A Place of Love Adult and Senior Homes

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Yolanda Delgado conducted case management to check on the Health & Safety of the residents in care. LPA conducted walk through the facility accompanied by Resident #1 (R1), LPA observed six (6) residents at the facility, working utilities, perishables and non-perishables observed, medications, sharps and toxins were not locked, not stored and readily accessible to residents in care. LPA contacted Licensee/Administrator Florence Mojica and it was stated the live-in caregiver had an emergency and left the facility and she was notified at 10:15 that the caregiver was seeking medical attention. LPA to stand by for Licensee/Administrator. Licensee/Administrator arrived during the visit, during interviews it was determined that there are concerning issues and an Informal Office meeting will be scheduled with Florence Mojica to address concerns and change of Ownership information that was provided on this day. The facility will be cited Title 22, Division 6, Chapter 8, Article 08, Section 87464(c), Article 05, Section 87309(a), Section 87303(g), Article 02, Section 87109 (b) with Civil Penalties that will be issued for a total of $1,000. An exit interview was conducted with Florence Mojica and a copy of this report, LIC809D, LIC421IM and Appeal Rights was provided.the state’s words, verbatim · CDSS document, Jun 12, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 87464(c) · Plan of correction due date: Jun 13, 2026

Basic Services: "Care and supervision" means the facility assumes responsibility for, or provides or promises to provide in the future, ongoing assistance with activities of daily living without which the resident’s physical health, mental health, safety, or welfare would be endangered. Assistance includes assistance with taking medications, money management, or personal care. This requirement was not being met as evidenced by: During a facility visit on 6/12/2026, LPA observed 6 residents at the facility without any staff to provide care and supervision. Licensee was contacted and informed the live-in caregiver went to seek medical attention without notifying her. LPA stood by for Licensee to arrive. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: Licensee has contacted additional caregivers at other facility to provide coverage, coverage has been confirmed and will contact a staffing agency if needed. Licensee will submit an updated work schedule for the remainder of the month and email to LPA by POC due date.

From the deficiency page — Deficiency type: Type A · Section cited: HSC87309(a) · Plan of correction due date: Jun 13, 2026

Storage Space and Access: (a) Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not being met as evidenced by: During a facility visit on 6/12/2026, LPA observed medications, a dirty metal knife in the sink, sharps in unlocked drawer, toxic chemicals in the garage floor, items were not locked secured and readily accessible to residents. LPA stood by for Licensee to arrive. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: Licensee will ensure that all items identified are locked, secured and inaccessible to all residents in care, provide In-service training to staff and submit the training sheet to LPA by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(g) · Plan of correction due date: Jun 19, 2026

Maintenance and Operation: Facilities which have machines and do their own laundry shall: (1) Have adequate supplies available and equipment maintained in good repair. Space used to sort soiled linen shall be separate from the clean linen storage and handling area... This requirement was not being met as evidenced by: During a facility visit on 6/12/2026, LPA observed clothing hanging over furniture and on hangers inside the garage. Interview revealed there is no dryer available for residents to dry their clothing after washing. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: Licensee will obtain a working dryer for the facility and email a photograph of the dryer plugged in and working to LPA by POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87109(b) · Plan of correction due date: Jun 19, 2026

Transferability of License: The licensee shall notify the licensing agency and all residents receiving services, or their representatives, in writing as soon as possible and in all cases at least thirty (30) days prior to the transfer of the property or business, or at the time that a bona fide offer is made, whichever period is longer, as specified in Health and Safety Code Section 1569.191. This requirement was not being met as evidenced by: During a facility visit on 6/12/2026, LPA was told by the Licensee that she has sold the business to another person and she notified CCLD. LPA contacted Support Staff and no information for Change of Ownership has been received. This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 12, 2026

Plan of correction: Licensee will submit the letter of Change of Ownership and the letters of notification to the residents to LPA by POC due date.

Type of visit: Prelicensing

On 11-13-2024, Licensing Program Analyst (LPA) Seo Jeon made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA met with Applicant, Florence Mojica, who accompanied LPA for the inspection. The Applicant has submitted an application for six (6) residents (6 non ambulatory). On 07-16-2024 the Riverside County Fire Department approved a fire clearance for which the applicant has applied for. All 4 bedrooms are for non-ambulatory residents. The facility has submitted application for hospice waiver for six(6). The home is a single story structure consisting of (4) bedrooms, (3) bathrooms, lounge, kitchen, formal dining room, family room, garage, backyard with an awning. The bedrooms were observed to have bed, lighting, night stand, chest of drawers and area for sitting. The bathrooms had nonskid surface, and grab bars. There is plenty of extra linen (sheets, blankets, towels) that were observed to be in good repair. The smoke and carbon monoxide detectors were tested and found to be operable. The hot water temperature was tested and was found to be within regulatory limits measuring at 105 degrees Fahrenheit. The facility is equipped with flashlights and night lights. The facility has an emergency disaster plan and infection control plan on file. The facility has a sufficient supply of dishes, cooking and eating utensils, that were observed to be in good repair. The facility food supply was observed to be sufficient as there were 2-day supply of perishable and a 7-day supply of nonperishable food items. The facility has an emergency food and water supply. There is a fully stocked first aid kit. The passageways, and ramps/inclines are clear and free from obstruction. The home has 1 fully charged fire extinguisher. The facility does not have any known guns or ammunition stored on premises. The sharps/knives are stored in a locked cabinet in the kitchen. The medications will be kept in individual boxes that will be stored in a locked cabinet located in the kitchen. Continued on LIC809-C.... The required postings (facility sketch, resident council, theft and loss policy, personal rights, PUB475 complaint poster and the Long term Care Ombudsman poster) were observed to be posted in the lounge wall. The applicant is scheduled to complete COMP III orientation on 11-19-2024. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. LPA determined the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete, and this facility has no deficiencies. The facility has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to applicant, Florence Mojica.the state’s words, verbatim · CDSS document, Nov 13, 2024

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOFT Capacity: 6 Census (if any clients in care): 1 Method: Telephone call with CAB COMP II Participants: Florence Mojica, Administrator/Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/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, Oct 23, 2024