Love and Comfort II.

On 6/19/25 at 1:45pm Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced Case Management Deficiencies inspection to ensure deficiencies in facility operation observed during a change of ownership pre-licensing inspection haven been corrected. LPA conducted a walk through of the facility and observed the floor in bedroom #1 is in process of being repaired. LPA also observed the closet in bedroom #1 is still broken and not operating as designed, emergency exit is missing handle and several curtain rods are still broken and in need or repair. Hot water temperature has been corrected but no written plan of correction provided. Sharp knives, medications and cleaning supplies have been secured but no written plan of correction provided. LPA has still observed presence of rodents in facility drawers including observed nesting and rodent feces in resident bedrooms. no documentation of pest control provided. LPA still observes lights not operable throughout the facility. no written plan of correction received for proving or making transportation available for resident medical appointments. Per staff statements, no training has been conducted at the facility since the last inspection by LPA. Per the California Code of Regulations, Title 22, The following deficiencies are cited during today's inspection. Immediate civil penalties will be issued due to failing to correct citations and failing to complete the plans of correction identified in the previous licensing report. Exit interview conducted and a copy of this report and appeal rights were left at the facility.

On 6/6/25 at 10:00am Licensing Program Analyst (LPA) Kevin Gould conducted an unannounced Case Management Deficiencies inspection to address deficiencies in facility operation observed during a change of ownership pre-licensing inspection. LPA Gould observed the following deficiencies during today's inspection: Hot water temperature was recorded at 126 degrees F. Sharp knives and cleaning supplies unsecured and accessible to residents. medications not locked and inaccessible to residents. LPA observed rodent activity including droppings and chewed through food storage. Facility did not have an adequate nonperishable food supply - expired foods. lights not functioning throughout the facility. All light fixtures must be operable. remove lock from kitchen fridge. missing handle on sliding door emergency exit. replace/repair multiple screen doors. fix/replace closet door in bedroom #4. repair/replace curtain rod bedrooms 3 &1 discard broken hutch in bedroom #3 (broken glass) repair/replace floor boards in bedroom 1 and any other areas in the home. remove/replace broken patio chairs. remove/replace broken patio umbrella secured with pile of broken concrete. Staff members require annual training documentation. facility not arranging or assisting with transportation to medical appointments. Continued on LIC 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 Per the California Code of Regulations, Title 22, The following deficiencies are cited during today's inspection. Immediate civil penalties will be issued due to repeated violations within a 12 month span. Exit interview conducted and a copy of this report and appeal rights were left at the facility.

On 5/9/25 Licensing Program Analyst (LPA) Holly Williams conducted a case management visit. PA met with caregiver Eliesa Qiolele and together discussed the report. LPA called the licensee Ratu Vunimatana two times and sent a text but Vunimatana did not answer. LPA had Qiolele sign the report. LPA conducted a visit on 4/22/25 and observed a cockroach running down the wall. Licensee had until 4/30/25 to send an invoice showing they had pest control come out to treat the cockroaches. LPA spoke with Ratu Vunimatana the licensee on the phone on 5/8/25 and Vunimatana stated that they had not called the pest control company to come out and treat the facility and would get it done soon. However, the date that it was due in the plan of correction was 4/30/25. LPA cleared the plan of correction in error on 5/8/25 and notified Vunimatana on 5/9/25. The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were printed and a copy was given to the caregiver Eliesa Qiolele at this time. Exit Interview

On 4/22/2025 Licensing Program Analyst (LPA) Holly Williams arrived unannounced to conduct an annual inspection. LPA Williams met with facility licensee Ratu Vunimatana. A brief interview was conducted with Vunimatana. LPA Williams reviewed five resident files (R1-R5) and two staff files (S1-S2). Census is 5 and Hospice waiver for 1. The facility is cleared for one bedridden and 5 non-ambulatory residents. LPA Williams toured the facility with Eliesa Qiolele and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. In the kitchen LPA observed broken cabinets that were falling off when opened. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 74 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 103.1 degrees Fahrenheit, which is not within the required range of 105 and 120 degrees. LPA Williams observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and working carbon monoxide/smoke detectors. LPA Williams observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA observed in the kitchen a cockroach crawling down the wall. LPA Williams observed a locked cabinet for the storage of medication. LPA Williams observed locked [Continued on 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 cabinets for the storage of cleaning solutions and knives. The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were printed and a copy was given to the licensee at this time. Exit Interview

