Summer House at Ladera Heights

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Michael Yniesta ,Caregiver and the purpose of the visit was discussed. LPA spoke with Administrator Mark Loo via phone. The facility is licensed to serve four (4) non- ambulatory residents age 60 and over . The facility has an approved hospice waiver for (2) residents and 1 bedridden in room #2 Only.. None of the residents are receiving home health. One (1) resident is receiving hospice care services. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (3) resident bedrooms, (2) Full bathroom,living room, dining room, kitchen, staff bedroom and staff bathroom, laundry area, garage and an outdoor shaded patio area. LPA toured the 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, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 118.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiencies and issued a citation. (See 809-D) Exit interview conducted with Michael Yniesta,Caregiver. A copy of this report was provided at time of visit.the state’s words, verbatim · CDSS document, Feb 25, 2026

Allegation investigated: Staff yelled at the resident. Staff made inappropriate comments towards the resident.

On December 29, 2025, at 9:40 a.m., Licensing Program Analyst (LPA) Pamela Bunker conducted an initial visit to gather information regarding the above allegations. LPA met with Marilyn Nery, caregiver, and spoke to Mark Loo, Licensee/Administrator, and explained the purpose of the visit. LPA was granted entry to the facility. The investigation consisted of the following: On December 29, 2025, the following documents were reviewed and/or obtained as part of the investigation: Personnel Report (dated 12/29/2025), Resident Roster (dated 12/29/2025), Admission Agreement (dated 10/28/2025) Identification and Emergency Information (dated 11/25/2025), Physician’s Report (dated 10/23/2025), Medical Assessment (dated 10/14/2025), Medication Administration Records (MARs) (dated 10/28/2025-12/29/2025), Appraisal & Needs and Services Plan (dated 10/28/2025), Functional Capability Assessment (dated 10/28/2025 ), Preplacement Appraisal Information (dated 10/14/2025), Personal Rights (dated 10/28/2025), Consent Forms (dated 10/28/2025 ), and In-Service Training (dated 03/17/2025). See continued LIC9099-C page 2 Unsubstantiated Continued LIC9099-C page 2. On 12/29/2025, between 10:00 a.m. and 3:30 p.m., LPA Pamela Bunker conducted interviews with staff members #1–#3 (S1–S3) and residents #2–#4 (R2–R4). Resident #1 (R1) was interviewed by telephone. The investigation revealed the following. Allegation: Staff yelled at the resident. The LPA interviewed staff members #1–3 (S1–S3). All three staff members (3 out of 3) consistently stated that staff do not yell at residents and that Resident #1 (R1) has never been yelled at by anyone in the facility. 3 out of 3 staff members reported that all residents are treated with dignity and respect. They also stated that residents have personal relationships with staff and that the facility maintains a zero‑tolerance policy regarding inappropriate conduct. 3 out of 3 staff members indicated that each resident is provided with a safe, healthful environment and comfortable accommodations. All three staff members confirmed they have never witnessed any staff member yelling at a resident. S1–S3 denied the allegation. Residents #1–#4 (R1–R4) stated that staff do not yell at residents and that staff provide adequate care and supervision. 4 out of 4 residents reported that staff are always available to assist and consistently check on residents. Resident #1 (R1) stated that the staff did not yell at them, and 3 out of 4 residents confirmed they had not witnessed any staff member yelling at R1. R1–R4 reported that their daily needs are being met and that they are happy living at the facility, expressing no problems or concerns. All four residents denied the allegation. Allegation: Staff made inappropriate comments towards the resident. The LPA interviewed staff members #1–3 (S1–S3). All three staff members (3 out of 3) stated that no inappropriate comments were made toward the resident. S1–S3 reported that all residents are treated with dignity and respect and that the facility maintains a zero-tolerance policy for inappropriate conduct. They further stated that residents are free from corporal or unusual punishment and are provided with a safe, healthful environment and comfortable accommodations. All three staff members also stated that the staff did not attempt to send Resident #1 (R1) to a medical appointment alone. See continued LIC812-C page 2. Continued LIC812-C page 3. S1–S3 clarified that S1 never made the comment, “Why don’t you have relatives to help you?” S1 explained that R1 had been receiving medical transportation through Kaiser Permanente, but once R1’s transportation credits were exhausted, the facility assisted in arranging alternative transportation options. S1–S3 denied the allegation and stated they have never witnessed any staff member making inappropriate comments toward any resident. Residents #2–#4 (R2–R4) stated that staff do not make inappropriate comments toward R1. Resident #1 (R1) stated that staff have never made any inappropriate comments toward them. 4 out of 4 residents reported that they have never witnessed staff speaking inappropriately to any resident. R1–R4 also stated that they are happy living at the facility and have no problems or concerns. All four residents denied the allegation. LPA Bunker reviewed Resident #1’s (R1) file, including the Admission Agreement dated October 28, 2025, which was signed and confirmed that the facility does not provide transportation to the resident. LPA Bunker also reviewed R1’s medical records from Kaiser Permanente West Los Angeles Medical Center dated November 23, 2025, and December 4, 2025, which showed that medical care and transportation services were being provided. Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099 and LIC9099-C was provided to the . No deficiencies were cited. An exit interview was conducted.the state’s words, verbatim · CDSS document, Dec 29, 2025 · control 11-AS-20251223101427

