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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603485
Report Date: 07/03/2026
Date Signed: 07/03/2026 04:33:50 PM

Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:WHITTIER COTTAGE IIFACILITY NUMBER:
198603485
ADMINISTRATOR/
DIRECTOR:
TRAZO-BOHANAN, VILMAFACILITY TYPE:
740
ADDRESS:16222 MARLINTON DR.TELEPHONE:
(562) 315-9897
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY: 6CENSUS: 4DATE:
07/03/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:James Trazo, AdministratorTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
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Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with James Trazo, Administrator, and the reason for the visit was explained. Lead Administrator, Vilma Trazo-Bohanan, arrived thereafter and continued to facilitate the visit.

The facility is licensed to serve (6) non-ambulatory adults age 60 and over; Hospice waiver approved for (6). There are currently (3) residents living in the home. The facility is operating within the scope of its license. The home is in a residential area of Whittier. The home consists of living room, dining area, den, kitchen, (3) resident bedrooms, (2) full bathrooms, attached garage with laundry area, front and backyard with a shaded patio area.

The following was observed during today’s visit:

The walkways, hallways and exits inside the home are free of debris of obstruction; however, broken bed frames, cleaning tools like mop bucket and broken trashcans were observed obstructing the outdoor walkway on the side of the house. Furniture throughout the facility was observed in good repair. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Resident bedroom #1 and garage have stored oxygen tanks, but signage was not posted in both areas in which they are kept. Bathrooms were inspected and observed clean and sanitary. Bathrooms have safety grab bars, anti-slip mats and surfaces and bathing assistive devices. The water temperature was tested in the bathrooms, but measured above the compliance range of 105 – 120 degrees F. Water temperature in bathroom #1 was 129.7- and 125.5-degrees F. during visit. Laundry appliances observed to be working properly, and detergents are kept locked.

