Melrose Villas.

Interviews with the administrator and staff deny the allegation, stating there are no male residents in this facility identified by R1's name. The administrator adds that there were no residents occupying room 214 for approximately two months as it was being treated for pest control services. Interviews held with the ten residents also do not confirm the allegation, as residents were unable to identify R1, or if R1 had ever lived at this facility. Review of the facility's resident roster confirm there is no resident on the list identified as R1. Also obtained for record and review were invoices from the pest control company confirming that room 14 was being serviced for insects and pests from about May 4, 2026 to about July 10, 2026. Based on the department’s observations, interviews, and record review which were conducted, there was insufficient evidence to confirm the allegation of staff not preventing a resident from having access to a sharp object. Therefore, the allegation is deemed Unsubstantiated at this time. administrator advised and a copy of this report issued.

On 05/11/26, 10:30 am , Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual visit. LPA met with the Administrator, and reason for the visit was disclosed. Facility is licensed as a two story residence, encompassing 34 shared resident bedrooms, each with bathroom; three (3) public bathrooms are located in hallway areas. Fire clearance approved for sixty-eight (68) non-ambulatory residents; of which, twenty (20) may be bedridden. Hospice waiver for twenty (20) residents. At the time of this inspection, no residents were receiving hospice care services. Facility’s main door is the primary access: Three (3) emergency exits are on the first floor, and two (2) emergency exits on the second floor. Exit routes are clear of obstruction. Screening area is located upon entrance. Delayed egress alarm sensors are present at all exit points and are working properly . Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Room temperature is comfortable; wall thermostat displays a setting of 76 °F., within the required range. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 4/29/2026. At 11:00 am , LPA conducted a tour of the physical plant with the Administrator, and observed the following: Kitchen: LPA observed kitchen to be clean, with an adequate supply of perishable and non-perishable foods located in the refrigerator, freezer, and pantry. LPA observed a variety of fresh fruits, vegetables, meats, dry cereals, and desserts. Foods are properly labeled and stored. Knives and sharps are stored in a designated area of the kitchen. Kitchen is secured and inaccessible to residents. [Continued on LIC 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 Fire Detection/Protection : LPA observed multiple smoke and carbon monoxide alarms installed, hardwired, and interconnected. Fire alarm system was tested and is working properly. Fire drill last conducted 4/29/2026. Fire extinguishers were observed on all floors of the Facility. All extinguishers were last serviced on 4/22/2026. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. Facility stairwells contain a required evacuation chair. Medications : Located on the second floor, medication room was observed as locked, and inaccessible to residents. Medications are listed on a centrally stored medication and destruction record log. LPA audit of resident medications, with corresponding Medications Administration Record, (MAR) found records as accurate. First Aid kits, located in cabinet storage, were observed as fully stocked. Bedrooms: LPA observed random bedrooms (Rooms #113, #110, #106, #202, #201, #211) finding them as clean, with sufficient lighting, bed linens, at least one chair, night stand, adequate closet space, and dressers. Signaling system was tested in random bedrooms and working properly. Average staff response time to activated signal was within five minutes. Bathrooms: LPA observed bathrooms to be clean and sanitary, with required safety fixtures. (grab bars, anti-slip floor stripping) Hot water temperature measured between 113.°F. and 116.°F; within the required range. Towels are not shared. Commons: LPA observed upstairs and downstairs hallways, activity room, and dining room, finding them clean and clear of obstruction; furnishings observed to be in good condition. No tripping hazards observed. Laundry : Is located on sub-floor level. Washer and Dryer machines were working properly. Laundry room, soaps, and other cleaning agents are stored and inaccessible to residents. Outdoor: Courtyard observed to have a shaded patio area, with a table, and sufficient seating for residents. Outdoor furniture observed to be in fair condition. Multiple sheds in the outdoor area contain tools, supplies, and PPE. All outdoor sheds were observed as locked and inaccessible to Residents. All trash cans were covered. There are no bodies of water in the facility. [Continued on LIC 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 Staff records: LPA observed records stored in a locked room on the first floor, inaccessible to residents. Criminal record clearances were present, and Staff are associated to this facility. Staff records appeared to be complete and current. Resident records: LPA observed records stored in a locked room on the first floor, inaccessible to residents. Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be current and complete. No deficiencies cited, exit interview conducted, and copy of this report provided to administrator.

