Scarlet House for the Elderly

Type of visit: Required - 1 Year

On 02/20/2026 at 8:30AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Administrator, Eli Ermintano, and explained the purpose of the visit. The facility currently houses three (3) residents with a max capacity of six (6) residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. No bodies of water were observed. A comfortable indoor temperature is maintained at 72.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 116.1 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 01/22/2025. At 10:00AM, LPA reviewed three (3) resident files and four (4) staff files, all found to be complete. The emergency disaster plan was last reviewed 10/01/2025. A review of resident medications and the Medication Administration Record (MAR) found no outstanding errors. Continued on LIC809C..... Continued from LIC809..... The following deficiencies were cited during the inspection: At 9:00AM, LPA observed a cabinet that was unlocked and found cleaning chemicals. At 9:30AM, LPA observed an non-locking cabinet in a bedroom that had cleaning chemicals. At 9:00AM, LPA observed an unlocked drawer with sharps such as knives and scissors. At 9:15AM, LPA observed the medication closet was unlocked. At 10:00AM, LPA observed all fire extinguishers in the facility have not been serviced in over a year. At 10:30AM, it was found that no quarterly emergency drills were being conducted in the facility. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report, along with appeal rights, was provided to the administrator.the state’s words, verbatim · CDSS document, Feb 20, 2026

Type of visit: Case Management - Other

On 6/13/25 at 1:30 p.m., Licensing Program Analyst (LPA) Greg Clark arrived to deliver amended report and Civil Penalty for complaint #15-AS-20250131140127. LPA met with Administrator, Ace White and explained the purpose of the visit. Amended report delivered to administrator. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 13, 2025

Allegation investigated: Staff not properly trained. Staff did not meet the needs of the resident while in care.

On 2/27/25 at 10:30 a.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegations above. LPA met with Ace White, Licensee and explained the purpose of the visit. At 2:00 p.m. Ace White had to leave and gave permission for care staff Jose Coronel to sign the reports. During the course of the investigation LPA interviewed W1 and facility staff. LPA also reviewed documents related to R1. Allegation: Staff not properly trained. Interviews with facility staff (S1, S2, S3 and S4) revealed that all staff reported received training from the facility’s Administrator on the specifics of each of the residents’ care plans. For R1 staff stated that they received training in the proper way to transfer R1 into her shower chair and into the shower stall. ***report continues on LIC9099C*** Unsubstantiated ***report continues from LIC9099*** Staff further stated that for the two and half years prior to the incident on 12/05/24 they hadn’t had any issues with transferring R1 into the shower. LPA reviewed staff training records which document that staff received training on the proper way to transfer/lift residents. Allegation: Staff did not meet the needs of the resident while in care. LPA interviewed W1 who stated that when R1 arrived at her new facility the facility staff reported to W1 that R1 and her belongings “had an odor” and had to be washed. W1 did not witness this herself. Interviews with facility staff (S1 and S2) revealed that for the 2 years R1 lived at the facility W1 never mentioned that she felt R1’s needs were not being met or that R1 had an odor. R1 left the facility due her level of care exceeding what the facility can provide. This agency has investigated the complaints alleging staff not properly trained and staff did not meet the needs of the resident while in care. We have found that the complaints are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 27, 2025 · control 15-AS-20250131140127

Allegation investigated: Staff improperly transferred resident resulting in resident sustaining multiple fractures while in care

On 6/13/25 LPA arrived to deliver amened report. On 2/27/25 at 10:30 a.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigationand deliver findings in regard to the allegation above. LPA met with Ace White, Licensee and explained the purpose of the visit. At 2:00 p.m. Ace White had to leave and gave permission for care staff Jose Coronel to sign the reports. During the course of the investigation LPA interviewed W1 and facility staff. LPA also reviewed documents related to R1. R1 was admitted to the facility on 3/4/23 and moved out on 1/30/25. R1 is non-ambulatory. R1's needs and services plan indicate that she needs a 2 -3 person assist for transfers and was identified as a fall risk. ***report contine on LIC9099C*** Substantiated ***report continues fron LIC9099*** On December 5, 2024, at around 11:00 a.m. S2 and S3 were assisting R1 into the shower stall in a shower chair when R1’s leg got caught between the shower chair and shower wall after which R1 started complaining of pain in her leg. Facility staff were all instructed to call R1’s Responsible Party (RP) before seeking any medical attention for R1. S2 called R1’s RP who advised staff to call 911. R1 was taken to Kaiser Walnut Creek and diagnosed with a fractured right tibia. Interviews with S2 and S3 confirmed that the injury was an accident and that they never had any trouble moving R1 into the shower prior that incident. Review of medical records from Kaiser Walnut Creek indicate that R1 did sustain a fracture of her right tibia. Based on LPA document review and interviews which were conducted, 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, Chapter 8), are being cited on the attached LIC 9099D. A $500.00 immediate civil penalty is assessed on this day. Civil penalty determination related to serious bodily injury is pending.” Exit interview conducted, a copy of this report and appeal rights provided.the state’s words, verbatim · CDSS document, Feb 27, 2025 · control 15-AS-20250131140127

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87464(f)(1)(c) · Plan of correction due date: Feb 27, 2025

87464 Basic Services (f)Basic services shall at a minimum include: (1)Care and supervision…. (c) "Care and supervision" means the facility assumes responsibility for...assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above. Staff injured a resident while assisting her into the shower which poses an immediate health, safety, or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 27, 2025

Plan of correction: Administrator to re-train staff in the proper way to transport R1 into her shower chair and into the shower and send proff to CCL by POC date. POC cleared during visit.

