Say You're Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Amy Rodgers, made an unannounced visit to conduct the required Annual Inspection. LPA Rodgers was granted entry into the facility by House Manager Ruth Cueto, after identifying herself and stating the purpose of the inspection. According to the facility’s license, the facility serves six non-ambulatory elderly residents: ages 60 and above of which one (1) can be bedridden. Licensee/Administrator LIsa Sayre later joined the visit. LPA was accompanied by staff during a tour of the facility, which was conducted inside and out and included a sample of resident bedrooms, common area, dining area. Exterior and interior passageways were free from obstructions. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Resident’s room temperatures were within a comfortable range. Hot water temperature at taps accessible to residents were all compliant. Each resident had clean and sufficient bed linens, towels, and washcloths. All residents’ rooms were equipped with required furnishings and appropriate lighting to ensure the comfort and safety of residents. Residents’ bathrooms were observed to be sanitary and operational. Toilets and showers were equipped with grab bars. Non-skid mats are present in the showers. Facility has a two-day supply of perishable and a seven-day supply of nonperishable food items. Medications are locked in a locked closet, not accessible to residents. Medications were labeled and kept in compliance with label instructions. LPA interviewed staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained all required documents. No deficiencies were observed or cited at the time of visit An exit interview was conducted and a copy of this report and Licensee/Appeal Rights - LIC 9058 (rev. 03/22) was provided to the , Licensee Lisa Sayre whose signature on this form acknowledges receipt of these documents.the state’s words, verbatim · CDSS document, May 12, 2026

Allegation investigated: licensee did not ensure staff were associated to facility

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to investigate and deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to licensee LIsa Sayre. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff and records review. On January 13, 2026, Community Care Licensing Division (CCLD) received a complaint alleging Licensee did not ensure staff were associated with the facility. It was discovered through Department interviews with staff as well as records reviews Staff #1 (S1) is currently employed at the facility. Review of the Department’s background clearance database revealed S1 was not associated to the facility and did not have a background clearance. Based on relevant interviews and records review, the preponderance of evidence has been met that alleged violation occurred and are therefore substantiated. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D) and an immediate civil penalty was assessed. A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Licensee Lisa Sayre, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided. Substantiatedthe state’s words, verbatim · CDSS document, Jan 14, 2026 · control 08-AS-20260113145416

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(b)(2) · Plan of correction due date: Jan 14, 2026

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department... This requirement was not met as evidenced by: Based on interviews, and review of records, the Licensee did not ensure S1 had a criminal records clearance, which posed an immediate health, safety, and personal rights risk to 6 residents in care.the state’s words, verbatim · CDSS document, Jan 14, 2026

Plan of correction: Licensee agreed to obtain criminal records clearances for all new staff prior to employment. LIcensee stated S1 will no longer work at the facility until cleared. The LPA did not observe S1 at the facility, therefore, the POC was cleared on today's date.

Allegation investigated: Staff are going through resident's personal property without permission.

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver a finding regarding the above prior complaint allegations. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Administrator Lisa Sayre. CCLD’s investigation involved unannounced facility visits, welfare checks, and review of facility care and medical records. The Department also interviewed relevant staff, clients, and outside sources. On 9/25/23, it was alleged that facility staff are going through residents' personal property without permission. (Continued on LIC9099C) Unsubstantiated Interviews were conducted with three (3) residents. All residents interviewed denied that staff had gone through their personal belongings without consent. Several residents stated they felt their privacy was respected and that staff only entered their rooms for routine care or housekeeping, with notice or permission. Interviews with three (3) staff members revealed that staff were aware of residents’ rights to privacy and personal property. Staff denied going through any resident’s belongings without permission and stated they only access resident property when necessary and with consent, such as during room cleaning or when assisting with grooming and hygiene. An outside source, reported no concerns regarding staff conduct related to residents’ personal property. A review of facility policies confirmed that staff are trained on residents’ rights, including the right to privacy and control over personal possessions, in accordance with Title 22, Section 87468(a)(6), which states that residents have the right to be free from unreasonable searches and to possess and control their own personal property. Staff training records showed that all staff received training on resident rights and privacy protections during orientation and annually thereafter. During the visit, staff were observed knocking before entering resident rooms and interacting respectfully with residents and their belongings. The Department has investigated a complaint with the above allegations. The Department has found that there is not a preponderance of evidence to prove that the alleged violation occurred; therefore, the allegation is unsubstantiated. An exit interview was conducted with Lisa Sayre, Administrator, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.the state’s words, verbatim · CDSS document, Sep 15, 2025 · control 08-AS-20230925092401

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Amy Domingo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee, Lisa Sayre. According to the facility’s license, the facility has a maximum capacity of six (6) clients, all of whom can be non-ambulatory. This facility does not feature a secured perimeter or delayed egress doors. LPA Domingo, accompanied by licensee, toured the interior and exterior of the facility, and inspected the rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry and visitation resident activities. The facility’s ambient internal temperature was compliant. Hot water temperature at taps accessible to clients were all compliant. Refrigerator and Freezer temperature were complaint. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. [Continued on 809-C] [Continued on 809] No pools or bodies of water were observed on the premises. Per the licensee no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were in working order. First aid was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Licensee Lisa Sayre, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Apr 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Emmaruth Cueto. Later Licensee, Lisa Sayre joined the visit. According to the facility’s license, the facility has a maximum capacity of six (6) clients, all of whom can be non-ambulatory. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by licensee, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry and visitation resident activities. The facility’s ambient internal temperature was compliant. Hot water temperature at taps accessible to clients were all compliant. Refrigerator and Freezer temperature were complaint. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. [Continued on 809-C] [Continued on 809] No pools or bodies of water were observed on the premises. Per the licensee no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were in working order. First aid was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff and clients. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Licensee Lisa Sayre, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Apr 24, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to observe the physical plant. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Emma Ruth Cueto. LPA also met with Administrator Lisa Sayre, who arrived later during the visit. The Licensee previously submitted a written request to the CCLD San Diego Regional Office (RO) seeking to increase the facility's bedridden resident capacity from zero (0) residents to one (1) resident. The request did not involve changing the facility's total capacity, which remains the same at six (6) residents. On 10/16/2023, the local fire authority approved/granted an updated fire clearance, reflecting the facility was approved for six (6) residents in total, of which one (1) resident may be bedridden and five (5) residents may be non-ambulatory. This fire clearance specified that the bedridden resident may only be assigned to Bedroom #4, per the facility sketch. During today's visit, LPA toured the interior and exterior of the facility, observed residents, review medical records, and interviewed the licensee. Per LPA observation, staff interviews, and review of the residents' care records: there was 1 bedridden and 5 non-ambulatory residents in care on the date of LPA's visit. The one bedridden resident was assigned to Bedroom #4, consistent with the new fire clearance. The updated facility sketch/floor plan was consistent with the current layout of the facility. The Licensee displayed comprehension of the terms of their new facility fire clearance. No deficiencies were cited during today's visit. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809-C] This portion of the application process has been completed. The Licensee will be sent an updated license to reflect the new fire clearance after CCLD management’s final review and approval. An exit interview was conducted with Sayre, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Oct 18, 2023