Complaint·March 18, 2026

INVESTIGATION REVEALED THE FOLLOWING: Allegation #1: Staff is utilizing an electronic lock on facility door. It is reported that the facility is using an electronic keypad lock for the front entrance door. The lock requires a code for both entry and exit, raising concerns among residents about their health and safety. No additional information about this issue has been provided. On March 18, 2026, between 1:15 PM and 1:30 PM, the Department observed staff members using an electronic key lock to secure the metal security screen door. They entered a combination on the keypad, which is accessible only from inside the building and can only be used by staff members. On March 18, 2026, between 1:45 PM and 2:45 PM, the Department interviewed staff members identified as Staff #1 and Staff #2 (S1-S2). Two (2) of the two (2) staff members verified that the mental screen door had an electronic key lock that required a staff member to enter a secret combination to release entry and exit. (S1-S2) verified that only staff members had access to the combination and that no residents or visitors had knowledge of the combination. The combination lock was a gift from a family member and is used to control the perimeter for residents who have wandering behaviors, according to (S1). Based on the information gathered, there is sufficient evidence to support the allegation mentioned above that the facility is not in compliance with Title 22 Regulations. Allegation #3: Staff are operating out of scope of license. It is alleged that the facility staff is operating outside the scope of the license. It reported that the facility is currently serving two hospice residents. In the past two hospice residents passed away, and the State Community Care Licensing license states the facility is only approved for one hospice resident. No additional information about this issue has been provided. On March 18, 2026, between 2:00 PM and 2:30 PM, the Department reviewed resident members identified as Resident #1 through Resident #6 (R1-R6) service records. Records revealed that there are currently (2) out of the (6) resident members that are active residents on hospice care with Mountainside Hospice and Palliative Care Inc, Resident #1 and Resident #2 (R1-R2). Resident #3 (R3) was also being serviced by the same hospice agency and was released just 30 days ago. (Evaluation Report continues LIC 9099-C) On March 18, 2026, between 1:45 PM and 2:45 PM, the Department interviewed staff members identified as Staff #1 and Staff #2. Two (2) of the two (2) staff members confirmed that there are currently two residents receiving hospice care, while one resident has just been released from hospice care. (S1) indicated that there is no knowledge that the facility is operating beyond its licensed capacity, noting that it has been a considerable time since the facility was last licensed. Given this information, the facility had three residents on hospice care within the past 60 days confirmation that facility is operating out of scope of Community Care Licensing license. Based on the information gathered, there is sufficient evidence to support the allegation mentioned above that the facility is not in compliance with Title 22 Regulations. Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegations are found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), the above-mentioned deficiencies were observed, and citation issued (ref. LIC 9099 D). An exit interview was conducted with Arlene Feliciano, and copies of the report and appeal rights were provided. *Immediate Civil Penalty issued*