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (Ernand Dabuet) made an unannounced visit to the facility and was greeted by caregiver (Marilyn Nery). The Administrator (Mark Loo) was contacted by phone and explained the purpose of this visit is to deliver a generated Case Management – Deficiencies, evaluation report in conjunction with Complaint Control #11-AS-20191113101336 due to the following observations: This investigation revealed that Resident #1 was restrained to the bedrails utilizing pieces of cloth sheets and shirts. The cloth restraints were placed around the resident’s wrists – while the resident was wearing gloves. Staff #1 admitted the purpose of the restraints were to prevent Resident #1 from removing the Foley catheter and scratching its wounds; as the resident would get agitated. Staff #1 expressed the necessity to occasionally restrain Resident #1 in different positions in order to prevent the resident from placing pressure on its wounds. On several occasions, Witness #1 observed Resident #1 tied to the bed rails in this same manner and would instruct Staff #1 to immediately remove the restraints. It seemed to be a reoccurring event requiring Witness #1 to repeatedly order Staff #1 to remove these restraints from Resident #1. Based on the evidence gathered and interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the allegation PERSONAL RIGHTS: Resident was restrained by the hands to the bedrails is found to be SUBSTANTIATED. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), the following deficiency was observed and a citation issued (ref. LIC 9099D). An exit interview was conducted with (Mark Loo), and copy of the Complaint Report and Appeal Rights were provided to caregiver (Marilyn Nery).the state’s words, verbatim · CDSS document, Sep 18, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Oct 2, 2025

87468.1(a)(3) Personal Rights of Residents in All Facilities: To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature; such as, withholding residents money or interfering with daily-living functions; such as, eating, sleeping, or elimination. This requirement is not met as evidenced by: Staff #1 admitted the purpose of the restraints and expressed the necessity to occasionally restrain Resident #1 in different positions. This violation poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 18, 2025

Plan of correction: The administrator shall read Title 22, Section 87468.1(a)(3) “Personal Rights of Residents in All Facilities” and send a written statement to CCLD by the POC date that Administrator will ensure that a resident in the facility will be free from punishment and abuse or other actions of a punitive nature. The plan is due to CCLD/El Segundo ASC Office by POC date of 09/19/25.

Allegation investigated: Licensee is restricting resident's vistations.

