Sterling Senior Community 10

Type of visit: Required - 1 Year

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for six non-ambulatory residents of which one may be bedridden in room 4. Facility has an approved hospice waiver for six residents and the home currently has five residents, with one resident on hospice. Administrator (AD) Kian Pascual arrived shortly to assist with visit. LPA along with staff toured the facility at 2:15 PM. LPA toured the physical plant, checked food service, and facility documentation. The home consists of four resident bedrooms, staff room, living room, dining room, and kitchen, two bathrooms and an attached garage. 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 at 109.7 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Auditory exit alarms were operational during today's visit. LPA toured the kitchen and observed sharps locked in a drawer during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPA reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 4/1/2026. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Exit gates are unlocked and operational. LPA observed the emergency food and water supply. First aid kit contained all required items including tweezers, scissors and thermometer. LPA reviewed five resident files and two staff files. All resident files contained required documentation including admission agreements, physician reports, and resident appraisals. Staff files were reviewed. One out of two staff files did not include evidence of 20 hour of annual training completed. LPA reviewed medication storage and administration. Medications are stored in a locked closet. Based on the observations made during today’s visit, a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided along with appeal rights.the state’s words, verbatim · CDSS document, May 29, 2026

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Office

Licensing Program Managers (LPM) Kevin Saborit-Guasch and Alisa Ortiz along with Licensing Program Analyst (LPA) Nancy Guillen met with Licensee Albert Pimentel and Michelle Kellogg in regards to concerns with consistency of complaints investigations and also wanted clarification on Title 22. The following were discussed: - Complaint Investigation Process - Expectations of collaboration between LPAs and Licensees - Appeal rights - Title 22 requirements regarding staff training, awake staff, and staff records Licensee expressed intention to continue building rapport with the department An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 21, 2026

Type of visit: Prelicensing

On this day Licensing Program Analyst (LPA) Fred Arias made an announced visit to conduct a required pre-licensing visit. LPA was greeted and granted entry into the facility by Licensee Albert Pimentel. Facility is licensed for 6 non-ambulatory residents for which 1 may be bedridden in room 4. The facility has a hospice waiver for 6 residents. The facility currently has 4 residents. LPA along with staff toured the facility at 9:00 AM. LPA toured the physical plant. The home consists of 4 resident bedrooms, a living room, dining room, kitchen, as well as 2 bathrooms. 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 and showers were free of mold/mildew. Water temperature measured between 111 degrees F and 111.2 degrees F in all bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPA toured the kitchen and appliances were operational during today's visit. There is at least 2 days of perishable food and at least 7 days of non-perishable food observed. LPA observed sharps were locked in a kitchen drawer. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. Auditory alarms were observed to be functional. Outside grounds were toured. Walkways around the home were clear of hazards. There is shaded outdoor seating for residents. Facility will conduct activities in the form of exercise and therapy. Exit gates are unlocked and operational. LPA conducted the Component Three Orientation with Licensee. Licensee was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted and a copy of this report was provided to the Licensee.the state’s words, verbatim · CDSS document, Jun 19, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Change of Ownership Capacity: 6 Census (if any clients in care): 5 COMP II Participants: ABIGAIL BENEDICTO, MICHELLE KELLOGG Interview Method: Telephone interview On May 19, 2025, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 19, 2025