Woodland Garden Residential Care II

Type of visit: Required - 1 Year

On 12/23/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver Lolita Pielago who was informed of the purpose of the visit. Licensee Ben Encabo was phoned and notified of the purpose of LPA's visit and LPA met with Caregiver Connie Baranchina. The facility has a fire clearance to serve six (6) non-ambulatory elderly residents of which two (2) may be bedridden. The facility also has an approved hospice waiver for two (2) and LPA was informed that two (2) residents are currently receiving hospice services at the facility. LPA observed three (3) residents and two (2) staff present. Staff present have a criminal record clearance and are associated with the facility. LPA toured the facility with Baranchina and observed the facility is made up of a one-story home with four (4) resident bedrooms, a staff room, two (2) bathrooms, a kitchen, dining area, living room, laundry room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable food items. Medications are secured in a locked kitchen cabinet. Cleaning solutions and disinfectants are secured in the locked garage. Baranchina tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher near the front entrance and fire alarm pull stations in the facility. The facility's certificate of liability insurance expires on 05/14/2026. Long Term Care Ombudsman's contact information, residents' personal rights, complaint procedures and emergency disaster plan are visibly posted near the the kitchen. Licensee Encabo's administrator's certificate expires on 09/06/2027. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Caregiver Baranchina.the state’s words, verbatim · CDSS document, Dec 23, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced visit to the facility for case management. This report documents deficiencies found during the visit. LPA met with Administrator, Benito Encabo who was informed of the purpose of the visit. At the time of the visit there were (3) staff and (3) residents present. LPA conducted records review, walk through and interviews. Records review for residents revealed (2) residents are on home health both resident did not have a care plan from their home health agencies present during the visit. Records review for (3) residents revealed that their LIC602 forms were not properly updated. Resident #1 (R1) had an LIC602 that had repeated and incomplete pages, with (2) pages indicating (2) different ambulatory statuses. Resident #2 (R2) has an LIC602 from 2023 which indicates a different cognitive diagnosis than R2's hospice care plan dated 08/14/2025. Resident #3 (R3) has a LIC602 form which has not been updated since 04/05/2024 and R3 has not been Therefore, LIC602 forms must be updated for the residents. LPA reviewed the care plans for the residents in care and found that all (4) residents had a care plan that was more than (1) year old. Therefore the facility was cited for the records and plan of correction was created with the administrator. An exit interview was conducted and a copy was this report was reviewed and provided.the state’s words, verbatim · CDSS document, Dec 2, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87609(a)(4) · Plan of correction due date: Dec 16, 2025

87609 Allowable Health Conditions and the Use of Home Health Agencies(a) (4)The licensee and home health agency agree in writing on the responsibilities of the home health agency, and those of the licensee in caring for the resident’s medical condition(s). This requirment was not met as evidenced by: Based on interview and record review (2) residents did not have a home health care agreement in their file. This poses a potential health saftey or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 2, 2025

Plan of correction: The Administrator agreed to have agreements for both residents on file and submit to LPA by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87458(b) · Plan of correction due date: Dec 16, 2025

87458 Medical Assessment(b)The licensee shall obtain an updated medical assessment when required by the Department. This requirement was not met as evidenced by: Based on interview and record review all (4) residents had a LIC602 that was more than a year old, (2) of (4) had inaccurate information on their LIC602 which required updating. This poses a potential health saftey or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 2, 2025

Plan of correction: The administrator agreed to update all resident LIC602 forms and to send to LPA by the POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87467(a)(3) · Plan of correction due date: Dec 16, 2025

87467 Resident Participation in Decisionmaking(a)(3) The licensee shall arrange a meeting with the resident and appropriate individuals identified in Section 87467(a)(1) to review and revise the written record as specified, when there is a significant change in the resident’s condition, or once every 12 months, whichever occurs first. This requirement was not met as evidenced by: Based on interview and record review all (4) residents had an appraisal of needs assesment dated more than 12 months old. This poses a potential health saftey or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 2, 2025

Plan of correction: The licensee agreed to update all resident appraisals and submit to the LPA by the POC due date.

