The Cottages at Artesia

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Aurelia Olais and discussed the purpose of the visit. The facility has two buildings, resident bedrooms, resident restrooms, kitchen, dining room, activities room, laundry room and outdoor patio. LPA observed residents watching tv, engaging in activities and eating lunch during the inspection. All resident bedrooms had the required components and furnishings. LPA observed the resident restrooms to be stocked with toilet paper and paper towels. LPA observed the shower rooms to have textured shower flooring. LPA tested the water to be between 105.2 and 115.7 degrees Fahrenheit in the resident restrooms. LPA observed the kitchen to be clean and free of vermin. LPA observed a two day perishable and seven day nonperishable food supply on hand. LPA observed the kitchen door to be locked making the kitchen inaccessible to residents in care. LPA observed the medication counter to be locked and made inaccessible to residents in care. LPA observed the first aid kit to be located in the medication room and complete of all components. LPA observed the centrally stored medication to be in locked medication carts and made inaccessible to residents in care. LPA observed the emergency food and water supply to be located in the staff office building. LPA observed the toxins and chemicals to be in the facility garage and made inaccessible to residents in care. LPA observed the laundry room attached to the staff office to be locked making the chemicals inaccessible to residents in care. LPA observed the patio area to be free of obstructions with shaded seating for resident use. LPA observed the delayed egress gates to have a 15 second delay with a less than 30 second response time from care staff. LPA and AD tested the signal system and it was found operational with staff responding within a minute of it being activated. LPA observed fire extinguishers throughout the facility charged and with a service date of April 18, 2025. LPA and AD tested the carbon monoxide detector in the dining room and it was found to be operational. Continue on 809C LPA reviewed staff files and 5 of 5 staff do not have the required hours of annual training. LPA reviewed resident files and 3 of 5 residents need updated needs and services plans. LPA reviewed a fire alarm report from Orange County Fire Authority stating that on April 16, 2025, the facility fire alarms were checked and no violations were noted. LPA observed the last fire drill was conducted on December 5, 2025. Based on today’s inspection a technical violation and deficiencies are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report, LIC858, LIC859, LIC809D, and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Jan 7, 2026

Type of visit: POC

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility for the purpose of conducting a plan of correction visit. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Aurelia Olais and discussed the purpose of the visit. During a case management visit on November 18, 2025, LPA observed rodent droppings and rodent traps in the facility office storage room and private office of licensee. LPA toured the facility and did not observe any new droppings and that the storage room and office have been cleaned of previously observed droppings. LPA observed a pest control report from Pro-Source Pest Control and Prevention stating that on November 21, 2025, the facility was inspected and no new evidence of rodent activity was observed. LPA observed a follow up inspection on November 26, 2025, stating that no new activity was found during the inspection. Based on today’s observations the plan of correction has been fulfilled by the assigned date of November 19, 2025, thus clearing the Type A citation CCR 87303(a). An exit interview was conducted and a copy of this report and clearance letter was left at the facility.the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit for the purpose of conducting a health and safety check. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Aurelia Olais and discussed the purpose of the visit. LPA is following up on a death report that was submitted to the Regional Office on November 14, 2025, for Resident #1 (R1). LPA toured the facility and conducted a health and safety check on all residents in care. LPA obtained pertinent documentation from R1s facility file. No deficiencies were noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and LIC 811 was left at the facility.the state’s words, verbatim · CDSS document, Nov 18, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit for the purpose of conducting a case management. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Aurelia Olais and discussed the purpose of the visit. During a health and safety check LPA toured the facility and observed rodent traps set up in the facility office hallway. LPA observed animal droppings in the rooms the traps are set in front of that are used for storage of supplies and canned goods as well as an office for the licensee. LPA did not observe rodent traps or droppings in any other part of the facility. LPA observed the pest control report dated November 14, 2025, stating that repair of all openings to stop entrance has been done and traps are to be set for 30 days. Based on today’s observations a deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along LIC809D with appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Nov 18, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(a) · Plan of correction due date: Nov 19, 2025

87303(a) Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement was not met as evidence by: LPA observed animal droppings in the facility office which included a storage room used for extra supplies and canned goods. This poses an immediate health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Nov 18, 2025

