Seniors Dignity Home and Care

Type of visit: POC

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced case management visit to conduct a plan of correction (POC) visit. LPA Lopez identified herself and was granted entry by caregiver Bridgette Alozie. LPA met with Licensee Edward Alozie and discussed the purpose of the visit. On November 19, 2025, the facility was issued deficiencies regarding locking their sharp items, ensuring their hot water temperatures ranged between 105ºF - 120ºF, updating residents Physician’s Reports (LIC602), and providing a health screening report for a staff TB clearance. During today’s visit, LPA reviewed the documents the Licensee submitted in 12/2025. Two of the four citations were deemed to be cleared – updated residents’ LIC602's and updated staff TB documentation. LPA cleared the two citations. For the locked drawer, LPA received an email dated 08/11/2026, and the hot water temperature ranges were not within the allotted ranges. LPA reissued both citations during today’s visit. LPA toured the facility and confirmed that the sharps drawer was fixed and able to lock. LPA also checked the hot water ranges and confirmed they were in compliance. Hot water in bathroom #1 ranged at 119.8ºF; in bathroom #2, hot water ranged at 118.8ºF; and in the kitchen area, hot water ranged at 118.9ºF. No additional deficiencies were observed or cited during today's visit. An exit interview was conducted, and a copy of this report, along with Licensee Rights (LIC 9058 03/22), and the LIC9099-D page, were provided to Licensee Edward Alozie at the conclusion of the visit. The signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Aug 12, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87309(a) · Plan of correction due date: Aug 13, 2026

(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in 1 out of 1 knives drawer were unlockable in the kitchen area which posed a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Aug 12, 2026

Plan of correction: Former citation: The facility agreed to have the drawer fixed and send LPA a photo of the lockable drawer by POC due date, 12/11/2025. 08/12/25: POC is deemed cleared during todays visit.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87303(e)(2) · Plan of correction due date: Aug 13, 2026

Hot water temperture controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above in 1 out of three bathrooms (in the visitor area) did not have water temperatire regulated within the allotted ranges which posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Aug 12, 2026

Plan of correction: Former citation: The facility agreed to reduce the hot water temperature and submit a photo of the regulated water temperature by POC due date, 12/11/25. 08/12/25: POC is deemed cleared during todays visit.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to open a complaint investigation (complaint control #: 08-AS-20260624131202) and concurrently conducted this case management visit. LPA identified herself and was granted entry by licensee Edward Alozie. LPA stated the purpose of their visit and reviewed the visit with licensee Alozie and Bridget Alozie, caregiver. The Department’s investigation had concluded that the Licensee, Edward Alozie, did not report an incident regarding physical altercation between their residents to either the local law enforcement or the Long-Term Care Ombudsman (LTCO). The facility had one incident report (IR) that was sent in to the Department for the initial incident that transpired on 06/17/2026. There was no IR completed for a recurring incident which transpired about one week later. The IR submitted to the Department did not show that the Licensee had reported to any other agency. It should be noted that the LPA did leave from about 12:30 PM – 4:30 PM from the facility and returned. A deficiency was observed during the investigation and is being cited attached LIC809-D page of this report. The report was discussed, a plan of correction was jointly developed, and an exit interview was conducted with Licensee Edward Alozie, and a copy of this report, along with Licensee/Appeal Rights (LIC9058 3/22), were provided to Licensee Alozie at the conclusion of the visit. The signature below confirms the receipt of these documents.the state’s words, verbatim · CDSS document, Jul 2, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(c) · Plan of correction due date: Jul 17, 2026

87211(c) Personal Rights: Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to the local ombudsman, the corresponding licensing agency, and the local law enforcement agency within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1) … This requirement was not met as evidence by: Based on interviews and records review, facility did not report the physical altercation incident to either local law enforcement or to LTCO which posed a potential safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 2, 2026

