Katella Senior Living Community.

LPA Haddadin checked the bathroom sinks in the rooms visited and did not detect an unpleasant odor or malodorous smell from the sink water. No standing water, visible plumbing back-up, or other conditions suggestive of an ongoing plumbing issue were observed. The facility hallways and common areas appeared clean, adequately lit, and free of any distinct odor that would indicate a facility-wide plumbing concern. Based on these observations, the facility environment appeared consistent with providing residents functioning utilities and basic accommodations that support daily living. During record review, LPA Haddadin reviewed the facility’s current maintenance log and observed the facility documents maintenance issues and resident concerns and tracks corrective action. The log reflected repairs are generally addressed. LPA Haddadin also confirmed through resident interviews that residents are able to report concerns to staff and that issues are typically addressed after being reported. Additionally, on September 13, 2022, the Department conducted a visit to the facility regarding the above-mentioned allegations, and toured the interior areas to assess whether residents were provided comfortable accommodations, including appropriate indoor temperature during hot and cold weather conditions. During that visit, the Department observed the facility had a functioning centralized heating system available for cold weather, as well as centralized air conditioning and fans for use during hot weather. At the time of the Department’s visit, No standing water, visible plumbing back-up, or other conditions suggestive of an ongoing plumbing issue were observed. Also the air conditioning system was on and appeared operational. Based on those observations, the Department verified the facility maintained equipment and resources intended to support a comfortable daily living. During the investigation, LPA Haddadin requested resident records, staff records, and maintenance documentation pertaining to the incident timeframe. However, pursuant to Title 22, California Code of Regulations, section 87506(e), Residential Care Facilities for the Elderly (RCFEs) are required to maintain resident records for a period of three years. In addition, the facility underwent a Change of Ownership on April 3, 2025. As a result, LPA Haddadin was unable to obtain certain records pertaining to the timeframe relevant to this investigation. Based on interviews, record review, and observations, the preponderance of evidence standard was not met; therefore, the allegations are deemed unsubstantiated. An exit interview was conducted, and a copy of this report, along with Confidential Names list LIC811 was provided to Med-Tech Melanese Prince.

It was alleged that "Staff under the influence providing care to resident", "Staff left hazardous items accessible to residents", and "Facility did not provide a safe environment for resident". LPA Haddadin conducted five staff interviews and five resident interviews, and the interviewees did not corroborate these allegations. LPA Haddadin reviewed staff files and did not observe documentation indicating any staff member was terminated or reprimanded for being impaired or under the influence. LPA Haddadin also completed a facility walkthrough and conducted a health and safety inspection and did not observe unsafe items or hazardous materials. The hallways were clear of obstacles. LPA Haddadin inspected five resident rooms and observed the rooms to be free of mold, mildew, and insects. It was also alleged that "Resident’s toilet plugs", "Staff do not ensure resident’s room clean", and "Resident’s room has insects". LPA Haddadin inspected five resident rooms and did not observe insects. The rooms inspected were clean and well-maintained, with no unusual odors, and the walls and carpets were free of stains. LPA Haddadin inspected resident restrooms and observed the toilets to be operable and unclogged. During record review, LPA Haddadin observed the facility contracts with an outside pest control company that provides services twice per month, with the most recent service date on file documented as January 16, 2026. LPA Haddadin also observed documentation reflecting that resident rooms are maintained on a weekly cleaning schedule. During resident interviews, LPA Haddadin confirmed residents reported the facility follows a weekly cleaning schedule and responds when residents request additional cleaning. It was further alleged that "Staff did not change resident’s surgical dressing to keep clean and dry" and "Staff are not allowing RP into facility to provide care to resident". LPA Haddadin conducted five staff interviews and five resident interviews, and the interviewees denied these allegations. During staff file review, LPA Haddadin obtained documentation reflecting Med-Tech training and observed the facility was current with staff training records. {***CONTINUE 9099C***} 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 LPA Haddadin also confirmed that the private caregiver for resident 1 (R1) was associated with the facility through the Guardian system; which means they were fingerprinted and cleared to be in the facility to provide service to R1. LPA Haddadin conducted a phone interview with the private caregiver on January 24, 2026, and the private caregiver declined to provide a statement. Based on interviews, record review, and observations, the preponderance of evidence standard was not met; therefore, the allegations are deemed unsubstantiated. An exit interview was conducted, and a copy of this report was provided to Operations Manager (OM) Jalessa Chavez.

LPA also conducted five resident interviews. Two out of five residents corroborated the allegation, and three out of five residents denied the allegation. During resident interviews, LPA did not smell or otherwise detect odors consistent with incontinence. In addition, during record review, LPA obtained the facility’s shower schedule and verified showers were scheduled for residents in care. Information obtained during resident interviews was consistent with residents receiving showers as scheduled. Based on interviews, record review, and observations, the preponderance of evidence standard was not met; therefore, the allegation is deemed unsubstantiated. An exit interview was conducted, and a copy of this report was provided to Operations Manager (OM) Jalessa Chavez.

