Loving Las Brisas

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abeye Duguma met with Raquel M D' Ambrosio for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 10:30 AM and the following was noted: The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The facility has a total of five (5) bedrooms and three (3) bathrooms for residents. The facility is fire cleared for six (6) ambulatory of which six (6) may be bedridden. The facility is currently occupying five (5) residents of which three (3) were determined to be non-ambulatory by a skilled medical professional. The three (3) non-ambulatory residents are not on hospice. The licensee is currently operating beyond the conditions and limitations specified on the license. The living room and dining room are neat and clean. The residents' rooms are adequately furnished with appropriate lighting system. Hallways are well lit. Residents have enough personal hygiene product provided by the licensee. The bathroom was checked for cleanliness and proper operations. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. (continued on LIC 809-C) Knives and sharps are observed to be locked and inaccessible to residents. Laundry detergents, cleaning agents and other toxins are locked away. The facility maintains a comfortable temperature at 77°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen and observed to be fully charged and purchased October 2, 2026. The hot water temperature was measured at 114.2°F. LPA observed medication to be locked and inaccessible to residents. Facility maintains a complete first aid kit. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 9099-D): No other health and safety hazards noted during the visit. Exit interview conducted. Copy of this report issued.the state’s words, verbatim · CDSS document, Oct 2, 2026

The state marks this report as 9 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Melissa Spaeth conducted a visit and was greeted the Licensee, Nicole De Las Alas. The facility is currently licensed for six ambulatory residents; however the facility was approved by the City of Palmdale and the owner of the property for renovation of the resident bedrooms. Exit doors were added to the resident rooms. LPA stated the purpose of the visit was to inspect the facility. A Fire Safety Inspection Request dated 9/23/2025 was sent to the Woodland Hills CCL office stating the facility has been approved for four (4) non-ambulatory residents and two (2) bedridden clients. Room 1 to house two (2) bedridden residents. Room 2 is designated for staff only. Room 3 to house two (2) non-ambulatory residents. Rooms 4 and 5 to house one (1) non-ambulatory resident. The report also states the Applicant is in the process of reclassifying occupancy to R-3.1 with the local Palmdale Building & Safety authority. The Licensee stated there are four residents in the facility. LPA stated the residents should not have moved into the facility because the final walk through had not been completed by LPA Spaeth. The Licensee stated they understood. LPA and the Licensee toured the facility at 10:00 am 10:30 am. LPA observed there were no health and safety issues to report at this time. Continued on 809-C LPA reviewed the residents’ records from 11:00 am until 11:35 am and observed residents moved into the facility from August 20, 2025 until September 9, 2025. LPA observed there are three non-ambulatory and one ambulatory resident living in the facility. However, the fire safety inspection took place on 9/23/2205 so the facility had not received fire clearance for non-ambulatory residents. During LPA’s review of the four residents’ files (R1-R4), LPA observed the Pre-Appraisal/ Appraisal Needs Assessment and Personal Rights documentation were missing from all the residents' records. LPA observed the staff records at 12:45 pm until 1:00 pm. A $500 immediate civil penalty is assessed today for residents living in the facility prior to the fire safety inspection. Under Title 22 General Regulations, the following citation was issued and recorded on LIC 809D. Exit interview was conducted, appeal rights discussed and LPA gave a copy of the report during the visit.the state’s words, verbatim · CDSS document, Oct 1, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(1) · Plan of correction due date: Oct 1, 2025

87202 Fire Clearance (a)All facilities shall maintain a fire clearance…Prior to accepting or retaining any of... types of persons...obtain an appropriate fire clearance ...(1) non-ambulatory persons. This requirement was not met as evidenced by: Based upon LPA's observations, the licensee failed to receive fire clearance prior to accepting non-ambulatory residents which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: LPA received the fire clearance dated 9/23/2025 stating the facility has been approved for non-ambulatory and bedridden residents. Therefore, the deficiency was cleared during LPA's visit.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87505 · Plan of correction due date: Oct 6, 2025

87505 Documentation & Support Each facility shall document ...the pre-admission appraisal and any reappraisal ...This requirement was not met as evidenced by: Based upon LPA's observations, the licensee failed to complete a pre admission appraisal which could possibly pose an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 1, 2025

Plan of correction: The Licensee will fax the Pre-Admission Appraisals and the signed Personal Rights docuemntation for the four residents to LPA Spaeth.

Type of visit: Prelicensing

On 7/16/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced pre-licensing visit to this facility and met with the Applicant, Nicole De Las Alas. This is a new application. A fire clearance dated 4/29/2025 was received for six (6) ambulatory residents. The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. Component III was conducted with the applicant from 10:00 am 10:30 am. LPA and the Licensee toured the physical plant inside and outside from 10:30 am until 11:15 am. LPA Spaeth observed the following: Living Room– the living room contained comfortable seating. Dining room – The room contained dining room table and chairs. Kitchen - The knives and cleaning solutions were locked in a kitchen cabinet. The facility contained a two-day supply of perishable food and a seven day supply of non-perishable food. A fire extinguisher is located in the kitchen area. The resident files, first aid kit and medications will be locked in a kitchen cabinet. Continued on 809-C Laundry Room – The room was locked and contained a washer and dryer, hygiene items and laundry detergent. Backyard - The backyard has a shaded area with a table and chairs. The gate leading from the back yard to the front yard was not locked. Water Temperature - The water temperature was tested at 11:00 am and was 108 degrees F. Bathrooms- The bathrooms contained hand soap, slip resistant mats, paper towels, grab bars and a trash can. Bedrooms – The bedrooms contained bed, linens, night stand, chest of drawers, a chair, and a closet. Hallway Closet - The hallway closet contained linens. Garage – the garage was locked.. The smoke/carbon monoxide detectors were tested at 11:10 am and were operable. The facility was clean and appears to be in good repair. The Licensee confirmed two external exits to Rooms Two and Four were installed along with an inner fire rated door. Once the license is issued, the Licensee will request another fire marshal inspection be completed so that the facility will be licensed for one bed ridden and five non-ambulatory. This report will be forwarded to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved.the state’s words, verbatim · CDSS document, Jul 16, 2025

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: INTL Capacity: 6 Census : 0 Method: Telephone call with CAB COMP II Participants: Del Las Alas, Nicole, (Licensee, Administrator), & Dianna Esparza,(Analyst). Licensee & administrator participated in COMP II via Telephone call with CAB Analyst. Identification of licensee/administrator was verified by confirming driver’s license numbers. During COMP II, licensee/administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensee/administrator were advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed licensee's/administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, May 8, 2025