On 09/10/2025 At 8:15 AM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct a complaint investigation and deliver the findings for the alleged allegation. LPA Allen was met by Marilyn Nery-Support Staff. LPA Allen introduced herself and explained the purpose of the visit and was allowed entry into the facility. The investigation consisted of the following: At 8:30 AM LPA Allen requested and obtained copies of the following documents: Admission Agreement, Needs/Service plan, ID/Emergency Information, Physicians Report, and Pre-placement Appraisal Information for Resident 1 (R1), visitor sign in sheet from 7/3/2025-9/10/2025 and reviewed the Staff/Client Roster which needs to be updated as of 9/10/2025. Eden Hospice Care Inc. Notice of hospice patient dated 8/26/2025. LPA interviewed Staff 1-2 (S1-S2), attempted to interview Resident 1-2 (R1-R2), LPA interviewed Resident 3-4 (R3-R4), and Witness 1 (W1). Continued Unsubstantiated Investigation revealed the following: Allegation: Licensee is restricting resident's visitations. On 9/10/2025, LPA interviewed Staff 1 and Staff 2 (S1 - S2). Both staff members confirmed that Resident 1 (R1) was allowed to have visitors on 8/30/2025 and 9/2/2025. S1 stated that on both 8/30/2025 and 9/2/2025, there was a delay in responding to the front door due to assisting another resident. S1 further stated that on 8/30/2025, the visitor waited approximately 15 minutes before being verbally informed of R1’s bedroom location, where the visit subsequently took place. S2 stated that a call was made to them regarding the visitor; however, the visitor had already been allowed entry into the home prior to the call and was permitted to visit R1. Both S1 and S2 confirmed that R1 was also allowed to have visitors on 9/2/2025. The interviews revealed that although there was a delay in answering the door, R1 was not restricted from having visitors. LPA reviewed the facility’s sign-in sheet and found no documentation indicating that R1 had visitors. However, staff interviews confirmed that R1 was allowed visitors and that entry into the facility was granted. At 10:25 AM, LPA attempted to interview Residents 1 and 2 (R1 - R2). However, R1 had recently passed away, and R2 was unavailable due to an appointment. Residents 3 and 4 (R3 - R4) both stated they have never been denied or restricted from having visitors. Interview with Witness 1 (W1) confirmed that R1 was able to have visitors on both 8/30/2025 and 9/2/2025. Based on the evidence gathered during the investigation, the above allegation is found to be Unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted, during which this report was discussed and provided to Marilyn Nery at the conclusion of the visit, along with appeal rights.the state’s words, verbatim · CDSS document, Sep 10, 2025 · control 11-AS-20250902124215

Type of visit: Required - 1 Year

On 03/14/2025 Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit using the CARE Inspection tool. LPA met with Caregiver, Marilyn Nery, and the purpose of today’s visit was explained. The facility is licensed to serve four (4) non-ambulatory residents, one (1) of which may be bedridden in room two (2) with an approved hospice waiver for two (2) residents. Currently there are four (4) residents residing in the facility. Physical Plant/Structure- The facility is a single-story home in a residential neighborhood. The facility consists of three (3) bedrooms, one (1) staff room, two (2) resident bathroom, one (1) staff/visitor bathroom, living room area, dining area, kitchen with a laundry area. All walkways outside the facility were observed clean, clear, and free of obstructions, hazards, and debris. LPA did not observe any bodies of water on the premises. Bedrooms- LPA inspected all resident bedrooms and observed they had the required furniture. All rooms had bed(s), dresser, nightstand, storage space for resident’s personal belongings, chair, and ample lighting. LPA observed all beds had the required linens including mattress cover, fitted sheets, blanket, comforter, and pillows. LPA observed an ample supply of linens stored in resident’s rooms. Bathrooms- LPA inspected all bathrooms in the facility and observed them to be operational and within Title 22 regulations. LPA observed shower chairs and non-skid mats in the shower. The safety handrails are secured. LPA observed an ample supply of hygiene products for residents secured and inaccessible to residents. The department observed an ample supply of towels, hand towels, and wash clothes in good repair. The water temperature measured 110-degrees, 110.9-degrees and 112.6-degrees Fahrenheit. Kitchen LPA inspected the kitchen and found it to be clean and sanitary. LPA observed all appliances were operable and in good repair. LPA observed an ample supply of cookware, dishware, and cutleries. LPA observed a 3-day supply of perishable foods and a 7-day supply of non-perishable foods properly stored, packaged, and labeled. LPA observed cleaning supplies secured in a locked cabinet. LPA observed sharps and knives secured in a locked drawer in the kitchen. The water temperature measured 112.6-degree Fahrenheit. Common Areas LPA observed in the living room a large couch and four (4) chairs to accommodate all residents. LPA observed a fireplace screened and inaccessible to residents. The dining room has a large table with chairs to accommodate residents. LPA observe games and activities in resident’s rooms. LPA observed all walkways and hallways to be clean, clear, and free of obstructions and hazards. All rooms were observed with ample lighting. The facility was maintained at a comfortable temperature. Files LPA reviewed four (4) resident files and found they did not contain all the required documents. The department reviewed the Administrators and two (2) staff files and found they contained most of the required documents and certification. LPA did not observe training logs for 2024 or 2025. During the visit, LPA informed the Administrator licensing fees are due this month (March 2025) and provided the PIN. Medication LPA observed all Centrally Stored Medications secured in a locked closet in the hall. All medications were observed in their original packaging. LPA reviewed the medication and Medication Administration Record (MAR) for four (4) residents. LPA observed four (4) out of four (4) resident’s MARs and medication are consistent with properly documented records. Infection Control During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station and visitor log upon entry. LPA observed it has hand sanitizer, masks, gloves, and a thermometer available. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated infection control signs were posted throughout the facility. Safety LPA observed smoke detectors and carbon monoxide were operable. LPA observed a fully charged fire extinguisher with a receipt from 2024. The last emergency drill was conducted on 09/27/24. The facility has a working telephone. LPA was emailed a copy of the liability insurance. LPA inspected the First Aid Kit and found it contained the required items and a current manual. There are no firearms or ammunition stored on the premises. Deficiencies are cited on the LIC809-D page. An exit interview was conducted with Caregiver, Marilyn Nary, and a copy of this report and the Appeals Rights were provided.the state’s words, verbatim · CDSS document, Mar 14, 2025

