Abounding Peace Elderly Care.

On 02-19-2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct a case management visit. LPA met with staff on duty, Wainikiti Ravuoco (S1), and stated the purpose of the visit. The administrator, Unaisi Waqalala (AD) was notified and unable to come to the facility today. Present during this visit were 6 residents in care with 1 staff on duty (S1). During a complaint investigation on 02-19-2026, LPA found that S1 did not have their records in the facility and were not available for review. Per review of Guardian, S1 was associated to this facility on 01-04-2026. During an inspection of the kitchen, LPA found a Tylenol medication in a packet inside the first aid kit, located in a kitchen drawer that is not locked and was accessible to residents in care. Also in one of the kitchen drawer, below where they keep the printer, LPA found a meat thermometer that is accessible to residents in care. LPA also observed a knife on a drying rack on the kitchen counter that is accessible to residents in care. Deficiencies are being cited today. Exit interview conducted a copy of this report and appeal rights were provided.

On 07/1/2025 at 8:30am, Licensing Program Analyst (LPA) Shakaricka Hughes arrived at the facility to conduct an unannounced annual inspection. LPA Hughes met with caregiver Shanice Downer and explained the purpose of the visit. Shanice called the facility designated administrator to inform that CCLD was present in the facility. The current census is 5 with 1 facility staff. This facility is a single story building licensed to serve (6) non-ambulatory residents. LPA inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA observed the facility to be free of odor, clean and in good repair. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA's toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. However upon observation of 2-day perishable supply, LPA Hughes noticed contaminated vegetables located in the vegetable bin. Facility care staff immediately discarded the vegetables. Hot water temperature was measured at 105.2 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety.  The fire extinguisher is located in the entry way and was last serviced on 9/13/2024. LPA observed the facility has a public telephone in the common area and the facility has the required posters posted. Facility thermostat was observed at 77.5 degrees Fahrenheit. LPA observed toxins located in the kitchen and kept locked and inaccessible to residents. LPA observed sharp knives kept locked in the kitchen and inaccessible to residents. Continuation 809-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 LPA checked medication storage and found medication to be locked away and inaccessible to residents. LPA reviewed 3 out of 5 residents medications and the medication administration record (MAR) was complete. The first aid kit was checked and contained the required components. LPA's requested resident and staff files for review. LPA's reviewed 5 out of 5 resident files and they were complete. LPA's reviewed 3 staff files, and it was complete. LPA's reviewed staff criminal record clearances, and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared. The following documents will be email to LPA by 7/8/2025 (1) LIC 308 Designation of Administrative Responsibility (3) LIC 610 Current Emergency Disaster Plan (4) Proof of Current Liability Insurance (5) LIC 500 Current Personnel Report As a result of this annual visit, the facility is not in compliance with Title 22 Regulations, and the deficiencies can be found on the LIC 809-D . An exit interview was conducted with Shanice and a copy of these LIC 809 and LIC 809-D reports, and Appeals rights were provided to the facility.

