Simply Caring Angels

Type of visit: Case Management - Incident

On August 19, 2026 Licensing Program Analysts (LPA) B. Miranda & M. Vega arrived at the facility unannounced to conduct a case management visit regarding an incident report that was previously submitted to the Dept. regarding R1. Administrator explained R1's spouse is at the facility everyday, and on August 7, 2026 R1 was not responding. R1's spouse requested 911 be called. At this time R1 is in the transitional area of the hospital. Administrator stated R1 has a catheter in their lung to drain the fluid. Once R1 is well and the catheter is removed R1 will return to the facility. No deficiencies were observed. Exit interview was conducted and a copy of LIC809 was provided to Administrator Liza.the state’s words, verbatim · CDSS document, Aug 19, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a Case Management for a POC. LPA was granted entry by Staff Normita Garcia. Staff contacted Administrator who responded to the facility to assist with the visit. LPA observed baby monitors to no longer be present at the facility. POC cleared. A copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst's (LPA)'s Shawna Doucette and Daiquiri Boyd arrived at the facility unannounced to conduct an annual inspection. LPA's were granted entry by Staff Normita Garcia. Staff contacted Administrator via telephone who responded to assist with the visit. A tour of the facility was conducted with the Administrator. The residence was set at 73 F temperature and free of passageway obstructions inside and outside. Facility had a 7 day nonperishable food supply and two day supply of perishable foods. Cleaning supplies were locked in a cabinet above the washing machine and under the kitchen sink. Smoke detectors and carbon monoxide detectors were checked and properly working. Fire extinguishers were charged and had service dates of 05/29/25. LPA checked water temperature which measured at 106.6 F. Medication was locked in a kitchen cabinet. Resident, medication and staff records were reviewed. Facility was administering an over the counter medication that was expired and not prescribed by physician for R1. Facility staff are utilizing a hoyer lift for R1 and do not have training. Staff are not logging resident responses for R1's PRN's that are administered. Facility does not have restricted health care plans for R2's restricted health condition. R2's LIC 602 states resident cannot do own injections or glucose testing. R12s LIC602 states R2 requires special diet. Staff do not have training for restricted health conditions. R2 and R3 do not have current Home Health Care Plans. R4 does not have a Home Health Care Plan. Facility staff do not have training for R2 and R3 restricted health conditions. R3 was prescribed a medication R3 never received on June 18, 2025. R3 went back to the doctor on July 8, 2025, which lists R3's medication as a current medication. Medication list shows prescribed from doctor orders, however facility never centrally stored or the administered medication. R3 has a restricted health condition however it is unknown if R3 still requires care for the restricted health condition. A copy of this report with plan of correction and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 7, 2025

The state marks this report as 10 pages; the online copy we transcribed has 8. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

Licensing Program Analysts (LPA)'s Shawna Doucette and Daiquiri Boyd arrived at the facility to conduct an Annual Required Inspection. During the course of the inspection, LPA's observed additional deficiencies. LPA's met with Administrator Ana Liza Aratea. LPA's observed baby monitors on the kitchen counter. After conducting interviews, it was determined the baby monitors are used to be able to listen to residents if they need assistance. Refer to 809d. A copy of this report with plan of correction and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 7, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(1) · Plan of correction due date: Oct 8, 2025

Additional Personal Rights of Residents in Privately Operated Facilities (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (1) To have a reasonable level of personal privacy in accommodations, medical treatment, personal care and assistance, visits, communications, telephone conversations, use of the Internet, and meetings of resident and family groups. This requirement was not met as evidenced by all residents in care being montiored by a baby monitor in residents rooms and baby monitors for staff to listen on kitchen counter which poses an immediate health safety and or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 7, 2025

Plan of correction: Licensee agrees to remove monitors by POC due date 10/8/25. LPA will return to clear POC.

Type of visit: Required - 1 Year

Licensing Program Analyst's (LPA)'s LPA Shawna Doucette and LPA Kamaldeep Kaur arrived at the facility unannounced to conduct an annual inspection. LPA's rang the doorbell and there was no answer. LPA Doucette contacted the Administrator via telephone. Administrator Ana Liza Aratea responded to the facility to meet LPA's to conduct the visit. LPA's entered the facility with Administrator. Administrator walked directly to the medication cabinet which was unlocked and began locking the medication cabinets which were located in the kitchen. LPA's observed medication in a medication cup on the kitchen counter unlocked and accessible to a resident in the dining room. Staff was not in the kitchen at the time of entry. A tour of the facility was conducted with the Administrator. The residence was set at 75 F temperature and free of passageway obstructions inside and outside. Facility had a 7 day non perishable food supply however did not have two day supply of perishable. LPA's did not observe any milk or eggs and food supply was low. LPA's took photos. Facility had food locked in food pantry. Cleaning supplies were locked in a cabinet above the washing machine. Smoke detectors and carbon monoxide detectors were checked and properly working. Fire extinguishers were charged and had service dates of 06/03/24. LPA checked water temperature which measured at 115.5 F. Resident, medication and staff records were reviewed. LPA observed medication errors for R1. R1 medication count did not match start date on centrally stored log. Start dates were pre logged for 10/18/24. R1's medication was instructed to be given twice a day and facility was only administering one time per day. Facility was administering medications with no prescription labels. LPA took photos of medications. Facility staff did not have hospice or home health training for residents of hospice to meet residents specific needs. Facility did not have complete home health care plans or complete hospice care plans for all residents. R3 did not have a primary or secondary diagnosis listed on R3's physician's report. R1, R2 and R4 did not have updated physician reports for change in condition. Current first aid and CPR were reviewed. Administrator does not have a current Administrator Certificate. LPA's checked the pending list and Administrator's certificate does not show pending. Administrator was not able to provide personnel file, stating it was lost. Residents in Bedroom 1 and in Bedroom 2 had full bed rails without a physician order. LPA's reviewed facility Plan of Operation which did not contain a plan for bedridden residents in care. LPA Doucette requested Licensee to submit complete current plan of operation. Refer to 809d for deficiencies. Civil Penalties were issued for repeat violations. A copy of this report with plan of correction and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 16, 2024

The state marks this report as 12 pages; the online copy we transcribed has 11. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst's (LPA)'s LPA Shawna Doucette and LPA Miriam Flores arrived at the facility unannounced to conduct an annual inspection. LPA's was granted entry by Staff, Cipriana Dela Cruz. LPA explained the purpose of the visit and Administrator Ana Liza Aratea responded to the facility to meet LPA's to conduct the visit. A tour of the facility was conducted with the Administrator. The residence was set at 78 F temperature and free of passageway obstructions inside and outside. Kitchen toured, supply of food observed and food stored properly for perishable and nonperishable. Medications were stored in a locked Medication cabinet in the kitchen. Cleaning supplies were unlocked in a cabinet above the washing machine. Smoke detectors and carbon monoxide detectors were checked and properly working. Fire extinguishers were charged and had service dates of 05/22/23. LPA checked water temperature which measured at 110.6 F. There was outdoor seating for the residents. Resident, medication and staff records were reviewed. LPA observed a medication error for R1. R1 medication count did not match start date on centrally stored log. Facility staff did not have hospice or home health training. Facility did not have home health care plans or hospice care plans for all residents. Current first aid and CPR were reviewed. LPA took photos of medications and unlocked cleaning supply cabinet. Refer to 809d for deficiencies A copy of this report with plan of correction and appeal rights were provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 24, 2023