A Heavenly Communities A

Type of visit: Required - 1 Year

At 9:05am on March 17, 2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced to the facility to conducted the annual facility inspection. LPA met with Administrator Martha Ramirez, announced who he was and the reason for the visit. LPA noted that the facility is one of four facilities, a recreation building, and administrative offices on approximately 2 acres that is gated. The property also has an expansive open courtyard with shaded areas for residents and visitors. During todays inspection, LPA conducted the annual inspection of only the facility listed above. Administrator and LPA conducted a full facility tour. This facility is a one-story residential home with six private resident bedrooms each with an en suite bathroom and walk-in shower. There is a great room consisting of a living room with self-contained fireplace, dining area, and kitchen. There is a designated salon room with full bathroom for the residents of this facility and the other three facilities on the property. There is a public use half bathroom at the facility entry. The medications are stored in a locked medication cart in the facility hallway. There are dual smoke/carbon monoxide detectors throughout the facility that are hardwired with backup battery. Apex Fire and Safety conducted an annual inspection of the fire sprinkler system on December 29, 2025. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. LPA observed fire extinguishers that were tagged current and in the green compression range, serviced on December 29, 2025. (Continued on LIC809-C) LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records (CSMR) and found no violations. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. LPA noted that all resident meals are prepared and cooked in this facility in a separate kitchen located through a door next to the salon and delivered to the other three facilties by hand. LPA observed at least two days of perishable foods and seven days of non-perishable on hand for this facility. LPA conducted a staff and resident file review. LPA and Administrator conducted a review of the annual care tool modules. Exit interview conducted, report signed, and report provided to the Administrator.the state’s words, verbatim · CDSS document, Mar 17, 2026

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

At 8:25am on 03/20/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced to the facility to conducted the annual facility inspection. LPA met with backup Administrator Karla Sanchez, announced who he was and the reason for the visit. LPA noted that the facility is one of four facilities on approximately 2 acres that is gated and there is a recreation building and expansive open courtyard with shaded areas for residents and visitors. During todays inspection, LPA conducted the annual inspection of the facility listed above. Backup Administrator and LPA conducted a full facility tour. LPA noted the facility has 6 bedrooms and 7.5 bathrooms. The bedrooms are single occupancy each with a full private bathroom. The facility has a great room consisting of a living room, dining room and kitchen. There is a designated salon room with full bathroom for the residents of this facility and other 3 facilities on the property. There is a public use half bathroom at the facility entry. The medications are stored in a locked medication cart in the facility hallway. There are combo smoke/carbon monoxide detectors throughout the facility that are hardwired with backup battery. Apex Fire and Safety conducted a successful annual compression test for the fire sprinkler system on 12/03/2024. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. LPA observed fire extinguishers that were tagged current and in the green compression range serviced on 12/03/2024. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records (CSMR) and found no violations. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. LPA noted that all resident meals are prepared and cooked in this facility in a separate kitchen located through a door next to the salon and delivered to each facility by hand. LPA observed at least two days of perishable foods and seven days of non-perishable on hand for this facility. LPA conducted a staff and resident file review. During the staff file review LPA noted 2 of 5 staff files not containing a health screening. LPA and backup administrator conducted a review of the annual care tool modules. Exit interview done, annual report, citation, and appeal rights were printed and provided to backup administrator.the state’s words, verbatim · CDSS document, Mar 20, 2025

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

At 10:30am on 03/25/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct an case management visit for the incident: Elopement with injury on 03/20/2024. LPA noted that the facility had contacted LPA by phone 03/21/2024 of elopement from facility where resident sustained a fractured nose when they left facility during the evening of 03/20/2024 around 8:15pm. Facility noticed resident (R1), missing at approximately 10:00pm on 03/20/2024. Facility notified licensees/administrators and local Paso Robles Police Department (PRPD) at 10:52pm. Upon call to 911 it was learned that R1 was discovered by PRPD with a fractured nose. Incident report was submitted 03/22/2024 which added R1 was fond on "floor" and was taken to ER and treated for a cut above eye, requiring 4 stiches, and fractured nose. Incident report indicated that R1 squeezed through facility driveway gate. LPA interviewed staff, conducted a facility tour, reviewed and collected documents, and took photographs. Staff interviews indicated that R1 was assisted to their bedroom at approximate 7:45pm. At approximately 8:00pm R2 was assisted to their bedroom by Staff (S1). At approximately 9:00pm S1 called for assistance from MedTech (S2) to assist with R3 with incontinence issues. S1 conducted routine bed checks at 10:20pm and discovered that R1 was not in their bedroom. S1 conducted an imitated search of the facility and facility grounds and discovered that R1 was not present at the facility. S1 contacted 911, Administrator and Licensees. At approximately 11:00pm the two licensees, S2, and 3 administrators from the other on campus facility's conducted a perimeter search inside and outside the facility area. PRPD dispatcher informed Licensee that R1 was already found at 9:54pm and was being transported to Sierra Vista Hospital where they were treated for the injuries described above. R1 returned to the facility later that evening. LPA interview Licensee's and Administrator who concurred the events described above. Licensee stated that they are going to implement the follow precautions are a result of the elopement. CONTINUED on LIC812the state’s words, verbatim · CDSS document, Mar 25, 2024

Type of visit: Required - 1 Year

At 8:00am on 03/15/2024, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conducted the annual facility inspection. LPA met with Licensee's Marco and Jennifer Jimenez, and Administrators Martha Rarmeriz, announced who he was and the reason for the visit. LPA noted that the facility is one of five, 6 bed facilities on approximately 2 acres that is gated and there is a recreation building and expansive open court yard for residents and visitors. During todays inspection, LPA conducted annual inspections on one of the five facilitates. This facility is a 7 bedroom, 8 bathroom, single occupancy, with living room, dining room and kitchen, room number seven is designated as a salon for the residents of this facility and the campus resident. The medications are stored in a locked medication cart in the facility hallway. There are combo smoke detectors/carbon monoxide detectors throughout the facility that are hardwired with backup battery. Apex Fire and Safety conducted a successful annual compression test for the facilities fires sprinkler system on all 5 facilities on 12/07/2023. LPA noted that the facility is clean and in good repair with no obstructions in hallways doorways or exits. LPA observed fire extinguishers that were tagged current and in the green compression range. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records (CSMR) and found no violations or citations. LPA noted that the facilities has food and snacks in the kitchen. LPA noted that all resident meals are prepared and cooked in this facility A (1) and delivered to each facility by hand. LPA noted that resident special diets or communicated to the facilities chief via electronic AP and computer printout. LPA observed at least two days of perishable foods and seven days of non perishable on hand for this facility and the additional four facilities. LPA conducted a staff and resident file review and noted no violations or deficiencies. LPA and Licensees conducted a full review of the annual care tools modules. During the full review LPA noted that there were no violations or citations discovered. LPA noted that the full annual review and facility tour there were no violations or citations discovered or issued. Exit interview, report read, and report provided.the state’s words, verbatim · CDSS document, Mar 15, 2024