Allegation investigated: Staff yells at residents

On 5/6/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to investigate the allegation listed above. LPA was greeted and granted entry by Caregiver, Brenda Catap who was informed of the purpose of the visit. Licensee, Benito Encabo arrived during the visit and was also informed of the purpose of the visit. During the visit there was two (2) care staff and five (5) residents present. LPA toured the facility, conducted interviews, and photographed pertinent records. Regarding the allegation, "Staff yells at residents" it was alleged Caregiver Catap was heard yelling at a resident. It was further alleged Catap yells at all the residents. Three (3) of five (5) residents interviewed were qualified to be reliable historians. Three (3) of five (5) residents interviewed corroborated Catap uses a condescending tone, hostile demeanor and constantly yells at them and other residents in the home. Three (3) of five (5) residents interviewed reported witnessing Catap aggressively yell at two (2) residents this morning (5/6/25) after one (1) of the residents requested care assistance. Substantiated One (1) additional staff was interviewed and corroborated the allegation. One (1) staff interviewed reported witnessing Catap use a hostile tone to yell at the residents frequently, especially those Catap dislikes. One (1) staff interviewed reported they do not intervene when Catap yells at the residents because Catap will begin yelling at staff as well. One (1) staff interviewed reported they frequently assist the residents to avoid them requesting assistance from Catap and result in Catap yelling at them. Licensee was interviewed and reported last week, Resident 1 (R1) reported allegations of Catap aggressively yelling at them and other residents in the home. Licensee reported last week, they conducted an informal meeting with Catap and verbally counseled them regarding R1’s allegations and treating residents with dignity and respect. Licensee added they also conducted a recent in-service all staff training regarding residents’ personal rights. Licensee reported verbal counseling, and all staff training was not documented. Licensee reported he has received allegations of Catap arguing with Resident 2’s (R2’s) family in the past and addressed the issue by verbally counseling Catap. Licensee reported Catap has a great work ethic. Catap was interviewed and denied yelling at the residents in a hostile and/or abusive manner. Catap reported she only yells at the residents because they are hard of hearing, and she treats all the residents with dignity and respect. LPA reviewed Catap’s signed Offer of Employment dated 5/1/24 listing one (1) of Catap’s duties and responsibilities as maintaining a professional relationship with the residents and their family. During the tour, LPA also observed a poster noting residents’ personal rights which was visibly posted on the dining room wall. Catap also reported having knowledge of the residents’ personal rights. Based on LPA’s interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099 D. After Licensee provided the plan of correction, Licensee reported they had to step away from the facility and requested Caregiver, Connie Barrachina sign the report on his behalf. As requested, LPA conducted an over the phone exit interview with Licensee and reviewed the report, LIC 9099-D, Confidential Names list (LIC811) and Appeal Rights. Copies of the report, LIC 9099-D, LIC 811, and Appeal Rights were provided to Caregiver Barrachina.the state’s words, verbatim · CDSS document, May 6, 2025 · control 18-AS-20250430124435

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(1) · Plan of correction due date: May 8, 2025

(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (1) To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met as evidenced by: During a complaint investigation, LPA found Caregiver Catap yells at the residents in a hostile manner. This poses a potential health, safety, and/or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 6, 2025

Plan of correction: Licensee requested the Plan of Correction (POC) be the termination of Catap's employment due Catap continuing to yell and not treat residents with dignity despite being verbally counseled more than once. Catap's termination of employment letter to be provided to LPA by close of business on 5/8/25.

Type of visit: Case Management - Deficiencies

On 5/6/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to address a deficiency discovered during investigation of complaint control number 18-AS-20250428095412. LPA was greeted and granted entry by Caregiver, Brenda Catap who was informed of the purpose of the visit. Licensee, Benito Encabo arrived during the visit and was also informed of the purpose of the visit. However, during the visit Licensee communicated they had to step away from the facility and requested LPA conduct the exit interview with him over the phone and have Caregiver, Connie Barrachina sign the report on his behalf. During investigation of complaint control number 18-AS-20250428095412, LPA requested to review Resident 1's (R1's) resident file. Licensee reported R1 moved out of the facility in late 2024. Licensee searched the facility and reported they were unable to locate R1's file. Catap then reported they recalled being present when R1's family physically removed R1's resident file from the facility when R1 left the facility. Due to the resident records retention requirements, the facility will be cited. As requested, LPA conducted an over the phone exit interview with Licensee and provided a copy of the report, LIC 809-D, and Confidential Names list (LIC811) to Caregiver Barrachina.the state’s words, verbatim · CDSS document, May 6, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(e) · Plan of correction due date: May 20, 2025

