Bethesda Home

While at the facility conducting investigation of a complaint (Complaint Control # 15-AS-20250710162549), Licensing Program Analyst (LPA) Delmundo learned that three residents were sent out to the hospital, two in June 2025 and the other one on July 2025, and the facility did not submit Unusual Incident Reports. Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date may result in civil penalty. LPA called and left message on Roselyn Chand's (administrator) voicemail regarding the above. LPA also discussed with Joan Acob, staff, the deficiency and plan and proof of correction. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form, and copy of this report provided.

On this day, 1/06/26, at 4:10 pm Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a case management visit. LPA met with Administrator (ADM) Roselyn Chand and informed the reason for visit. LPA toured facility with ADM. LPA inspected all the bedrooms in the west wing unit and assisted living cottages, bathrooms, common areas, dining room. All residents have moved out and no signs of residents in any of the assisted living bedrooms and cottages. Exit interview conducted with ADM and copy of this report provided.

On 1/2/2026 at 3:45PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a health and safety check of residents. LPA met with Administrator, Roselyn Chand and informed her the reason for visit. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, outdoor area, and separate buildings. LPA observed facility has 7-day of non-perishable and 2-day of perishable food supplies. Facility has 4 staff working during LPA's visit. LPA observed most residents have moved out. However, there's one resident still in the assisted living side of the facility. No deficiencies are being cited on this date. Exit interview conducted with Roselyn Chand. A copy of this report was provided.

Based on infor mation gathered, the allegation is unfounded. A finding that a complaint is unfounded means that the allegation is false, c ould not have happened, and/or is without a reasonable basis. No deficiency cited. Exit interview and copy of this report.

On this day, December 23, 2025, at 10:15 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct inspection to ensure the health and safety of residents. LPA met with Roselyn Chand, administrator (ADM) and informed the reason for visit. LPA also met with Vice President Mike Clark . As of this day, facility has 10 residents. Facility has running water and electricity. Food supplies adequate. There are 7 staff present and on-duty - 3 caregivers, 2 kitchen staff, 1 maintenance staff and administrator No deficiency cited. Exit interview conducted and copy of this report provided.

On this day, December 19, 2025, at 3:15 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct inspection to ensure the health and safety of residents. LPA met with staff, Joan Acob, and informed the reason for visit. Roselyn Chand, administrator (ADM). arrived at arounf 4:00 pm. LPA conducted inspection and observed adequate supplies of perishables and non-perishable food. Facility has running water and electricity. There are 4 staff (2 caregivers, a med-tech and 2 kitchen staff) on-duty and LPA conducted interviews. No deficiency cited. Exit interview conducted and copy of this report provided.

On 12/30/2025 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a health and safety check of residents. LPA met with Administrator, Roselyn Chand and informed her the reason for visit. LPA toured facility including but not limited to the bedrooms, bathrooms, common area, kitchen, outdoor area, and separate buildings. Hot water temperature was measured at 114.3 degrees F in a hallway bathroom sink. 7-day of non-perishable and 2-day of perishable food supplies were sufficient. Administrator will be putting another order for food supplies this week. Facility has 7 staff currently for AM shift including: Administrator, 2 caregivers, 1 maintenance staff, 1 house keeper, and 2 kitchen staff. LPA requested a copy of the staff schedule (12/30/2025 to 1/5/2026) to be sent to CCLD by 12/31/2025. No deficiencies are being cited on this date. Exit interview conducted with Roselyn Chand. A copy of this report was provided.

At 10:30 am on this day, December 16, 2025, a virtual meeting was called due to the closure of the facility. The meeting was attended by the following: Regional Manager Isaac Taggart Licensing Program Manager Jeremy Fong Licensing Program Analyst Alicia Delmundo Empowered Aging Program Manager Kiev Harris Bethesda President Robyn Harvey Bethesda Vice President Mike Clark Bethesda Board Member Lita Clapper Bethesda Board Member Don Westwood Bethesda Board Member/Treasurer Jonathan Wagner Bethesda Administrator Roselyn Chand The following were discussed: 1. Closure process. 2. Review of Closure Plan and approval/denial. .....continued on 809C 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 3. Rescission of the 60-day notification originally provided to the residents and resident's responsible person. 4. Submission of corrected closure plan that includes Relocation evaluation of each resident which includes the following: Recommendations on the type of facility that would meet the needs of the resident based on the current service/care plan. A copy of current service/care plan. A list of facilities, within a 60-mile radius of the resident’s current facility, that meet the resident’s present needs. Identification of staff who will assist in placement and/or relocation. 5. Submission of LIC500 Personnel Report. 6. Biweekly facility visit. 7. No new admission of resident. 8. Continuous provision of update to LPA. A copy of this report provided via email to Roselyn Chand, Robyn Harvey and Mike Clark.