Allegation: Staff do not safeguard resident's personal belongings - It was alleged several items of R1's clothing (shirts, socks, and underwear) were missing and potentially stolen, due to staff neglect. Today, LPA's interview with the administrator revealed that during the meeting with R1 and their responsible family member, they had agreed to create an inventory of all the personal belongings of R1 and turn it over to the facility at a later date. However, submittal of said inventory never materialized. Finally, Both Administrator and R1’s conservator confirmed to LPA that although none of the items reported missing are listed on R1’s inventory log, licensee replenished R1 with new shirts, socks, and financially reimbursed R1’s conservator for clothing items. LPA interviews with nine (9) out at total of forty-four (44) residents revealed their satisfaction with staff safeguarding of resident's belongings. LPA's record review revealed that R1's client/personal property and valuables (LIC 621) signed by R1's conservator did not list any personal belongings. The information documented corroborated with staff statement. Based on interviews and records review, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Allegation: Staff is not providing residents with outings - It was alleged that staff suspended resident outings, which includes walks to the park, or going to local convenience stores. LPA observed that facility maintains a full time Activities Director, and that staff-supervised resident outings resumed on May 2025. Interviews with Administrator revealed that during the time the allegation was reported, Staff were unable to conduct resident outings to the park, as major sections of the park were sectioned off by the city in order to complete construction modifications. Most of the facility's residents, including R1, were authorized to leave the facility unattended, coming and going as they choose. LPA interviews with nine (9) out of forty-four (44) residents confirmed they are satisfied with both venturing to the community’s outdoor courtyard areas, and many of the facility's residents are authorized to leave to community unassisted by staff. Residents verified that they had knowledge about construction at the Park. LPA's record review revealed that facility has a posted activity calendar, and the dates were accurate. Outings to the park were not conducted due to issues outside of control of the facility . 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 Based on interviews, and records review, it was concluded that residents’ activities were not suspended by facility staff. The participation was hindered by external factors beyond the facility’s control. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted, and a copy of the report was issued to the administrator.

During this investigation at 1:40 pm, LPM Margaryan conducted a quick tour to the facility and observed no health and safety issues. At 2:00pm, LPM and LPA spoke with three (3) staff members staff #1 (S1), staff #2 (S1) and staff #3 (S3) that had knowledge about R1’s care and supervision at the facility. At 2:40 pm, LPA spoke with five (5) facility residents, including Residnent'#1' (R1's) roommate and Resident #2 (R2). In addition, LPA Comer, requested and reviewed facility records, including, but not limited to, R1’s physician report, medication administration and destruction records, incident reports involving R1, staff testimonials about R1, and other documents pertinent to investigation. Allegation: Staff do not distribute resident's medication as prescribed. It was alleged that R1’s medications, including patches, were not distributed to R1 as prescribed. Staff revealed that R1 does not follow facility medication administrator procedures and refuses to take their pills as prescribed. S1, who is a med tech assisting R1, revealed that R1 goes to the doctor, requests to change the dosage of medications, gets new orders from the pharmacy, and wants med techs to dispense a new order. When med tech explains that they need new prescription to change the order in the file, R1 gets upset, refuses the medication, yells at the staff and throws the med cup at them. Other residents interviewed during this visit, including R2, had no concerns regarding their medication assistance. R2 verified the information revealed by staff. A review of medication administration and destruction records corroborated the information received from the staff. Based on interviews, and records review, there is not sufficient information to verify the allegation. Therefore, the allegation is unsubstantiated at this time. Allegation: Staff do not provide a safe environment for residents . It was alleged that R1 was verbally and physically abused by Resident #3 (R3). R3 was harassing R1 by calling him names, and talking badly about R1’s mother. On 04/16/26, R3 tried to fight R1, but did not touch them. S2, who witnessed both incidents, denies R3 fighting R1, or calling them names. S3 revealed that R1 always tried to fight and yell at other residents and staff. R3 denied fighting R1, or calling names. R3 stated that R1 yelled at him and called him names. R3 stated while R3 was trying to leave the dining room, R1 blocked the entrance so that R3 was unable to go out. (R3 uses wheelchair to ambulate.) LPA Comer attempted to speak with R1. However, they were not available. A review of collected records did not provide any information to support the allegation. 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 Other residents verify that R1 was arguing with staff and residents. Based on interviews, and records review, there is not verifiable information to support the allegation. Therefore, the allegation is unsubstantiated at this time. Exit interview conducted and a copy of report was proved to the Administrator.

