The Hills of South Creek II

Type of visit: Case Management - Other

On 01-30-2026, Licensing Program Analysts (LPAs), Abdoulaye Zerbo and Aziz Faizi made an announced visit for the purpose of conducting the final facility closure visit. LPAs was greeted and granted entry by the Administrator, Heddymae Oyson. The Department was notified of the facility’s intent to close on Jan 20, 2026. The Licensee informed the Department that the closure was voluntary and due to legal issues. During today’s visit, LPAs toured both the interior and exterior of the facility and observed five (5) bedrooms to be all vacant. LPAs confirmed relocation of all the residents. The Licensee surrendered their original License on 01-30-26 (Effective Date: 02-11-2026). The LPAs explained to licensee that the license will no longer be valid, and therefore no required care and supervision should be provided in the home unless the state approves licensure in the future. An exit interview was conducted, and a copy of this report was provided to the Administrator Heddymae Oyson.the state’s words, verbatim · CDSS document, Jan 30, 2026

Type of visit: Case Management - Deficiencies

This Case management– Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Abdoulaye Zerbo for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 18-AS-20251205110447. LPA met with Administrator Heddymae Oyson and explained purpose of the visit. During the visit, the facility did not have proof of liability insurance. Based on observations, record review and interviews , deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809-D.the state’s words, verbatim · CDSS document, Dec 11, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.605 · Plan of correction due date: Jan 2, 2026

On and after July 1, 2015, all residential care facilities for the elderly...shall maintain liability insurance covering injury to residents and guests in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate...This requirement is not met as evidenced by: Based on interview and record review, the facility did not have proof of liability insurance to inspect during the visit. This poses an immediate health safety or personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Dec 11, 2025

Plan of correction: The administrator agreed to submit proof of liability insurance by the POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection. The LPA was greeted by Caregiver Neilpeter Duavis, notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Administrator Heddy Mae Oyson joined the visit at a later time. Facility Overview: The facility is a single story building with 5 bedrooms, 3 bathrooms, a dinning room, an office, a receiving area, a kitchen, an outdoor area, and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to clients. The smoke detector and carbon monoxide detector were operable. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of 04-15-2026. The water temperature was tested within regulations measuring 109.9 F Continued 809-C...... Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The administrator holds a current administrator’s certificate with the expiration date of 07-30-2026 and a CPR certification with the expiration date of 09-18-2025. Record Review and Resident/Staff Files: LPA reviewed files for 3 staff members, confirming criminal clearance, updated training, and health screening. 3 residents' files were reviewed and contained all required documentation. LPA observed first kit to be locked and inaccessible to the residents in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the hallway. LPA reviewed medications for 4 residents confirming that all medication were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 04-03-2025, which met the department's requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Administrator Heddy Mae Oyson.the state’s words, verbatim · CDSS document, Jun 4, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Janira Arreola, conducted an announced visit for the purpose of conducting the prelicensing inspection. LPA met with applicants Maricel Nepomuceno and Allen Medina for the visit. The applicant is seeking an initial application for an residential care facility for the elderly with a capacity for (6) residents, ages 60 and up. LPA conducted a walk through of the interior and exterior of the facility. The home is a (5) bedroom, (3) bathroom, one story home with attached garage. The fire clearance conducted by Riverside County Fire Department was approved the home for (5) non-ambulatory residents and (1) bedridden resident in the master bedroom. The other resident bedrooms were observed to have the required furniture. (2) First aid kits were observed, and emergency supplies in the facility kitchen. The facility kitchen has enough pots and pans, cooking utensils, plates and cups for (6) Residents. The kitchen had the required food items. Kitchen knifes will be kept locked with cleaners under the sink. The laundry room was observed was in good repair and the facility possesses cleaning supplies to conduct regular cleaning of the facility. These items are located in the facility locked garage, and locked in the laundry room. The outdoor area was (1) exit and was found to be free of hazards. The land line was observed to be operational (951-506-3838). No bodies of water or firearms are being kept in the facility. An exit interview was conducted were this report was reviewed and provided to the applicant Maricel Nepomuceno.the state’s words, verbatim · CDSS document, May 28, 2024