Tuscan Manor E

Type of visit: Required - 1 Year

At approximately 1:45 PM, Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct a Required 1 Year visit and was greeted by Administrator Oliva Garcia. Tuscan Manor E LLC is Licensed as a Residential Care Facility for the Elderly (RCFE). The facility is a single story ranch house. The facility has an approved fire clearance for six (6) non-ambulatory residents. The facility has a Hospice Waiver for three (3) residents. Upon arrival, LPA was informed that there were six (6) residents in care. At approximately 1:55 PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 2:00 PM, LPA toured the facility with Administrator Garcia. All exits were clear and unobstructed. The Facility's three (3) fire extinguishers were last serviced and tagged on 12/3/2025. The facility was sufficiently lighted. LPA inspected five (5) resident bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for residents. Toxins were observed to be stored inaccessible to residents. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The facility is conducting fire and emergency drills quarterly. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for all sinks in facility were found to be within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility smoke detectors and carbon monoxide detectors were tested and observed to be operational. Continued on 809-C... ...Continued from 809 LPA unable to complete Annual Inspection. Annual Continuation Visit to be conducted at a later date. Eufrasia Garcia’s Administrator Certification 7017395740 is current with an expiration date of 10/15/2026. LPA requested the following documents be submitted to Community Care Licensing by 2/23/2026: LIC 308 Designation of Responsibility LIC 610E Emergency Disaster Plan Proof of Liability Insurance No deficiencies cited during today's visit. Exit interview conducted. Copy of report discussed and provided to Administrator Garcia. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Jan 23, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At approximately 8:00 AM Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct an Annual Required Inspection and was greeted by a Caregiver. Administrator, Eufrasia "Oliva" Garcia arrived at 8:30 AM. Facility is a single story ranch house. Facility has an approved fire clearance for six (6) non-ambulatory residents with an approved Hospice waiver for three (3). Facility serves residents with dementia and has a plan of operation for dementia care and programming on file. Upon arrival, LPA was informed that there were six (6) clients in care and two (2) staff members on-site. At approximately 8:30 AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 8:45 AM, LPA toured the facility with Administrator Garcia. All exits were clear and unobstructed. Fire extinguisher was last serviced and tagged on 12/5/2024. Food supply was sufficient. The facility was sufficiently lighted and Furnished. During the inspection, LPA observed that there was no Residential Care Facility for the Elderly (RCFE) complaint poster (PUB 475) posted in a conspicuous location as per Title 22 Regulations. A Technical Violation is being issued for the PUB 475 not being posted. LPA inspected three (3) client bedrooms and found all to have sufficient lighting and furnishings as required per Title 22 Regulations. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for clients. Toxins were observed to be stored inaccessible to clients. Facility has an infection control plan as required. The facility has a required emergency disaster plan. The last disaster drill was conducted on 12/1/2024. The facility does have emergency food and supplies to meet the "72 hour shelter in place" requirements. Hot water temperatures for four (4) sinks in facility were measured and three (3) of four (4) were observed to exceed Title 22 regulations of 105 to 120 degrees Fahrenheit. This deficiency will be cited. Facility smoke detectors and carbon monoxide detectors were tested and operational. Continued on 809... ...Continued from 809 At approximately 10:15 AM, LPA reviewed six (6) staff files. LPA observed that one (1) staff member (S1) did not have an LIC 503 Health Screening Report - Facility Personnel on File. In Addition, one (1) staff member (S2) did not have their LIC 503 signed by an authorized health care professional. These deficiencies will be cited. All staff members had current First Aid and CPR certification and proper training documentation. LPA reviewed five (5) resident files. LPA observed that one (1) resident's (R1) file did not have a 602A Physician's Report for Residential Care Facilities for the Elderly (RCFE). This deficiency will be cited. Four (4) residents' files were observed to have all required documentation. LPA spot checked Medication for three (3) residents. LPA observed that three (3) of three (3) residents medications were not properly documented in the LIC 622 Centrally Stored Medication and Destruction Records per Title 22 Regulations. These deficiencies will be cited. The facility does not handle client monies for personal and incidental items. Administrator's Certificate renewal for Eufrasia Garcia (7017395740) was received by Community Care Licensing on 10/3/2024. LPA requested the following documents be submitted to Community Care Licensing by 3/6/2025: LIC 308 Designation of Responsibility LIC 610D Emergency Disaster Plan Proof of Liability Insurance Deficiencies 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. Copy of report, LIC809Ds (Deficiency Pages) with plans of corrections, LIC9102 Technical Violation, Confidential Names (LIC811), and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Feb 6, 2025

The state marks this report as 7 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Allegation investigated: -Neglect and lack of supervision resulting in injury. -Staff unable to meet resident care needs.

