The Isles Assisted Living Facility

Allegation investigated: Resident unlawfully evicted

Licensing Program Analyst (LPA) Alviso arrived to conduct a complaint inspection, at about 10:30am on 3/17/26, and met with Licensee Suzette Tawser.Currently there are five (5) residents in care; Two (2) residents are on hospice care. Reporting party alleges "resident unlawfully evicted". LPA reviewed resident R1's records, and reviewed information obtained from interviews with staff, and other related parties. The investigation revealed that Licensee Suzette Tawser notified responsible party that R1's cost of care would cost more money, due to R1's decline and current needs. Licensee notified responsible party of R1 that since they will not pay a higher care cost for R1 that they could not be brought back into care at the facility; Licensee did not allow R1 to return. Licensee did not provide a required 30-day written notice of eviction to the resident/responsible party, as required by regulation. There was sufficient information otained to support that the violation occurred. This deficiency will be cited, 87224(a)The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required, see LIC9099D. The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited. Failure to correct deficiencies by due dates, may result in civil penalties being assessed. Exit interview conducted with Licensee Suzette Tawser. Appeal Rights Provided. Substantiated Per interviews, R1 had some incidents occur while being seen by the Home Health Nurse; The Nurse is a licensed medical professional, and is overseen by a licensed medical Physician, in order to provide in-home nursing care to residents. Per record reviews, there was no report received by the Department of neglect by Home Health Nurses in care to resident R1. Per interviews, staff S1 stated caregivers have called 911 for R1; R1 was assessed by the ER responders, and R1 was not taken to the hospital. R1 was able to speak with ER responders. R1 remained in the facility both times. Staff reported they contacted responsible party as required, and reported to licensing. There is no medical documentation from medical physicians stating an identified individual/individuals being the cause of resident's health concerns and/or diagnosis, per ecord reviews and/or provided by the reporting party. There was no information obtained to support the alleged violations had occurred, Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegations "staff neglect resulted in a resident sustaining a pressure injury", "staff did not address a resident's change in condition and seek timely medicall", and "staff did not follow proper reporting procedures". are Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. No deficiencies cited. Exit interview was conducted with the Licensee Suzette Tawser.the state’s words, verbatim · CDSS document, Mar 17, 2026 · control 21-AS-20251210103016

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87224(a) · Plan of correction due date: Mar 23, 2026

87224(a)The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required This requirement was not met as evidenced by: Licensee notified responsible party of R1 that since they will not pay a higher care cost for R1 that they could not be brought back into care at the facility; Licensee did not allow R1 to return. Licensee did not provide a required 30-day written notice of eviction to the resident/responsible party, as required by regulation. This is a risk to residents' personal rights.the state’s words, verbatim · CDSS document, Mar 17, 2026

Plan of correction: Licensee/Administrator to submit a written self certification that they have reviewed Eviction Procedures-87224, stating their understanding of this regulation. Submit a plan of future compliance with this regulation. POC due 3/23/26.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year inspection, at about 10:30am on 3/17/26, and met with Licensee Suzette Tawser. Currently there are five (5) residents in care; Two (2) residents are on hospice care. Facility is fire cleared for six (6) bedridden residents; All resident rooms may be occupied by bedridden, non-ambulatory and/or ambulatory residents. Facility is approved for six (6) hospice residents' Facility has a required emergency disaster plan. Facility has a required infection control plan. Facility has a dementia plan of operation. LPA reviewed four five (5) resident files. All files were complete. LPA reviewed three (3) staff files. All staff have criminal record clearance. All staff have first aid certification and CPR certification. LPA reviewed staff training. LPA toured the facility with the Licensee. Hot water was measured at 114.4 degrees Fahrenheit. All exits were free and clear of obstruction. Fire extinguishers were serviced and tagged. LPA observed the food supply to be sufficient. Facility was at a comfortable temperature during the inspection. Facility bathrooms had grab bars, and non-slip mats for residents' use. Facility had all medications locked and inaccessible to residents' in care. Facility had cleaners/disinfectants locked up and inaccessible to residents' in care. Sufficient supply of hygiene products, linens, furnishings, personal protective equipment (PPE), and paper products. Continued on LIC809C.. Backyard had a large wooden patio deck that has fire exit ramps on each side of the home off of the patio deck. Exit gates opened freely during the inspection. Smoke detectors were in all resident rooms and required common areas, and carbon monoxide detector was up, all working during the inspection. LPA is requesting the following documents be updated and submitted by 4/17/26: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required-no changes submit copy of review page) If changes submit plan copy Infection Control Plan (ensure to review and update as needed/required- no changes submit copy of review page)- If changes submit plan copy LIC400 Handling of Client Cash Resources (all facilities complete this-include copy of surety bond if handling cash) Current Liability Insurance Resident Roster Copy of current Administrator Certificate No deficiencies cited during today's inspection.the state’s words, verbatim · CDSS document, Mar 17, 2026