(e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was not met as evidenced by: During a complaint investigation, LPA requested to review R1's resident file at the facility. Licensee reported R1 vacated the facility in late 2024. Licensee searched the facility and reported they were unable to locate R1's file. Staff then reported R1's file was removed by R1's family. This poses a potential health, safety, and/or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 6, 2025

Plan of correction: Licensee reported they will conduct an all staff training regarding the requirements for resident records. Plan of Correction (POC) to be provided to LPA by close of business on POC due date.

Allegation investigated: Facility did not follow protocol after scabies outbreak. Facility exceeded current hospice waiver.

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Administrator Benito Encabo and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency. On 8/19/2021, it was reported to CCL that facility did not follow protocol after Scabies outbreak and facility exceeded current hospice waiver. Regarding the allegation, facility did not follow protocol after Scabies Outbreak, it was reported that facility had a Scabies outbreak and clothing and bedding were not being washed. [Continued on 9099-C] . Unsubstantiated Interviews with facility staff revealed that current staff have knowledge of what to do in the even of a Scabies outbreak and facility staff reported that there was Scabies in the facility in 2021 and protocol was followed that included the washing of clothing and bedding. Review of records revealed that facility has a Scabies Protocol and guidance document that instructs staff to wash clothing and bedding with hot water. Regarding the allegation, facility exceeded hospice waiver, it was reported that the facility had a hospice waiver for two residents but had more than two residents on hospice. Interviews with facility staff reported that facility took appropriate measures and requested an increase in hospice waivers in 2021. Records review revealed that facility submitted requests for hospice waivers to the San Diego Regional office in 2021. Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. No deficiencies were cited today. An exit interview was conducted with Administrator. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Administrator whose signature below verifies receipt of these rights.the state’s words, verbatim · CDSS document, Dec 19, 2024 · control 08-AS-20210819121422

Allegation investigated: Facility did not following Covid-19 mitigation plan.

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Administrator Benito Encab and discussed the purpose of the visit and elements of the complaint. Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff and clients On 8/19/2021, it was reported to CCL that facility did not follow COVID-19 mitigation plan Regarding the allegation, it was reported that a visitor observed staff not wearing a mask and staff did not take visitor’s temperature before entering the facility. [Continued on 9099-C] Substantiated Interviews with facility staff, revealed no concern for facility not following COVID-19 mitigation plan. Interviews with outside sources also reported no concerns in regards to facility not following COVID protocols. A review of records revealed that facility submitted a COVID-19 mitigation plan to the department on 3/19/2021. Plan states that staff are required to wear facial coverings and all visitors must get their temperature checked upon entering facility. The department conducted a case management visit to the facility on 8/24/2021, where LPA Hamer noted that staff were observed without a mask and staff did not check LPA’s temperature upon arrival. The departments review of the available evidence revealed that the preponderance of evidence standard was met and the allegation was SUBSTANTIATED. A deficiency was cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on LIC 9099-D. A plan of corrections was developed with Administrator. An exit interview was conducted with Administrator to whom a copy of this report and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Dec 19, 2024 · control 08-AS-20210819121422

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87470(a) · Plan of correction due date: Jan 19, 2025

Infection Control Requirements : A licensee shall ensure that infection control practices are maintained. Based on observation and review of Covid-19 related records, staff did not ensure that infection control practices were maintained. This posed a potential health risk to 5 out of 5 residents in care.the state’s words, verbatim · CDSS document, Dec 19, 2024

Plan of correction: Administator will provide a COVID-19 training to all staff and submit proof of training to LPA by training due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ferrer Sabarias conducted an unannounced annual required inspection visit. Upon entry, LPA were greeted by Ben Encabo, Administrator and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff members and five (5) residents present. Facility Overview: The facility is a one-story building with (4) bedrooms for resident and (1) bedroom for staff and (2) bathrooms, including an attached garage. According to the Administrator there are no firearms in the facility. There are no pools or body of water in the premises. Fire extinguisher is in the kitchen and last service date 12/3/2024. Smoke and carbon monoxide detector were tested and observed to be operable. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 119.1 F. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continue on LIC809C Record Review and Resident/Staff Files: LPA reviewed files for two (2) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four (4) resident files were reviewed and contained all required documentation.. Health-Related Services/Incidental Medical Services: All resident medications were securely locked and inaccessible to residents. LPA reviewed medications for four residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire drill. All facility exits were clear of obstructions. An exit interview was conducted, and a copy of this report was provided to the Administrator, Ben Encabothe state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Case Management - Incident

