Non-compliance follow-up·February 3, 2026

At approximately 09:50 AM Licensing Program Analyst (LPA) Stevenson arrived unannounced for the purpose of conducting a quarterly Case Management-Legal/Non-compliance (NCC) Inspection and met with caregiver Lorna Valasquez who has Designation of Facility Responsibility (RP). Administrator Madonna Martinez was called to advise of today's inspection. Administrator Madonna Martinez arrived at approximately 11:15 AM to assist with today's inspection Licensing received copy of a valid Administrator's Certificate #7020245740 on 01/28/2026 with expiration date of 06/20/2027 LPA was advised that there were five (5) residents in care, two (2) of which are on hospice. Facility is licensed for six (6) residents, five (5) of which can be non-ambulatory, one (1) bedridden and has a hospice waiver for three (3) residents. Facility was found to be a warm, comfortable temperature and without odors in each of the resident's rooms. This facility was placed on a non-compliance (NCC) on 06/26/2024 for a two-year term by Community Care Licensing (CCL); Concerns addressed in that NCC meeting on 06/26/2024 were: Administrator Duties and Qualifications Active Administrator in place for facility oversight per regulation Clearing Plans of Correction (POCs) Reporting Requirements Timely response to CCL when communication is engaged Continued on LIC809C Continued from LIC809 Administrator was again advised that licensee Triune,INC continues to be in suspended status with the Franchise Tax Board (FTB). In addition LPA advised licensee that the department has not received recent responses from the licensee regarding their efforts to get in good standing with the FTB and that this was in violation of the NCC goal of Magnolia Gold Home Care having more, "Timely responses with Community Care Licensing (CCL) when communication is engaged" At approximately 11:15 AM four(4) of 4 staff files were reviewed and had all required documentation including evidence of 40 hours of training within their 1st four weeks of employment. At approximately 12:45 AM, five (5) of 5 resident files were reviewed and new resident R2 was noted to be missing signed Admissions Agreement, Pre-placement Appraisal and Consent for Emergency Medical Treatment with facility working with niece to secure. Longer term resident R1 was noted to need facility Appraisal Needs and Service and Pre-placement appraisal. A Type B citation for Violation of CCR 87506(a) Resident Records is being issued today. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed Licensee Madonna Martinez by phone and and Appeal rights were given.