Case Management – Office Date: January 23, 2026 Time: 10:00 AM Location: Virtual An Office meeting was held virtually on January 23, 2026, at 10:00 AM to discuss a pending selling/change of ownership of Pasadena Villas (198603286), Melrose Villas (197609076), Melrose Chateau (197609724) and Cedars Assisted Living (197608267). Attendees: • Angela Whittaker – Regional Manager/South Woodland Hills • Troy Agard – Licensing Program Manager • Gina Saucedo – Licensing Program Analyst • David Sicarios- Licensing Program Manager • Tony Vasallo- Regional Manager/Monterey Park • Stephan Sarmazian-Vice President for Operations • Jai Chung-(Consultant) • Shawn Zhou – Chief Financial Officer (Consultant) 809-C continued 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 Introductions were conducted at the beginning of the meeting. Regional Manager Angela Whittaker requested confirmation on whether the above facilities were being sold and/or if there would be a change of ownership in the near future. It was confirmed that there will be a future change of ownership for Cedars Assisted Living; however, because the facility is currently under revocation, the prospective owner is waiting for Legal to make a decision regarding the revocation action. The new owner is New Gen LLC, and the transaction will be a stock acquisition rather than a licensee change. The prospective owner plans to provide residents with a thirty (30) day notice and intends to submit a Community Care Licensing application on February 25, 2026. A copy of this meeting summary was emailed to all attendees listed above with signature on file.

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a case management, pertaining to information that was obtained during a complaint visit and incident report that was submitted to Licensing. LPA was informed by the Administrator Candis Allen, that a staff was placed on suspension, due to an internal investigation that is being conducted for staff allegedly violating resident # 1 (R1)'s personal rights. LPA obtained the incident report, and reviewed the document. The Administrator will follow-up with LPA regarding the outcome of the investigation. Further review by the office and LPA may follow after investigation by the Administrator. Exit interview and copy of report provided to Administrator.

LPAs' interview with the Administrator and staff revealed that on 10/03/25, the facility's pest control vendor (Ecolab) reported the presence on bed bugs in R1's room (#221). In the following weeks, Ecolab conducted further room inspections finding rooms #208, #207, #206, also having bed bugs; rooms #213, #106, #103 #205, and #203, were treated as a preventative measure. All residents in effected rooms were moved temporarily to unaffected rooms while Ecolab applied pesticide and heat treatments mattress and furnishings were immediately removed, clothing/linens were laundered at high temperature. Treated rooms were provided new new mattresses and furnishings, and residents returned to their rooms when cleared as "pest-free". The RP (Father of R1) complains that staff are violating R1's personal rights, as they were unwilling to store R1's personal items. (canvas paintings created by R1) However, it was revealed that pest control vendor, Ecolab, recommended the items to be disposed due to the presence of imbedded bed bug eggs, and potential health hazards from chemicals applied to treat the bed bug issue. The Administrator communicated multiple times to the RP that storing the aforementioned items would be a potential health and safety risk and attempted to coordinate the transport of the items in RP's possession. However, the RP refused, and demanded that the facility must store R1's items. . LPA interviews with residents revealed the following: Out of a today's census of fifty-eight (58) residents. Seven (6) out of six (6) residents confirmed to LPA that staff communicated to them of the bed bug issue, immediately responded by temporarily moving effected residents, providing pest control treatment, and replacing mattresses and furnishings to ensure the heath and safety of residents in care. All residents interviews stated to LPA that staff respect their personal rights and continue to feel safe living at the facility. Based on the information gathered during this visit, the allegation is deemed unsubstantiated at this time. Exit interview conducted and a copy of report was proved to the Administrator.

