Solaris 48

Allegation investigated: Facility is threatening resident with eviction for making complaints.

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver the findings in the above-mentioned complaint allegations. LPA Domingo identified herself and discussed the purpose of the visit with Von Rivera, Administrator. During the investigation, LPA Domingo collected pertinent resident records as well as facility documentation and conducted interviews with staff, residents, and outside sources. On October 13, 2023, it was alleged that the Facility was threatening resident with eviction for making complaints. (Continued on LIC9099C) Unsubstantiated Interviews were conducted with two (2) residents. All residents interviewed denied being threatened with eviction for making complaints. Residents stated they felt comfortable voicing concerns and that staff and administration were generally responsive. One resident stated, “I’ve brought up issues before, and they listened. No one has ever threatened me.” Interviews with two (2) staff members, including administrative personnel, revealed that staff were aware of residents’ rights to file grievances without fear of retaliation. Staff denied issuing or threatening eviction notices in response to complaints and stated that any eviction proceedings are handled in accordance with regulatory requirements and only for allowable reasons. An outside source, reported no knowledge of residents being threatened with eviction for expressing concerns. The source stated that the facility has been cooperative in addressing issues when brought to their attention. A review of facility records, including resident files and any recent eviction notices, showed no documentation indicating that residents were being evicted or threatened with eviction as a result of filing complaints. The facility’s policies and procedures regarding resident rights and eviction were reviewed and found to be in compliance with Title 22, Section 87224, which outlines the conditions under which a resident may be evicted, and Section 87468, which protects residents from retaliation for exercising their rights. The Department has investigated a complaint with the above allegations. The Department has found that although the allegations may have occurred or be valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur; therefore, the allegations are unsubstantiated. An exit interview was conducted with Von Rivera 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 29, 2025 · control 08-AS-20231013121115

Allegation investigated: Licensee has abandoned the facility. Licensee has lost control of property. Licensee did not report sale of facility.

Licensing Program Analyst (LPA) Liliana Silveira conducted a virtual meeting on Microsoft Teams with Licensee Xiaoqing “Leslie” Wang to deliver complaint findings. LPA stated the purpose of the meeting with Leslie. The investigation consisted of observations, interviews and a records review. On January 30, 2025, it was alleged that the Licensee had abandoned the facility. A Licensing Program Analyst (LPA) from the Department conducted an unannounced Health & Safety check on January 31, 2025. The LPA observed that there were caregivers present, changing residents and preparing dinner for the residents. The LPA also observed that the facility was clean. Interviews with the current acting Administrator revealed that in June 2024, two Administrators had quite and left the residents with care staff. (CONTINUED ON NEXT PAGE, LIC 9099-C) Unsubstantiated (CONTINUED FROM PAGE LIC 9099) Interviews with three (3) care staff who worked at the facility during June 2024, revealed that even though the Administrators quit, care staff remained working at the facility until the Licensee came soon after to manage the facility. An interview with the Licensee revealed that in June 2024, as soon as they were informed that the Administrators quit, the Licensee returned to the facility to check on the residents and manage the facility. There was not enough evidence to support this allegation. It was also alleged that the Licensee had lost control of the property and did not report the sale of the property. A records review revealed that a Property Management Agreement provided by the Licensee, dated September 20, 2019, and with expiration date of September 20, 2029, demonstrated that the property is leased to Solaris Capital Group Inc. An interview with the Licensee revealed that they still act as property manager for the property via Solaris Capital Group Inc. The interview also revealed that the property owner has no intention of selling the property at this moment. An interview with the current Administrator, who represents a new management group, revealed that they are in current negotiations with the Licensee/Property Manager to take over the lease and have applied for a license with Community Care Licensing Division. There was not enough evidence to support these allegations. The allegations that the Licensee had abandoned the property, had lost control of the property and did not report the sale of the property are unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations occurred, therefore the allegations are unsubstantiated. LPA Silveira conducted an exit interview with Leslie. A copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 03/22) were provided via email. Confirmation via email by Linda confirms receipt of this report.the state’s words, verbatim · CDSS document, Jun 9, 2025 · control 08-AS-20250130155600