Allegation: Staff did not ensure resident records were properly maintained It was alleged that staff did not ensure resident records were properly maintained. This investigation is based on observation of resident records. On 3/19/2025, LPA Lee conducted a facility visit and upon observation of 4 out of 4 resident files, and 2 of them were found to be incomplete. Both R3 and R4 had an LIC 625 Needs and Service Plan form in their files, but the document was not signed by both the administrator and the resident or their responsible party, and the form was blank. It was also observed that R3’s LIC 602 Physician’s Report was incorrectly placed in R1’s file. Resident records were observed not in compliance with Title 22 regulations Resident Records 87506(a). As resident records were observed not organized, and resident records were included in other resident files. As a result, these allegations are SUBSTANTIATED . A finding that the complaint is substantiated means that the allegations are valid because the preponderance of the standard has been met. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted with Una Waqalala and a copy of this report LIC 9099, LIC 9099-C, LIC 9099-D was provided, along with Appeal Rights and the LIC 811, the Confidential Names List. 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 Lee observed two designated areas for activities: one in the common area inside the TV stand and another in the dining area. Both areas were equipped with a variety of activities, including board games, puzzles, card games, books, painting supplies, markers, and crayons. On 5/06/2025 LPA Hughes and Lee conducted a follow-up visit to the facility, upon R5- was observed outside in the courtyard, R3- In bedroom watching television, R4- In bedroom in recliner sleeping, R2- In bedroom with a tablet watching television, R1 in bedroom sleeping. As stated in the facility program design, activities for residents include but are not limited to, resident’s assisting with meal preparation and grocery shopping, residents are also encouraged to socialize by offering opportunities to read aloud, participate in tea and office chats, ice cream socials and birthday parties. Watering plants, dancing, exercising and listening to music. On 5/28/2025 LPA Hughes, conducted interviews with 4 out of 4 residents, and concluded that no activities were being provided at the facility. Resident activites were observed as not in compliance with Title 22 regulations section 87219(a) as resident activities in the facility are not being planned or provided for residents in care. Allegation: Staff did not ensure a first aid kit was maintained at the facility It was alleged that staff did not ensure a first aid kit was maintained at the facility. This investigation is based on observation. On 3/19/2025, LPA Lee conducted a facility visit and upon observation a first aid kit was in the facility; however, the first aid manual was missing. This first aid kit was observed not in compliance with Title 22 regulations on Incidental Medical and Dental Care 87465(a)(8). As a first aid manual is a required component to be included with a first aid kit. Continuation 9099-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 Allegation: Hazards were made available to residents in care It was alleged that hazards were made available to residents in care. This investigation consisted of facility observations, and interviews. On 3/19/2025 LPA Lee conducted a tour of the facility; no hazards were observed inside the building or in the courtyard. On 5/6/2025 LPA Hughes and Lee toured the facility for a follow-up visit and no hazards were made available to residents in care. Additionally, a phone interview with the reporting party (RP) revealed that no hazards were made available to residents in care, stating that this allegation was incorrect for this facility. Based on observation this allegation could not be corroborated with any supporting evidence. Allegation: Staff obstructed facility emergency exits It was alleged that staff obstructed facility emergency exits. This investigation consisted of facility observations and interviews. On 3/19/2025 LPA Lee conducted a tour of the facility; the emergency exit was not observed obstructed. However, it was observed that the emergency exit gates are not self-latching. On 5/06/2025 LPA Hughes and Lee conducted a follow-up facility visit; emergency exit located in the garage was not observed to be obstructed. Additionally, on 5/28/2025 LPA Hughes interviewed 4 out of 5 residents who did not observe any emergency exits being obstructed. 1 facility staff also denied observing facility emergency exits being obstructed. Based on observation, and interviews no corroborating evidence was identified upon examination of the allegation. Allegation: Staff did not ensure sufficient healthy food items were made available at the facility for residents in care It was alleged that staff did not ensure sufficient healthy food items were made available at the facility for residents in care. This investigation consisted of facility observation. On 3/19/2025 LPA Lee conducted a tour of the facility, upon observation the 2- day perishable food supply contained sufficient healthy food items made available to residents in care. On 5/28/2025 LPA Hughes, interviewed 4 out of 5 residents who are satisfied with the food being served in the facility. Based on observation, no corroborating evidence was identified upon examination of the allegation. Continuation 9099-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 Allegation: Facility in disrepair It was alleged that; the facility is in despair, lights were inoperable. This investigation consisted of facility observations and interview. On 3/19/2025 LPA Lee conducted a tour of the facility; upon observation the facility was observed in good repair. On 5/6/2025 LPA Hughes and Lee conducted a follow-up facility visit, and observed the facilities resident bathroom, which was observed to be in good repair, lighting within the facility was observed operable and in good repair. Additionally, on 5/28/2025, LPA Hughes interviewed 4 out of 5 residents who had no concerns with the facility being in disrepair. Based on observation, and interviews conducted, no corroborating evidence was identified upon examination of the allegation. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies were cited. An Exit interview was conducted with XXXXX and a copy of this report LIC 9099, LIC 9099-C, LIC 9099-A was provided, along with Appeal Rights and the LIC 811, the Confidential Names List.