Oasis of Love Plaza Care

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Case Management visit due to the closure of the facility. LPA did not observe residents or personal belongings in resident bedrooms. Per house manager Queen Alimairo, all residents were relocated as of 07/31/2026. LPA Ramirez obtained original facility license upon exit. LPA provided a copy of this report.the state’s words, verbatim · CDSS document, Aug 20, 2026

Type of visit: Case Management - Other

LPA Gabriela Castro conducted an unannounced Case Management visit at the facility. LPA was greeted by facility staff, and Laura Ignacio, Administrator/Licensee was contacted via telephone. The purpose of the visit was to confirm information received by the Department regarding the facility's anticipated closure. During the visit, LPA discussed the 30-day eviction notices that had been submitted to the Department and informed the Licensee that the notices did not meet regulatory requirements. LPA provided technical assistance regarding the applicable regulations and advised the Licensee that the eviction notices must be reissued with the necessary corrections and updated dates to ensure compliance. LPA answered the Licensee's questions regarding the facility closure process and the requirements for providing proper notice to residents. LPA advised the Licensee to follow the appropriate eviction procedures and informed the Licensee that the Department will continue to monitor the facility's compliance. LPA will maintain communication with the Licensee and follow up to ensure the corrected eviction notices are issued and that the facility closure proceeds in accordance with applicable licensing regulations. A copy of this report was provided to Licensee/Administrator Laura Ignacio via email.the state’s words, verbatim · CDSS document, Jul 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced annual inspection visit on 10/19/2025 and was greeted by House Manager Queen Alimario, LPA Ramirez identified herself and explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to residents, were observed to be inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected four (4) resident rooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed no-slip coating in showers. LPA Ramirez observed seated shower chairs in bathrooms. Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 08/14/2025. LPA Ramirez observed facility sketches with exits and emergency exits routes throughout various locations of the facility. LPA Ramirez observed emergency food supply located in pantry. See 809-C Residents with Special Needs: No large bodies of water were observed LPA Ramirez observed signs posted indicating “No smoking - Oxygen in Use” in various locations of the facility. LPA Ramirez observed several oxygen tanks in resident rooms secured in stands. Knives, sharps or other items that could pose a danger to residents with dementia, were observed to be inaccessible. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication cabinet and in bubble packs and/or original containers. LPA Ramirez observed Centrally Stored Medication and Destruction Record. The facility provides incidental medical services. Staffing: Administrator Certificate (7005001740) for Laura Ignacio 07/25/2026. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed required annual training, CPR and First Aid for two (2) out of the two (2) personnel record reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for two (2) out of the two (2) personnel record reviewed. Infection Control: Staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for six (6) ambulatory residents over the age of 59 years old. Resident Records/Incident Reports: LPA reviewed resident records for four (4) residents in care. Resident records are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. No deficiencies were observed during this visit. Exit interview conducted. A copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 19, 2025

Allegation investigated: Staff do not allow residents to use the restroom at the time of need.

Licensing Program Analysts (LPAs) Mayra Cota, Nune Margaryan and Luis De Leon, conducted an unannounced complaint visit in response to the above allegation. LPAs met with Monina Barican, Caregiver, who assisted with today’s visit. Administrator, Laura Ignacio was notified of the visit over the phone. On today’s visit, LPAs: toured the physical plant, obtained client and staff rosters, and conducted interviews with Administrator (over the phone), Staff 1 – Staff 2 (S1 – S2) and Client 1 - Client 2 (C1 - C2). Continue 9099C Unsubstantiated In regard to allegation: Staff do not allow residents to use the restroom at the time of need. It was alleged that clients have been forced to use a specific restroom depending on their needs. Residents are only allowed to use the restroom attached to the master bedroom if they need to urinate, while they can only use the hallway restroom if they need to have a bowel movement. LPAs interviewed Administrator (via phone call) and staff at the time of visit. Interviewed Administrator and staff denied the allegation. According to Administrator, both facility bathrooms are always available to be used by clients at any time. Administrator stated that last week toilet in the master bathroom had been clogged due to client putting too much toilet paper. However, it was fixed the next day. According to staff interviewed, toilet in master bathroom had been clogged but has been fixed and available for use. Interviewed C1 stated they are allowed to use both bathrooms at any time. C1 stated, they have no issues using both bathrooms for urinating and bowel movement. Interviewed C2 stated they have no issues using both bathrooms. C2 mentioned that last week master bathroom was clogged but was fixed. LPAs toured the facility and observed that both toilets were working properly. At the time of visit, LPAs tested the water temperature in both bathrooms and observed that initial water temperature was129 degrees F and 137.3 degrees F. A deficiency was issued on a separate Case Management report. Based on the observation and interviews conducted, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED Exit interview conducted and a copy of report was provided to Monina Barican, Caregiver.the state’s words, verbatim · CDSS document, Jan 17, 2025 · control 28-AS-20250107094321