Plan of correction: Licensee stated they will clean the rooms and droppings as well as schedule another pest control follow up appointment to evaluate the entire facility and send proof of appointment made and rooms cleaned to LPA by POC due date. Licensee will send LPA pest control reports to LPA once obtained.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct an unannounced health and safety check on the facility and residents in care. LPA was greeted and granted entry by staff. LPA met with Administrator(AD) Aurelia Olais and discussed the purpose of the visit. LPA toured the facility and spoke with residents in care. Residents appeared clean and well taken care of. LPA observed food delivery services being dropped off at the facility and put away by staff. LPA observed the medication delivery that was dropped off today being sorted and organized by staff in the medication room. LPA observed laundry services in operation. LPA observed residents engaging in activities in the activity room with staff. LPA tested the delayed egress and it was found to be operational with instant staff response time. LPA observed no health and safety concerns at the facility. An exit interview was conducted with AD Aurelia Olais and a copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Sep 30, 2025

Allegation investigated: Staff hit residents Staff handled residents in a rough manner Staff spoke inappropriately to residents

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on an investigation completed by the Department. LPA was greeted and granted entry into the facility by Administrator (AD) Aurelia Olais. During the course of the investigation, the Department interviewed staff and witnesses as well as reviewed and obtained pertinent documentation. This Department has investigated the complaint alleging that staff hit residents. Resident 1 (R1) was admitted to the facility on September 29, 2022. R1’s Physician Report (LIC602A) dated September 23, 2022, lists R1 as having a diagnosis of Dementia. R2 was admitted to the facility on April 10, 2021. R2’s Physician report dated December 30, 2022, lists R2 as having a diagnosis of Alzheimer’s Disease. R3 was admitted to the facility on May 27, 2021. R3’s Physician report dated July 20, 2022, lists R3 as having a diagnosis of Alzheimer’s Disease. During the course of the investigation LPA reviewed documents including the Unusual Incident/Injury Report (UIIR) dated July 17, 2023, for R1. CONTINUED ON LIC9099-C... Unsubstantiated Per UIIR this morning care staff reported that resident was noted with a swollen right side of face. R1 was sent out to the Hospital for evaluation. LPA reviewed documents including The Cottages at Artesia employee warning notice form dated July 19, 2023, for Staff 1 (S1). Per employee warning notice it states unwarranted yelling aggravated by previous written warnings of S1’s uncalled attitude. During the investigation LPA reviewed documents including the Report of Elder of Suspected Dependent Adult/Elder Abuse (SOC341) dated July 19, 2023. Per Report of Elder of Suspected Dependent Adult/Elder Abuse it states that S1 committed elderly abuse by pushing R1’s wheelchair hard leading to the dining room. Per Report of Elder of Suspected Dependent Adult/Elder Abuse states that S1 denied committing physical abuse on the residents. During the course of the interviews with staff, S2 reported that she has not witness staff hit the residents. S2 stated that she never witnessed S1 mistreat the residents and reported that S1 had a rough and loud voice and spoke with the same tone to both caregivers and residents. S3 reported that she has not witnessed staff hitting the residents and stated that she only witnessed S1 assisting the residents by pushing their wheelchair but that she never witnessed S1 treating the residents bad. During the course of the interviews with witnesses, Witness 1 (W1) W1 reported that the current staff are pleasant. Per W2 she has no concerns with staff or the facility. W3 stated that he received an incident report from the AD stating that a staff member had grabbed his father in a rough manner. W3 reported that the caregiver involved in the incident was fired. Regarding the allegation that staff handled residents in a rough manner, the following was revealed: During the course of the interviews with witnesses, W1 reported that she received an incident report where it mentioned that a staff member was being too rough with her grandfather. W2 stated that she has no complaints about the facility. Per W3 when his father sustains a fall, the cuts are consistent with the fall. During the course of the interviews with staff, S2 reported that she has not witness staff handling the residents in a rough manner. S3 stated that she has not witnessed residents being handled in a rough manner. Per S4 she has not witness staff treating residents in a rough manner and reported that staff assist the residents with standing and sitting. During the course of the interviews AD stated that she never witnessed S1 handling residents in a rough manner. CONTINUED ON LIC9099-C... Regarding the allegation that staff spoke inappropriately to residents, the following was revealed: During the course of the interviews with witnesses, W2 reported that she has not heard staff speaking inappropriately to residents and stated that she has no complaints about the facility. Per W3 he has not witness staff speaking inappropriately to residents and stated that he has no concerns with the facility and/or staff. During the course of the interviews with staff, S2 reported that she has not seen and/or heard staff speaking inappropriately to residents. S2 stated that no caregiver reported witnessing staff being abusive towards the residents. Per S3 she has not seen staff speaking to the residents inappropriately. S3 reported that she has never heard staff speaking inappropriately to the residents and stated that she has seen how staff speak to the residents with respect. During the course of the interviews AD reported that she never witnessed S1 speak inappropriately to residents. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations occurred as reported due to insufficient evidence. Therefore, the allegations have been deemed to be UNSUBSTANTIATED. LPA Ramirez conducted an exit interview with AD Olais, and a copy of this report was provided to the facility S2 reported that the AD submits the incident reports as mandated and stated that the facility submits incident reports in a timely manner. S3 stated that the Licensee submits the unusual incident reports as mandated. Therefore, the allegation is deemed UNFOUNDED, meaning the allegation is false, could not have happened and/or is without a reasonable basis. For today’s visit, there were no citations issued per Title 22, Division 6 of the California Code of Regulations. LPA Ramirez conducted an exit interview with AD Olais, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Jul 16, 2025 · control 22-AS-20230717111722

