Unity Memory Home Care

Type of visit: Required - 1 Year

On 4/14/26, Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced to conduct a required 1 year annual inspection. LPA met with Administrator Ruby Liu and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to six (6) private resident bedrooms, two (2) bathrooms, kitchen, dining room, common areas, and storage area. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins, knives and medications are locked and inaccessible to residents in care. The temperature in the facility was 74 degrees. First aid kit was completed. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located in kitchen, which was last inspected on 6/17/25. LPA observed required Licensing posters posted throughout the facility. LPA conducted a file review of two (2) personnel and two (2) residents records. All records have the required documents. No deficiencies are being cited during today's inspection. Exit interview conducted and copy of the report was left at the facilitythe state’s words, verbatim · CDSS document, Apr 14, 2026

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 04/08/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection. LPA met with Administrator Ruby Liu and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to six (6) private resident bedrooms, two (2) bathrooms, kitchen, dining room, common areas, and storage area. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins, knives and medications are locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. LPA conducted a file review of six (6) residents records. Resident records contained required documents. LPA conducted a file review of staff records. LPA observed S1 working at the facility without a fingerprint clearance. CARE inspection tool completed and deficiencies was observed. Please see LIC 809D. Today's visit, civil penalties assessed. LPA requested a copy of facility's liability insurance, LIC 500 and LIC 308 by Friday April 11, 2025 Exit interview conducted and copy of the report, LIC809G and appeal rights was left at the facilitythe state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Case Management - Incident

On 05/01/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Case Management Incident visit. LPA met with caregiver, Avonett John, and explained the purpose of the visit. LPA requested for caregiver to notify Administrator, Ruby Liu, of LPA's presence at the facility. Administrator was unable to meet at the facility and gave caregiver permission to assist LPA during today's visit. The purpose of the visit is to gather additional information regarding an unusual incident/injury report that was sent to Community Care Licensing (CCL) on 04/25/2024. The report indicates that Resident #1 (R1) had a fall sustaining injury which resulted in R1 having surgery. During today’s visit LPA obtained a copy of R1s file and conducted an interview with administrator via phone call. LPA also interviewed Staff #1 (S1) and Resident #2 (R2) who were present during the time of R1s fall. R1 is currently still out of the facility. At this time, deficiencies are not being cited. An exit interview conducted and copy of the report was left at the facility.the state’s words, verbatim · CDSS document, May 1, 2024

Type of visit: Case Management - Incident

On 04/09/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a case management visit to discuss the report submitted to LPA Ratajczak regarding S1. LPA met with Administrator Ruby Liu and explained the purpose of the visit. During today’s visit LPA requested for Administrator to send LPA a copy of S1s file and any other pertinent documents relevant to S1 by 04/12/24. LPA and Administrator discussed the incidents that occurred during S1s time working at the facility. At this time, deficiencies are not being cited. An exit interview conducted and report provided was left at the facility.the state’s words, verbatim · CDSS document, Apr 9, 2024

Type of visit: Required - 1 Year

On 03/06/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection. LPA met with Administrator Ruby Liu and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to six (6) private resident bedrooms, two (2) bathrooms, kitchen, dining room, common areas, and storage area. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins, knives and medications are locked and inaccessible to residents in care. Hot water temperature was measured at 106.3 degrees Fahrenheit at the bathroom sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 72 degrees. First aid kit was completed. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located in kitchen, which was last inspected on 09/01/2023. LPA observed required Licensing posters posted throughout the facility. LPA conducted a file review of two (2) personnel and three (3) residents records. All records have the required documents. LPA conducted one (1) resident interview and one (1) staff interview. No deficiencies are being cited during today's inspection. Exit interview conducted and copy of the report was left at the facilitythe state’s words, verbatim · CDSS document, Mar 7, 2024

