Sterling Estates

Allegation investigated: Staff is allowing a pet to defecate on a dining room table Staff forced resident to take medication

On 4/13/2026 at 10:00AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Valerie Sergay. On the allegation: Staff is allowing a pet to defecate on a dining room table Based on interviews with staff there was an incident in December where a resident encouraged the dog onto the table with food, and then dog left feces on the table. Staff 1(S1) stated that they were informed as soon as it happened and the staff cleaned it up right away. S1 then stated that ever since that incident the dog has been kept in a crate whenever S1 is not at the facility. Continued on LIC 9099C... Unsubstantiated ...Continued from LIC 9099 On the allegation: Staff forced resident to take medication Based on interviews, staff will assist residents or encourage them to take medication but will not force them. S2 said that on occasion residents will put the medication in their mouth but will not close their mouth/swallow. S2 said when this happens staff will verbally instruct the resident to close their mouth or will gently touch the residents’ chin to remind them to finish taking the medication. S2 said if the resident has not put the medication in their mouth the staff will provide instruction to do so but will listen if a resident refuses. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 15, 2026 · control 15-AS-20260206122210

Type of visit: Required - 1 Year

On 11/24/25 at 1:43PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required inspection. LPA met with administrator (ADM) and explained the purpose of the visit. LPA observed ADM has a current RCFE certificate# 7030520740 which expires 02/26/27. At 2PM, LPA toured the facility including but not limited to the front entrance, screening station, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizers were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPEs, paper, medications locked in cabinets. Comfortable temperature is maintained at 76 deg F. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Fire extinguishers were observed fully charged and purchased on 11/10/25. LPA reviewed 2 staff and 5 resident files. Updated copies of the following documents were collected for facility file:  LIC500- Personnel Report  Resident Roster  LIC308- Designation of Facility Responsibility  LIC610E- Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 24, 2025

Allegation investigated: Staff yells at resident

On 06/04/25 at 3PM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced complaint visit, met with administrator (ADM), gathered information and delivered investigation findings of above allegations. LPA explained the purpose of the visit with ADM. During investigation, the department obtained the following documents from ADM - staff roster, residents’ roster, admission agreement, physicians report, Needs & Services plan, Centrally stored medication logs, medication administration records and incident reports. Continued on next page, LIC 9099-C Unsubstantiated Allegation: Staff yells at resident Investigation Finding: Unsubstantiated During investigation, LPA interviewed reporting party (RP), residents (R1, R2, R3, R4) staff (ADM, S1) and reviewed resident documents. R1 stated that staff do not yell or scream at her. She stated she has no concerns with staff and that they treat her well. Other residents stated that staff do not yell or scream at them and assist them with their daily meals, activities and medications. They also stated that they have no issues with staff. Staff (ADM, S1) denied yelling at any resident while in care. During visit, LPA observed residents (R1, R2, R3 & R4) comfortable in their surroundings with staff assisting them with their activities of daily living (toileting, meals, transferring from wheelchair/walker to couch or bed). Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that staff yells at resident is unsubstantiated. No deficiency cited. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jun 4, 2025 · control 15-AS-20250530162704

Type of visit: Required - 1 Year

On 11/20/24 at 2:00PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required inspection. LPA met with administrator (ADM) and explained the purpose of the visit. At 2:15PM, LPA toured the facility including but not limited to the front entrance, screening station, kitchen, bathrooms, bedrooms and common areas. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, visitor’s logs, no touch thermometer, additional face masks and hand sanitizers were observed at the screening station. Emergency Disaster Plan, Complaint poster, Personal rights, Cough/sneeze etiquette, proper hand-washing signs were observed posted in common areas. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPEs, paper, medications locked in cabinets. Comfortable temperature is maintained at 77 deg F. Facility has a mitigation plan in place and the infection control leader is the administrator. Inside and outside pathways were free of obstruction and fire hazards. Smoke and Carbon monoxide detectors were operational. Fire extinguishers were observed fully charged and last inspected on 10/10/24. LPA reviewed 3 staff and 4 resident files. Updated copies of the following documents were collected for facility file:  LIC500- Personnel Report  Resident Roster  LIC308- Designation of Facility Responsibility  LIC610E- Emergency/Disaster Plan including infection control plans  Evidence of Liability Insurance Continued on next page, LIC 809C The following deficiency was observed during visit: Hot water temperature was measured at 130 deg F. Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of correction (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. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 20, 2024

Type of visit: Prelicensing

On 11/15/23 at 10:30 AM. Licensing Program Analyst (LPA) Daisy Panlilio arrived announced to conduct a pre-licensing inspection. LPA met with Administrator (ADM) and explained the purpose of the visit. The facility currently has no residents. ADM has a current administrator certificate # 6066008740 which expires 02/26/2025. LPA toured the facility with ADM including but not limited to the residents' bedrooms, common areas, kitchen, and outdoor area. LPA observed a screening station near the front entrance with a no touch temperature probe, visitors' log and hand sanitizer. Facility has adequate lighting. Indoor and outdoor passageways were observed free of obstruction. LPA observed a fenced backyard swimming pool with a locked gate. LPA advised ADM that hot water temperature should be maintained between 105 degrees F and 120 degrees F. LPA observed 2 days supply of perishable and one week supply of non-perishable foods. Towels, sheets, activity supplies and hygiene products were observed available. The facility has 3 full bathrooms. LPA observed the shower area has non-skid floor tiles. There are activity materials observed in the living room. Facility has flashlights available for emergency use. The facility has an attached garage that will be used as an office and storage space for tools and extra emergency supplies. There is sufficient lighting throughout facility. First-aid kit was observed to be complete. Dual smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 08/10/23. Proper hand-washing signs, Emergency/Disaster plans/contact information, personal rights were observed posted in common areas. LPA observed no deficiencies during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 15, 2023

Type of visit: Case Management - Other

On 11/15/23, while at the facility for another reason, Licensing Program Analyst (LPA) D Panlilio conducted a component III presentation with administrator (ADM)/ applicant. LPA discussed the common deficiencies that elderly residential facilities are cited on, Title 22 regulations on infection control, physical plant, personnel requirements on clearances and associations, training, emergency/disaster/food requirements, etc. ADM agrees to comply with Title 22 regulations. ADM was reminded of the statute that requires CCL to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, or by fax. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Nov 15, 2023

Type of visit: Office

COMP II by CAB successfully completed Applicant/administrator participated in COMP II at CAB telephone call with analyst at CAB. Identification of the applicant and administrator was verified by presenting photo ID via phone. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Staff qualifications and responsibilities 3. Applicant and Administrator qualifications 4. Program policy: Abuse, admission agreement, medication management, reporting incidents to CCL, restricted & prohibited conditions 5. Grievances, Complaints, Community resources 6. Physical plant, food service 7. Application document review and technical assistance: Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of propertythe state’s words, verbatim · CDSS document, Nov 2, 2023