Plan of correction: Licensee will be submitting an SOC341 to the LTCO by POC due date, 07/17/2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by licensee Edward Alozie. LPA discussed the purpose of the visit with licensee Alozie. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory of which 1 may be bedridden in at any given time at the facility site. The facility is approved for 2 hospice residents. During today’s inspection, the facility’s current census is five (5) residents living at the facility. There were two (2) residents present at the facility site during the inspection. LPA 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. Resident bedrooms contained the required furnishings. Doors, windows, 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, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 80 degrees(º) Fahrenheit (F). Hot water temperature at taps accessible to residents measured as follows: kitchen sink measured hot water at 124ºF and did not have warning signs; sink in restroom #1 delivered hot water at 119.1ºF; sink in restroom #2 delivered hot water at 120ºF; and sink in restroom #3 (in the visiting area) measured hot water at 124.3ºF. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking, dining equipment and utensils were present, and stored. The knives were located in an unlockable drawer needing to be repaired. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in locked area which was inspected. The facility-maintained medication logs which LPA reviewed. LPA spoke with the licensee regarding profile medication sheets. No pools or bodies of water on the premises. Per licensee Edward Alozie, no firearms or ammunition are kept at the facility. The fireplace was not in use and was inaccessible to residents. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present (03) and serviced within the last 12 months. First aid kits were complete and readily accessible. LPA spoke with staff and residents, and reviewed staff and resident records. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection and may be reviewed on the LIC809-D pages of this report. An exit interview was conducted with caregiver Bridget Alozie and LPA provided licensee Edward Alozie provided a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) at the conclusion of the visit. The signature below confirms the documents were received. During the visit, LPA received an updated copy of the Facility’s Emergency Disaster Plan (LIC610-D). LPA requested caregiver Alozie to submit a current Designation of Administrative Responsibility (LIC 308) and Personnel Report (LIC 500), to the licensing office within 10 business days. Forms are available at www.ccld.ca.govthe state’s words, verbatim · CDSS document, Nov 19, 2025

The state marks this report as 13 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Allegation investigated: - Staff pushed a resident while in care

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to deliver investigative findings regarding the above allegation. LPA identified herself and was granted entry by Edward Alozie, Licensee. LPA stated the purpose of the visit and reviewed the findings of the complaint with licensee Alozie. The Department’s investigation consisted of interviews with staff, residents, and outside sources, records review of relevant documents pertinent to this investigation, and LPA observations. On September 2, 2025, it was alleged that staff pushed a resident while in care. Upon review of resident #1’s (R1) records, the Physician’s Report (LIC602) states that R1 has an underlying medical condition which AI describes as a progressive form of memory loss caused by damage to the brain’s blood vessels. According to their LIC602, R1 does have behaviors and agitation but is managed with medications. (Continuation on LIC9099-C) Unsubstantiated (Continuation of LIC9099) Their mental condition on their LIC602 indicated they are confused and disoriented, have inappropriate and wandering behaviors, but has the ability to communicate their needs and follow instructions. R1 does need assistance with self-care needs such as grooming, dressing, and bathing; and needs assistance with toileting needs. Additionally, R1 is aided with medication management. It was specifically alleged on 09/02/2025, R1 is always pushed by staff #1 (S1) while in their care. Resident interviews did not confirm staff had pushed a resident. According to resident #1 (R1), they said a black man had pushed them slowly while they were in the living room approximately 4 days earlier. R1 mentioned that they had hit their head, but they had not sustained any injuries. They said that this had transpired around 10 AM, and there were no other persons around during the incident. They said that they had no issues living at the facility. Additional residents were interviewed, and resident #2 (R2) said that they heard R1 speak loudly and at first believed that they may have been hard of hearing. They hear that R1 is hesitant to shower in the mornings to get ready for their program, and they start to yell at the Licensee. R2 says that Licensee attempts to ignore R1's yelling. R2 said that they are being cared for by good people. R2 is able to hear what is occurring near their surroundings. According to the interview with resident #3 (R3), they have heard yelling outside their room, but do not understand much of what is being conversed. R3 mentioned that they were able to understand that they wanted to assist someone. They said that they are being cared for by an amiable person. LPA attempted to interview resident #4 (R4), who did not want to speak with LPA regarding facility matters. LPA attempted to speak with resident #5 (R5), but due to their underlying medical condition, they were deemed not to be a credible source. R5 seemed to be scattered in their conversations and spoke of varied topics during a conversation. According to the Licensee, they had a difficult time with R1 in keeping themselves clean on their buttocks area. The licensee described R1 to have fecal matter on their bed when R1 does not clean themselves correctly when doing their business in the bathroom. Licensee then attempts to redirect R1 to assist them or to bathe them, but R1 yells at them. According to the Licensee, R1 has behaviors when they need to shower but prompts them by insisting that their responsible person wants them to shower and R1 complies. R1 does yell and decline to shower but eventually does shower. Licensee said that they or their staff have not witnessed or physically pushed any client nor have they received any reports indicating any sort of allegation towards staff. They have only confirmed persuading residents to shower, as they understand their rights. Interviews with an outside agency said that they had no concerns regarding abuse at this facility. (Continuation on LIC9099-C) (Continuation of LIC9099-C) During the initial visit, LPA observed that there were two residents who ate their breakfast in the living room area later in the day, around 10, but both were unable to have a qualified interview. Around 10 AM, there were two additional staff members, one who cooked and a second who was a caregiver. LPA observed that the caregiver cleaned the facility and the residents upon their arrival into the facility. No residents or staff disclosed pushing of a resident. LPA observed R1, who did not have any redness or injuries to their person. Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and outside source interviews, records reviewed, and LPA observations, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated. The report was discussed, and an exit interview was conducted with Licensee Edward Alozie. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to licensee Alozie at the conclusion of the visit. The signature below confirms the receipt of these documents.the state’s words, verbatim · CDSS document, Oct 9, 2025 · control 08-AS-20250902235014

