During interviews conducted on 7/23/2026, both staff members working that day stated that the administrator usually comes to the facility, on average, one or two times each week and stays for about two to three hours each visit. Additionally, staff and resident interviews revealed inconsistent statements regarding how often the administrator was present at the facility. Some reported the administrator visited periodically, while others were unable to state how frequently the administrator was on-site

Further, records reviewed from the non-compliance (NCC) office meeting held on 4/15/2026 with Administrator/Licensee Veniana Banuve documented the administrator's agreement to be physically present at the facility for at least 40 hours per week, conduct unannounced nighttime health and safety checks at both licensed facilities, and maintain a written administrator presence log documenting the date, time, staff on duty, resident census, and observations made during each visit. LPA spoke with Veniana over the phone on 7/23/2026 where she stated that she has not been doing this agreement. During follow-up visit on 7/23/2026, the LPA requested this required documentation; however, facility staff were unable to produce any administrator presence log or other documentation verifying compliance with the agreed corrective actions.

Based on the observations, record reviews and staff interviews, it is determined that there is a preponderance of evidence that the administrator is not present at the facility a sufficient amount of time needed to provide regular oversight and supervision of the facility's daily operations, therefore, this allegation is substantiated. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met.

This facility is hereby cited per California Code of Regulations, Title 22, Division 6, Chapter 8. Plan of correction and appeal process were discussed during the exit interview with Anese Warfield. A copy of this report and appeal rights were provided.

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A review of the Personnel Report (LIC 500), dated 1/4/2026, showed that neither E1 nor E2 is listed as a facility employee.

During Department visits conducted on 1/5/2026, 1/15/2026, 2/20/2026, 7/23/2026, and 7/29/2026, there were no observations or reports of E1 or E2 being present or working at the facility.

Based on the information gathered through interviews, record reviews, and observations, there is not enough evidence to support the allegation that the facility allowed excluded individuals to work in the facility.

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Allegation – Staff are forging resident documents: The investigation into this allegation consisted of interviews and record reviews.

LPA Villanueva contacted the doctor's offices listed on the residents' Medical Assessments (LIC 602A) to verify whether the residents had been seen by the physicians. LPA was able to reach three of the five phone numbers. However, the doctor's office staff stated they could not provide or verify patient information. On 7/23/2026, LPA interviewed both staff members who were working at the facility. Both staff members stated that they had never been asked by the administrator, management, or any other staff member to change, falsify, or forge resident documents. Furthermore, staff denied seeing or knowing any facility staff forging, falsifying, or altering resident documents.

Based on the information gathered during the investigation, there is not enough evidence to support the allegation that staff are forging resident documents, therefore, the allegation that staff are forging resident documents was unsubstantiated.

A finding of unsubstantiated means that although the allegation may have happened the preponderance of evidence does not prove it.

No deficiencies were cited as a result of this visit. Appeal process was discussed during the exit interview with Anese Warfield. A copy of this report and appeal rights were provided.

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