Timber Ridge at Mckinleyville

Allegation investigated: Staff is taking videos of residents without consent Staff is using illegal substances during working hours

At approximately 1:45PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver the findings of an investigation conducted by the Department into the above allegations. LPA met with Executive Director David Uballez. Based on interviews conducted and documents reviewed, there was not sufficient evidence to support the allegations. Interviews conducted did not provide supporting information that staff were taking videos of residents without consent. Staff utilize either a work provided cell phone or their personal cell phone to access the facility call bell system. Staff interviewed stated they do not utilize personal apps on their phones during work hours. Based on interviews conducted, there were no instances of staff using illegal substaces during working hours. The investigation found a couple instances where staff arrived to work under the influence and were terminated. There were no instances of staff using or being under the influence while on duty at the facility. 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, therefore the allegations are Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 23, 2026 · control 21-AS-20260415094717

Type of visit: Required - 1 Year

At approximately 1:45PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Executive Director David Uballez and explained the purpose of the visit. Administrator certificate is current. Facility has a Hospice waiver for 11 residents. At approximately 2:00PM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and outdoor areas. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. Facility has a fire sprinkler system. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency food stores and water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. Evacuation chairs were located at each stairwell. First aid kit was present. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months. Activity calendar was posted in the lobby with many activities scheduled for the day. At approximately 2:45PM, LPA reviewed 6 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present. LPA conducted a review of medications. Medication is locked and not accessible. Continued on LIC809-C… At approximately 3:20PM, LPA reviewed 6 staff files. Staff files reviewed contained evidence of completed annual training and all required documents. First Aid/CPR certification was current. All employees requiring background checks are cleared. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Jun 23, 2026

Allegation investigated: Staff not meeting resident care needs Violation of resident's personal rights

At approximately 1:20PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facililty unannounced to open an investigation into the above allegation. LPA met with Executive Director David Uballez, interviewed staff and received copies of documents. Based on interviews conducted and records reviewed, LPA was not able to find evidence to support the above allegaitons. Residents have the right to refuse to get out of bed or to refuse meals. Interviews conducted showed resident, R1, comes out of their room for meals and will stay in the common area until staff observe R1 becoming unsafe. R1 has been declining and having more falls. Staff encourage R1 to join activities and socialize, but R1 expresses their displeasure with spending time with others. Interviews reveiled that items go missing from resident rooms on a routine basis and the item will be found elsewhere. Residents wander freely and will pick things up in one location and place them somewhere else. Staff will return the items to the proper location when they discover them. LPA reviewed resident records and observed R1 has not had significant weight loss since moving to the facility. Staff monitor resident weights monthly and report to the physician when warranted. 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, therefore the allegations are Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 30, 2026 · control 21-AS-20260320154104

Type of visit: Required - 1 Year

At approximately 8:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Front Desk manager Valli Lunsford and explained the purpose of the visit. Administrator certificate is current. LPA requested Licensee submit documentation to appoint an Administrator. Facility has a Hospice waiver for 11 residents. At approximately 8:30AM, LPA toured the facility to ensure the health and safety of residents in care. The facility was observed to be at a comfortable temperature. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and outdoor areas. In the areas toured no immediate health, safety, or personal rights violations were observed. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. Facility has a fire sprinkler system. The common areas, bathrooms and kitchen were clean and in good repair. All bedrooms had required furniture, bedding, and lighting. The kitchen equipment was clean and in good repair. Dishware appeared to be stored in a sanitary manner. Food appears to be stored and prepared properly. Refrigerators and freezers were maintained at the proper temperature. Facility has required seven-day non-perishable and two-day perishable supply of food. Emergency food stores and water was present to ensure facility can be self-sufficient for 72 hours. Facility has a generator to supply power in an emergency. Emergency lighting devices were present. Evacuation chairs were located at each stairwell. First aid kit was present. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. Facility has been conducting Emergency drills every 3 months. Activity calendar was posted in the lobby with many activities scheduled for the day. At approximately 9:30AM, LPA reviewed 10 resident files. All resident files contained the required documentation. Reappraisals were conducted within the last 12 months. Documentation of a physician visit within the last 12 months was present. LPA conducted a review of medications. Medication is locked and not accessible. Continued on LIC809-C… At approximately 10:45AM, LPA reviewed 7 staff files. Staff files reviewed contained evidence of completed annual training and all required documents. First Aid/CPR certification was current. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Jul 22, 2025