Licensing Program Analysts (LPAs) Holly Williams and Vincent Moleski and Licensing Program Manager (LPM) Stephen Richardson arrived unannounced at Love and Comfort on 8/28/24. LPA Vincent Moleski spoke with facility administrator Ratu Vunimatana over the phone and explained the purpose of the visit. On arriving LPAs Moleski and Williams and LPM Richardson observed both gates in the front of the facility were locked with dead bolt and chain. LPA Williams interviewed a staff member (S1) and they said that the gates are locked all the time. LPAs received an incident report on 8/6/24 stating that a resident (R1) went out to smoke on 8/5/24 and never came back. S1 said that S1 went out with R1 to sweep inside and outside of the gate. Caregiver S1 walked to the other side of the yard and R1 went out of the gate. S1 said that they went to look for the resident R1 on 8/5/24 throughout the surrounding areas and did not find the resident. LPA Williams and Moleski reviewed resident notes and observed documentation dated 8/5/24 indicating that R1 at 9:50 AM opened the gate and went out in his wheel chair. LIC602 states that R1 is not able to leave the facility unassisted. R1 has still not returned, according to S1. This facility is being cited per 22 CCR sections 87411(a) and 87202(a). LPA assessed civil penalties for fire clearance violations and lack of supervision. Civil penalties are being assessed for $500 for each citation. An exit interview was held with Vunimatana, who said that staff member Eliesa Qiolele could sign this report in his absence. Appeal rights and a copy of this report were left with Qiolele.

Licensing Program Analyst (LPA) Pang Lee and (LPA) Arielle Pascua arrived unannounced to conduct a Case Management visit on 04/09/2024 at 8:00 AM, LPAs met with direct care staff Eliesa Qiolele and explained the purpose of today’s visit. LPA Lee called and spoke to administrator, Ratu Vunimatana and informed this LPA that the noticed was not sent to the (LTCO), residents and their responsible party. LPAs toured and inspected the physical plant with direct care staff to ensure there are no safety hazards to residents. LPAs observed 2 facility staff and the census is 6 with 1 resident in the hospital. The purpose of today’s visit is to ensure the instructions provided in the Health and Safety Code Section 1569.38 are being followed according to the accusation. The instructions include, but not limited to, the requirement to notify the residents and Local Ombudsman (LTCO) within 10 days and to post a notice in a conspicuous location advising that an action is pending. The accusation was served on 03/29/2024. Licensee was previously informed that CCL shall receive copies of the notifications to all residents and/or responsible parties and that civil penalties could be assessed if licensee fails to follow the requirements. During the visit, LPAs did not observe the noticed and accusation posted in a conspicuous location. Per administrator, Ratu it was stated that he has received the accusation and has not reviewed the documents and was not aware that it needed to be posted in a conspicuous area. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, deficiencies are being cited. An exit interview was conducted, and a copy of this report LIC 809 and LIC 809-D was provided to care staff Eliesa Qiolele.

On 03/22/2024 at 1:18 PM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility unannounced to conduct a case management visit. LPA Lee met with direct care staff, Eliesa Quolele and explained the purpose of the visit. LPA Lee called administrator Ratu Vunimatana and spoke to administrator via telephone and explained the purpose of today visit. The census is 6 with 1 facility staff present during today’s visit. LPA Lee 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 and associated to the facility. For today's visit the administrator was not present. During today's visit client 1 (C1)'s Alta Regional Service Coordinator, John Munzo was present for the visit. The purpose of today's visit, is in response to a 3-day eviction and a 30-day eviction notice. The department received a 3-day eviction and a 30-day eviction noticed from administrator on 02/27/2024. It was learned that on 02/02/2024 (C1) slapped (C2) in the face when (C2) was sleeping. The facility staff called the police and (C1) was then taken to Sutter Hospital for further evaluation. On 02/05/2024 (C1) was then transferred to Heritage Oaks Hospital. On 02/27/2024, administrator called (C1) responsible party to ask for (C1)’s responsible party’s email address to email (C1)’s 30-day eviction notice. On 02/28/24, the administrator emailed both (C1)’s Alta Regional Service Coordinator and the CCLD (C1)'s eviction notice. It was also learned that the administrator did not notify the department and get approval prior to issuing (C1) the 30-day eviction. Upon reviewing the 30-day eviction it was not a lawful eviction, as a result, the facility did not follow the eviction procedures. LPA Lee reviewed client file and record review revealed that LIC 603 Preplacement Appraisal Information and a Pre-Placement Questionnaire was completed; however, there was no date documented; therefore, it is unclear when the Pre-placement was completed. The following deficiency was observed and cited form California Code of Regulations, Title 22, and California Health and Safety Code. An exit interview was conducted, and a copy of this LIC 809 report, LIC 809-D and appeal rights were given to care staff Eliesa Quolele.