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conducted an unannounced case management deficiency inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Aurelia Olais and explained the reason for the inspection. The regional office received an unusual incident report on April 1st, 2025 regarding an incident that occurred on March 28th, 2025. The report stated that Resident (R1) eloped from the facility and was brought back to the facility by police. LPA toured the facility, gathered necessary documentation, and conducted interviews with Staff 1 (S1). LPA attempted to interview R1 but they were unable to recall the incident. During interviews S1 stated that R1 was last seen getting up from lunch around 12pm. Care staff noticed that R1 was missing when they went to do the routine rounds of checking on the residents. Care staff did not know the residents whereabouts for approximately an hour. S1 received R1 back at the facility around 1pm by police. Police informed S1 that he was found on the corner of the same street the facility was on. R1 was given a body assessment when returning to the facility by staff and no injuries were noted. Per doctors orders, medical assessment was not necessary but to monitor the resident closely. LPA tested the two delayed egress gates that lead outside of the facility and they tested operational with a quick response time from staff. Upon file review LPA observed an in service training that was held the same day of the incident. LPA reviewed R1 physician report which states that they are unable to leave the facility unassisted. LPA reviewed monitoring logs done by care staff. Continued on 809-C Based on today’s inspection a deficiency along with a $500 immediate civil penalty is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Aurelia Olais and a copy of this report, LIC 809D, LIC421IM, and appeal rights were given at the time of inspection.the state’s words, verbatim · CDSS document, Apr 17, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87705(e)(5) · Plan of correction due date: Apr 18, 2025

87705(e)(5) Facility staff shall ensure the continued safety of residents if they wander away from the facility... This requirement is not met as evidence by: Licensee did not ensure supervision of resident with continued safety when wandering from the facility.the state’s words, verbatim · CDSS document, Apr 17, 2025

Plan of correction: Licensee provided LPA with in service training and monitoring logs at the time of inspection. Licensee will provide LPA proof of an elopement drill by email by POC due date.