Allegation investigated: Personal Rights

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Administrator Jennifer Hall, reviewed records and interviewed staff. LPA received copies of documents. Based on documents reviewed and interviews conducted, LPA did not find evidence to support that the personal rights of residents were violated. LPA reviewed pendant call logs and observed staff response times averaged 5 minutes or less. Interviews conducted did not support that staff removed a residents pendant or placed it out of reach to restrict resident from using it. 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 Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 12, 2025 · control 21-AS-20250422122453

Allegation investigated: Staff allow the residents to be soiled while in care Staff are not affording the residents privacy while showering Staff behavior poses as a risk to the residents Staff are stealing from the residents

At approximately 11:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to open an investigation into the above allegation. LPA met with Administrator Jennifer Hall, reviewed records and interviewed residents and staff. Based on records reviewed and interviews conducted, LPA was not able to find evidence to support the above allegations. Staff and Residents interviewed were not able to provide LPA with any supporting evidence that residents are left in a soiled state for long. Residents expressed their apprieciation for the promptness of the staff in tending to their needs. Staff interviewed stated their job is to respond timely to resident calls for assistance and if they observe a resident in need, they stop to assist the resident. Based on interviews conducted, staff are not aware of anyone violating residents privacy while showering. Staff interviewed were not aware of any staff member arriving at the facility intoxicated or consuming alcohol on the job. Based on records reviewed and interviews conducted, LPA was not able to find evidence of staff stealing items from residents. 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, therefore the allegations are Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, May 12, 2025 · control 21-AS-20250508100625

Allegation investigated: Sexual abuse

At approximately 11:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Administrator Jennifer Hall, reviewed records and interviewed staff. Based on records reviewed and interviews conducted, LPA did not find evidence to support the allegation listed above. The Humboldt County Sheriff's Department conducted an investigation into the matter and did not find evidence to support the allegation. Resident was interviewed and provided a different scenario that involved things that are not based in reality. Resident was checked for injury and there was no indication of any sexual abuse or injury found. 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 Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 28, 2025 · control 21-AS-20250414081654

Allegation investigated: Staff mismanaged resident's medications.

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to open an investigation into the above allegation. LPA met with Executive Director David Uballez and reviewed records. Based on interviews conducted and records reviewed, medication technician, S1, gave resident, R1, medication from the package of R2. The medications were the same and to correct the error, S1 took the medication from R1's package and placed them into the already opened package of R2. S1 placed tape over the backing of the package to secure them. S1 was removed from medication duties for not following facility policies regarding administering medications. The correct medication was given and no medications were missing. 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 Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 24, 2024 · control 21-AS-20241219130327

Allegation investigated: Staff mismanaged resident's medication

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to deliver the results of an investigation into the above allegation. LPA met with Executive Director David Uballez. Based on records reviewed and interviews conducted, LPA found evidence that shows staff gave resident more medication than was prescribed and made errors by removing more medication from the bubble packs than was needed then putting them back into the packs and attempting to seal with tape. Based on records reviewed, there were no misplaced or missing medication due to this however. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with David Uballez and Appeal rights were given. Substantiatedthe state’s words, verbatim · CDSS document, Oct 9, 2024 · control 21-AS-20240909084057

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Oct 10, 2024

87465 Incidental Medical and Dental Care:(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Based on records reviewed and interviews conducted, Licensee did not ensure resident received medications as ordered. This poses an Immediate Health risk to persons in care.the state’s words, verbatim · CDSS document, Oct 9, 2024

Plan of correction: Licensee shall ensure residents receive medication as ordered by the physician. Staff was removed from the medication technician position and received additional training. POC cleared at time of visit.

Allegation investigated: Facility failed to meet resident's care needs

At approximately 1:15PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an investigation into the above allegation. LPA met with Executive Director David Uballez and reviewed records. Based on records reviewed and interviews conducted, LPA observed Residents, R1, care plan noted a history of skin breakdown and was prone to skin tears on hands and arms. The care plan directs caregivers to monitor skin condition regularly. LPA reviewed staff communication logs and found notes regarding when R1 falls or complains of pain. There was no documenation following up on injuries sustained from the falls or the care provided. On 06/17/2024, records show R1 was found on the hallway floor. Staff observed a skin tear. LPA did not locate any additional documenation regarding the care or condition of the injury. LPA did not locate any documenation that the physician was notified. Continued on LIC9099-C... Substantiated On 06/22/2024, staff observed R1's skin tear to be red and swollen and contacted emergency personnel immediately. R1 was admitted to the hospital. LPA discussed with Administrator the need to document the care provided to residents to ensure their medical needs are met. Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with David Uballez and Appeal rights were given.the state’s words, verbatim · CDSS document, Aug 20, 2024 · control 21-AS-20240625115209

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(2) · Plan of correction due date: Aug 21, 2024

87465 Incidental Medical and Dental Care:(a)(2)The licensee shall provide assistance in meeting necessary medical and dental needs.This requirement is not met as evidenced by: Based on records reviewed, Licensee did not ensure residents medical needs were met. This poses an immediate Health risk to residents in care.the state’s words, verbatim · CDSS document, Aug 20, 2024

Plan of correction: Administrator conducted a meeting with all care staff regarding observing and reporting residents conditions. POC cleared during visit.