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Justin Mendoza, Administrator & Arceli Songco, Administrator LPA briefly toured the facility, performed a health and safety welfare check. There are no residents at this facility at this time. LPA Holmes spoke with staff. No deficiencies were observed or cited on this date. An exit interview was conducted with Arceli Songco, 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, Feb 26, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Case Management visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Justin Mendoza, Administrator. LPA briefly toured the facility, performed a health and safety welfare check. There are no residents at this facility. LPA Rodgers observed no staff at the facility. No deficiencies were observed or cited on this date. An exit interview was conducted with Justin Mendoza, 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, Feb 7, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with On-Site Manager, Anafe Rivera. During today’s visit, LPA toured the facility, reviewed staff and client records, and interviewed staff and clients. No deficiencies were cited during today’s visit. Due to time constraints, a return visit on a subsequent day is needed to complete the annual inspection. An exit interview was conducted with House Manager Justin Mendoza, 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, May 23, 2024

Allegation investigated: Staff did not assist resident with incontience care Staff did not administer medications as prescribed Staff did not treat resident with dignity Staff did not report resident's change in condition

On 01/25/2024, at about 01:16 PM, Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced visit to open a complaint investigation. LPA identified himself and discussed the allegations mentioned above with Caregiver/House Manager, Jushia Mendoza. Anafe Rivera, Licensee later joined LPA during the visit. LPA delivered investigative findings to Mr. Mendoza at the conclusion of the visit. On 01/17/2024, the Department received a complaint, alleging staff did not assist a resident with incontinence care, did not administer medications as prescribed, did not treat resident with dignity, and did not report a change of condition of resident. The Department’s investigation consisted of LPA observation, record reviews, and interviews with residents, staff and outside sources. Investigation revealed that Resident 1 (R1) moved into the facility on January 1, 2024. R1 was admitted and enrolled to receive hospice care on the same date. Facility staff stated that R1 was independent and did not require assistance with most ADLs. Records and interviews revealed on or about 01/04/2024, R1 presented symptoms of a change in condition. Staff observed R1’s foley catheter was leaking. R1 expressed pain when Unsubstantiated urinating. This was reported to hospice nurses. On 01/09/2024, R1 complained of bleeding from their genitals. Additionally, staff observed R1 to have slurred speech, vomiting and diarrhea. Interviews and records show that facility staff notified R1’s family, hospice agency and the licensee. An outside agency responded to the facility and began administering R1 comfort care. Subsequent records indicate R1 was weak, unable to thrive and had no appetite. Record reviews and interviews revealed that R1 passed away while receiving hospice services on 01/19/2024. A sample of residents were interviewed. Interviewed residents were cognizant, organized, and able to communicate with LPA. Residents advised LPA that they are satisfied with the responsiveness of staff. Residents reported no evidence of abuse or staff not affording them dignity. Residents said they receive their medications in a timely fashion and had no complaints regarding receiving incontinence care or assistance with any Activity of Daily Living (ADL). The residents have not received complaints from other residents, nor have they witnessed any of the aforementioned allegations. Residents reported no complaints about anything related to the facility. Staff interviews outlined the procedures staff follow when providing resident’s incontinence care. Staff are required to change residents at least four times a day when hospice providers come to the facility and administer care. Staff change resident undergarments and check for skin breakdown. As a practice, the facility staff does not document resident undergarment changes in the resident’s progress notes. However, outside source agency records did not show a lapse in incontinence care administered to residents. In regard to medications, staff denied making errors or delaying R1’s medications. R1 regularly took their medications but after 1/10/2024 began refusing them. Facility staff, as a practice, do not document when residents refuse to take their medications. Interviews revealed that on 1/11/2024, facility staff were directed by R1’s outside health services provider to hold certain medications due to R1’s change in condition. Interviews with outside sources did not produce information to support the allegations. Outside agencies stated that they did receive cross reporting on the allegations in this complaint. No substantiated findings were determined by outside agency review of the allegations. LPA observation during a walk through of the facility did not show evidence that residents are not being changed regularly. Residents were fully dressed and showed no evidence to indicate they do not receive regular hygiene care and assistance. LPA observed no offensive odors; a common condition observed where residents are not receiving adequate toileting assistance. The Department has investigated allegations that staff did not assist a resident with incontinence care, did not administer medications as prescribed, did not treat resident with dignity, and did not report a change of condition of resident. Based on interviews and record reviews the investigation failed to produce sufficient evidence to prove or disprove the allegations. The preponderance of evidence standard was not met; therefore, the allegations are deemed unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Caregiver/House Manager, Jushia Mendoza, whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jan 25, 2024 · control 08-AS-20240117151816