Allegation: Staff do not ensure that facility telephone is operable - Reporting Party (RP) alleges that facility does not provide active telephone service for several weeks in month of June 2025. LPA observation of facility revealed the following: Facility's hardwire telephone system and resident-available cell phone are confirmed with active dial tone; phone and internet services are working properly. LPA interviews with staff revealed the following: Both the Administrator, and Staff#1 (S1) refute the allegation, stating that although there was a brief phone/internet service outage lasting a maximum of three (3) hours in the month of June, the facility continued to maintain active service access via cell phone. Staff state that all residents have access to either the facility's desk phone in the front lobby, or the facility provide cell phone. Staff state that resident#1 (R1) was offered access to facility provided cell phone service at the time of the brief service disruption. LPA interviews with residents revealed the following: Out of a total of forty-six (46) residents, Six (6) out of six (6) residents state there has been no significant phone/internet disruptions at the facility lasting more than a few hours, and confirm having ready access the telephone/internet service provided by the facility. Based on the information gathered during this visit, this allegation is unsubstantiated at this time . Allegation: Staff do not maintain a clean facility - Reporting Party (RP) alleges that facility does not keep the facility clean, stating that "...there is dust all over the furniture". LPA tour of the facility revealed the following: LPA observed facility common areas (i.e., dining room, television\activities room, hallways, and patio area) as clean and clear of clutter. LPA conducted observations of random resident bedrooms and found them as clean, free of dirt, dust and clutter. LPA interviews with staff revealed the following: Both the Administrator, and Staff#1 (S1) refute the allegation, stating that housekeeping staff clean common areas and resident bedrooms on a daily basis. LPA interviews with residents revealed the following: Out of a total of forty-six (46) residents, Six (6) out of six (6) residents confirm their satisfaction with level of cleanliness provided by housekeeping staff. Based on the information gathered during this visit, this allegation is unsubstantiated at this time . 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 Allegation: Staff provide inadequate food services to residents - Reporting Party (RP) alleges that facility provide poor quality food and that staff "...primarily serve carbohydrates" which suggests a lack of vegetables, fruits, and meats nutrition. LPA observation of facility revealed the following: Facility's kitchen maintains a variety of fresh vegetables, fruits, meats, breads and other food items; no foods were observed as unhealthy or rotting. LPA observed refrigerators and walk in freezers working properly and all foods were wrapped and labeled accordingly. LPA observed a four-week calendar of food items which display a balanced variety of food options. LPA interviews with staff revealed the following: The Administrator refutes the allegation, stating that R1 is provided balanced, nutritious meals composed of a variety of vegetables, meats, fruits and carbohydrates. LPA interviews with residents revealed the following: Out of a total of forty-six (46) residents, five (5) out of six (6) residents state their satisfaction with the meals prepared and served by food service staff.. Based on the information gathered during this visit, this allegation is unsubstantiated at this time .

On 05/29/25, 10:00 am, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced annual visit. LPA met with Facility Administrator, Lori McKay, and reason for the visit was disclosed. Facility is licensed as a two story residence, encompassing 34 shared resident bedrooms, each with bathroom; three (3) public bathrooms are located in hallway areas. Fire clearance approved for sixty-eight (68) non-ambulatory residents; of which, twenty (20) may be bedridden. Hospice waiver for twenty (20) residents. At the time of this inspection, the facility occupied forty (40) ambulatory residents, and eighteen (18) non-ambulatory residents, six (6) of which are bedridden. Currently, four (4) residents are receiving hospice care services. At 10:35 am, LPA conducted a tour of the physical plant with the Facility's Maintenance Director, Saul Aranda, and observed the following: Facility’s main door is the primary access: Three (3) emergency exits are on the first floor, and two (2) emergency exits on the second floor. Exit routes are clear of obstruction. Screening area is located upon entrance. Delayed egress alarm sensors are present at all exit points and are working properly. Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Room temperature is comfortable; wall thermostat displays a setting of 73 °F . , within the required range. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 3/29/2025. [Continued on LIC 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 Fire Detection/Protection : Fire safety system is present in the facility. LPA observed multiple smoke and carbon monoxide alarms installed, hardwired, and interconnected. Fire system back up and tests are completed and documented on a biannual basis. Fire alarm system was tested and is working properly. Fire drill last conducted 3/29/2025. Fire extinguishers were observed on all floors of the Facility. All extinguishers were last serviced on 4/10/2025. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility. Facility stairwells contain a required evacuation chair. Kitchen: LPA observed kitchen to be clean, with an adequate supply of perishable and non-perishable foods located in the refrigerator, freezer, and pantry. LPA observed a variety of fresh fruits, vegetables, meats, dry cereals, and desserts. Foods are properly labeled and stored. Knives and sharps are stored in a designated area of the kitchen. Kitchen is secured and inaccessible to residents. Laundry : Is located on sub-floor level. Laundry room, soaps, and other cleaning agents are stored and inaccessible to residents. Linen storage observed to have adequate supply of linen and towels. Commons: LPA observed upstairs and downstairs hallways, activity room, and dining room, finding them clean; furnishings observed to be in good condition. No obstructions, nor tripping hazards observed. Due to time constraints, LPA was unable to complete this annual inspection visit. LPA will complete at a later date. Exit interview conducted/Copy of report given to Administrator.

