Early Horizons Home Care

On 12/5/2025, LPA Grace Donato conducted a Case Management-Other visit to deliver amended findings to a complaint. LPA met with Administrator Irene Mehta and explained the purpose of the visit. LPA delivered amended findings for complaint number 14-AS-20250605212144 . Report is reviewed and copy is provided.

On 11/14/2025, LPA Yi Sam Jian made an unannounced annual visit to the facility. LPA met with staff, Nelsie Carlos, and staff, Josielyn Pataray. The licensee, Yolanda Rogayan, was contacted by phone to obtain permission for staff to sign the report. Administrator, Irene Mehta arrived later during the visit. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, bathroom, common areas, kitchen area & garage. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed. Kitchen was inspected, sufficient supply of food observed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety. Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit. Facility has an updated log for emergency drill. Technical violations were cited for the lack of updated client appraisals and for the facility’s ongoing efforts to obtain additional drinking water for residents in the event of an emergency. No deficiencies are c ited at this time. Report is reviewed with administrator and a copy is provided.

*** This is an amended report *** LPA also interviewed residents. R2 mentioned that he/she has visitors sometimes and they do go out. No one has stopped any visitors from visiting him/her. Regarding the allegation of Residents are not accorded dignity and respect, RP stated that one resident complained that there were scheduled diaper changes so if someone had a wet or soiled diaper, they might have to wait more than an hour and half to be changed. According to ADM, there is no schedule to follow for change in diapers. The residents are checked every 4 hours and as needed. There was an instance where R1 doesn't want to get changed and the staff kept asking. An ombudsman arrived and talked to the resident and staff was able to change the diaper. ADM added that there are 2 residents who wear pull ups but are still able to go to the bathroom on their own. S2 also mentioned that they monitor the residents with regards to their diapers but sometimes they are the ones who doesn't want to get changed when they are having behaviors. They just wear it just in case of accidents, but all residents are able to go to the bathroom by themselves. For the allegation of Residents are not allowed to use the telephone and Staff isolated resident, RP stated that a day program attempted to contact a resident with home activities. ADM refused to give them the phone number to the house and insisted that all communication happen through her on her cell phone. According to the Day program they called the ADM and left messages. LPA interviewed the ADM and it was stated that they can call anytime and that the phone number for the facility is posted in the transparency website. ADM did not isolate any resident. Residents are able to receive phone calls. S2 also added that no one has called the facility to talk to the residents during this time. And if so, they give the phone to the resident. Other case workers and social workers also call the facility phone number. page 2 of 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 *** This is an amended report *** Residents also mentioned that they are able to talk to their family members. LPA observed during one of the facility visits that the phone was handed to a resident when a family member called. Regarding the allegation of Residents are not allowed medical services from outside vendors, RP stated that ADM was banning a medical provider from seeing his/her client at Early Horizons. LPA interviewed a third party provider (W1) and was stated that About 6 months ago, ADM blocked medical provider from providing care to one of the clients; stating that they were rude and disrespectful and not allowed in her facility. During ADMs interview, she stated that there was no health care provider being banned from seeing their clients. One of the residents (R3) needs constant reminder with appointments as sometimes residents forget. The residents doctors, social workers and managers are still the same from when ADM took over. There was an incident that happened where one of the case workers that came was shouting at R3. ADM told the case worker to lower his/her voice since there are other residents in the facility. The case worker was told to not to be disrespectful otherwise leave the facility. S2 confirmed that the case worker was shouting at the resident. Another witness (W2) mentioned that the case worker was indeed shouting at the resident. Based on interviews, records review and observations, the department has determined that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited today. Report is reviewed and copy is provided. page 3 of 3

On 12/02/2024 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Co-Administrator Irene Mehta. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. Facility has 2 storage sheds at the back which was checked by the LPA. LPA observed some residents resting in their bedrooms and living room. While touring the facility it was observed that the room temperature was at 70 deg F. Hot water was also tested in the bathrooms and the temperature was 110 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. Resident bedrooms are observed to be in good repair. Bathroom is equipped with grab bars non-skid floors. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. Three resident records and two staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Facility has a certified administrator on site with complete certification and training requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided.

On 12/19/23 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Licensee Yolanda Rogayan. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas, kitchen area & garage. The indoor and outdoor passageways were free of obstruction. LPA observed some residents resting in their bedrooms. While touring the facility it was observed that the room temperature was at 74 deg F. Hot water was also tested in the bathrooms and the temperature was 108 deg F. The residents have adequate amount of linens and incontinence care items. All personal belongings are intact. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current. Resident bedrooms are observed to be in good repair. Bathroom is equipped with grab bars non-skid floors. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Emergency drills are logged and done every quarter. Four resident records and two staff records were reviewed. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Facility has a certified administrator on site with complete certification and training requirements. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. No deficiencies are cited at this time. Report is reviewed with Administrator and a copy is provided.

Licensing Program Analyst (LPA) Victoria Bertozzi arrived unannounced to conduct an Annual Required inspection and met with Licensee/Administrator, Yolanda Rogayan. The inspection is focused on the Infection Control procedures and practices of this facility. LPA initiated a walk-through of the facility around 12:20pm and observed the following: Facility has COVID-19 posters throughout that included hand washing signs in bathrooms. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is located throughout common areas of the facility. Observed staff had a mask on during this visit. Commonly touched surfaces are disinfected once per day. Facility maintains documentation of staff and resident daily temperatures. LPA was not screened upon entry but did confirm that Licensee had a thermometer and a sign in log for visitors. LPA reviewed the visitor log. During inspection LPA observed that an area of the dining room has been sectioned off with a temporary half wall. Area is used for an office and Licensee admitted that staff also use the area for sleeping. LPA told Licensee that common areas may not be used for sleeping. LPA will reach out to the San Bruno Licensing Office to address further steps. Facility is allowing for visitation in resident rooms per CCL guidance. Staff continue to receive training on infection control and donning and doffing of Personal Protective Equipment (PPE) but have not been N95 fit tested. Facility has at least a 30 day supply of PPE including but not limited to masks, gowns, and hand sanitizer. Facility maintains a 30 day supply of medication. Fire extinguishers were last serviced November 2022. Smoke and carbon monoxide detectors throughout facility were tested and operational. Continued on LIC809C 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 Continued from LIC809 Licensee and LPA discussed their Emergency Disaster Plan and Mitigation Plan. Facility has not completed their Infection Control Plan. Licensee/Administrator to submit updates of the following documents to the San Bruno Licensing Office by 12/16/2022: Infection Control Plan with Monkey Pox Addendum LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (review and update) Copy of Liability Insurance No deficiencies cited during this inspection.