Type of visit: POC

On 03/07/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced at the facility to conduct a Plan of Correction (POC) visit regarding the deficiencies LPA cited the facility on 02/15/24 for complaint Control Number 25-AS-20231128082121. LPA met with Administrator, Ruby Liu, and explained the purpose of the visit. LPA explained to Administrator that failure to correct plan of correction by the given due date could and will result to $100 per day until corrected civil penalty. During today's visit, Administrator informed LPA that they will submit the POC by the end of the day · CCR 87468.1(a)(3) and 87468.1(a) (15) 87468.1 Personal Rights of Residents in All Facilities As a result of today's inspection, civil penalties were assessed. Exit interview conducted and a copy of the report and appeal rights provided.the state’s words, verbatim · CDSS document, Mar 7, 2024

Allegation investigated: Staff withheld resident’s mail. Staff disposed a residents belongings without permission.

On 02/15/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings Community Care Licensing (CCL) received on 11/28/23. LPA met with Administrator Ruby Liu and explained the purpose of the visit. During the course of this investigation, the Department conducted interviews. Please continue to LIC 9099-C…. Substantiated Allegations: Staff withheld resident’s mail.-SUBSTANTIATED During an interview with caregivers, they indicated that when the facility receives mail for residents in care the caregivers put the mail on the Administrator’s desk. The administrator stated they sort out the mail for each resident and then give the residents their mail. Based on staff statements, it was revealed that staff had opened a package that R1 received in the mail at R1’s responsible party’s request. The staff admitted they did not give R1 the package because R1 is not able to have the item inside, which was THC/CBD gummies. Based on LPAs interviews which were conducted, staff revealed that they have withheld R1’s mail. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are cited pursuant to California Code of Regulations, Title 22 and documented on the attached LIC9099D Allegations: Staff disposed a residents belongings without permission.-SUBSTANTIATED In an interview with staff, it was stated that R1 sometimes is sent items that they are not able to have, which was the THC/CBD gummies. Staff interview further revealed that they opened a package that was sent to R1. Upon opening the package, the staff did not give the item to the resident that was sent to them stating they did not want ants in the facility. Based on LPAs interviews which were conducted, staff revealed that they kept items from R1 that were sent to them. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are cited pursuant to California Code of Regulations, Title 22 and documented on the attached LIC9099D. Exit interview conducted and a copy of the report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Feb 15, 2024 · control 59-AS-20231128082121

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(15) · Plan of correction due date: Feb 29, 2024

87468.1(a)(15) (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (15) To send and receive unopened correspondence in a prompt manner. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above as R1 was not given mail that they received which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 15, 2024

Plan of correction: Licensee is to come up with a policy to ensure all residents received their mail unopened and in a timely manner. Licensee will submit policy to LPA Ratajczak.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(3) · Plan of correction due date: Feb 29, 2024

87468.1(a)(3) (a)Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3)To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement is not met as evidenced by: Based on interview, the licensee did not comply with the section cited above as R1 had received an item that was not given to them by staff which poses a potential personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 15, 2024

Plan of correction: Licensee is to submit a statement of what rights resident do have as well as to have a staff training on resident rights by POC due date.

Allegation investigated: Staff did not meet resident’s medical needs.

On 02/15/24, Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to deliver final findings Community Care Licensing (CCL) received on 11/28/23. LPA met with Administrator Ruby Liu and explained the purpose of the visit. During the course of this investigation, the Department conducted a file review and interviews. Please continue to LIC 9099-C…. Unfounded Allegation: Staff did not meet resident’s medical needs.- Unfounded On 11/25/2023 at 6:00 A.M., R1 sustained a fall near their bedroom door. Staff contacted emergency services immediately for medical attention. Emergency personnel assessed R1 and advised them to go to the hospital to seek further medical attention. However, R1 had refused transport. On 11/26/24 at 4:21 A.M, R1 had an unwitnessed fall at the facility in their room. R1 called 911 themselves instead of calling for a caregiver for assistance. Emergency personnel came to the facility to assist R1 up as well as assess. Emergency services advised R1 to go to the hospital for further medical attention and R1 refused transport. Both times when R1 had a fall, they had refused to seek further medical attention. Based on information obtained through file review and interviews, the Department finds the allegation to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of the report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Feb 15, 2024 · control 59-AS-20231128082121