAO) for 60 days and documents required to be submitted to Regional Office for EAO. 3. Submission of application for license to Centralized Application Bureau within 20 days. A copy of this report provided to Janelle Taburaza via email.the state’s words, verbatim · CDSS document, Sep 26, 2025

Type of visit: Case Management - Health Checks

On this day, September 25, 2025, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety check as a result of the death of the licensee. LPA met with Ermi Macaraig and Edwin Villarin, staff. LPA called and spoke over the phone with Sheilha Muniz, business manager (BM) and informed of LPA's presence at the facility and reason for visit. BM authorized Ermi Macaraig to be with LPA during inspection, and to sign and receive this report. LPA toured facility including but not limited to the resident bedrooms, bathrooms, kitchen, dining area, common areas, front, side and backyard. Facility has running water and electricity. Hot water temperature in one of the common bathrooms was tested and measured at 106.5 degrees Fahrenheit. One week of non-perishable and 2-day of perishable food supplies were available. There were 5 residents present during inspection, of which 1 was sleeping when LPA was conducting inspection. The other resident was at the day program and arrived at around 3:50 pm. No deficiency cited on this date. Exit interview conducted and copy of this report provided.the state’s words, verbatim · CDSS document, Sep 25, 2025

Type of visit: Required - 1 Year

On this day, August 6, 2025, at 1:20 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Ermi Macaraig, and informed the reason for visit. LPA called and spoke over the phone with Juliana Taburaza, administrator. LPA also met with other staff, Edwin Villarin. Administrator and Sheilha Muniz, business manager, arrived at around 2:20 pm. Facility has Infection Control Plan that was submitted on June 30, 2022. LPA toured the facility inside out with Ermi Macaraig. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Cleaning supplies were also locked. Facility has smoke and carbon monoxide detectors that were tested and observed in working condition. Hot water temperature in one of the common bathrooms was tested, and measured at 105.3 degrees Fahrenheit. Facility conducts fire and earthquake drills every month, and records showed last conducted July 1, 2025 and July 2, 2025 respectively. ........continued on 809C (page 2) Page 2 LPA reviewed 4 staff and 5 residents files. Two residents were interviewed. Medications inspected and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Record. Resident's P&I checked and compared with last recorded balance. LPA observed the following: -at 1:50 pm, toilet in one of the common bathrooms leaking and wall tile chipped. -at 1:52 pm, greasy kitchen range and range hood. -at 1:54 pm, sliding door leading to the side yard very tight when being opened. -at 1:55 pm, metal pipes in the front yard. -at 5:20 pm, resident (R1) does not have doctor's order for 3 current medications. Administrator to submit the following updated/current documents by August 20, 2025: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. A $250.00 civil penalty is assessed for repeat violation of 87303(a). Failure to submit proof of corrections by plan of correction due dates may result in additional civil penalty. Deficiencies and plan and proof of corrections were discussed with the administrator. Exit interview conducted. Appeal Rights, LIC421FC Civil Penalty Assessment, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Aug 6, 2025

Type of visit: Required - 1 Year

On this day, August 28, 2023, at 1:40 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Ermi Macaraig, and informed the reason for visit. LPA called and spoke over the phone with Juliana Taburaza, administrator. LPA also met with other staff, Edwin Villarin. Administrator arrived after about 2 hours. Facility has Infection Control Plan that was submitted on June 30, 2022. LPA toured the facility inside out with Ermi Macaraig. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Facility has smoke and carbon monoxide detectors that were tested, and observed functional. Hot water temperature in the common bathroom was tested, and measured at 112.8 degrees Fahrenheit. Facility conducts disaster drills every month, and records showed last conducted 8/01/24. LPA reviewed 3 staff and 5 residents files. Medications inspected and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Record. Resident's P&I checked and compared with last recorded balance. LPA observed the following: -at 1:50 pm, peelers in kitchen drawer without lock. -at 1:56 pm, missing baseboard in the kitchen area. -at 1:59 pm to 2:01 pm, Tylenol and razors in the resident's room. ........continued on 809C (page 2) Page 2 -at 2:01 pm, medications in unlocked staff room. -at 2:04 pm, hair trimmer in another resident's room. -at 2:30 pm, shovel in the side yard. -at 6:15 pm, resident R1's dosage of 1 of the medications was crossed out and changed to 25 mg not by the prescribing doctor. The label on this medication showed 25 mg, 1 tablet everyday; however, the medications inside the bottle were cut into halves. The LIC622 for this medication showed 50 mg and no entry for quantity received by the facility. Administrator to submit the following updated/current documents by September 11, 2023: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalty. Deficiencies and plan and proof of corrections were discussed with the administrator. Administrator has to leave and have Ermi Macaraig sign and receive this report. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.the state’s words, verbatim · CDSS document, Aug 28, 2024