The Residency Club

Type of visit: Case Management - Other

Licensing Program Analyst J. Duarte arrived at the facility announced to conduct a case management for facility closure. LPA met with Licensee/Administrator Mukesh Patel and DR. Pierre Barnes. During a Non-Compliance Conference (NCC) on 07/17/2026, the Licensee voluntarily chose to relinquish the license. LPA toured the facility. There were no residents observed to be residing in the facility. LPA requested and obtained the facility license. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 3, 2026

Allegation investigated: Staff does not ensure residents medication is kept safely secured

Licensing Program Analyst (LPA) Sarah Hurt held an office meeting to deliver findings on the allegations listed above. LPA met with facility Licensee, Mukesh Patel, and Dr. Pierre Barnes and explained the purpose of the meeting. Regarding the allegation Staff does not ensure residents medication is kept safely secured. During a visit to the facility on July 13. 2026, LPA observed medications stored in an unlocked medication storage area. The Department also observed medications accessible to a resident 1 whose records indicated they were not authorized to self-administer medications. Additionally, staff permitted medications to be removed from the facility by Resident 2’s family member, organized into weekly pill organizers, and returned to the facility for administration. These practices demonstrate the facility failed to ensure resident medications were maintained in a safe and secure manner. The Department also reviewed information regarding missing hospice morphine that resulted in a police investigation further raising concerns regarding the facility’s medication security practices. Based on interviews conducted, records reviewed, and observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following deficiencies are being cited Per Title 22 regulations. Exit interview conducted with Licensee, Mukesh Patel, and Dr. Pierre Barnes, and a copy of this report provided. Substantiatedthe state’s words, verbatim · CDSS document, Jul 27, 2026 · control 24-AS-20260709100744

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Jul 28, 2026

87465 Incidental Medical and Dental Care(h) The following requirements shall apply to medications which are centrally stored:(2)Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. The following requirement has not been met as evidenced by: Based on interviews, records reviewed, and observation the facility staff is not ensuring resident medications, includng morphine are kept secure, which poses an immediate, health, safety, or personal rights risk to residnets in care.the state’s words, verbatim · CDSS document, Jul 27, 2026

Plan of correction: The licensee's plan to relinquish their License and cease facility operations on 08/03/2026,

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) M Vega conducted an unannounced Case Management visit. LPA met with facility staff, Shawn Walton, and explained the purpose of today’s visit. LPA interviewed Resident 1 and confirmed Resident 1 is safe. LPA discussed Resident 1’s (R1) placement with facility staff. LPA also confirmed that no written 30-day eviction notice has been issued to R1. The licensee was advised that R1 shall remain in placement and continue receiving required care and supervision until any discharge or eviction is completed in accordance with applicable Title 22 requirements. Exit interview conducted with facility staff, Shawn Walton, and a printed copy of this report was provided for facility records.the state’s words, verbatim · CDSS document, Jul 20, 2026

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced Case Management visit. LPA met with facility staff, Shawn Walton, and explained the purpose of today’s visit. LPA interviewed Resident 1 and confirmed Resident 1 is safe. LPA reviewed Resident 1’s Physician’s Report and confirmed the assessment documents that Resident 1 requires care and supervision. LPA discussed Resident 1’s placement with facility staff. LPA advised that, based on the current medical assessment, Resident 1 requires care and supervision and shall remain in the licensed facility where services are provided by fingerprint cleared facility staff under the licensee’s responsibility. LPA also confirmed that no written 30-day eviction notice has been issued to Resident 1. The licensee was advised that Resident 1 shall remain in placement and continue receiving required care and supervision until any discharge or eviction is completed in accordance with applicable Title 22 requirements. Exit interview conducted with facility staff, Shawn Walton, and a copy of this report was providedthe state’s words, verbatim · CDSS document, Jul 14, 2026

Allegation investigated: Unqualified staff are providing wound care to resident Staff are not dispensing medications as prescribed Staff did not obtain criminal record clearance before working at facility

Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegations listed above. LPA met with facility Licensee Dr. Barnes and Facility staff Shawn Walton, and explained the purpose of today's visit. Regarding the allegation Unqualified staff are providing wound care to resident. LPA conducted interviews, reviewed records, and made observations at the facility. During the facility visit on 04/16/2026 staff acknowledged that they were applying ointment to Resident 1's wound and replacing the dressing/bandage. Staff stated they routinely performed these tasks as part of residents care. Based on interviews conducted and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Substantiated Regarding the allegation Staff are not dispensing medications as prescribed. During the investigation, staff stated they administer medications directly from weekly/monthly pill organizers prepared by resident family members and outside caregivers. Staff acknowledged they do not know the identity of the medications contained within the organizers and do not verify the contents against original pharmacy-labeled containers or physician orders prior to administration. LPA observed medications removed from their original labeled containers and placed into organizers. The facility was unable to provide centrally stored medication records or documentation verifying the medications being administered. Based on staff admissions, observations, and record review, the facility failed to ensure medications were administered according to physicians orders. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Regarding the allegation Staff did not obtain criminal record clearance before working at facility. LPA observed staff 1 at the facility with resident 2 present and no other facility staff. Staff 1 is not fingerprint cleared or associated to this facility,. Staff 2 is fingerprint cleared to work at the facility beginning April 06, 2026. Multiple witnesses interviewed confirmed Staff 2 began providing care to residents as early as January 2026. Based on interviews conducted, and LPA observation the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Exit interview conducted with facility Licensee, Dr. Barnes, and Facility staff Shawn Walton, and copy of report provided.the state’s words, verbatim · CDSS document, Jul 13, 2026 · control 24-AS-20260414160902

