Follow-up on corrections·November 6, 2025

Licensing Program Analyst (LPA) Valeria Conway conducted a Case Management - Deficiencies visit in conjunction with complaint visit (Complaint Control # 29-AS-20251028223301). LPA met with Administrator Flordeliza "Baby" Hipolito. The purpose of the visit is to issue citations for deficiencies observed during the initial complaint investigation. Entrance interview. According to the SOC341 form filed with Community Care Licensing (CCL) on 10/29. and information obtained through the complaint investigation, the administrator acknowledged awareness that the facility driver (S1) suffers from PTSD and may become agitated displaying rude or inappropriate behavior at times. During today’s visit, it was also disclosed that S1 is related to administrator. Based on the information obtained from the SOC341 and interviews conducted, it appears that the administrators Baby and Becky Spring were aware of S1’s behavioral issues but failed to take proactive measures to ensure that residents were treated with dignity and respect, and that their personal rights and safety were protected. Interviews conducted with clients revealed that several clients have experienced rude and impatient behavior from S1. As a precaution, LPA review the Guardian background system, which confirmed that S1 is associated with the facility and eligible to work in a licensed RCFE. However, the administrator did not meet the requirements under Title 22 regulations to ensure that all employees demonstrator appropriate behavior and do not pose a risk to the residents in care. During today’s visit, at approximately 1 p.m., LPA conducted a phone interview with S1. During the conversation, S1 admitted that during an off-site visit with Client #1 (C1), they became very upset with the medical office staff and annoyed by C1. When confronted by the supervisor at the doctor’s office regarding their behavior, S1 reportedly cursed at the supervisor. Continued on LIC 809-C Continued from LIC 809 The supervisor then asked S1 to leave the premises. S1, the sole staff attending for C1, departed the location abandoning C1, leaving them unsupervised. Upon returning to the facility without C1, the administrator had to arrange for another staff member to retrieve and transport C1 to the facility safely. The administrator stated that as result of this event, the licensee suspended S1 until further notice. The following deficiencies were cited from the California Code of Regulations, Title 22 and California Health & Safety Code. (See LIC 809-D). The Administrator was informed that failure to correct deficiencies may result in future civil penalties. Civil penalties of $500 are assessed for a zero-tolerance violation. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.