Type of visit: Case Management - Deficiencies

A Case Management visit was conducted during the course of the investigation of complaint #28-AS-20250107094321 by Licensing Program Analysts (LPAs), Mayra Cota, Nune Margaryan and Luis De Leon. The following deficiency was observed: At the time of visit, LPAs tested the water temperature in both bathrooms and observed that initial water temperature was 129 degrees F and 137.3 degrees F. The deficiency cited is documented on the LIC 809D. Exit interview held with Monina Barican and Appeals Rights were provided.the state’s words, verbatim · CDSS document, Jan 17, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(2) · Plan of correction due date: Jan 17, 2025

Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). Based on obseervation the licensee did not comply with the sections cited above Water temperature was tested in bathrooms 129 degrees F and 137.3 degrees F. which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Jan 17, 2025

Plan of correction: Water temperature was adjusted at the time of visit and licensee will esnure water temperature stays within range by checking it daily. Licensee will submit logged sheet with adjusted water temperature for one week to LPA, Mayra Cota.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced required annual inspection visit on 12/06/2024 and was greeted by Caregiver Queen Alimario. LPA Ramirez explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: Disinfectants and cleaning solutions that could pose a danger if readily available to residents, were observed to be accessible to residents in bathrooms and under kitchen cabinet. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected four (4) resident rooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be 130.3 degrees F, during inspection. LPA Ramirez asked how water temperature is measured to ensure it does not rise above 120 degree F. Staff revealed the facility does not have equipment to check water temperature. Staff lowered broiler during visit. LPA Ramirez observed grab bars near toilets and inside showers. LPA Ramirez observed no-slip mat in showers. Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Four (4) out of the four (4) residents attend a day program. Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. Last documented emergency drills were conducted on 08/17/2024. LPA Ramirez observed facility sketches with exits and emergency exits routes throughout various locations of the facility. LPA Ramirez observed emergency food supply located in garage. See 809-C Residents with Special Needs: No large bodies of water were observed. Knives, sharps or other items that could pose a danger to residents with dementia, were observed to be inaccessible. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medications cabinet and in bubble packs and/or original containers. The facility uses the Medication Administration Record (MAR) log to document medications given. The facility provides incidental medical services. Staffing: Administrator Certificate for Laura Ignacio is pending renewal. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed required annual training, CPR and First Aid for three (3) out of the three (3) personnel records reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for three (3) out of the three (3) personnel records reviewed. Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for six (6) non-ambulatory. Resident Records/Incident Reports: LPA reviewed Resident files for four (4) residents in care. Resident files are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Resident Pre-Appraisal, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. Two (2) violations were observed and cited during inspection. Exit interview conducted. A copy of this report, 809-D and appeals was provided.the state’s words, verbatim · CDSS document, Dec 6, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required 1-year Visit on 11/28/2023. LPA was met by Caregiver Queen Alimario and explained the purpose of the visit. The facility is licensed to serve six (6) non ambulatory residents over the age of 60. LPA OBSERVATIONS: The facility is a single-story dwelling located in a residential neighborhood and consist of four (4) resident bedrooms, one (1) staff bedroom, two (2) shared bathrooms, kitchen, dining room, living room, front yard, backyard, and attached garage. Front Yard: No hazards were observed. Kitchen: LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located in kitchen cabinet, to be inaccessible to four (4) out of four (4) residents in care. Kitchen sink water temperature was measured at 117.3 degree F. Kitchen appliances were observed to be clean and in working order. LPA Ramirez observed several boxes stacked on top of each other in kitchen area. Dining Room/Living room/: Dining room was observed to contain one table with plenty of seating. Living room was observed to have plenty of seating and lighting. LPA Ramirez observed several boxes stacked on top of each other in various corners/areas of living room. Linen Closet: Contained plenty linens, towels, and hygiene products. see 809-C Resident Rooms 1 - 4: LPA Ramirez inspected four (4) resident bedrooms and observed all bedrooms to contain required furnishings, lighting, and linens. Bedroom#1 is shared, bedroom#2 is currently unoccupied, and bedroom# 3 and #4 are shared. Bathrooms: Water temperature in bathrooms# 1-2 were within 105-120 degree F. Backyard: No hazards were observed. Plenty of shade and seating was observed. Emergency Drills: Staff could not provide documented proof if emergency drills conducted. Carbon Monoxide Detectors/Fire Alarm/Fire Extinguisher & Emergency Disaster Plan: LPA observed carbon monoxide in hallways and smoke detectors were observed to be operable. Personnel Records: Personnel records are maintained at facility. LPA Ramirez reviewed staff files for four (4) staff. Documented proof of required annual training was not observed. Resident Files: Four (4) resident files were reviewed. Original signed admissions agreements were not observed in resident files. Liability Insurance & Infection Control Plan: Facility has current liability insurance on file. LPA Ramirez observed updated infection control plan. Deficiencies and technical advisories are being cited. A copy of this report, 809-D, LIC 9120 and appeals rights was provided.the state’s words, verbatim · CDSS document, Nov 28, 2023

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.