Type of visit: Required - 1 Year

On 2/12/2025 at 9:20 AM, Licensing Program Analyst (LPA) D. Doidge arrived to conduct an unannounced 1-Year Required inspection. LPA met with Carrene Coronel and Jose Coronel, Caregivers, and explained the purpose of the visit. LPA toured the facility with Caregivers including but not limited to bedrooms, bathrooms, kitchen, common area, and back and side yard. The facility consists of six (6) bedrooms and three (3) bathrooms. A comfortable temperature of 72 degrees Fahrenheit is maintained. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 01/22/2025. Emergency Disaster Plan was posted. First aid kit was observed to be complete. LPA reviewed two (2) resident files and three (3) staff files, all were complete. Continued on LIC809C. Continue from LIC 809 LPA requested the following documents to be submitted to CCLD by 2/19/2025. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance No deficiencies observed or cited during this visit. . Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 12, 2025

Type of visit: Case Management - Health Checks

On 2/3/2025 at 4:55pm, Licensing Program Analysts (LPAs), L. Hall and C. Fowler arrived unannounced to conduct a health and safety check. LPAs met with Josielyn Ranosa, Caregiver and explained the reason for the visit. LPA L. Hall spoke with Licensee, Ace White, via telephone. Upon arrival at 2:40pm, LPAs observed one (1) client in his bedroom and one (1) staff (S2). Two more staff (S3 and S4) arrived at 10 minuets after arrival. During the health and safety check, LPA toured the facility including but not limited to common areas, bathrooms, bedrooms and outdoor common area. LPA observed R1 sitting in bedroom watching television and R2 sitting in recliner in bedroom reading. The facility is noted to be clean, in good repair, and clients in care appear to be safe. There is a minimum of 7-day non-perishables and 2-day perishables foods. There are no imminent health/safety concerns on today's date. During visit LPAs observed the following deficiencies: At 2:45pm, LPAs were not allowed inside the premises by S2. At 3:36pm, LPA observed a ramp and two shower doors in the closet of R2's bedroom. Continued on LIC809C. Exit interview conducted and a copy of this report provided. Continued from LIC809. At 3:40pm, LPA observed a insect trap sitting on kitchen counter and in kitchen drawer. At 3:48pm, LPA observed two commodes, a walker, a wheelchair, a ramp, a laundry basket, and wheel barrel in back yard. At 3:48pm, LPA observed storage shed was unlocked and contained paint, a shovel, and a rake. At 3:55pm, LPA observed fire extinguisher last services on 11/7/2023. *An immediate civil penalty of $500.00 will be assessed on today's day for inspection authority* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421M, and this report provided.the state’s words, verbatim · CDSS document, Feb 3, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87755(a) · Plan of correction due date: Feb 4, 2025

(a) Any duly authorized officer, employee or agent of the licensing agency may, upon proper identification and upon stating the purpose of his/her visit, enter and inspect the entire premise... with or without advance notice. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in letting the LPAs enter the facility, which poses a potential health and safety risk to person in care.the state’s words, verbatim · CDSS document, Feb 3, 2025

Plan of correction: Caregiver opened the door and let LPAs inside the premise after 10 minuets. Deficiency cleared during visit. *A civil penalty of $500.00 was assessed date*

From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(a) · Plan of correction due date: Feb 10, 2025

(a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents... The following provisions shall apply: This requirement was not met as evidence by: Based on observation and interview the Licensee did not comply with the section cited above in using R2's bedroom closet for R2's personal belongings, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 3, 2025

Plan of correction: Licensee agreed to remove ramp and closet doors and submit photo to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87555(b)(27) · Plan of correction due date: Feb 10, 2025

(b) The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. Based on observation the Licensee did not comply with the section cited above in keeping kitchen free of insects which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 3, 2025

Plan of correction: Licensee agreed to hire an exterminator and submit invoice to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(d)(6) · Plan of correction due date: Feb 10, 2025

(d) The following space and safety provisions shall apply to all facilities: (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having the back yard shed locked, a wheel chair, walker, commode, etc put away, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 3, 2025

Plan of correction: The Licensee agreed to remove items, lock shed, and submit photo to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: Feb 10, 2025

87203 Fire Safety All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement was not met as evidence by: Based on observation the Licensee did not comply with the section cited above in having the fire extinguisher serviced to meet the regulations, which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Feb 3, 2025

Plan of correction: Licensee agreed to have fire extinguishers services and submit photo to CCLD by POC date.

Type of visit: Required - 1 Year

On 2/22/2024 at 2:00PM, Licensing Program Analyst (LPA) C. Fowler conducted an unannounced 1-Year Required inspection. LPA met with Carrene Coronel and Jose Coronel Caregivers, and explained the purpose of the visit. LPA spoke to Administrator Rachel White via phone she currently holds a certificate (#6055660740) that expired on 11/01/2024. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, and back and side yard. The facility consists of six (6) total and three (3) bathrooms. A comfortable temperature is maintained. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 114.7 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/07/2023. Emergency Disaster Plan was posted. First aid kit was observed to be complete. LPA reviewed 4 staff file which were complete and 4 resident files incomplete. Continued on LIC809C. continue from LIC 809 LPA observed the following deficiencies: · At 2:05pm, LPA observed staff not associated to the facility. · At 2:10pm, LPA observed not enough food. · At 2:15pm, LPA observed no current fire or disaster drill. At 2:20pm, LPA observed all resident records are missing appraisal needs and service plans. (ANS) LPA requested the following documents to be submitted to CCLD by 2/29/2024. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance Deficiency is cited per Title 22 California Code of Regulations and listed on Lic 809D. Exit interview conducted; Appeal Rights provided/the state’s words, verbatim · CDSS document, Feb 22, 2024