Saint Agnes Care

Allegation investigated: Staff is operating facility outside scope of license. Staff force religious practices on residents. Staff does not allow residents to have freedom.

Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to deliver the findings on the above allegations. LPA met with the Administrator Lester Del Rosario and explained the purpose of the visit. During the initial investigation, LPA inspected the facility, conducted interviews, reviewed records and obtained pertinent records. The investigation revealed the following: It was alleged that Staff is operating facility outside scope of license. It was alleged that the home is accepting residents below 60 years old. LPA reviewed residents’ records such as the appraisal and physician's report. The residents were aged 28 and 37 years old, LPA confirmed residents’ compatibility with other residents in care during the visit and that the residents have the same amount of care and supervision as the other residents in the facility. Continued on LIC9099-C. Unfounded Per Title 22 Regulations under 87455 Acceptance and Retention Limitations, (b)The following persons may be accepted or retained by the licensee: (8) Persons who are under 60 years of age whose needs are compatible with other residents in care, if they require the same amount of care and supervision as do the other residents in the facility. It was alleged that Staff does not allow residents to have freedom. It was alleged that the facility does not allow residents to have freedom. Three out of three staff were interviewed and confirmed that residents can leave the facility at any time with their family or with staff supervision. Six out of six residents interviewed stated they could leave the facility with their families and are happy in the facility. It was alleged that Staff force religious practices on residents. Three out of three staff interviewed corroborated that residents are not forced to religious practices. Six out of six residents interviewed, including R6 family witness, provided statements that the facility staff do not force them on any religious practices and residents are free to choose any religions. Based on the evidence gathered, the above allegations are deemed Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted with the Administrator and a copy of this LIC9099 report was left at the facility.the state’s words, verbatim · CDSS document, May 8, 2026 · control 22-AS-20260217180342

Allegation investigated: Staff are threatening a resident while in care Staff behavior poses as a risk to a resident while in care

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to deliver complaint findings. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. The Department received the complaint on 08/28/2023 and the initial 10-day visit was conducted on 09/07/2023 by LPA Martinez. LPA Martinez conducted interviews with staff and residents. Regarding the allegations staff are threatening a resident while in care and staff behavior poses as a risk to resident while in care the investigation revealed the following: It was alleged that staff are threatening Resident 1 ( R1) while in care. Per review of interview with Administrator Lestor Del Rosario conducted by LPA Martinez on 09/07/2023 stated R1 has never resided at Saint Agnes Care. Unfounded It was alleged that staff behavior poses a risk to resident while in care. Based on interviews conducted on 09/07/2023 by LPA Martinez 5 residents stated staff is good and they have no complaints. Per interviews with current 2 out of 2 staff stated R1 has not resided in the facility and denied any behavior that would pose a risk to residents. Therefore, based on the preponderance of evidence through interviews the allegations staff are threatening a resident while in care and staff behavior poses a risk to resident while in care are determined to be UNFOUNDED, meaning that the allegations were false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 17, 2026 · control 22-AS-20230828110941

Allegation investigated: Staff do not ensure that residents are provided a comfortable environment while in care

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez. LPA met with Administrator (AD) Lester Del Rosario and explained the purpose of the inspection. Complaint alleges staff do not ensure residents are provided with a comfortable environment due to loud children running upstairs and fighting all the time. During the course of the investigation, LPA conducted a tour of the facility and interviewed four facility residents and two staff. The facility is a two-story home. The first story consists of six resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. The second story consists of one office, two bedrooms, one bathroom, living room, and kitchen, and it is where Licensee, one staff, two tenants, and Licensee’s two grandchildren reside. (Cont. LIC9099-C) Unsubstantiated LPA observed Licensee’s two grandchildren, ages four and six, to be present upstairs during the tour of the facility, however, LPA did not hear the children running or fighting. During their interview, one of four residents corroborated the allegation and stated loud children are running upstairs, however, denied hearing anyone fighting. One of four residents denied the allegation and stated the children are not loud and they have not heard them running or fighting. Two of four residents stated they occasionally hear the children upstairs, however, denied hearing anyone running or fighting. During their interview, two of two staff stated the children will occasionally be heard playing upstairs, but denied they are running or fighting all the time. Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if Staff do not ensure that residents are provided a comfortable environment while in care. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Dec 23, 2025 · control 22-AS-20251216100734

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Agnes Del Rosario. Administrator (AD) Lester Del Rosario arrived at approximately 8:35 a.m. and the purpose of the inspection was discussed. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a two-story home. The first story consists of six resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. The second story is used solely as staff quarters. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. The backyard has a shaded sitting area. LPA observed residents resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. Water temperature tested between 111.9-112.8 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service tag dated February 24, 2025. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication was observed to be centrally stored in a locked cabinet. LPA reviewed five resident files and two staff files. Two of five resident files did not have a re-appraisal dated or signed in the last twelve months; a Deficiency was cited on today’s date. (Cont. LIC809-C) LPA interviewed four residents and two staff. LPA reviewed list of Guardian roster for facility and was unable to locate clearance for Tenant 1 (T1) and AD was unable to provide LPA with a copy of background clearance for T1; a Deficiency was cited on today’s date. Based on the observations made during today’s inspection, two deficiencies are being cited 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 was left at the facility.the state’s words, verbatim · CDSS document, Dec 23, 2025