Allegation investigated: Staff did not ensure that resident was able to return to the facility after hospitalization.

On 11/20/24, the department conducted an unannounced complaint visit to the facility listed above. The department met with Caregiver, Marilyn Nery, and the purpose of today's visit was explained. During today’s visit the department toured the facility, interviewed Staff S1-S3, interviewed Residents R1-R3, and received documents pertinent to the investigation. The following documents were received and reviewed Staff Roster, Resident Roster, Physician’s Report, Preplacement Appraisal Information, Identification and Emergency Information, and Los Angeles County Sheriff’s Report Information. The investigation revealed the following: Unsubstantiated Allegation: Staff did not ensure resident was able to return to the facility after hospitalization. The complaint allegation alleges that after a resident was transferred to the Emergency Department, they attempted to contact the facility staff multiple times, and later that day had the resident transferred back to the facility and nobody answered the door resulting in the resident being transferred back to the hospital. During the facility tour, the department observed resident bedrooms are in the back of the facility. While at the facility, the department called the facility landline telephone, which rang, and had staff not answer it so the answering voicemail would pick up. Upon entry to the facility the department observed there is a ring camera at the entrance of the facility. During an interview with the Administrator (S1), was asked if on the day of the incident if there were any notifications that there was someone at the door, they stated they did not receive any notifications on the evening of 11/10/2024. During record review, the department observed S2 was working the night shift on 11/10/24. During an interview with Staff S2, was asked if they were at the facility at 8PM on 11/10/24, S2 stated they were at the facility on that night and that at 8PM they are usually assisting residents with getting ready for bed and helping them into bed. Additionally, S2 stated they did not hear any knocking, or the doorbell ringing, or the telephone ringing. During interviews with staff S1-S3, were asked if there was a time when a resident returned from the hospital and staff were not available to receive a resident back, three (3) out of three (3) stated there is always staff at the facility and residents are always able to return to the facility. Additionally, Staff S1-S3 were asked if they heard anything from the hospital on 11/10/24, three (3) out of three (3) stated they had not heard or got any updates from the hospital, and that usually the nurse calls and gives update. Additionally, during an interview with Staff S1, was asked how they found out R1 was ready to be transferred back to the facility, S1 stated they were informed when a Los Angeles Sherriff’s contacted the other Administrator and informed them of an Elder Abuse Report regarding R1. During interview with residents R1-R3, were asked if there was a time they left the facility and were unable to return to the facility or staff did not open the door, three (3) out of three (3) stated no, they have not experienced that. Additionally, during interviews with Resident R2 and R3 were asked if on the night on 11/10/24 if they heard the telephone keep ringing or somebody knocking on the door, or ringing the door bell, two (2) out of two (2) stated they did not hear anything. During the course of the investigation, LPA was unable to find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. A technical violation was issued, please see attached LIC9102. An exit interview was conducted with Caregiver, Marilyn Nery, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Nov 20, 2024 · control 11-AS-20241114103411