To investigate the allegation, LPA conducted records review from 10:20 am to 11:10 am, room observations from 11:25 am to 11:50 am, interview with Staff from 12:05 pm to 12:30 pm, and interview with residents from 12:45 pm to 1:30pm. LPA review of facility documents reveal in late September 2024, staff communicating with the facility's pest control vendor (Terminix) concerning observation of bed bugs and roaches observed in resident bedrooms. From October 2024 to the present, Pest Control Vendor has completed both chemical and heat treatments eradicating pests from resident rooms. At this time, bedrooms #102 and #205 have been treated for pests, been provided post-inspection by the pest control vendor, finding these rooms observed as "pest-free". LPA observation found that new bed mattresses (box springs are encased in plastic liner) and furniture has been replaced in pest-treated rooms. Additionally, Pest control vendor is scheduled to continue pesticide treatments to all remaining areas throughout the facility. LPA also conducted interview with facility residents and staff. LPA interview with the staff revealed that the bed bug issue originated with R2 stockpiling items off the street and into their room; Licensee is working with R2's case worker to address this issue. LPA interview with residents revealed that four (4) out of five (5) residents state there are no pest issues at the facility. Based on the information obtained through LPA observation, records review, and interviews, it cannot be proven that staff fails to address pests at the facility . Therefore, the allegation is deemed Unsubstantiated at this time.

On 06/20/24, 9:40 AM, Licensing Program Analyst, (LPA) Raymond Comer, conducted an unannounced Annual visit at this facility. LPA met with Facility Administrator, Alexcis Peralta, and reason for the visit was disclosed. Facility is licensed as a two-story residence, with 34 shared resident bedrooms, each with bathroom, and three (3) bathrooms for public use located in hallways paths. Fire clearance approved for sixty-eight (68) non-ambulatory residents, of which, twenty (20) may be bedridden. Hospice waiver is for twenty (20) residents. At the time of this inspection, the Facility occupied thirty-one (31) ambulatory residents, and seventeen (17) non-ambulatory residents, one (1) of which is bedridden. Currently, eight (8) of the Facility's residents are receiving hospice care services. At 11:40 AM , LPA conducted a tour of the physical plant with the Facility's Maintenance Director, Saul Aranda, and observed the following: Physical plant was inspected for cleanliness and condition . Facility’s main door is the primary access, with three (3) emergency exits on the first floor, and two (2) emergency exits on the second floor. Emergency exit routes are clear of obstructions. Screening area is located upon entrance. Delayed egress alarm sensors are present at all exit points and are working properly. Visitor Sign-in sheet, hand sanitizer, gloves and masks are available. Hand washing, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displays a setting of 72 °F., within the required range. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 6/19/2024. [LIC 809C-Continued] 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 Due to time constraints, LPA was unable to complete the required Annual inspection visit. LPA will complete at a later date. Exit interview conducted/Copy of report given to Administrator, Alexcis Peralta.

(Cont from 9099) Interview with six (6) of seven (7) residents revealed staff have not yelled at them and have not witnessed any staff yelling at residents in care. One (1) of seven (7) residents revealed staff have yelled at them and other residents but was unable to recall dates of incidents and/or names of residents who were yelled at. Five (5) of seven (7) residents revealed staff are kind but can speak firmly when they need to. Based on interviews, there is not sufficient information to verify this allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. Exit interview conducted and a copy of the report was issued.

During interviews with staff, all staff stated they have never restrained a resident or witnessed any staff restrain a resident. During interviews with residents, all residents stated that they have never been restrained or witnessed others being restrained. Based on observations and interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. --- Facility does not have adequate supervision. It was alleged that residents that require supervision wander the neighborhood. To investigate the allegation on 05/20/2021, LPA Alex Pitz interviewed staff. On 11/15/2023, LPA Duguma made observations during the physical plant tour and interviewed three (03) staff from 12:00 PM - 1:00 PM. During the physical plant tour, LPA observed delayed egress doors at every exit in working order. During interviews with staff, all staff stated that there are some residents that are very independent and can leave the facility and return without any need for supervision. Staff added that the facility is equipped with delayed egress doors to notify staff when residents are attempting to leave the building and they do not recall any wandering incidents around the time in question. Based on interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. --- Facility failed to provide timely medical attention. It was alleged that a resident had fallen out of their wheelchair outdoors and was left without assistance for an extended time. To investigate the allegation on 11/15/2023, LPA interviewed three (03) staff from 11:00 AM - 12:00 PM and six (06) residents from 1:00 PM – 2:30 PM. During interviews with staff, all staff stated they have never experienced a situation where a resident fell out of their wheelchair and was unassisted for an extended time. During interviews with residents, all residents stated they have never witnessed anyone left on the floor without assistance after falling out of their wheelchair and have never experienced that for themselves. Based on interviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazards noted during the visit. Exit interview conducted and a copy of the report was issued.