Licensing Program Analysts (LPA) Pang Lee arrived at the facility on 01/09/2024 at 3:51 PM to conduct an unannounced Plan of Correction (POC) visit. LPA Lee met with direct caregiver Eliesa Quolele, who then called administrator, Ratu Vunimatana to inform that CCLD was present. LPA Lee spoke to the administrator via telephone and explained the purpose of the visit. The purpose of this visit was to verify the plan of correction that was required to be completed on 10/12/2023 for deficiencies that were previously cited on a prior visit conducted on 10/06/2023. Current census was 5. Based upon this inspection, LPA Lee observed the following: I. The deficiency cited under Title 22 Regulation 87355(e)(1) has been cleared. It was learned that on 10/13/2023 administrator sent the POC to LPA Jamie Ivey Canady and not LPA Pang Lee. The license did comply with the terms of the POC by POC. A POC letter was generated and provided to the licensee. II. The deficiency cited under Title 22 Regulation 87405(a) has not been cleared. The license not complied with the terms of the POC by POC due date. A POC letter was not generated and provided to the licensee. As a result of this case management, the facility is not in compliance with Title 22 Regulation, and the deficiencies can be found on the LIC 809 D page. An exit interview was conducted, and a copy of these LIC 809 reports, LIC 809-D page, and Appeals rights were provided to the facility.

It was also learned that on 09/06/2023 resident responsible party (RP1) received a phone call from administrator, Ratu Vunimatana stating administrator was going to put (RP1) on a three-way call with (E1) regarding payment that was owed for (R2.) On 09/28/2023, it was learned (OA2) stated that (OA2) have spoken to (E1) regarding (R1) and that’s how (R1) got placed at Love and comfort II. During today’s visit it was learned from administrator that administrator did call (E1) to assist with finding a new placement for (R1). The licensee was aware that (E1) was excluded since licensee also received a copy of the stipulation order and still knowingly allows, person in the facility and facilitate operations in regarding to residents. The department has determined the following as it relates to the allegations that the facility allowed an excluded person to facilitate operations: Based on interviews and recorded review, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met. Allegation: Administrator is not present It was alleged that the facility administrator is not present in the facility. This investigation consisted of records reviewed and interviews with staff, residents, and outside agency. Interviews revealed that the administrator is not in the facility often and that administrator is at the facility three times a week and when administrator is present in the facility administrator doesn’t stay long in the facility. 3 out 3 residents stated that resident doesn’t not see administrator in the facility as well. On 09/28/2023, it was learned that an outside agency (OA1) who comes to the facility to support a resident about once or twice a week shared that (OA1) only see administrator about 4-5 times per month. Furthermore, on 08/24/2023 a telephone call and email to administrator confirmed with LPA Lee that the facility LIC 500 Personnel Report, administrator’s scheduled day and time at the facility is as follows: Monday, Tuesday, Wednesday, Thursday, and Friday from 8:00 AM to 3:00 PM. During the complaint visit LPA Lee visited the facility on 08/21/2023 from 11:15 AM to 3:15 PM, 08/24/2023 from 1:10 PM to 2:05, 08/29/2023 from 9:40 AM to 10:30 AM, and 09/28/2023 from 12:58 PM to 2:30 PM and LPA Lee did not observed administrator present at the facility per LIC 500 Personal Report. The department has determined the following as it relates to the allegations that the facility administrator is not present: Based on observations, interviews and recorded review, the above allegation is SUBSTANTIATED. A finding that the complaint allegation is substantiated means that the allegation is valid because the preponderance of evidence standard has been met. This facility is cited per 22 CCR Section 87355(e)(1). An immediate civil penalty in the amount of $100 per day for one day, for a total of $100, was assessed. Deficiencies cited on the LIC 9099-D, per Title 22 Regulations. An exit interview was conducted, and a copy of the 9099 report, 9099-D page, and appeals right document were provided to the facility.

On 09/28/2023 at 2:30 PM, Licensing Program Analyst (LPA) Pang Lee arrived at facility unannounced to conduct a case management visit. LPA met with direct care staff, Eliesa Qiolele and explained the purpose of the visit. The census is 6 with 2 care staff. Administrator Ratu Vunimatanu was not present during today's visit. The purpose of this case management is due to learn deficiencies during complaint investigation with complaint control number 27-AS-20230814135530. LPA Lee toured the facility and checked on residents’ welfare. On 08/29/2023 during complaint visit LPA Lee observed the resident door #3 has a hole. It was learned that resident 1 (R1) kicked (R1) door causing a hole on 08/07/2023. On 08/29/2023, it was learned from care staff that administrator is aware of the hole in resident door #3 and will replace it. During today's visit 09/28/2023 at 2:30 PM, LPA Lee observed resident door #3 still have a big hole. The hole has not been repaired or replace. The following deficiency was observed and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. An exit interview was conducted, and a copy of the appeals rights, LIC 809 report, and LIC 809-D page was given to the facility.