Type of visit: Required - 1 Year

On this day Licensing Program Analysts (LPAs) Samer Haddad and Fred Arias made an unannounced visit to conduct a required annual visit. LPAs were greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 55 non-ambulatory residents. Facility has an approved hospice waiver for 25 residents and the home currently has 49 residents, with 15 residents on hospice. Administrator (AD) Aurelia Olais arrived shortly to help conduct facility tour. AD Olais has renewed her Administrators certificate and is currently pending as of 9/30/2024. AD provided updated liability insurance that expires on 7/17/2025. LPAs along with staff Paula Tanglao toured the facility at 8:30 AM. LPAs toured the physical plant, checked food service, facility documentation and the first aid kit. The facility is a one-story complex with twenty-eight resident apartments. Each apartment has either its own private bathroom or shares a jack-and-jill style bathroom with another apartment. The facility also houses two common bathrooms, three large shower rooms, kitchen, dining room, living room, sun room, laundry room, activity room and medication room. 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 between 117.5 degrees F and 120.5 degrees F in all bathrooms checked. 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. LPAs toured the kitchen and observed sharps locked behind the kitchen entrance door during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Stove in kitchen has 3 out of 6 burners non-operational. LPAs observed one kitchen drawer to have rotted out. Facility is planning to replace all cabinets on 1/27/2025. LPA reviewed cabinet quote provided by Fireworks Fire Protection Services. Smoke detectors were serviced on 1/6/2025. Fire extinguishers were fully charged. LPAs 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 10/17/2024. Outside grounds were toured. Walkways around the facility were clear of hazards. Continued on LIC809-C Dated 1/22/2025 There are no security bars or weapons on the premises. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of exercise, bingo, and music therapy. There is shaded outdoor seating for residents. Exit gates are unlocked and operational. LPAs observed the emergency food and water supply. LPAs reviewed five resident files and five staff files. All resident files contained required documentation including admission agreements, physician reports, resident appraisals, and physician orders for bed rails as indicated. Staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. LPAs reviewed medication storage and administration. At 9:00am, Medications were observed stored in a medication room that was unlocked with a med-tech present in the room at the time of visit. Some medications were on the counter. The medication room has an open wall facing the main entrance of the facility. Based on the observations made during today’s visit, two deficiencies are 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, Jan 22, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Allegation investigated: Facility did not implement precautions for scabies outbreak.

Licensing Program Analyst (LPA) Jessica Cho made an unannounced subsequent visit for the purpose of continuing the investigation and delivering the findings into the above allegation. LPA explained the reason for the visit and reviewed the allegation with Administrator Aurelia Olais and Resident Care Director Paula Tanglao. During the initial visit on March 26, 2024, LPA interviewed two residents and five staff. Attempts were made to interview three additional residents, however interviews could not be completed at the time. LPA obtained pertinent documentation which includes: Resident Roster, Hopsice Resident Roster, Face Sheets, Phyisician's Reports, Special Incident Report, Care Notes for Resident #1 (R1), and the Infection Control Procedures. On today's date, LPA toured the showers. LPA observed three showers with two shower chairs. One additional interview was conducted today with a resident and records were also obtained. The investigation revealed the following: Regarding the allegation, Facility did not implement precautions for scabies outbreak, it was alleged R1 having scabies. Five out of the five staff interviewed denied residents and staff having scabies. Unsubstantiated The five staff were also able to explain the infection control procedures. A facility staff also indicated that a skin test was requested to R1's hospice agency due to R1 being under their care and R1 presenting an unknown rash. One facility staff and witness interview stated that hospice offers palliative care that is solely symptom focused. Per the hospice charting, R1 was prescribed Ivermectin and Permethrin, to treat the scabies which improved the symptoms and cleared the rash. As of today's date, the diagnosis for the rash is unknown and facility did not pursue a test for R1. One out of the three residents interviewed confirmed having a rash while the remaining residents denied having or witnessing rash on other residents or staff. Three out of the three residents confirmed that the facility cleans and offers laundry services daily. Therefore, due to conflicting information, LPA is unable to corroborate the allegation. Based on the observations made, interviews which were conducted, and the records that were reviewed, although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the following allegation: Facility did not implement precautions for scabies outbreak is deemed UNSUBSTANTIATED. An exit interview was conducted with Administrator Aurelia Olais and Resident Care Director Paula Tangloa, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, May 30, 2024 · control 22-AS-20240321121345

