Activcare Orange.

Regarding the allegation that staff leave residents soiled for extended periods, the following was revealed: During the interviews with staff, S1 reported that staff do not leave residents soiled for extended periods. S1 stated that staff check on the residents’ diapers every 15 minutes or as needed. S2 reported that staff check on the residents’ diapers every one to two hours. Per S3, staff have never left the residents soiled for six hours or more. S3 reported that no residents have developed infections since staff check on the residents often. During the interviews the AD stated that staff have not left the residents soiled for extended periods. Per AD, no resident has developed an infection or rash. Based on the information gathered during the investigation, LPA is unable to ascertain if the allegations occurred as reported due to conflicting information. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED. The facility has been closed effective May 16, 2025. Attempts to reach Licensee Representative Todd Shetter to conduct an exit interview were unsuccessful. A copy of this report will be mailed via certified mail to the Licensee’s last known address.

This an announced inspection is being conducted by Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. for the purpose of conducting a closure visit. LPA met with Chief Operating Officer Todd Shetter and Administrator (AD) Vanessa Valencia. LPA explained the purpose of the visit. On April 10, 2025, Licensee emailed Community Care Licensing (CCL) requesting the facility closure. During today's visit the Licensee surrender the License. LPA and facility representative toured the facility and observed the following: There are no residents in care. The facility is not providing care and/or supervision. LPA informed the facility representative that LPA will close the facility and that a closure letter would be mail. There are no immediately health and safety concerns, as the facility has a census of zero. An exit interview was conducted and a copy of this report was provided at the time of exit.

On this day, Licensing Program Analysts (LPA) Alvaro Ramirez, Jr. made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry to facility by Receptionist Brianna Salgado. Administrator (AD) Vanessa Valencia arrived shortly after. LPA Ramirez toured the interior and exterior portions of the facility with Maintenance Director Jonathan Sotomayor. During this visit, there are a total of 18 staff members on duty. The facility is a single level structure and is licensed for 72 non-ambulatory residents, of which 15 may be on hospice and 17 may be bedridden. Currently, there are a total census of 38 residents in care. LPA Ramirez initiated random bedroom checks, of which bedrooms were observed to have furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Water temperature in restrooms were measured to be between 105.8-108.6 degrees Fahrenheit. Smoke and carbon monoxide detectors were operational and the most recent fire inspection took place on August 28, 2024, of which inspection was passed. Auditory alarms and wander guard functions were also tested and observed to be operational. The restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. LPA Ramirez also tested pull cords in resident bedrooms, and observed to be operational. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Facility had back-up emergency food and water supply. LPA toured the kitchen and observed the weekly food menu. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguishers were charged, mounted and located in multiple areas of the facility. CONTINUED 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 For the exterior portion, LPA Ramirez observed patio furniture under shading, and the grounds were free of any hazards. LPA observed the emergency disaster and evacuation plan, which is posted at the main entrance by the front desk. LPA Ramirez observed that First Aid Kit had all the required components. Medications were locked and inaccessible to residents in care. Toxins were also observed to be locked and inaccessible to residents. During the tour LPA observed the residents participating in a History class. LPA reviewed five resident files and five staff files. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. LPA Ramirez advised BOM Belanger to use the general email address: CCLASCPOrangeCountyRO@dss.ca.gov for any inquiries and to specify attention to the assigned LPA. LPA Ramirez conducted an exit interview with AD Valencia and a copy of this report was provided to the facility.