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a complaint investigation and deliver findings regarding the above allegations and met with Licensee Eufrasia "Oliva" Arizmedi. The Department received an allegation of neglect and lack of supervision resulting in injury. Per Reporting party, resident (R1) needs help with transfers due to their mobility limitations, but R1 was left alone while they were using the restroom, the staff did not provide R1 with alert pendant to call for help and staff did not come to help R1 after they called multiple times for help, then R1 attempted to get up by themselves due to pain experienced while sitting for some time in the toilet resulting in a fracture. During the investigation, LPA conducted unannounced visits to the facility on 1/31/24, 2/27/24 and 3/26/24. Based on LPA’s observations, LPA/staff toured the facility including R1’s bedroom which is in the back of the facility and has a private restroom. There was a call light pendant attached to a pole located in the bedroom when LPA pushed it did not hear any sound in the bedroom, but LPA was able to observe that the sound alerts staff in the kitchen, then it stays flashing for minutes until someone clears it. Continue on LIC9099C... Unsubstantiated Continued from LIC9099... However, in the case that staff are helping another resident in their room, this feature might be challenging for staff. Based on records review of R1’s physician report dated 5/5/2021, R1 needs assistance with daily activities including incontinence care and transfers to and from bed. Also, LPA was provided with a staff schedule for the month of January 2024 that indicates that there were two staff on duty on 1/28/24, but one of them was taking their lunch break at the time of the incident. Interviews conducted with staff (S1 and S2) and residents in care (R1, R2 and R3) revealed conflicting information if R1 had a call pendant at time of incident. Interviews conducted with R2 revealed no information to confirm yelling for assistance. Interviews conducted with S1 revealed that R1 requested a few minutes of privacy while using the restroom. I t was confirmed that S1 came back to assist R1 within approximate five minutes after assisting another resident who was in the living room, at the other end of the facility. Although R1 had a fall, the investigation did not reveal information of neglect and lack of supervision. A finding that the complaint allegation of neglect and lack of supervision resulting in injury is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Regarding the allegation of staff unable to meet resident care needs. Per reporting party, staff would usually not check in with R1 when help is being asked. Based on records review, the facility issued an unlawful 30-day eviction notice to terminate board and care services to resident (R1) dated 4/22/2022 that was not enforced by the facility when the effective date of eviction 5/22/2022 was reached. Per eviction notice, R1 needed a higher level of care and supervision including assistance with their daily activities that the facility was not able to provide to them. Based on interviews with the licensee, R1’s responsible party was unable to find placement, so both parties verbally agreed that R1 will stay in the facility receiving the same services that they were unable to provide that could risk the health and safety of R1. Per Title 22 regulations reasons for eviction were unlawful. Although the unlawful eviction notice indicated they couldn’t meet R1’s needs, there is not a valid reason within regulation that could possible evict R1. Upon admission, it appears R1’s care needs were similar, and no change of condition has been able to be identified. A finding that the complaint allegation of staff unable to meet resident care needs is unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted with Licensee and copy of this report was given.the state’s words, verbatim · CDSS document, Apr 5, 2024 · control 21-AS-20240129160104

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Licensee, Eufrasia "Oliva" Arizmedi. Required postings were observed. LPA/Licensee initiated a tour of the facility at 1:00 pm and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathroom measured at 113.5 and 115.2 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required grab bars. Kitchen cabinet containing cleaning supplies was locked. Medications were centrally stored and locked. Fire extinguisher charged and serviced as of December 2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have auditory alerts that were functional at time of visit. Last disaster drill was conducted on 12/27/23. Facility has at least two days of perishable and one week of non-perishable foods. File review was initiated at 1:30 pm. Three staff files and four resident files were reviewed. One out of four residents (R1) care plan needs to be updated. Medical assessments were updated for all residents. One out of three staff (S1) do not have required First Aid and CPR certificate updated. All staff have received additional annual training hours required. Administrator's certificate for administrator Eufrasia O Garcia 6049916740 expires 10/15/2024. At approximate 2:00pm LPA/Licensee conducted a spot of medications and their records were reviewed. However, two out of four resident's (R1 & R4) medications were not entered into the Centrally Stored Medication log (CSML). Per Licensee, R4 might leave the facility, so they have not entered their medication into the log yet, but they ensured that R4 had been assisted with their medications. LPA/Licensee discussed the importance and requirement of entering all resident's medication into the CSML accordingly upon resident's admission to the facility. Continue on LIC809C... Continued from LIC809... Licensee to submit updates of the following documents by 4/5/2024: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500), Emergency Disaster Plan (LIC610E) and a copy of Liability Insurance. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with Licensee and a copy of this report was given.the state’s words, verbatim · CDSS document, Mar 26, 2024