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Jessica Cho continued an unannounced Case-Management visit after delivering the findings in connection to Complaint Control Number: 22-AS-20240321121345. The purpose of this visit is to issue a deficiency that was discovered during the investigation mentioned above. LPA explained the reason for the visit to Administrator Aurelia Olais and Resident Care Director Paula Tanglao. During the investigation, it was discovered that Resident #1 (R1) presented an unknown rash that was alleged as scabies which spread throughout R1's body. Although the facility requested a skin test to R1's hospice agency, facility failed to pursue a skin test (or seek medical care) to ensure that the resident's needs are being met. Per record review, R1 was prescribed Ivermectin and Permethrin which is commonly used to treat scabies. The skin rash cleared after the treatments. Therefore, based on the interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met. A deficiency is being cited as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations. Please see the attached LIC809-D. An exit interview was conducted with Administrator Aurelia Olais and Resident Care Director Paula Tanglao, and a copy of this report including the LIC809-D were provided at the end of the visit.the state’s words, verbatim · CDSS document, May 30, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(1) · Plan of correction due date: Jun 7, 2024

87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed...and provide for assistance in obtaining such care...: (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement was not met as evidenced by: Based on interviews and record review, although R1 was not tested for scabies, the medications prescribed to treat scabies resolved the skin rash which poses a potential risk to the persons in care.the state’s words, verbatim · CDSS document, May 30, 2024

Plan of correction: Adminstrator to develop a plan of care for all skin skin rashes moving forward and to submit an Aknowledgement of Understanding for the said deficiency to LPA via email by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility unannounced for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by Resident Care Coordinator (RCC) Paula Tanglao and brought to the facility's office located in a residence immediately next door to the facility. LPA met with Administrator (AD) Aurelia Olais at the home office next door to the facility. The facility is a one-story complex with twenty-eight resident apartments. Each apartment has either its own private bathroom or shares a jack-and-jill style bathroom with another apartment. The facility also houses two common bathrooms, three large shower rooms, kitchen, dining room, living room, sunroom, laundry room, activity room and medication room. Facility appears clean, safe and sanitary. All resident apartments had the required elements, including bed, chair, closet space and ample lighting. Facility has extra linens for clients in storage at the home office next door to the facility. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water measured at 109 degrees Fahrenheit in the common bathrooms. LPA observed facility has emergency food and water supply stored at the home office next door to the facility. LPA noted Fire Extinguishers were last serviced on 4/18/2023. LPA observed hazardous items such as knives, chemicals and cleaners to be locked up in cabinets in the kitchen. Knives are locked up separate from toxic chemicals. The facility houses extra hygiene supplies and chemicals at the home office next door to the facility. Medication for each resident is kept locked in the medication room in the facility. LPA reviewed a service report from Regency Fire indicating that the fire alarm/sprinkler system was last serviced on 11/17/2023. LPA reviewed three resident files and four staff files. LPA observed residents watching TV together in a common area. LPA observed another group of residents participating in a group music/film activity during the time of the inspection. The following are all posted and available for review: emergency phone numbers, activity calendar, menu, necessary postings and the PUB475." No deficiencies were issued based on today's inspection. An exit interview was conducted and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Feb 29, 2024

Allegation investigated: Facility did not pick resident up from the hospital. Facility failed to provide supervision resulting in resident falling

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. During the course of the investigation, LPA toured the facility, interviewed staff and witness as well as reviewed and obtained pertinent documentation such as physician report and resident appraisal. Regarding the allegations that facility did not pick resident up from the hospital and facility failed to provide supervision resulting in resident falling, the investigation revealed the following: Resident 1 (R1) was hospitalized on 08/16/2022 after an unwitnessed fall at the facility. Resident was found outside the resident's room around 7:50 PM. Resident diagnosis was abrasion to the scalp and laceration without foreign body of nose. Resident was treated and hospital contacted facility for resident pick up. Facility contacted resident's family for pick up and resident returned to the facility. Facility indicates the first protocol is to contact the family for pick up and if that is not possible they can arrange for an ambulance pick up. Department regulations indicate facility must arrange or assist in arranging transportation for CONTINUED ON LIC 9099C DATED 10/26/2023. Unsubstantiated medical services. Four out of four staff indicate resident was always walking and staff would follow the resident as the resident walked. Resident was being observed all the time with frequent checks. The resident was always moving and out of the resident's room and they could not force the resident to stop. The NOC shift was aware of frequent checks on the resident as well. Due to conflicting information, LPA is unable to corroborate the allegations. Based on interviews conducted, the allegations are deemed unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with and a copy of this report was provided to facility.the state’s words, verbatim · CDSS document, Oct 26, 2023 · control 22-AS-20220817114947