***Continues on LIC 809-C***

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 13
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87309(a)
Storage Space and Access
(a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on observation, the licensee did not comply with the section cited above due to two resident insulin pens and lancets were observed in a Zip-Loc bag on the refrigerator door shelf. which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/04/2026
Plan of Correction
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Licensee will send a plan regarding scheduling a training with staff regarding the following: Licensee will conduct an in-service training regarding the proper storage of resident medication to ensure safety. Licensee will send LPA the topics discussed in training and the sing-in sheet for participating staff. Licensee will obtain a lock box appropriate for the storage of medication requiring refrigerator and send LPA purchase receipt and photo of the box in the refrigerator.
Type A
Section Cited
CCR
87555(b)(27)
General Food Service Requirements
(27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interviews and observation, the licensee did not comply with the section cited above due to LPA observing live and dead roaches on the kitchen counter by the sink in the top and bottom kitchen cabinets inside the shelf area. Also observed were several roach traps underneath the kitchen sink and on the counter by the kitchen faucet. which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/04/2026
Plan of Correction
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Licensee will schedule an appointment with pest management company by POC due date and will send LPA proof of treatement. Licensee will conduct in-service regarding cleaning and sanitazing surfaces for pest management and prevention and send the plan on when the training will take place and the topics that will be discussed.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 3 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
87465(c)(2)
Incidental Medical and Dental Care Services
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above due to R2’s Quatiapine Fumarate 25 mg tablet, evening dose, was not given to resident on June 29, 2026. Medication observed in the bubble pack during inspection which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/04/2026
Plan of Correction
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Licensee will email LPA, a plan for inservice training regarding proper medication management and policy and procedures to ensure staff competency in administering medication by POC due date.
Type A
Section Cited
CCR
87465(c)(3)
Incidental Medical and Dental Care Services
(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above due to Administrator stated that the facility uses Medication Administration Log (MAR) for resident medication management; however, R1 did not have a July 2026 MAR log in place. LPA observed Administrator take out a blank MAR log from a binder and then proceeded to fill in the July 1 and July 2, 2026 a.m. medication administration for R1’s Metformin tablets. Also, per administrator interview, R2 refused to take their Quatiapine Fumarate 25 mg tablet, evening dose on 6/26/2026, but did not document it correctly on R2's June MAR log. MAR June 26, 2026 evening dose was signed by staff as administered which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 07/04/2026
Plan of Correction
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4
Licensee will email LPA, a plan for inservice training regarding proper medication management and policy and procedures to ensure staff competency in administering medication and documentation by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 4 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87303(a)(1)
Maintenance and Operation
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. (1) Floor surfaces in bath, laundry and kitchen areas shall be maintained in a clean, sanitary, and odorless condition.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on observations, the licensee did not comply with the section cited above due to the inside of the kitchen cabinets observed with roach droppings and food particles like grease and crumbs on the shelves above and below the sink which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/10/2026
Plan of Correction
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Licensee will conduct a deep clean of all inside of the kitchen cabinets and send photos of clean surfaces to LPA by POC due date. Licensee will also conduct an in-service training regarding cleaning practices and send LPA the training topics and sign-in sheet by POC due date.
Type B
Section Cited
CCR
87303(e)(2)
Maintenance and Operation
(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above due to water temperature in bathroom #1 was 129.7- and 125.5-degrees F. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2026
Plan of Correction
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Deficiency cleared at time of visit. Administrator adjusted the water heater temperature and water then measured at 105.7 and 105.3 (within compliane range).
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 5 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87307(d)(6)
Personal Accommodations and Services
(6) All outdoor and indoor passageways and stairways shall be kept free of obstruction.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, the licensee did not comply with the section cited above due to broken bed frames, cleaning tools like mop bucket and broken trashcans were observed obstructing the outdoor walkway on the side of the house, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/10/2026
Plan of Correction
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2
3
4
Licensee will remove all obstructions items mentioned above and send LPA photo of cleared walkway by POC due date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 6 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87468(c)(2)(A)
Personal Rights of Residents
(c) Licensees shall prominently post personal rights, nondiscrimination notice, and complaint information in areas accessible to residents, representatives, and the public. (2) Information on the appropriate reporting agency in case of a complaint or emergency, including procedures for filing confidential complaints, shall be posted as follows: (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20” x 26” in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
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4
Based on observation, the licensee did not comply with the section cited above due to facility not having the appropriate Complaint Information poster. Staff proceeded to attempt to post the "Let Us No" poster from the Dept. of Social Services while LPA observed, during the visit which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2026
Plan of Correction
1
2
3
4
Licensee posted poster during visit.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 7 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87411(f)
Personnel Requirements - General
(f) All personnel, including the licensee and administrator, shall be in good health, and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening, including a chest x-ray or an intradermal test, performed by a physician not more than six (6) months prior to or seven (7) days after employment or licensure. A report shall be made of each screening, signed by the examining physician. The report shall indicate whether the person is physically qualified to perform the duties to be assigned, and whether he/she has any health condition that would create a hazard to him/herself, other staff members or residents. A signed statement shall be obtained from each volunteer affirming that he/she is in good health.Personnel with evidence of physical illness or emotional instability that poses a significant threat to the well-being of residents shall be relieved of their duties.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above due the following: according to record review and staff interview, S4 and S5 do not have a Health Screening/TB clearance. Administrator indicated that S4 was hired on 6/15/2026 and S5 was hired on 6/26/2026. Administrator further indicated that both S4 and S5 have not completed a medical assessment yet, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2026
Plan of Correction
1
2
3
4
Licensee will email LPA a copy of health screenings/TB clearances by POC due date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 8 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87411(d)
Personnel Requirements - General
(d) All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance:

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above due to: S4 and S5 do not have proof of training in their file. Administrator indicated that S4 and S5 have not completed their job training orientation since their initial hiring, which is 6/15/2026 for S4 and 6/26/2026 for S5. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2026
Plan of Correction
1
2
3
4
Licensee will email LPA, proof of on-boarding training/orientation for S4 and S5 by POC due date.
Type B
Section Cited
HSC
1569.626(a)(1)
Other Provisions
(a) All residential care facilities for the elderly shall meet the following training requirements, as described in Section 1569.625, for all direct care staff: (1) Twelve hours of dementia care training, six of which shall be completed before a staff member begins working independently with residents, and the remaining six hours of which shall be completed within the first four weeks of employment. All 12 hours shall be devoted to the care of persons with dementia. The facility may utilize various methods of instruction, including, but not limited to, preceptorship, mentoring, and other forms of observation and demonstration. The orientation time shall be exclusive of any administrative instruction.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above due to: S4 and S5 do not have proof of DEMENTIA training in their file. Administrator indicated that S4 and S5 have not completed their job training orientation since their initial hiring, which is 6/15/2026 for S4 and 6/26/2026 for S5. which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2026
Plan of Correction
1
2
3
4
Licensee will email LPA, proof of Dementia for S4 and S5 by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 9 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87506(b)(9)
Resident Records
(b) Each resident's record shall contain at least the following information: (9) Name, address and telephone number of physician and dentist to be called in an emergency.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above due to: LPA did not observe an LIC 601/Identification and Emergency Information in R1's file. Staff indicated that they do not have it. The whereabouts of the form are unknown which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/10/2026
Plan of Correction
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Licensee corrected at time of visit. Family member filled it out and signed during visit.
Type B
Section Cited
CCR
87458(c)(1)
Medical Assessment
(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above due to: R3 does not have a current medical assessment in place (Physician's Report). Last assessment was conducted on 6/27/2023 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2026
Plan of Correction
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Licensee will send LPA a current copy of R3's medical assessment by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 10 of 13
Document Has Been Signed on 07/03/2026 04:33 PM - It Cannot Be Edited


