Complaint·April 16, 2026

Allegation: Facility did not report physical plant or maintenance issue at the facility to licensing which threatens resident's welfare, safety or health. When the department received the complaint, it was alleged that the facility had not reported that the facility had a damaged septic system for two months. On 10/28/2025, the department received an Unusual Incident/Injury Report (IR) from the facility. The IR was dated 10/28/2025 and stated that date of occurrence of the incident was 10/28/2025. The IR states, “On October 28, 2025, at approximately 9:00 AM, plumbing inspection and repair work began in the main bathroom of Rachelle’s Home I. The inspection was scheduled and confirmed by the facility’s maintenance. Due to the scope of the bathroom repair, residents were temporarily relocated to the other areas of the home to ensure safety and privacy during the work.” Based on records review, interviews, and observations there is preponderance of evidence to prove the alleged violations did occur. Therefore, the allegations are substantiated. See LIC9099-D for deficiencies cited as per the California Code of Regulations, Title 22. This report was reviewed with Assistant Administrator Tyrone Vega and a copy of this report and appeal rights were provided. Page 3 of 3. END REPORT During visit on 10/29/2025, LPA Marrufo toured the facility and observed two out of two resident bathrooms. One bathroom, on the left side of the facility, had a handwritten sign posted on the door that said, “Out of Order.” LPA toured the inside of the bathroom. During visit on 10/29/2025, LPA Marrufo interviewed staff S1-S3 and Licensee Rachelle Recinto. S1 stated that the left-side bathroom had been intermittently out of order for about a month. S2 stated that the left-side bathroom had become clogged shortly after he/she began working at the facility, but S2 did not specify a time. S3 stated the left-side bathroom had become clogged about a month prior and would go back and forth between being operable and inoperable. Licensee Rachelle Recinto stated the left-side bathroom had become clogged on 10/20/2025. Licensee stated the a repair appointment had been attempted but there was no availability. Licensee stated a facility maintenance staff had rented a “snake” and fixed the plumbing, but there was still a plumbing appointment that was scheduled. On 02/17/2026, LPA Marrufo obtained a copy of an invoice from a plumbing contractor. The invoice is dated 10/15/2025. The invoice identifies the address of the job as identical to the address of the facility. The invoice project description states, “Upon video inspection from 2-way cleanout [redacted] found old cast iron main sewer line towards building compromised by severe rust scale build up along interior walls of sewer pipe. [Redacted] will restore main sewer line by descaling, sanding and flushing all heavy rust scale out of sewer line. This will also include pulling toilet in 1 of 2 back to back bathrooms to descale sewer branch line to lateral sewer.” The invoice states Witness W1 was a technician on the project. On 04/09/2026, LPA Marrufo conducted a telephone interview with W1. During interview, W1 stated that he/she had been at the facility doing maintenance work and the facility staff told him/her that the bathroom on the left side of the facility had not been working for months. W1 stated he/she found that the left-side bathroom was not working. W1 stated he/she pulled out five gallon-sized buckets worth of wipes, which he/she stated should not be flushed down the toilet. W1 stated that the sewage line from the left bathroom probably had a blockage that had not been removed for multiple months. W1 stated that although rust build ups occur with aging cast iron pipes, blockages make the rust build ups worse. W1 stated the blockage could have been avoided by having the sewage pipes services when they became blocked. Page 2 of 3.