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13 | On 2/14/2026 Licensing Program Analyst (LPA), M. Garza arrived at the facility for an unannounced complaint visit. LPA met by Care Giver, Marisol Gonzalez explained reason for visit and was permitted entry into the facility. Licensee, Keghouhy “Kay” Handian was contacted and stated they were unavailable to come to the facility. Kay gave permission to complete visit with Care Giver, Marisol. LPA completed a health and safety check on residents in care. Residents observed in common areas and in rooms. LPA toured the facility.
During visits LPA completed interviews, toured facility, reviewed documentation provided by Licensee (physicians reports, admission agreements, needs and services plans, functional capabilities, hospice records, personnel report, and resident roster). Based on interviews conducted and records reviewed, the allegation staff did not ensure resident was spoken to in an appropriate manner is SUBSTANTIATED. Interviews disclosed staff failed to maintain a respectful interaction with R1 and forcing them to consume food with medication mixed inside without R1’s approval. Records reviewed and interviews conducted show the facility did not have medical documentation from a physician. The allegation staff forced resident to consume food with medication mixed inside is SUBSTANTIATED. CONT... |
| Substantiated | Estimated Days of Completion: |
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
02/27/2026
Section Cited
CCR
87468.1(a)(3) | 1
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7 | 87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (3) To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. | 1
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7 | Licensee stated they will provide a plan of correction in writing to CCL no later than 2/17/26. Plan of correction will be completed and documentation will be sent to CCL by POC date as proof of correction. |
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14 | This requirement was not met as evidence by: interviews conducted. The licensee did not comply with the section cited above in that staff failed to maintain respectful interactions with R1 and forcing them to consume food with medication inside without R1’s approval. This poses a potential health safety and or personal rights risk to residents in care. | 8
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Type B
02/27/2026
Section Cited
CCR
87465(a)(5)(D) | 1
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7 | 87465 Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility…(5)...Assistance with self-administered medications shall be limited to the following: (D) Assistance with self-administration does not include forcing a resident to take medication, hiding or camouflaging medications in other substances without the resident's knowledge and consent, or otherwise infringing upon a resident's right to refuse to take a medication. | 1
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7 | Licensee stated they will provide a plan of correction in writing to CCL no later than 2/17/26. Plan of correction will be completed and documentation will be sent to CCL by POC date as proof of correction. |
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14 | This requirement was not met as evidence by: records reviewed and interviews conducted. The licensee did not comply with the section cited above in that R1 did not have a prescription on file to place medications inside their food. Interviews disclosed R1 was forced to take medications without their consent. This poses a potential health safety and or personal rights risk to residents in care. | 8
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Deficiency Type
POC Due Date /
Section Number | DEFICIENCIES | PLAN OF CORRECTIONS(POCs) |
Type B
02/27/2026
Section Cited
CCR
87633(a)(3) | 1
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7 | 87633 Hospice Care of Terminally Ill Residents (a) The licensee shall be permitted to accept or retain residents who have been diagnosed as terminally ill…when all of the following conditions are met: (3) Hospice agency services are contracted for by each terminally ill resident…not by the licensee on behalf of a resident or prospective resident. These hospice agency services must be provided by a hospice agency both licensed by the state and certified by the federal Medicare program. | 1
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7 | Licensee stated they will provide a plan of correction in writing to CCL no later than 2/17/26. Plan of correction will be completed and documentation will be sent to CCL by POC date as proof of correction. |
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14 | This requirement was not met as evidence by: records reviewed and interviews conducted. The licensee did not comply with the section cited above in that 2 of 2 residents receiving hospice care were changed from their original agency selection to the licensee’s "preferred agency". This poses a potential health safety and or personal rights risk to residents in care.
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