Amistad Assisted Living and Memory Care Home.

Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez made an unannounced visit to conduct a Health and Safety check of the residents in care at the facility. LPA Rico met with Administrator Christopher Garcia and explained the reason for the visit. The Health and Safety check included overall observation of the facility inside, and outside, including food supply, medications, physical plant, and the residents. On 9/25/2025 the Administrator was cited for not providing proper documentation to R1's PRN medication. Today 10/9/2025 LPA Rico audit R1's medication and observed PRN medication was not documented properly. The PRN medication did not include the time, reason and result. Due to repeated violation within the 12 months, a civil penalty will be issued. In addition, the facility had documented R1's routine medication was provided, but the current medication on bubble pack did not match R1's MAR. Based on the observations made during today’s visit, one (1) deficiency were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809)(LIC809D)(LIC421FC) was discussed and provided to Administrator Christopher Garcia. Along with a copy of Appeal Rights and Civil Penalty.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced case management visit pertaining to complaint control number (56-AS-20250311155200). LPA met with Administrator Christopher Garcia and explained the purpose of the visit. LPA Rico conducted a facility and review facility documents. During the visit, LPA observed cameras in the resident’s bedrooms which poses a potential health, safety, or personal rights risk to persons in care. During today’s visit,one (1) deficiency s was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report (LIC809), LIC809D, the appeal rights were discussed and provided to Administrator Christopher Garcia.

related to assisting with Activities of Daily Living (ADLs) and did not have a copy of R1 care plan to meet their medical and dental needs. For the allegation, Facility staff leave residents in soiled bedding. During staff interviews, the Administrator stated that they wash residents’ bedding, it often becomes soiled again due to residents wearing soiled clothing. During the facility tour, LPA observed wet bedding and a soiled bedding in the living room couch. For the allegation, Facility staff are not assisting residents with personal hygiene. All staff interviewed stated they have been unable to assist R1 with personal hygiene due to R1’s behaviors. Based on record review the facility staff are incompetent to provide care for R1, LPA found that facility staff had not completed training related to assisting with Activities of Daily Living (ADLs) with residents with dementia. For the allegation, Facility staff are mismanaging residents' medication. During a medication audit, LPA observed that R1’s PRN medication was not documented on R1’ MAR, that would include resident’s response, reason for administration, and date/time. Additionally, LPA observed loose medication in R1’s container box without original packaging. During staff interviews, the Administrator admitted that PRN medication documentation had not been completed and were unaware of loose medication. For the allegation, Facility staff changed their visitor hours policy. During the facility tour and record review, LPA observed that the posted visitor hours were 11:00 a.m. to 5:00 p.m., which did not match the facility’s approved Plan of Operation submitted to Community Care Licensing. The original visitor hours were listed as 10:00 a.m. to 7:00 p.m. During staff interviews, the Administrator admitted to changing the facility’s visitor hours. Based on the evidence gathered during today’s investigation, the six (6) allegations listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegations are valid because of the preponderance of evidence the standard has been met. During today’s visit, six (6) deficiencies was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and LIC9099D were discussed and provided to Administrator Christopher Garcia, along with a copy of the appeal rights.

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Christopher Garcia and was granted entry to the facility. Licensed capacity is (6) current census (1). LPA was accompanied by Administrator Christopher Garcia to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a space office for resident/staff files. Furthermore, during facility tour, LPA observed a strong odor of urine in the kitchen/dining area. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. 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 Record Review: LPA reviewed (1) resident files for admission agreements, updated physician reports, and needs and services plans. LPA audit (1) resident medications and (1) hospice file. LPA also reviewed (2) staff files for First Aid/CPR certification. During record review, LPA Rico observed the facility did not have S1 criminal clearance letter and Health Screening. In addition, S1 and the Administrator did not have staff training and dementia training documents. Furthermore, LPA Rico advised for the Administrator to receive technical support, the Administrator agreed for referral. Based on the observations made during today’s visit, (6) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrator Christopher Garcia. Along with appeal rights.