On this day, October 20, 2025, at 3:20 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct inspection to ensure the health and safety of residents. LPA met with staff, Joan Acob, and informed the reason for visit. LPA called and spoke over the phone with Roselyn Chand, administrator (ADM). ADM can not come to the facility, and authorized Joan Acob to be with LPA during inspection, and to sign and receive this report. LPA conducted inspection and observed adequate supplies of perishables and non-perishable food. Facility has running water and electricity. There are 3 staff (2 caregivers and a med-tech) on-duty. LPA conducted interviews. No deficiency cited. Exit interview conducted and copy of this report provided.

On this day, October 6, 2025, at 1:45 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct inspection to ensure the health and safety of residents. LPA met with staff, Elmer Lopez and Elise Cooks. The staff stated that Roselyn 'Rose' Chand, administrator (ADM), was at the facility earlier and left about an hour ago. LPA called and spoke over the phone with ADM and informed the reason for visit. ADM stated she'll be back but authorized Charo Figueroa, staff, to be with LPA during inspection. ADM arrived at around 2:55 pm. LPA conducted inspection and observed supplies of perishables and non-perishable food adequate. Facility has running water and electricity. LPA also conducted interviews. No deficiency cited. Exit interview conducted and copy of this report provided.

Licensing Program Analyst (LPA) Delmundo conducted a health and safety inspection as a result of the Department receiving a complaint (Control # 5-AS-20220203111212. LPA met with Executive Director (ED) Douglas Fuller and Director of Nurses (DON) Cita De Jesus and informed the purpose of visit. The community consisted on Independent Living (IL), Assisted Living (AL) and Skilled Nursing Facility (SNF). AL and SNF are housed in the same building while IL are the cottages. Dining area is shared by AL and SNF. LPA inspected the AL section of the building with with ED and DON. LPA inspected the living room area, salon/staff room, 3 bathrooms, and randomly selected 7 rooms for inspection which included 3 vacant rooms. The salon was closed and staff had to key in the code to access this room. Facility has sufficient lighting. Hallways and passageways were observed free of obstructions. No deficiency cited during this visit. Exit interview conducted and copy of this report provided.

ADM stated staff, S1 and S2, worked in SNF and never worked in AL. S3 stated she has never worked with S1 and S2. Review of staff schedule showed S1 and S2 not listed. Based on records review and interviews, the allegations of staff observed being rough to R1 and staff do not feed resident R1 sufficiently resulting to weight loss are closed as unfounded due to R1 is a resident of facility’s SNF unit which is not under the jurisdiction of the Department and the two staff never worked in the AL. Therefore, the complaint is dismissed. Exit interview conducted and copy of this report provided.

While at the facility for a complaint investigation (complaint # 15-AS-20220817121529), Licensing Program Analyst (LPA) Delmundo learned that Infection Preventionist LVN Cynthia Angeles is not fingerprint cleared and associated to the facility. LPA checked Community Care Licensing (CCL)Guardian Portal and LIS Facility Employee Roster, and observed Angeles' name not CCL's system. The above information were discussed with David Martinez, administrator, and Cynthia Angeles. Deficiency is cited from Title 22 California Code of Regulations (see 809D). A $500.00 civil penalty is assessed for deficiency section 1569.17(b)(2)(E). Failure to submit proof of correction by plan of correction due date may result on additional civil penalty. Deficiency and plan, and proof of correction were discussed with David Martinez. David has to leave and authorized Cynthia to sign and receive this report. Exit interview conducted. Appeal Rights, LIC421BG, LIC9098 Proof of Correction form, and copy of this report provided.

