Routine inspection·March 5, 2026

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation and Case Management visit. LPA was greeted and granted entry by Staff #1 at 1:05pm. LPA met with Administrator (AD) Heddy "Girlie" Mae Oyson and explained the purpose of the visit. The facility is a single story, four bedroom residence with an approved fire clearance of six non-ambulatory residents of which one may be bedridden. The licensee has an approved hospice waiver for six. The facility currently has a census of five residents in care and all five residents receive hospice services. During today’s visit, LPA toured the facility and inspected and tested all smoke detectors. Smoke and carbon monoxide detectors were operational. The temperature in the facility was 76 degrees. All utilities such as air conditioning, gas, water/trash were operational The facility has two bathrooms but one bathroom is designated for residents; the other bathroom is off the kitchen and is only used by staff. LPA tested the hot water temperature in the resident bathroom. The hot water temperature measured 106.8 degrees Fahrenheit. The bathroom had grab bars and covered trash cans. LPA observed the fire extinguisher was charged and was serviced on October 4, 2024. The facility’s last fire drill was conducted on February 8, 2025 and a deficiency will be cited. A fire drill in-service was conducted during LPA's visit. LPA inspected the kitchen and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand Additional food is stored in the garage with emergency supplies. Sharps and knives were secured in a locked drawer and chemicals and cleaning supplies were secured underneath the kitchen sink. The PUB 475 poster was observed in the kitchen. LIC 500, Infection Control, Visiting Hours, Facility sketches and Disaster Plan (Continued on LIC 809-C) (Continued from LIC 809) were posted in hallway. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. A First Aid Kit and manual is on the premises. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on June 10, 2026. LPA reviewed two of two staff training and fingerprint records and conducted a complete review of resident records. Two of two staff records did not have required annual training. The last training on record was on January 24, 2025. A citation was given on January 28, 2026 with a plan of correction for February 27, 2026. Civil penalties will be assessed from 2/28/26 to 3/05/2026 for six days X $100/day = $600 for staff not being currently trained. Two of five residents needed updated Medical Assessments. One of five residents did not have a Medical Assessment. A citation was given on January 28, 2026 with a plan of correction date of February 27, 2026. Civil penalties will be assessed from 2/28/26 to 3/05/2026 for six days X $100/day = $600 for medical assessments.. LPA spoke with Licensee, Maricel Nepomuceno regarding current liability insurance. The liability insurance is currently pending. A citation was given on 2/24/2026. Civil penalties will be assessed from 2/25-3/5/2026 for nine days X $100/day = $900 for liability insurance. LPA interviewed three of three staff who confirmed they have not been paid for the pay period of 2/4-2/18/2026. Staff will be paid on March 7, 2026. A citation was given on February 20, 2026. Civil penalties will be assessed from 2/21-3/5/2026 for 13 days X $100/day = $1300 for finances. The following failure to correct and Type A deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Total civil penalties assessed is $3,400. An exit interview was conducted with Heddy "Girlie" Mae Oyson, Administrator and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D, Appeal Rights and LIC 421FCs.