Created By: Mayra Cota On 07/03/2026 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: WHITTIER COTTAGE II

FACILITY NUMBER: 198603485

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/03/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87618(b)(3)(B)
Oxygen Administration - Gas and Liquid
(3) Ensuring that the use of oxygen equipment meets the following requirements: (B) “No Smoking-Oxygen in Use” signs shall be posted in the appropriate areas.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above due to: resident bedroom #1 and garage have stored oxygen tanks, but signage was not posted in both areas in which they are kept which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/03/2026
Plan of Correction
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Deficiency corrected at the time of visit. Administrator posted signage during visit.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Wei Siew Ho
NAME OF LICENSING PROGRAM MANAGER:
Mayra Cota
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/03/2026


LIC809 (FAS) - (06/04)
Page: 11 of 13
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: WHITTIER COTTAGE II
FACILITY NUMBER: 198603485
VISIT DATE: 07/03/2026
NARRATIVE
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Kitchen appliances were observed operational. The home has sufficient 2-day perishable and 7-day non-perishable food supply. LPA inspected the inside of the kitchen cabinets and observed roach droppings and food particles like grease and crumbs on the shelves above and below the sink. LPA also observed live and dead roaches on the kitchen counter by the sink in the top and bottom kitchen cabinets inside the shelf area. Also observed were several roach traps underneath the kitchen sink and on the counter by the kitchen faucet. Two resident insulin pens and lancets were observed in a Zip-Loc bag on the refrigerator door shelf.

The front and backyard are kept clean, and a shaded patio area is available for residents. Garden is well maintained and there are no pools or other bodies of water. The garage is kept free of clutter and kept locked. Overflow refrigerator was observed in the garage and was working properly. The home is equipped with one fire extinguisher and was observed charged and operational. The facility has an emergency disaster plan in place and safety drills are conducted monthly. Last drill was conducted on 6/3/2026. Emergency supplies and extra incontinence care items are kept stored in the garage and are readily available for use.

Five (5) staff files were reviewed. According to record review and staff interview, S4 and S5 do not have a Health Screening/TB clearance. Administrator indicated that S4 was hired on 6/15/2026 and S5 was hired on 6/26/2026. Administrator further indicated that both S4 and S5 have not completed a medical assessment yet. S4 and S5 do not have proof of training in their file. Administrator indicated that S4 and S5 have not completed their job training orientation nor Dementia training since their initial hiring, which is 6/15/2026 for S4 and 6/26/2026 for S5.

Four (4) resident files were also reviewed. During record review, LPA did not observe an LIC 601/Identification and Emergency Information in R1's file. Staff indicated that they do not have it. The whereabouts of the form are unknown. R3 does not have a current medical assessment in place (Physician's Report). Last assessment was conducted on 6/27/2023.

Medication and documentation review was conducted for (4) residents. R2’s Quatiapine Fumarate 25 mg tablet, evening dose, was not given to resident on June 29, 2026. Medication observed in the bubble pack during inspection. Administrator stated that the facility uses Medication Administration Log (MAR) for resident medication management; however, R1 did not have a July 2026 MAR log in place. LPA observed Administrator take out a blank MAR log from a binder and then proceeded to fill in the July 1 and July 2, 2026 a.m. medication administration for R1’s Metformin tablets. Also, per administrator interview, R2 refused to take their Quatiapine Fumarate 25 mg tablet, evening dose on 6/26/2026, but did not document it correctly on R2's June MAR log. MAR June 26, 2026 evening dose was signed by staff as administered.

Per California Code of Regulations, Title 22, and California Health and Safety Code, deficiencies are noted and citations are issued. A Technical Violation note was also created. Exit interview was held with Vilma Trazo, Administrator, and a copy of the report, LIC 809-D (9) and Appeal Rights was provided.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Mayra Cota
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2026
LIC809 (FAS) - (06/04)
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