On this day, September 17, 2025, at 2:35 pm, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct inspection to ensure the health and safety of residents. LPA met with Roselyn 'Rose' Chand, administrator (ADM) and informed the reason for visit. LPA conducted inspection with ADM. There's sufficient food supplies. Facility has electricity. LPA obtained copies of resident roster and staff schedule. LPA interviewed ADM, 2 residents and 3 staff. LPA also interviewed 1 staff from Skilled Nursing side of Bethesda. ADM stated the operating cost for the Assisted Living of Bethesda is separate from the operating cost of the Skilled Nursing side. ADM further stated that the Business Office staff is gone for the day and that a copy of the document will be provided by tomorrow, September 18, 2025. No deficiency cited. Exit interview conducted and copy of this report provided.

One of the staff interviewed stated the facility has 2 separate cases of pneumonia and the residents are now back to the facility and doing well. Review of After Visit Summary showed R1 was sent out in June 2025 and R2 on July 2025. Both staff stated the facility is observing universal precautions, doing disinfecting every shift and wearing masks when residents are coughing. Both of them stated there's no outbreak of communicable disease. Based on information gathered, there is not a preponderance of evidence to prove that a violation occurred, therefore, the allegation is closed as unsubstantiated. No deficiency cited. Exit interview conducted and copy of this report provided.

On 4/28/2025, at 9:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct the Required Annual Inspection of the facility. Upon arrival, LPA stated the purpose of the visit to Administrator (ADM) Roselyn Chand. The LPA toured the interior and exterior of the facility with the ADM, inspecting the kitchen, food and supplies storage areas, dining areas, shared restrooms, community living spaces, private bathrooms, resident rooms, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. The maximum hot water temperature was 116.2 degrees Fahrenheit in Azalea Cottage and the temperature in the common area in the Wisteria Cottage was 73.4 degrees Fahrenheit. The carbon monoxide and smoke detectors were fully operational. The fire extinguishers were last serviced on 2/19/2025. The LPA observed postings in the facility that included a complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, Rights to Resident Council, and Rights to Family Council. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPA reviewed facility records, records of 5 staff members, and records of 5 residents. No citations were issued during the inspection. Exit interview conducted and a copy of this report provided.

Page 2 On 8/24/22 and 5/01/24, LPA inspected the food supplies which were observed of different varieties. LPA observed fresh fruits and fresh meat such as pork, beef, and packages of ground beef. On 8/24/22, LPA obtained copies of menus and the food prepared by kitchen staff for dinner for that day was observed consistent with what was listed on the menu. On 5/01/24, LPA observed different varieties of food supplies including but not limited to fresh pork and beef, vegetables, and fresh cantaloupes. All 3 residents interviewed stated they are served different varieties and fresh fruits. Based on information gathered, the allegation is unfounded. Allegation: Facility alarm system in disrepair. It was alleged that the facility’s alarm system did not work. On 8/18/22, LPA spoke and verified with RP the alarm system RP was referring during the complaint intake. RP stated the facility has fire alarm and smoke alarm that do not go off. RP further stated that the Independent Living (IL) has smoke alarm and that there's no notification system on the IL if something is happening on the Assisted Living (AL) and Skilled Nursing (SNF). LPA conducted inspection on 8/24/22, and interviewed previous administrator, David Martinez, on 8/24/22 and 3 residents on 5/01/24. On 8/24/22, LPA tested the smoke and carbon monoxide detectors. Previous administrator stated all the alarms were working including the fire alarm and wander guards for the SNF were working. Based on inspection, interviews and RP’s statement, and that the Department does have jurisdiction on IL and SNF, the allegation is closed as unfounded. .....continued on 900c (page 3) 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 Page 3 Allegation: Staff do not answer residents' call buttons in a timely manner. It was alleged that staff do not answer residents' call buttons in a timely manner and that sometime in 8/2022, the residents’ call lights were not working. It was further alleged that residents scream for assistance however, staff do not assist the residents. On 8/18/22, LPA spoke with RP who stated the call buttons/lights were the ones on SNF that go off frequently and the staff won’t respond. On 8/24/22, LPA interviewed previous administrator, David Martinez, who stated when resident in AL main building west wing area pressed their call buttons, calls are transmitted to the pad on the wall in the main building. The pendant call that goes to the computer is from the Independent Living Cottages. LPA requested S1 and S2 to press the call buttons from residents rooms in AL west wing area and LPA observed the signals were transmitted to the pad. On 5/01/24, LPA interviewed 3 residents, of which one is in the cottage and 2 are in the AL main building rooms. All 3 stated staff come and assist when they call for help. Based on inspection, observation and interviews, the allegation is closed as unfounded. A finding that a complaint is unfounded means that the allegations are false, could not have happened, and/or are without a reasonable basis. No deficiency cited. Exit interview conducted and copy of this report provided to the acting administrator.