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by resident Elaine Meaole. LPA discussed the purpose of the visit with Assistant Manager Bridget Alozie and Licensee Edward Alozie who joined the visit. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory of which 1 may be bedridden in at any given time at the facility site. Facility is approved for two (2) hospice residents. During today’s inspection, the facility’s current census is 6 residents living at the facility. There were 6 residents present at the facility site during the inspection. LPA, accompanied by Licensee Alozie, 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, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had ample Personal Protective Equipment as a part of their infection control protocols. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 72 degrees Fahrenheit (F). Hot water temperature at taps accessible to residents were also compliant: kitchen sink measured hot water at 115.3 degrees F; sink in staff restroom #1 delivered hot water at 120 degrees F; sink in restroom #2 delivered hot water at 114.6 degrees F; sink in restroom #3 delivered hot water at 116.8 degrees F; and back room sink delivered hot water at 107 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking, dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in a locked cabinet. LPA inspected the medication area and found that medications were properly labeled and stored. The facility-maintained medication logs which LPA reviewed. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present (03) and serviced within the last 12 months. First aid kit was complete and readily accessible. LPA interviewed residents, and reviewed staff and resident records. During today’s visit there were 6 residents on the facility premise. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection and may be found on the LIC809-D page of this report. An exit interview was conducted with Licensee Edward Alozie to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Licensee Alozie to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, Emergency Disaster Plan LIC 610-E, Residential Infection Control Plan [LIC 9282 (6/23)], and current copy Certificate of Liability Insurance to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Oct 17, 2024

The state marks this report as 5 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 Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by caregiver Chioma Alozie. LPA discussed the purpose of the visit with caregiver Alozie. Licensee Edward Alozie later arrived and joined the visit. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory of which 1 may be bedridden and the facility has a waiver for two (2) hospice residents at the facility at any given time. During today’s inspection, the facility’s current census is 6 residents living at the facility. There were 6 residents present at the facility site during the inspection. LPA, accompanied by caregiver Bridget Alozie, 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, 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, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 75 degrees Fahrenheit (F). Hot water temperature at taps accessible to residents were also compliant: Kitchen sink was 123.4 degrees F; sink in restroom #1 delivered hot water at 120.4 degrees F; sink in restroom #2 delivered hot water at 120.7 degrees F; and sink in restroom #3 delivered hot water at 125 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking/dining equipment and utensils were present, and all safely stored. There were no toxic chemicals/poisons accessible to residents. Medications were properly labeled, as required, and stored in locked areas. LPA inspected the medication room and found that medications were properly labeled and stored in a locked cabinet. The facility maintained medication logs which LPA reviewed. [CONTINUED ON LIC 809-C] No pools or bodies of water on the premises. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present (02) and serviced within the last 12 months. First aid kits were complete and readily accessible. LPA reviewed staff and resident records. LPA records review and facility inspection did not raise any licensing concerns. The files which LPA reviewed contained relevant documents. Confidential records were stored in a locked drawer. Required licensing postings were observed in a visible area of the facility. There was a deficiency observed and cited during today's annual inspection and can be found on the deficiency page along with technical advisories. A plan of correction was jointly developed with the Licensee. An exit interview was conducted with Licensee Edward Alozie to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received. LPA requested Licensee Alozie to submit a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, Emergency Disaster Plan LIC 610-E, and Residential Infection Control Plan LIC 9282 (6/23), to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov.the state’s words, verbatim · CDSS document, Nov 13, 2023

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.