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Inspection visit

Follow-up on corrections

EMMAUS CARE ILicense 3746014683 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Natasha Persaud conducted a Case Management- Deficiencies visit. LPA was greeted and allowed entry into the facility by staff, Elena Catacutan. LPA met with Licensee, Janette Monillas. During a complaint investigation, it was discovered that the licensee hired a management company, Bright Senior Management (BSM), LLC on 09/01/24. The management company was present at times in the facility and responsible for new admissions. Two (2) of the employees at BSM, LLC did not have the required Criminal Record Clearance. Staff #1 (S1) has a Criminal Record Exemption on file but was never associated with this facility or received approval for the transfer of a criminal record exemption to this facility. Staff #2 does not have a fingerprint clearance or association with this facility. It was also discovered the licensee signed off approval on an Incident Report and Death Report for Resident #1 (R1) with inaccurate information. The incident Report dated 03/07/25 indicated R1 became restless due to claustrophobia and was provided with prescribed medication. The report also stated R1 was restless due to their roommate experiencing a medical emergency. The death report listed a medical condition as the cause of death, instead of true events. R1 had diabetes that required insulin injections. The facility was aware R1 required insulin injections, prior to admission. The facility’s staff are not skilled professionals, only the licensee is a medical professional. The facility’s documentation did not list the high blood sugar, which later resulted in death. The licensee approved false claims made on the reports. Deficiencies were cited on the attached LIC 809D and Civil Penalties were assessed on the LIC 421's. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Licensee, Janette Monillas whose signature below confirms receipt of these rights.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87457(c)Type A

    Complete admission suitability appraisal

    Pre-Admission Appraisal. Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs... Acceptance and Retention Limitations. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not complete a Preplacement Appraisal for 1 out of 4 [R1] residents which posed an immediate health and safety to risk to residents in care.

  • 87207Type B

    Prohibit false or misleading facility statements

    False Claims. No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility. This requirement is not met as evidenced by: Based on interviews and record review, the licensee did not ensure reports were accurrate for 1 out of 4 [R1] residents, which posed a potential health and safety risk to residents in care.

  • 87355(e)(2)Type A

    Obtain required California clearance or exemption

    Criminal Record Clearance. Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Based on interviews and record review, the licensee allowed 1 out of 8 [S2] staff to work prior to receiving an approved criminal record clearance, which posed an immediate health and safety risk to residents in care.

  • 87355(e)(4)Type A

    Request transfer of criminal record exemption

    Criminal Record Clearance. All individuals subject to a criminal record review...prior to working, residing... Request and be approved for a transfer of a criminal record exemption...the Department permits the individual to be employed, reside or be present at the facility. This requirement is not met as evidenced by:Based on interviews and record review, the licensee allowed 1 out of 8 [S1] staff to work prior to receiving an approved exemption, which posed an immediate health and safety risk to residents in care.

  • 87628(a)Type A

    Allowing diabetic residents based on self-management ability

    Diabetes. The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing with blood...or has it administered by an appropriately skilled professional. This requirement is not met as evidenced by: Based on interviews and records review, the licensee did not ensure a skilled professional was available to administer insulin injections for 1 out of 4 [R1] residents which posed an immediate health and safety to risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 10, 2025 inspection of EMMAUS CARE I?

This was an other inspection of EMMAUS CARE I on September 10, 2025. 3 citations were issued: 2 Type A (serious) and 1 Type B.

Were any citations issued to EMMAUS CARE I on September 10, 2025?

Yes, 3 citations were issued (2 Type A, 1 Type B). The first citation was for: "Pre-Admission Appraisal. Prior to admission a determination of the prospective resident's suitability for admission shal..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.