Licensing Program Analyst (LPA) Delmundo conducted an unannounced annual/infection control inspection. LPA met with met with staff, Infection Preventionist LVN Cynthia Angeles and AL Supervisor Rosario "Charo" Quispe Figueroa, and informed the purpose of visit. Facility has an approved LIC808 Mitigation Plan. Facility has not submitted the LIC9282 Infection Control Plan. LPA toured the facility inside out with Cynthia Angeles and Rosario Figueroa. LPA inspected the living room, dining area, kitchen, hallways, 3 common bathrooms. LPA randomly selected 6 residents' rooms for inspection. There's adequate food supplies of perishables good for 2 days and non-perishables good for 7 days. Central storage for medication and salon/staff lounge room were observed locked. Facility has screening station with hand sanitizer, no touch temperature probe.. Facility has Visitor's log. Temperature and symptom checks are done at the entrance. Facility keeps record of proof of vaccination of residents and staff. Supplies of PPEs were sufficient.. Facility has antigen test kits readily available. COVID-19 signages were observed all throughout the facility. Bathroom lavatories were observed with liquid soap and paper towels in dispensers for hand drying. Trash cans were observed with no touch lids. Fire extinguishers checked, observed fully charge with tags showed serviced February 17, 2023. Hot water temperature in one of the common bathrooms was tested and measured at 119 degrees Fahrenheit. .......continued on 809C 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 Adminstrator to submit the following by March 14, 2023: 1. LIC308 Designation of Facility Responsibility 2, LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. Proof of $3M liability insurance. 5. Staff's current N95 fit testing records/certificates 6. LC9282 Infection Control Plan No deficiency observed during today's visit. Exit interview conducted and and copy of this report provided.

Based on records review and interviews, the allegation of facility did not provide sufficient supervision resulting to resident (R1) sustaining right femur fracture is closed as unfounded due to R1 is a resident of facility’s SNF unit which is not under the jurisdiction of the Department. A finding that a complaint is unfounded means that allegation is false and could not have happened and/or are without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and copy of this report provided.

On this date, April 15, 2026, at 10:40 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual inspection. LPA was granted entry by Board Director/Vice President Mike Clark and informed the reason for visit. LPA also met with Board Director/President Robyn Harvey. LPA toured the facility inside out with Mike Clark. LPA inspected the main building (West Wing), Azalea, Garden and Peralta Cottages. There's no sign of residents living in the Assisted Living (AL) part of the property and the AL is currently not in operation. The following were discussed with Mike Clark and over the phone with Licensing Program Manager Jeremy Fong: 1. Board Directors' intent to keep the license and have management company be part of the license. Submission of abbreviated application to Central Application Bureau. Keeping LPA informed when abbreviated application is submitted. The annual fee which was due on April 4, 2026 is not paid as of this date. Deficiency is cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of correction by plan of correction due date may result in civil penalty. Deficiency and plan and proof of correction were discussed with Mike Clark. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.

On this day, February 17, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety inspection as a result of the Department receiving a priority 1 complaint (Complaint # 15-AS-20230215113247 ). LPA met with Cynthia Angeles, facility LVN-Infection Preventionist , and informed the reason for visit. LPA toured the facility including but not limited to common areas, dining rooms, kitchen, living room, and bathrooms. LPA observed the salon locked. Some residents were observed in the dining rooms eating dinner, LPA randomly selected 5 residents rooms in the main building and 1 room in the Assisted Living cottage. No hazards observed, and no deficiency cited during today's visit. Exit interview conducted and copy of this report conducted.