Type of visit: Case Management - Other

At approximately 1:40 PM, Licensing Program Analyst (LPA) Contreras and Licensing Program Manager( LPM) Mota arrived unannounced to conduct a Case Management visit, and met with caregiver Ma Gracia Manalo. The purpose of the visit was to obtain further documents regarding a change of administrator and documents requested at the annual inspection completed by LPA Canela on 3/7/2025. The following documents are required for the change of administrator and prior annual inspection: LIC500 Personnel Report LIC308 Designation of Facility Responsibility Copy of current Liability Insurance Copy of current Lease Agreement Last page of LIC610 Disaster Plan if there are no changes Licensee was unavailable at today's visit but was contacted by telephone and informed LPM that a copy of the above documents will be emailed. LPM is requesting these documents to be provided by 5/05/2025 No Deficiencies cited during visit. Exit interview conducted...the state’s words, verbatim · CDSS document, May 1, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an Annual Required 1 Year inspection and met with care staff, MaGrace Manalo and Marilou Barrola, Administrator, Suzette Tawzer was not available to come during the visit, but was available by phone. During today's inspection there were 6 residents living in the home, none receiving Hospice services. LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. All auditory door alarms were operational, resident rooms have small hand held bells for residents to use to alert staff. Residents rooms were furnished per regulation. Water temperature in bathrooms measured at 116 degrees F which is within the required allowed regulation range of 105 to 120 degrees F. Extra hygiene products and linens were available. Cabinet containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Fire extinguisher charged and last serviced March 2024. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational. Two staff files and 5 resident files were reviewed. Staff have required First Aid and CPR certificates, that expire 2/2026. Staff have the required annual training in file, including dementia training. Administrator Certificate for, Suzette Tawzer expired 12/27/2023 but Administrator stated they submitted paperwork to renew the certificate. Facility also has an additional Administrator and facility was asked to submit required paperwork to Community Care Licensing to change and update the name of the administrator. Continued on LIC809C Continued from LIC809 LPA went over facility needing to ensure some areas of the outside deck railings are sanded/painted and with smooth surface and appropriate for resident use. LPA reminded to always ensure flooring is leveled and correct any minor imperfections before they become a hazard. LPA requested paperwork to change Administrator be sent to LPA by 3/13/2025. LPA also requested facility to send an updated LIC200 with corrections that were requested, by 3/13/2025. Licensee/Administrator to submit updates of the following documents by 4/1/2025: LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (If changes) LIC9020 Register of Residents LIC308 Designation of Responsibility Infection Control Plan (If changes) Liability Insurance Copy of current Lease Agreement No citations issued during todays visit.the state’s words, verbatim · CDSS document, Mar 7, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an Annual Required 1 Year inspection and met with care staff, Reinalee Sanchez and Marilou Barrola, Administrator, Suzette Tawzer arrived a few minutes later. LPA initiated a tour of the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. All auditory door alarms were operational, resident rooms have small hand held bells for residents to use to alert staff. Residents rooms were furnished per regulation. Water temperature in bathrooms measured at 115 degrees F which is within the required allowed regulation range of 105 to 120 degrees F. Extra hygiene products and linens were available. Cabinet containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Fire extinguisher were last inspected March 3, 2023. Smoke and Carbon Monoxide detectors located throughout the facility were tested and operational. Three staff files and 6 resident files were reviewed. Staff have required First Aid and CPR certificates, that expire 2/2024 and 8/2024. Staff have the required annual training in file, including dementia training. All three staff present are fingerprint cleared and associated to this facility. Administrator Certificate for, Suzette Tawzer expired 12/27/2023 but Administrator has already submitted paperwork to renew the certificate. LPA will review facility file application for possible current changes in organization that may require a new application. LPA will notify Administrator once reviewed. Continued on LIC809C Continued from LIC809 Two of six resident files did not have a current medical assessment in file and current resident appraisal on file. Administrator and LPA discussed their Emergency Disaster Plan and Infection Control Plan. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided. Licensee/Administrator to submit updates of the following documents by 2/21/2024: LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (If changes) LIC9020 Register of Residents LIC308 Designation of Responsibility Infection Control Plan (If changes) Liability Insurance Copy of current Lease Agreementthe state’s words, verbatim · CDSS document, Jan 22, 2024