Seasons at Laguna-4

Type of visit: Required - 1 Year

On January 16, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. The facility administrator (AD) Milany Mora was present during the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD assisted with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front entrance. LPA observed that Milany Mora does not have a valid Administrator's Certificate at this time. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, all of which may be bedridden, and a hospice waiver for five. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of four non-ambulatory and one ambulatory residents in care, one of which is on hospice, and none are bedridden. The facility is a single story home. There are a total of eight bedrooms, six of which are private resident bedrooms, and two are staff bedrooms. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff room is kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of four full bathrooms. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 107.4 and 111.7 degrees Fahrenheit. Facility met the minimum two day perishable and seven day non-perishable food supplies. Sharp items and knives were locked in the kitchen and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen and living room. Fire extinguishers were dated and tagged on September 15, 2025. LPA observed the emergency disaster and evacuation plan, which is posted in the office. LPA observed the facility conducted their last emergency disaster drill on December 1, 2025. Facility had back-up emergency food and water supply, located in the garage and office. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a medication cabinet in the office, inaccessible to residents in care. Chemicals were observed to be locked in the garage. LPA observed the door leading to the attached two car garage is kept locked and inaccessible to residents in care. The garage is used for storage and laundry. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two exit gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. During this visit, five resident files and two staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and two resident interviews were conducted. LPA observed the liability insurance has an expiration date of March 2026. Based on today's observations, there are deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Milany Mora. This report was reviewed with the administrator and a copy was provided at the end of the visit. Appeal Rights were reviewed.the state’s words, verbatim · CDSS document, Jan 16, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Administrator (AD) Milany Mora and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, with a hospice waiver for five and bed-ridden for all. Currently there are six residents, of which two are on hospice during today's visit. At around 9:18 AM, LPA Tea reviewed six resident files and one staff file. There were discrepancies noted in the review of resident and staff files. Administrator certificate expires on December 02, 2025. Last facility disaster drill was conducted on December 1, 2024. LPA Tea along with caregiver toured the facility around 10:00 AM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a single-story home that consists of 6 resident bedrooms, 2 caregiver rooms, 4 bathrooms, living room, dining room, kitchen, and attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms, and they are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 116.6 degrees F and 114 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including bandages, dressings, tweezers, thermometer, and scissors. Kitchen was inspected. One of the burners of the kitchen stove was not working. LPA explained that it needs to be fixed or replaced. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. LPA also observed toxin substances to be locked and inaccessible to clients in care locked and secured in the garage. The fire extinguishers throughout the facility were fully charged. LPA toured the outside grounds and there is ample seating with shade and two exit gates on both sides of the facility are self-latching and operational. LPA observed emergency supplies, food and water supply in the garage. Annual Inspection continued on LIC809-C Facility provides activities based on resident interests. The residents watch play trivia and answer brain teaser questions, exercises, listen to music and watch television. At the time of annual visit, residents were seen reading and watching television and having lunch later on during the visit. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the kitchen. Medications are being administered per physician order but not properly documented. LPAs interviewed residents regarding their quality of care and spoke to staff present regarding care provided. The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Milany Mora and a copy of these reports were given to the facility along with a copy of the LIC 858; 859;809-D, 9102 and Appeal Rights.the state’s words, verbatim · CDSS document, Jan 16, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Jessica Cho and Michael Tea conducted an unannounced Required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPAs Cho and Tea met with Caregiver Rommel DivinaGracia and stated the purpose of the visit followed by Administrator Milany Mora. The facility is licensed to operate for six (6) non-ambulatory and maintains a hospice waiver of five (5). The facility is a single-story structure located in a residential neighborhood. LPAs toured the physical plant accompanied by Caregiver DivinaGracia at 2:15pm, and the following were observed: LPAs toured the inside and facility appeared clean, organized, and in sanitary condition. There are a total of six (6) resident and two (2) staff bedrooms. The resident bedrooms were appropriately furnished and the bedding in the resident bedrooms were in good condition. Adequate lighting was provided and storage for personal belongings were observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. There are a total of four resident bathrooms which measured at 122.3, 120.3, 128.0, and 129.4 degrees Fahrenheit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharp objects were stored and inaccessible to the residents. The kitchen was inspected and facility maintains a two-day supply of perishables and seven-day supply of non-perishable food. Medications were centrally stored however the locking mechanisms for the medication cabinets were not working properly. The facility has two fire extinguishers that are charged and serviced on 09/19/2023. Auditory devices and smoke/carbon monoxide detectors were tested and operational. The facility conducted a Fire/Safety Drill on 06/01/2024. A working telephone (949) 393-3120 remains available. First Aid Kit contained all the necessary elements. The 'See Something Say Something' Poster (PUB475) was maintained at 8.5"x11" however did not meet the required size of 20"x26." LPA toured the outside grounds. The exit gates were self-closing and self-latching. LPAs conducted a file review of six residents' files and two personnel files which were in order. LPAs conducted two staff interviews and five resident interviews. Medications were audited for six residents and discrepancies were noted for Resident #1 (R1) and Resident #2 (R2) at the time of inspection. The following items were advised: to repair the locking mechanism for the medication cabinets, obtain a PUB475 in the size of 20"x26," two out of the four bathrooms exceeded 120 degrees Fahrenheit, cameras observed in two resident bedrooms were removed during the visit, obtain a doctor's order for half rail for Resident #3 (R3), and to ensure medications prescribed by the doctor is accurately documented and updated as needed on the Centrally Stored Medication Destruction Record. Based on the LPAs' observations, deficiencies are being cited today as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. Advisory Notes are also being issued. An exit interview was conducted with Administrator Milany Mora, and a copy of this report along with the LIC809C, LIC809D, and the appeal rights were provided at the end of the visit.the state’s words, verbatim · CDSS document, Jun 6, 2024

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.