The Lakes.

LPA conducted interviews with three (3) staff, all whom state they are supervising residents; however Two (2) have stated incidents may happen the second their backs are turned rather than lack of supervision. Based on observation, interviews, and pertinent documents the allegation is unsubstantiated. An Unsubstantiated complaint means, that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted with Executive Director Cristina Ceballos and a copy of this report was provided at the conclusion of the visit.

Licensing Program Analyst (LPA) Sarina Ramirez arrived at the facility unannounced to conduct a Case Management Visit for a health and safety. This case management visit is in response to a Special Incident Report (SIR) submitted to the Community Care Licensing Office on 04/02/26. LPA met with Executive Director (ED) Cristina Ceballos and stated purpose of the visit. During today's visit, LPA discussed the incident. The facilities fire panel alarm was activated, indicating there was a fire in the first floor stairwell. ED informed LPA the fire resulted in a malfunctioning light ballast, Facilities maintenance personnel successfully extinguished the fire in 90 seconds. A new fire extinguisher was purchased and replaced prior to the fire department arriving. Upon the fire departments arrival, the facility was inspected, tested, and cleared. No documentation was provided from Engineer's squad 66 and Engine 20 stating it would take a couple weeks. LPA toured the facility, the new light ballast has been replaced, and the facility is in the process of replacing new carpet that was affected by the fire. No deficiencies were observed during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to Executive Director Cristina Ceballos.

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano made an unannounced visit to the facility to conduct a required annual inspection. LPAs met Executive Director Cristina Ceballos, and discussed the purpose of the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (276), and a current census of (132). LPAs conducted a general inspection of facility, which included, but was not limited to, the following: Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility has a swimming pool that is enclosed and locked inaccessible to residents in care. The facility has sufficient space for resident activities. Seven (7) resident bedrooms were inspected, two (2) in the memory care unit and five (5) in the assisted living unit. Five (5) resident’s bathrooms were inspected, hot water temperatures measured from 105 to 105.7 degrees F. The facility is equipped with operating smoke/carbon monoxide alarms, a total of four (4) resident bedroom alarms were tested. The facility was inspected by Desert Alarm Inc on 1/28/25, the inspection for 2026 is scheduled for the upcoming week. Facility has operating laundry equipment, and telephone service. The facility has posted in a common area, personal rights, facility sketch, the Community Care Licensing complaint poster, Ombudsman poster, menu, activities, and license. Cleaning supplies and sharps were kept inaccessible to residents in care. Food Service: Kitchen and dining areas were maintained cleaned. Non-perishable and perishable food supply is sufficient for number of residents in care. Facility refrigerators and freezers were maintained in operating condition. Continuation on LIC809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Health Related services: LPAs reviewed (7) resident medications ,no issues found. Resident’s medications are labeled and centrally stored in a locked medication room in both memory care and assisted living units. Record Review: Eight (8) resident files reviewed were observed to be complete. Nine (9) staff files reviewed were observed to be complete. The facility has an emergency and disaster plan on file; last disaster drill was completed on 1/20/26. Based on LPAs observations and records review no deficiencies are being cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report (LIC809), (LIC809C) were discussed to Executive Director Cristina Ceballos. Copies of the reports were provided to the Executive Director at the conclusion of the visit.

LPAs interviewed seven (7) staff, all whom stated they have not seen nor taken items from resident’s rooms. Four (4) of the seven (7) staff informed LPAs they do not open cabinets in residents rooms, they only clean counter tops and never touch personal belongings. LPAs interviewed five (5) residents, all whom stated they have not had anything gone missing in their rooms. Based on LPA’s staff and resident interviews, and relevant documentation, the allegation is determined to be Unsubstantiated . An Unsubstantiated finding means that although the allegation may be valid or could have occurred, there is insufficient evidence to support that the alleged violation did or did not happen. An exit interview was conducted with Executive Director Cristina Ceballos, and a copy of this report was provided at the conclusion of the visit.

Regarding allegation #2, LPAs conducted interviews with five (5) staff, 4 out of 5 staff informed LPA their goal to respond to call pendants is 10 minutes or less. Executive Director informed LPAs they are in the process of upgrading the communication tracker. LPAs conducted interviews with eleven (11) residents, 3 residents informed LPA they have never used their call pendants; 1 resident does not have a call pendant, 1 resident could not answer LPAs questions, 6 residents informed LPA sometimes staff take a while to respond to their call pendants averaging 20 minutes to an hour, however all residents stated it does not happened often or staff attend in a timely manner. Based on LPA’s observations, staff and resident interviews, and relevant documentation, the allegations are determined to be Unsubstantiated . An Unsubstantiated finding means that although the allegations may be valid or could have occurred, there is insufficient evidence to support that the alleged violations did or did not happen. An exit interview was conducted with Executive Director Cristina Ceballos, and a copy of this report was provided at the conclusion of the visit.