Type of visit: Required - 1 Year

On 03/15/24 Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Caregiver Crisostono Gaytos as the purpose of the visit was explained. The facility is licensed to serve clients with dementia ages 60 and above. Facility is approved for four (4), non-ambulatory clients, one (1) bedridden in room #2 only, hospice waiver for two (2). Current facility census is 5, facility fees are current. The facility is a single-story structure located in a residential neighborhood. The facility consists of the following: three (3) resident's rooms, one (1) staff room, three (3) bathrooms of which one (1) is for staff and visitors only, living room area, dining area, kitchen with a laundry area. Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards. LPA conducted a records review of two(2) staff records, three (3) client records, and three (3) medication administration records, medications were centrally stored and properly locked. First aid kit was checked and fully stocked. The last fire was conducted on 03/05/20, four (4) fire extinguisher fully charged, carbon monoxide and smoke detectors are interconnected and operational. citations documented on 809D page. Exit interview conducted with Caregiver Crisostono Gaytos, appeal rights explained and a copy of this report was provided.the state’s words, verbatim · CDSS document, Mar 15, 2024

Allegation investigated: Staff are not keeping medications in a safe and locked location. Staff are not keeping dangerous items in a safe and locked location.

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced complaint visit on Tuesday, November 07, 2023. Upon arrival at the facility. LPA Bunker called the facility via telephone and conducted a Risk Assessment. Based on the assessment, the facility is cleared of COVID-19 infection. LPA Bunker met with staff Chris Gaytos and Mayet Neri. LPA spoke to Licensee Mark Loo via telephone. LPA Bunker explained the purpose of today's visit. The investigation consisted of the following: Interviews conducted with staff 1-3 (S1-S3), residents 1-3 (R1-R3), and witness 1 (W1) LPA Bunker was unable to interview resident 4 (R4), R4 was sleeping and is hard of hearing. LPA Bunker asked questions relevant to the nature of the complaint. Staff Mayet and LPA Bunker toured the entire facility to observe and identify any signs of neglect, abuse, or other immediate health and safety threats. We did not observe any signs of neglect or abuse during today's visits. LPA Bunker reviewed residents' medication records in the facility-locked cabinet in the hallway. LPA observed resident knives in a locked cabinet in the kitchen inaccessible to residents. LPA Bunker requested copies of supporting documents. See continued LIC9099-C page 2 Unsubstantiated See continued LIC9099-C page 2 Allegation #1: Staff are not keeping medications in a safe and locked location. LPA Bunker conducted interviews with staff 1-3 (S1-S3), residents 1-3 (R1-R3), and witness 1 (W1) regarding the allegation that, on October 31, 2023, resident medications were stored in a locked cabinet in the hallway, and medication is consistently secured. S1-S3, R1-R3, and W1 unanimously affirmed that staff diligently safeguard residents' medications at all times, maintaining them in a secure, locked place. In summary, all parties interviewed denied the allegation. Allegation #2: Staff are not keeping dangerous items in a safe and locked location. LPA Bunker interviewed staff 1-3 (S1-S3), residents 1-3 (R1-R3), and witness 1 (W1) concerning the alleged allegation of dangerous items not being stored in a secure, locked location. According to their statements, knives in the facility are stored in a locked cabinet in the kitchen, ensuring that they are inaccessible to residents in care. S1-S3, R1-R3, and W1 consistently denied the allegation. The investigation consisted of the following: Interviews with staff 1-3 (S1-S3), residents 1-3 (R1-R3), and W1, who all attested that medications are consistently stored in a safe, locked location. Staff confirmed that they unlocked the medication cabinet to dispense medication to residents, promptly locking it afterward. Medication is never left unattended in the kitchen at eye level. S1-S3 emphasized that medications are appropriately labeled and maintained in compliance with regulations. Medications are securely locked and inaccessible to residents. The same rigorous safety measures apply to dangerous items, which are kept in a locked kitchen cabinet, with kitchen knives only taken out for cooking and food preparation. S1-S3, R1-R3, and W1 affirmed that residents do not have access to the kitchen area, ensuring their safety. Staff takes great care to meet residents' needs, and S1-S3 emphasized their training and competence in delivering the necessary services. They are committed to preventing residents from harm, injury, and danger. R1-R3 expressed their satisfaction with the staff's kindness and quality of care, stating they are content living at the facility. S1-S3, R1-R3, and W1 collectively denied the allegations. See continued LIC9099-C page 3 See continued LIC9099-C page 3 Based on interviews, available evidence, observation, information received, and records reviewed there was not enough sufficient evidence to support the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed unsubstantiated. A copy of the Complaint Investigation Report LIC9099 and LIC9099-Cs provided to the facility staff. There were no deficiencies cited. An exit interview was conducted.the state’s words, verbatim · CDSS document, Nov 7, 2023 · control 11-AS-20231102124719

The state marks this report as 7 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.