Type of visit: Case Management - Annual Continuation

At approximately 10:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to complete the Required-1 Year inspection which was started on 07/02/2024. LPA met with Administrator David Uballez and explained the purpose of the visit. At approximately 10:50AM, LPA reviewed 10 of 73 resident files and 10 staff files. All resident files contained the required documents and were current. First aid and CPR certifications were current in staff files reviewed and all staff records showed more than the required number of hours for annual training. No deficiencies were observed in the areas inspected, no citations were issued during today's visit.the state’s words, verbatim · CDSS document, Jul 17, 2024

Type of visit: Required - 1 Year

At approximately 12:15PM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct a Required-1 Year inspection. LPA met with Administrator David Uballez and explained the purpose of the visit. Administrator certificate is current. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to resident rooms, common areas, bathrooms, kitchen, storage areas and activity spaces. In the areas toured no immediate health, safety, or personal rights violations were observed. The common areas, bathrooms and kitchen were clean and in good repair. LPA inspected a sampling of rooms throughout the facility, all of which contained the required furnishings and lighting. Food appears to be stored and prepared properly. Facility has required seven-day non-perishable and two day perishable supply of food. The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguishers were fully charged. Smoke detectors are all operational. Carbon Monoxide Detector was present. All employees requiring background checks are cleared. No pools/bodies of water are on the premises. Facility has been conducting emergency drills as required. LPA will return at a later date to review staff and resident files. No citations were issued during today’s visit.the state’s words, verbatim · CDSS document, Jul 2, 2024

Type of visit: Case Management - Incident

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a case management visit. LPA met with Larona Farnum, toured the facility, reviewed records and interviewed staff. This visit is due to a report of medication bubble packs being tampered with. On 11/28/2023, medication technician on duty observed a difference in the feel of a medication. Upon further investigation, 9 other residents medication cards were discovered to be tampered with. In all cards, the medication Oxycodone 5mg, was replaced with Quetiapine. The pills are very similar in appearance. The cards appeared to have been separated and then resealed to prevent detection. Licensee notified law enforcement immediately as well as CCLD and the Ombudsman. Licensee has implemented additional checks to ensure medication received by the pharmacy is intact and the cards are checked at every change of shift. The incident is under investigation by the Humboldt County Sheriff's Department. LPA will follow up with facility upon completion of that investigation. While touring the facility, LPA observed the medication cart near the entrance to the dining room and the medication technician was nowhere in sight. LPA observed the cart was unsecured and there was a plastic baggy on top that contained medication. There were approximately 16 residents present. LPA alerted the medication technician and the cart was secured immediately. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Larona Farnum and Appeal rights were given.the state’s words, verbatim · CDSS document, Dec 19, 2023

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Dec 20, 2023

87465 Incidental Medical and Dental Care:(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. This requirement is not met as evidenced by: Based on observation, medication cart was unsecured with no staff supervision. This poses an immediate risk to residents in care.the state’s words, verbatim · CDSS document, Dec 19, 2023

Plan of correction: Licensee to provide refresher training for medication technicians on securing the medication cart. Training to be scheduled by 12/20/2023, and completed by 01/19/2024. Self certification of completed training to be sent to CCL by 01/22/2024.

Type of visit: Case Management - Other

At approximately 9:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct a case management visit in regards to two unexpected deaths that occurred at the facility. LPA met with Administrator David Uballez and reviewed records. Resident, R1, was seen at the hospital on 09/13/2023 for Pneumonia. Discharge paperwork requested R1 to see a cardiologist as soon as possible. R1 was also referred to Home Health. R1 continued to decline and a hospice consult was requested. Facility updated care plan and was conducting safety checks every 2 hours. On 10/26/2023, care staff found R1 unresponsive and emergency personnel were contacted. All notifications were made by facility. On 10/19/2023, Resident, R2, was vomiting and experiencing shortness of breath. Facility contacted emergency personnel and R2 was transported to the hospital and admitted. Facility was notified by responsible party on 10/22/2023, that R2 had passed. Facility requested a copy of the death certificate. No citations issued during this visit.the state’s words, verbatim · CDSS document, Oct 31, 2023