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87631(a)(1)(A) · Plan of correction due date: Jul 14, 2026

87631 Healing Wounds (a) Except as specified in Section 87611(a), the licensee shall be permitted to accept or retain a resident who has a healing wound under the following circumstances:(1) When care is performed by or under the supervision of an appropriately skilled profession(A) The resident shall receive care for the pressure injury from a physician or an appropriately skilled professional. The following requirement has not been met as evidenced by: Based on interviews and observation facility staff was providing wound care to Resident 1, which poses an immediate health, safety , or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 13, 2026

Plan of correction: The Licensee will immediately cease allowing unlicensed staff to provide wound care to residents. The licensee shall ensure wound care is provided only by an appropriately skilled professional or under the supervision of an approprately skilled proffesional, as permitted under Title 22 Regulations.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(4) · Plan of correction due date: Jul 14, 2026

87465 Incidental Medical and Dental Care (4) The licensee shall assist residents with self-administered medications as needed. The following requirements have not been met as evidenced by: Based on observation, and interview Facility staff is administering medications to resident 1 and resident 2 that are removed from original container and placed in weekly organizers, which poses an immediate, health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 13, 2026

Plan of correction: The Licensee shall immediately discontinue the practice of administering medications from organizers that have been pre filled by outside caregivers without verification. All medications shall be maintained in their original pharmacy labeled containers, the licensee shall establish centrally stored medication records for each resident whose medication is being stored at this facility and send proof to LPA by POC date 07/14/2026.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(a) · Plan of correction due date: Jul 14, 2026

87355 Criminal Record Clearance (a) The Department shall conduct a criminal record review of all individuals specified in Health and Safety Code section 1569.17 and shall have the authority to approve or deny a facility license, or employment, residence, or presence in the facility, based upon the results of such review. The following requirement has not been as evidenced by: Based on interview and observation staff 1 and staff 2 have provided care to facility residents without fingerprint clearance, which poses an immediate, health, safety, or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Jul 13, 2026

Plan of correction: Licensee shall immediately remove all individuals without a crimninal record clearance or approved exemption from the facility and ensure they do not provide care or have contact with residents until the required criminal record clearance has been obtained.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Staff Shawn Walton, and Facility staff Dr. Barnes, Continual Administrator's Certification for Licensee Administrator Mukesh Patel expires 05/02/2028. There is currently 1 residents\ who reside at this home and there is 0 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean and in good repair Food supply is adequate for 2-day perishable and 7-day nonperishable. Water temperature was tested at 117 degrees. First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible. The facility staff present does not have access to staff or residents files for review. There is no Centrally stored medication record available for review. The facility residents do not have PRN authorization form available for review. LPA observed Resident 1's medication removed from original containers and placed to be dispensed in large monthly medication organizer. LPA observed the facility closet storing resident medications unlocked and accessible to residents. Resident 1's medication is is stored on night stand next to bed. Resident 1's Physician report documenting if they are able to administer own medications is not available for review. The facility is not performing disaster drills as required. The facility does not have a Plan of Operation available for review. Fire extinguisher is not within the safety regulation period (purchased on 06/2025.) LPA observed multiple food containers inside refrigerator with no dates or label. Additional deficiencies will be added at a later date if warranted. The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Facility Licensee, Dr. Barnes, and facility staff Shawn Walton, and copy of report left at facilitythe state’s words, verbatim · CDSS document, Jul 13, 2026

The state marks this report as 12 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility to conduct an Annual Inspection. LPA was granted into the facility by Administrator Mukesh Patel. LPA toured the facility. The facility currently does not have any residents in care. LPA observed 4 bedrooms containing all required furniture. LPA observed the facility to be clean. Hot was was measured at 110 F. LPA observed common rooms have adequate furnishings and lighting. Smoke detectors and carbon monoxide were operating. Facility has a sprinkler system and a pull station fire alarm. Facility medication will be locked an a locked closet in the hall. Cleaning supplies are locked in a closet near the kitchen. Outside of the facility toured. Exits open free of obstruction. No outside hazards were observed. LPA observed a self latching gate. Facility has outdoor seating with shaded umbrella. LPA reviewed Administrator file. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Sep 16, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Shawna Doucette arrived to the facility announced to conduct the Pre licensing visit. LPA Shawna Doucette met with Licensee Mukesh Patel and Licensee Pierre T Barneswho granted LPA's entry into the facility. LPA toured facility. Common rooms have adequate furnishings and lighting. All of the resident bedrooms have all the required furnishings and adequate lighting. Hot water temperature in bathrooms measured at 110 degrees F. LPA observed a supply of extra bed linens and personal hygiene and grooming products. Kitchen observed to have dishes, plates, utensils. Cleaning supplies are stored in the locked laundry room. Medications are locked in a medication closet. First aid kit contains all the required items. A fire extinguisher is present and has a service date of 05/08/2024. Smoke detectors and carbon monoxide were operating. Facility has a sprinkler system and a pull station fire alarm. Outside of the facility toured. Exits open free of obstruction. No outside hazards were observed. No pools or bodies of water. All required postings are posted. Facility phone number will be (661) 282-8968.. Component III was conducted during pre-licensing visit with Applicants. I have found that applicant has met all pre licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.the state’s words, verbatim · CDSS document, Sep 5, 2024