On the assisted living area, LPA observed breakfast being served at 7:30AM, and lunch at 11:30AM, of which also matched with the posted meal schedule. Per LIC500, there are a total of 6 dining room staff present, not including caregivers and med-techs, who also assist in serving meals, including tray service. It was alleged that staff do not distribute residents' medications as prescribed. 7 out of 7 resident interviews, and 2 out of 2 staff interviews did not corroborate with the allegation. Per documentation review, resident 3 (R3) assists spouse/resident 4 (R4) with insulin injections, of which this was approved by R3’s doctor stating that R3 is capable of assisting R4; however, staff will supervise R3 and R4 when the insulin injectable are being administered. In addition to the documentation review, LPA observed that R4 is prescribed two insulin injectables (Lispro for morning and afternoon, and Tresiba for evening), and on 11/12/25, it was reported that R4 was given the morning insulin at night, to which despite R4 not experiencing a reaction, 911 was still contacted for further evaluation. It was alleged that staff do not ensure that a resident's incontinence needs are met. 7 out of 7 resident interviews, and 2 out of 2 staff interviews did not corroborate with the allegation. During the tour of the facility, LPA observed staff on duty changing a resident, and LPA also observed that facility is equipped with adequate incontinence supplies. It was alleged staff do not provide residents with laundry service. 7 out of 7 resident interviews, and 2 out of 2 staff interviews did not corroborate with the allegation. During the tour of the facility, LPA observed that laundry was actively being done and that the facility has a schedule of when resident laundry services are conducted. Per documentation review, laundry services are conducted daily with the specified resident rooms. In addition, LPA observed that there are 3 resident rooms that do not obtain laundry service, however it is due to residents opting out of the facility laundry services because the residents family does it, of which this was confirmed via resident admission agreement. Continued on LIC9099-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 It was alleged that staff do not maintain the facility clean and sanitary at all times. 7 out of 7 resident interviews, and 1 out of 1 staff interviews did not corroborate with the allegation. Upon entering the facility, LPA observed staff actively cleaning resident rooms in both the assisted living and memory care areas of the facility. LPA also observed that facility is equipped with adequate amount of cleaning supplies and observed a total of 2 staff members on duty who were cleaning on the assisted living and memory care portion. Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with OM Chavez. A copy of this report was explained, and provided.

Licensing Program Analyst (LPA) Jenifer Tirre made an unannounced visit to conduct a case management to follow up on a self reported incident that occurred at facility on 11/3/2024. LPA Tirre met with Executive Director Jon Peralez and Wellness Director Michelle Drinkard. LPA Tirre toured Physical Plant with Executive Director. The facility is a two level structure and is licensed for 140 residents. Currently, there is a total census of 54 residents in care of which 8 is on hospice. LPA observed resident rooms to be in good repair. LPA observed residents in common area dining room singing with music coordinator. LPA conducted interviews with staff members aware of incident and Resident 1. LPA conducted file review for resident 1 and staff 1. LPA was unable to interview Staff 1 due to staff member no longer working at facility. LPA conducted interview with R1 and observed R1 had confusion with some questions. LPA observed R1's Physician report with diagnosis of Memory loss and mild cognitive impairment. During visit LPA requested pertinent documents such as Personnel Report, Register of residents, corrective action notice, ID and Emergency information, Medication list and physician's report. A LIC 811 Confidential names list was provided and exit interview was conducted and a copy of the report provided.

Licensing Program Analyst (LPA’s) Bernadette Allen made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Jon Peralez- Administrator who assisted with the tour of the facility. 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’s bedrooms; they are equipped with required furniture such as: mattresses, night stands, 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, fully charged fire extinguisher, and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, ombudsman 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. LPA observed there was a designated storage space for resident/staff files. Medications are kept locked in storage cabinet and medication office inaccessible to residents in care. Medications were audited at random and appeared to be dispensed appropriately by staff members. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. 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 also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited. An exit interview was conducted, and this report was discussed and provided to Jon Peralez- Administrator at the conclusion of the visit. Medications were audited at random and appeared to be dispensed appropriately by staff members.

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced case management visit to address the issues observed during a required 10-day complaint visit (complaint # 22-AS-20230829113742). LPA observed there was no See Something, Say Something sign (PUB 475) posted in the entrance way of the facility. LPA informed the Executive Director who reported the correct sign would be posted. A Technical Assistance Advisory Note was issued. An exit interview was conducted and a copy of the report provided.