LPA interviewed seven (7) residents, five (5) of the 7 residents stated that the passageways are free of obstruction. Two (2) of the 7 residents stated every once in a while, a car is parked in the charging area which they say obstructs the outside pathway. Regarding allegation #2, LPA interviewed seven (7) residents regarding the allegation. Six residents stated that staff consistently maintain the facility to ensure it remains free of mold. One resident (R1) reported that mold was present inside their toilet tank. During the facility tour, LPA inspected R1’s toilet by removing the tank lid and did not observe any mold. According to R1, the issue was reported to staff, and the toilet tank was subsequently cleaned. Staff member S4 confirmed that the tank was assessed when R1 raised the concern. Upon inspection, S4 identified the substance as slimy buildup rather than mold, which was cleaned the following day by designated staff. LPA also interviewed three (3) staff members, all of whom affirmed that the facility is free of mold and stated they have neither observed nor received reports of mold within the premises. Based on LPA’s observations, staff and resident interviews, and relevant documentation, the allegations are determined to be Unsubstantiated . An Unsubstantiated finding means that although the allegations may be valid or could have occurred, there is insufficient evidence to support that the alleged violation did or did not happen. An exit interview was conducted with Executive Director Cristina Ceballos, and a copy of this report was provided at the conclusion of the visit.

While interviewing a resident, LPA had the resident test their call pendant. LPA observed two (2) staff respond to the call in 6 minutes and 36 seconds. Regarding allegation #2, LPA conducted interviews with four (4) staff, all four have informed LPA the residents have not complained about the food however, it’s got better. LPA conducted interviews with six (6) residents, 4 out of 6 residents informed LPA the food is good and they do not have complaints, 1 of the 6 residents stated the food is so-so, 1 of the 6 residents informed LPA they are a picky eater; however with the alternatives the food is good. Based on observation, interviews, and pertinent documents the allegations are unsubstantiated. An Unsubstantiated complaint means, that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with Executive Director Cristina Ceballos and a copy of this report was provided at the conclusion of the visit.

An exit interview was conducted where this report was discussed and a copy provided to Executive Director Ceballos at the conclusion of the visit.

Allegation #2: Staff did not ensure the facility bus was not in disrepair - Based on interviews, record reviews and LPA observation and information received during the investigation, LPA was unable to corroborate the allegation. The vehicle needs the operator/charter permit from Public Utilities Commission and California Highway Patrol clearance to operate the vehicle. LPA observed the bus is in good repair and the facility provided the filed paperwork needed to operate the bus/van. Based on interviews, they all stated that the bus is in good repair. During the investigation, LPA did not find evidence to corroborate the allegations. Based on the evidence, the allegations mentioned above are UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. An exit interview was conducted where this report, LIC9099 and LIC9099C were discussed and provided to Executive Director Cristina Ceballos.

Regarding Allegation #3: Based on observations and interviews conducted by the LPA, staff are properly maintaining the facility's laundry equipment. Based on observation, record review, interviews with facility staff and residents the allegations are unsubstantiated. An Unsubstantiated complaint means, that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted with Executive Director Cristina Ceballos and a copy of this report was provided to Executive Director at the conclusion of the visit.

An exit interview was conducted with Business Office Manager Araceli Peters and a copy of this report was provided to Business Office Manager at the conclusion of the visit.

Licensing Program Analyst (LPA) Sarina Ramirez conducted an announced visit to the facility for the purpose of a Change of Ownership evaluation. LPA met with Licensee Shlomo Aron. An initial application for change of ownership to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Centralized Applications Bureau (CAB) on 06/26/2024 for a total capacity of two hundred and seventy-six (276) residents. Fire clearance was granted on 08/16/2024. LPA observed the following: Eight (8) bedrooms and Nine (9) bathrooms. There is a gated pool inaccessible to residents in care. The physical plant, in general, was in good repair. Buildings and grounds are free from hazards. Indoor and outdoor passageways were free of obstruction. There is a locked area for medications, cleaning supplies, and sharps. LPA observed a working telephone and basic laundry equipment. Resident bedrooms had the required bedding and furniture. Bedrooms had sufficient lighting. LPA measured the hot water temperature in the resident bathrooms, and it ranged from 105 to 114 degrees F. The facility had a sufficient amount of linen and hygiene items for the residents. The facility had a sufficient amount of nonperishable and perishable food items. The food was kept in a safe and healthful manner. The facility menu was available for review. Dishes, glasses, and utensils were in good condition. The facility had a designated area for staff and client records. Facility sketch, personal rights, CCLD complaint poster, Ombudsman poster, and schedule of activities were posted in a common area. The facility was equipped with a complete first aid kit and manual. There is adequate seating in the common areas. Facility had a supply of activities for the residents. Pre-licensing inspection is complete, and no corrections are needed to be made. Facility appears to be ready for licensure. An exit interview was conducted where this report was discussed and provided to the Licensee Shlomo Aron.

Facility Type: RCFE Application Type: CHOW Capacity: 276 Census (if any clients in care): 100 COMP II Participants: Lori Matsushita (A), Steven Aron (C) Interview Method: Telephone interview On November 18, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Activities, Transportation 3. Staffing requirements, Transportation 4. Unusual Incidents/Timeline to report 5. General provisions / pre licensing readiness