Oak Hills Home Care

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Michelle Echeverria arrived at Oak Hills Home Care to conduct an announced Pre-Licensing visit for licensure. LPA was greeted by Licensee, Jessica Villanueva. LPA introduced self and stated purpose of the visit. LIC200 application was submitted on 07/17/25 for (5) non-ambulatory residents and (1) bedridden resident. Fire Safety Inspection clearance was granted for (5) non-ambulatory residents and (1) bedridden resident on 09/03/25. LPA toured the facility inside and outside and observed the following: Structure: Facility is a one story house with (4) resident bedrooms, (3) bathrooms, living room, family room, dining room, dining area, kitchen, laundry room, attached garage, indoor patio, and backyard. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house and (2) inaccessible fireplaces. Bedrooms: Bedrooms #1, #3 and #4 can accommodate up to (2) non-ambulatory residents in each room and bedroom #2 accommodates only (1) bedridden resident with a total of (6) residents in the facility. All bedrooms have the required bedding and furniture, such as, clean mattresses/linens, nightstands, dressers, chairs, and lighting. Bathrooms: The bathrooms have a working toilet with safety rail, wash basin, shower with safety rail and an adequate supply of toilet paper and soap. Water tested in the bathroom faucet measured at 120 degrees Fahrenheit. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives, sharps, detergent, and chemicals are stored in locked compartments. There was a pantry stocked with non-perishable food and perishable food found in the refrigerator. LPA observed the stove to be operational. Refrigerator/freezer were in working condition. A functional washer and dryer are located inside the laundry room. Living/Family room: There was a furnished family room with a tv and activities observed along with a furnished living room. Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies stored in a closet. Yards/Outside: LPA observed one indoor patio with bbq island, patio table, patio furniture, and an empty inaccessible hot tub. There was also a side gate with self-latching handle on the left and right side of the house that leads into the backyard, and (1) shed used for storage. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch, CCL complaint poster, emergency disaster plan, infection control plan, personal rights, administrator's certificate, house rules, visiting policy, theft policy and an empty frame for the facility's license were observed posted by the entrance of the home. General items: The smoke and carbon monoxide detectors were tested and are operable. There was a fully charged fire extinguisher observed. Resident/Staff records stored inside the locked filing cabinet. First Aid kit with required components, and a locked compartment for medication storage was observed. Emergency kits were observed inside the garage. The facility has a functioning telephone and line. There are no firearms and ammunition observed. The facility was evaluated in accordance with the California Code of Regulations (CCR), Title 22. Based on the observations and evaluation of the facility this date, the facility is ready for licensure. LPA completed COMP III with the Licensee at the conclusion of the inspection. Licensee will be notified once facility is licensed. An exit interview was conducted, and this report was discussed and provided to Licensee, Jessica Villanueva.the state’s words, verbatim · CDSS document, Jan 30, 2026

Type of visit: Office

Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): Method: Telephone call with CAB COMP II Participants: Villanueva, Jessica On 1/23/2026, the 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, Jan 23, 2026