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13 | Licensing Program Analyst (LPA) Tuesday Cabiness, Licensing Program Manager (LPM) Eva Miller, and Investigator Jasmine Thomas conducted an initial complaint visit to address the allegations listed above. LPA met with the House Manager Anthony Valdez and explained the purpose of the visit. Administrator Aaron Barsalou, Shalmar Neal, Clinical Supervisor, Hayle Jimenez, Director of Operations, and Robert Young, Director of Compliance, arrived to the facility and all were informed the reason of the visit.
Allegation #1: Facility appliances are in disrepair. During the investigation conducted on June 4, 2025, and June 5, 2025, between 9:30 a.m. and 2:30 p.m., LPA conducted staff and resident interviews and completed a physical plant inspection. Based on interviews, it was reported and confirmed that the washer and dryer have been inoperable on numerous occasions. Although the facility contacted its maintenance worker to make repairs, the appliances have continued to malfunction and remain ineffective. Administrator informed LPA, they will order new appliances to correct the issue. During the inspection, LPA observed that the washer and dryer were not operating properly. In reference to the issues with the water heater, it was |
| Substantiated | Estimated Days of Completion: |
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32 | observed during the inspection, it was working properly, and there are currently no issues. Therefore, based on interviews, the allegation is Substantiated at this time for the washer and dryer not working properly.
Allegation # 2: Staff do not provide a comfortable temperature for residents. During the investigation conducted on June 4, 2025, and June 5, 2025, between 9:30 a.m. and 2:30 p.m., LPA conducted staff and resident interviews and completed a physical plant inspection. Based on interviews, it was reported and confirmed that the air conditioner was not operating effectively. The facility’s maintenance worker had attempted repairs but was awaiting a replacement part. The Administrator confirmed the issue and informed LPA that fans were purchased as a temporary solution. Additionally, the Administrator stated that the facility plans to install individual wall or portable air conditioner units in resident rooms to maintain comfortable temperatures. Therefore, based on interviews, this allegation is Substantiated at this time.
Exit interview conducted, citation issued, appeal rights, and copy of report provided to Director of Compliance Robert Young. |
Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
06/19/2025
Section Cited
CCR
81088(a) | 1
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7 | Fixtures, Furniture, Equipment, and Supplies. (a) A comfortable temperature for clients shall be maintained at all areas. This requirement was not met, evidenced by, based on interviews, it was reported to LPA the air conditioner has been broken several times and is currently not operating, | 1
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7 | The Administrator has AGREED to purchase individual wall or portable units for resident rooms to ensure that the rooms are at a comfortable temperature. The Administrator will provide pictures and receipts of the purchases of wall units and inform LPA |
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14 | due to waiting on a part to fix it. Although the temperature was comfortable during today's visit, it is still not operating properly and needs to be repaired. This is a potential health and safety risk to clients in care. | 8
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14 | when they were installed by POC date. |
Type B
06/19/2025
Section Cited
CCR
81088(j) | 1
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7 | Fixtures, Furniture, Equipment and Supplies. (j) If the facility maintains its own laundry equipment, necessary supplies shall be available and equipment shall be maintained in good repair. This requirement was not met, evidenced by, based on interviews, it was reported to LPA the washer and dryer | 1
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7 | The Aministrator has AGREED to purchase a new washer and dryer, and will provide receipts of the new appliances and will inform LPA when they were purchased and installed at the facility. |
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14 | has not been working properly. The Administrator reported to LPA, confirmed the issues, and will purchase new ones for the facility. This is a potential health and safety risk to clients in care. | 8
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13 | Licensing Program Analyst (LPA) Tuesday Cabiness, Licensing Program Manager (LPM) Eva Miller, and Investigator Jasmine Thomas conducted an initial complaint visit to address the allegations listed above. LPA met with the House Manager Anthony Valdez and explained the purpose of the visit. Administrator Aaron Barsalou, Shalmar Neal, Clinical Supervisor, Hayle Jimenez, Director of Operations, and Robert Young, Director of Compliance, arrived to the facility and all were informed the reason of the visit.
Allegation #1: Staff do not ensure the facility vehicle is in good repair. During the investigation conducted on June 4, 2025, and June 5, 2025, between 9:30 a.m. and 2:30 p.m., LPA conducted staff and resident interviews and completed a physical plant inspection. It was alleged that the facility vehicle is not functioning properly and may be unsafe to operate. However, interviews with staff indicated that the facility conducts routine maintenance and repairs on the vehicle. Additionally, residents reported no concerns regarding the vehicle’s safety or performance. During the visit, it was observed the facility van leaving and returning without incident. |
| Unsubstantiated | Estimated Days of Completion: |
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