Allegation investigated: Resident was inappropriately touched by caregiver

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez for the purpose of delivering findings. LPA met with Administrator (AD) Lester Del Rosario and explained the purpose of the inspection. Complaint alleges Resident 1 (R1) was inappropriately touched by Staff 1 (S1). During the course of the investigation, resident file review was conducted to include R1’s Physician Report and interviews were conducted with R1, facility residents, and staff. Per R1’s Physician Report dated January 16, 2025, R1 can occasionally communicate but has difficulty most of the time due to their medical diagnosis. During their interview, R1 did not disclose any inappropriate touching by S1 or any other facility staff. Per R1, S1 and all facility staff treat them well. R1 denied having any concerns. (Cont. LIC9099-C) Unsubstantiated During their interview, S1 stated they assist R1 with all Activities of Daily Living (ADLs), including showering and grooming. S1 denied ever touching R1 inappropriately during ADLs or otherwise. Per S1, R1 had never reported feeling uncomfortable around them or indicated they had been touched inappropriately by S1 or any other staff. S1 denied personally touching R1 or any other resident inappropriately and denied witnessing or having any knowledge of any other staff touching R1 or any other resident inappropriately. During their interview, Administrator (AD) Lester Del Rosario denied having any knowledge of staff touching any residents inappropriately and denied any resident reporting any such incidents. AD denied R1 reporting any concerns regarding staff, including S1. Per AD, R1's statements in general tend to be inconsistent due to their medical condition, and R1 will usually repeat back what is said to them. AD denied R1 ever informing them S1 had touched them inappropriately. AD denied having any concerns regarding S1 or any other staff. Interviews were also conducted with three facility residents. Three of three residents interviewed denied the allegation and denied being personally touched inappropriately by staff or having any knowledge of R1 or any other resident being touched inappropriately by S1 or any other staff. Due to allegation being uncorroborated during interviews conducted, the Department is unable to determine if resident was inappropriately touched by staff. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated. An exit interview was conducted and copy of this report was provided at the end of the inspection.the state’s words, verbatim · CDSS document, Sep 4, 2025 · control 22-AS-20250410150918

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff JP Vargas. Administrator (AD) Lester Del Rosario arrived at approximately 8:50 a.m. and the purpose of the inspection was discussed. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a two-story home. The first story consists of six resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage. The second story is used solely as staff quarters. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. The backyard has a shaded sitting area. LPA observed residents resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, and faucets and toilets were operational. Water temperature tested between 113.5-113.7 degrees Fahrenheit. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a service tag dated March 5, 2024. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. Toxic chemicals, cleaning solutions, and disinfectants were observed to be inaccessible to residents. Medication was observed to be centrally stored in a locked cabinet. LPA reviewed five resident files and three staff files. Three of five resident files did not have a re-appraisal dated or signed in the last twelve months and two of five resident medical assessments did not include results of examination for TB. LPA interviewed four residents and two staff. Based on the observations made during today’s inspection, two deficiencies are being cited 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 was left at the facility.the state’s words, verbatim · CDSS document, Feb 25, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Licensee Roberto Del Rosario and explained the purpose of the inspection. During the inspection LPA and Licensee conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a two-story home with six resident bedrooms, one staff bedroom, three bathrooms, and attached two-car garage on the first floor. The second story is used solely as staff quarters. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. The backyard has a shaded sitting area. LPA observed residents resting in their respective bedrooms. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 116.6-118.0 degrees Fahrenheit. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Electric stove, microwave, washer, and dryer were all inspected and observed to be operable. Sharps were observed locked in a kitchen cabinet. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents. Medication cabinet was observed to be locked, however, resident medication is pre-prepared a day in advanced and poured into a separate plastic daily medication organizer. Administrator (AD) Lester Del Rosario arrived at 9:30 a.m. to assist with the inspection. LPA reviewed six resident files and three staff files. Staff files did not contain any documentation for initial 6 hours of hands-on required medication shadowing training. AD stated training was conducted upon hire but was not originally documented. (Cont. LIC809-C) Staff file review indicated 20 hours of annual staff training has been completed, however, did not contain eight hours of dementia care training, and four hours of which shall be specific to postural supports, restricted health, and hospice. LPA interviewed three residents and two staff. Based on the observations made during today’s inspection, deficiencies are being cited 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 was left at the facility.the state’s words, verbatim · CDSS document, May 30, 2024