Oasis Guest Home

Type of visit: Required - 1 Year

On 02/25/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua was met and greeted by Facility Designated Administrator (FDA), Brandon Rose and explained the purpose of the visit. There was one other staff member present at the facility, Alejandra Miranda Caballero. Current census was 5. A brief interview with FDA Rose was conducted. This facility is licensed to serve and retain 6 non-ambulatory elderly residents. 1 out 6 residents may be bedridden residing in bedrooms 1 or 3. In addition, this facility has a dementia plan on file and a hospice waiver for 4 residents. It was learned that there are currently 0 residents on hospice at this time and there is 1 resident currently on home health. LPA Pascua reviewed 3 staff files. All staff members currently working at the facility have all completed documentation. The facility administrator has an active administrator certificate #7009243740 and expires on 06/04/2026. LPA Pascua reviewed 5 resident files. 5 out 5 residents were observed to have outdated needs and services plans. LPA Pascua provided technical assistance regarding Dementia regulations, best practices regarding physicians reports and needs and services plans. A tour of the facility was conducted. A tour of the kitchen was conducted. LPA Pascua observed a sufficient amount of 2 day perishable and 7 day non-perishable food supply. 2 fire extinguishers were present at the facility and were serviced on 02/11/2026 by Jorgenson Co. Smoke detectors and carbon monoxide was observed to be present and in working condition. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time. Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time. Medication cabinet, located in the kitchen cabinet, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility designated Administrator member at this time. A review of the facility Medication Administration Record and dispensing log was conducted. Medication cabinet was observed to be locked and made inaccessible to the residents at this time. Living room, dining area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time and able to meet the needs of the residents. A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the resident restroom was conducted. Hot water temperature was taken to make sure that it measured within the allowed range of 105-120 degrees at all times. Laundry room, located prior to the garage door exit, was toured. Cleaning supplies, detergents, and bleach were observed to be locked and made inaccessible to the residents at this time. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the garage area was conducted. It was learned that this area was mainly used as a storage space for facility related items at this time. First aid kits were observed to be present and contained all of the required components at this time. The following documentation was provided to the LPA to update in the facility records: -LIC 308 -LIC400 -LIC 500 -LIC 610e -Liability insurance. A technical violation was provided to this facility for Sections 87463(a). The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were reviewed and a copy was printed and given to the facility designated Administrator at this time. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.the state’s words, verbatim · CDSS document, Feb 25, 2026

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 09/04/2025 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility staff person Filomena Tetro. A brief interview was conducted with the facility staff person at this time. This LPA requested that the facility staff person go ahead and contact the facility designated Administrator, Brandon Rose, to inform him that CCL was present at this time. Current census was 5 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 02/19/2025. This visit was to follow up on the Plans of Correction that were due. The following deficiencies were observed and cited on 02/19/2025: An Infection Control Plan shall be developed by the licensee and shall be included in the Plan of Operation required by Section 87208. (1) The Infection Control Plan shall include all of the following: (C) An Infection Control Training Plan. 3. The description of initial and ongoing training shall address the requirements of subsections (a), (b) and (d). In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. All window screens shall be clean and maintained in good repair. This facility did complete the Plans of Correction and provided all of the required forms and documents at this time. Plan of Correction clearance letters were printed and copies were provided to the facility staff person at this time. There were no further deficiencies observed or cited during today's Plan of Correction visit. Exit Interviewthe state’s words, verbatim · CDSS document, Sep 4, 2025

Type of visit: Required - 1 Year

Unannounced Annual Licensing visit made out to this facility on 02/19/2025 by Licensing Program Analyst (LPA) Charlie Yang who was met by the facility designated Administrator, Brandon Rose, at this time. A brief interview was conducted with the facility designated Administrator at this time. This facility is licensed to serve up to (6) Non Ambulatory residents at any given time. Current census was 6 residents. It was learned that there were (2) residents under the care of hospice at this time. This facility was approved to be able to accept and retain up to (4) residents at any given time. It was learned that there was (1) resident deemed to be bedridden at this time. The facility was approved to be able to accept and retain up to (1) resident deemed to be bedridden at any given time. Tour of this facility was conducted. A tour of the facility kitchen area was conducted. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time. Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time. A review of the facility food supply was conducted. A review of the facility's 2-day perishable foods and 7-day nonperishable foods was conducted to make sure that there were sufficient quantities on hand at all times. Medication cabinet, located in the kitchen cabinet, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility designated Administrator member at this time. A review of the facility Medication Administration Record and dispensing log was conducted. Medication cabinet was observed to be locked and made inaccessible to the residents at this time. Living room, dining area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time and able to meet the needs of the residents. A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the resident restroom was conducted. Hot water temperature was taken to make sure that it measured within the allowed range of 105-120 degrees at all times. Laundry room, located prior to the garage door exit, was toured. Cleaning supplies, detergents, and bleach were observed to be locked and made inaccessible to the residents at this time. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the garage area was conducted. It was learned that this area was mainly used as a storage space for facility related items at this time. First aid kits were observed to be present and contained all of the required components at this time. Fire extinguishers were observed to have been annually reviewed on 02/19/2025 from the local fire extinguisher company, Jorgensen Fire, and observed to be in compliance at this time. Administrator certificate for Brandon Rose was observed to have an expiration date of 06/04/2024 with certificate #6031277740. All updated forms and documents have been submitted to renew at this time with certification dated 04/12/2024. A tour of the exterior grounds for this facility was conducted. A review of the facility perimeter fence, side gates, and exits was conducted. A review of (4) facility resident files was conducted and noted on the following LIC 858. A review of (5) facility staff files was conducted and noted on the following LIC 859. This LPA requested that this facility, and its representative, update the following forms and submit them into CCL for review by this LPA: LIC 308, LIC 400, LIC 500, LIC 610 The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were reviewed and a copy was printed and given to the facility designated Administrator at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Feb 19, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced required 1 year annual inspection visit. LPA met with the administrator and explained the purpose of the visit. Administrator certificate expires 6/4/24. LPA and administrator inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility has four bedrooms and two bathrooms. There is a formal living room available for residents and a dining room off the kitchen. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Common touch surfaces are cleaned after each use. LPA measured the hot water temperature in resident's bathroom at 111.2 degrees Fahrenheit which is within the required range of 105 to 120 degrees. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was last inspected 11/17/23. Facility has an emergency food and water kit. LPA reviewed four resident files and four staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. Staff #1 and #4 did not have current first aid certificates. LPA requested the following updated documents via email to community care licensing by February 16, 2024: LIC 308 Designation of Administrator, LIC 500 Personnel Report, Copy of Administrator's Certificate, and Copy of Liability Insurance. ruth.wallace@dss.ca.gov Per the California Code of Regulations, Title 22, Division 6, Chapter 6, see 809-D for deficiency cited during this visit. Exit interview was held with Administrator. A report and LIC 811(Confidential Names) was left at facility.the state’s words, verbatim · CDSS document, Feb 13, 2024