On today's date 06/07/24 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to follow up on an Unusual/Injury report and SOC341 that was received reporting sexual abuse regarding Resident #1 (R1). LPA met with Administrator Benito Encabo and explained the purpose of the visit. LPA conducted a tour of the facility, there were no health and safety concerns observed. The facility had operable utilities, and an adequate food supply. LPA conducted a review of staff and resident files. R1s file review revealed that the department was not notified of R1s death. LPA conducted an interview with Administrator Benito Encabo and verified the dates of the incident (6/6/22) which revealed that the incident was not reported to the department. A deficiency will be cited on the attached 809 for failure to follow reporting requirements. In addition LPA conducted a facility file review which revealed that the facility has unpaid annual fees of $742.00, that was due on or before 12/17/23. a deficiency will be cited on the attached 809. During the visit LPA provided Administrator with the PIN to pay the fees electronically. Based on today's case management incident visit a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, LIC 811-Confidential names list, LIC9098-Proof of Corrections form and appeal rights were provided to Benito Encabo, Administrator.the state’s words, verbatim · CDSS document, Jun 7, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(A) · Plan of correction due date: Jun 21, 2024

(a) Each licensee shall furnish to the licensing agency reports as the Department may require, including, but not limited to... (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurence from any cause regardless of where the death occurred...This requirement is not met as evidenced by R1's death not being reported to the dept. This posed a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 7, 2024

Plan of correction: The licensee agrees to conduct an in service on reporting requirements. Proof of POC (sign in sheet) is to be submitted to the department by 5pm on the due date (6/21/24) indicated.

From the deficiency page — Deficiency type: Type B · Section cited: HSC1569.185 · Plan of correction due date: Jun 21, 2024

Health and Safety Code section 1569.185 provides: (a) An application fee adjusted by facility and capacity shall be charged by the department for the issuance of a license to operate a residential care facility for the elderly. After initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license. This requirment is not met as evidenced by: the annual fees were not paid by the due date of 12/17/23. This poses a potential health, safety and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jun 7, 2024

Plan of correction: The licensee agrees to pay the outstanding annual fees of $742.00. Proof of POC (receipt) is to be submitted to the department by 5pm on the due date (6/21/24) indicated.

Type of visit: Required - 1 Year

On December 28, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the required annual inspection and met with the Administrator, Benito Encabo. LPA Mixson introduced herself and stated the purpose of the visit. The facility file review was conducted at the office and on site. LPA Mixson toured the facility along with the Administrator, and observed the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a single-story home, located at 1709 Katy Place, Escondido, CA 92026. Physical Plant: The facility phone number is (760) 294-5728 and is operable. The LPA observed the residents bedrooms, they were equipped with required furniture as per Title 22 at the time of this visit. LPA Mixson inspected facility bathrooms and the hot water temperature tested within regulations. The bathrooms were clean and appliances were operating appropriately at the time of today inspection. The LPA observed facility smoke detectors, carbon monoxide alarms, and fire extinguishers, and they are operable. LPA Mixson observed required postings such as (If you See Something, Say Something), the (Ombudsman Poster), and the (Personal Rights). The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There is a designated storage space for the resident and staff files and it was locked and inaccessible to residents. Medications: were reviewed, locked and inaccessible to residents in care. There was a 30 day supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility appliances were operable currently at the time of this visit. Food Service: The facility had the required non-perishable and perishable food items, as per Regulations, and there are a variety of food types available for the residents. Dishes and utensils are in sufficient supply and stored properly. Care & Supervision Facility has sufficient staff, currently at the time of this visit there are two staff, and five residents. Records Review: LPA Mixson reviewed two resident files, two staff files, interviewed two staff, and reviewed previous CCL forms. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted and a copy of this report was given to the Administrator, Benito Encabothe state’s words, verbatim · CDSS document, Dec 28, 2023