Crest Villa

Type of visit: Case Management - Other

On 07/27/2026 Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to follow up on complaint 56-AS-20251125220805. LPA was granted entry to facility by staff Nestor Frijas. During visit, LPA interviewed (4) residents in care regarding complaint allegations. LPA contacted Facility Administrator Oscar Ramasar to inform of today's visit and read over case management documentation. Administrator gave permission for Staff Nestor Frias to sign report. An exit interview was conducted and a copy of this report was provided to Staff Nestor Frijas.the state’s words, verbatim · CDSS document, Jul 27, 2026

Allegation investigated: Staff did not seek medical care for resident in a timely manner

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings for the allegations above. LPA met with Staff Nestor Frijas and explained the purpose of the visit. The investigation consisted of facility tour and staff interviews On 11/25/2025, the department received a complaint regarding staff not seeking medical care for resident in a timely manner. Interviews revealed that Staff #1 noticed Resident #1 (R1) face to be swollen Sunday night on 11/23/2025 but did not take R1 to the hospital or call emergency services. R1 was then taken to hospital next morning as swelling began to worsen. Based on the evidence gathered during today’s investigation, the allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because the preponderance of evidence the standard has been met. An exit interview was conducted and a copy of this report (LIC9099) and (LIC9099A) was discussed and provided to Administrator Ghislaine Ramasar along with copy of appeal rights. Substantiatedthe state’s words, verbatim · CDSS document, Apr 21, 2026 · control 56-AS-20251125220805

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: May 7, 2026

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following: (2) to be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Based on record review and interviews, the licensee did not comply with sectioned cited above by not ensuring Resident #1 (R1) was accorded safe and healthful by not providing care to R1 in a timely manner, which poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 21, 2026

Plan of correction: Licensee stated to complete an in-service training for facility staff and send to LPA by Plan of Correction (POC) due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrators Oscar & Ghislane Ramasar and was granted entry to the facility. Licensed capacity is (15) current census (11). LPA was accompanied by Administrator Ghislane Ramasar to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature at 71 degrees F. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a office area. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (7) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA observed no updated reappraisals for Resident #1 (R1), Resident #2 (R2), Resident #3 (R3), Resident #5 (R5), and Resident #7 (R7). Deficiency will be issued. LPA observed no updated needs and services plan for R1, R2, R5. Deficiency will be issued. Moreover, LPA reviewed (7) resident medications. LPA observed medication for Resident #2 (R2) to not be documented and maintained on Medication Administration Record (MAR). Deficiency will be issued. LPA observed PRN medication not documented properly in Medication Administration Record (MAR) with date, reason, response, and time for Resident #2 (R2). Deficiency will be issued. LPA also reviewed (5) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. No issues were observed. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) and (LIC809D) was discussed and provided to Administrator Oscar & Ghislane Ramasar.the state’s words, verbatim · CDSS document, Apr 21, 2026

Allegation investigated: Staff are mismanaging resident's medication(s) while in care. Staff are not adequately supervising resident while in care.

Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Caregiver Edralene Jane Frijas and explained the purpose of the visit regarding the allegations stated above. First allegation: Staff are mismanaging resident's medication(s) while in care. Regarding the allegation stated above, LPA conducted a review of records during the review of records LPA discovered that on 8/28/2024 Resident #1 had arrived at the Adult Day Health Care Center looking upset. In addition, based on record it was later discovered by program staff that Resident #1 had medication in their possession. During further review LPA discovered that Resident #1 had a total of four (4) pills that were later identified by staff pharmacist to be controlled substance. Report also indicated that Resident #1 could not communicate where the medication came from. LPA conducted a file review pertaining to Resident #1 during the file review LPA discovered that Resident #1 cannot manage medication and that the facility is responsible for the storing and administration of medication for Resident #1. Substantiated Second allegation: Staff are not adequately supervising resident while in care. Regarding the allegation stated above, LPA conducted a review of records pertaining to Resident #1 upon the review of records LPA discovered that on 8/28/2025 Resident #1 arrived at the Adult Day Health Care Center visually upset and crying, informing staff that five days ago Resident #1 had sustained a fall at home and was having pain on their right (R) rib. Based on the report LPA observed that the Care Center offered Resident #1 pain medication however, Resident #1 had pulled out a small bag with medication. In addition, records show that Resident #1 had slurred speech and could not communicate with staff. Based on the evidence gathered during the investigation, staff were not competent to observe Resident #1 condition and still allow resident to attend the Care Center while having medication in their possession. This determines that the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 regulations Incidental Medical and Dental Care (h)(2), Personnel Requirements-General 87411 (a), from division 6, chapter, article 6, is cited on the attached LIC 9099 D. An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Caregiver Edralene Jane Frijas at the of the visit.the state’s words, verbatim · CDSS document, Mar 28, 2026 · control 56-AS-20240828143219

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(h)(2) · Plan of correction due date: Apr 10, 2026

87465 Incidental Medical and Dental Care....(h) The following requirements shall apply to medications which are centrally stored:.... (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement is not met as evidence by: Based on interviews, record review the licensee did not follow " Incidental Medical and Dental Care" resulting on Resident #1 to have controlled substance on their possesion, which poses an immediate Health, Safety, or Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, Mar 28, 2026

Plan of correction: The Licensee has agreed to read over: Incidental Medical and Dental Care regulation and provide training to all staff managing medication. And discuss the importance of keeping medication locked and secured, and following the proper measures to ensure medication is being taken by the resident. Proof of training will be emailed to LPA by POC 4/10/2026.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: Apr 10, 2026

Personnel Requirements - General....(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirement is not met as evidence by: Based on interviews, record review the licensee did not follow "Personnel Requirements" to Resident #1 to observe residents change of condition, which poses an immediate Health, Safety, or Personal Rights risk to residents in care.the state’s words, verbatim · CDSS document, Mar 28, 2026

Plan of correction: The Licensee has agreed to read over: Personnel Requirements - General regulation and provide training to all staff regarding observation and properly responding to residents change of conditions. Proof of training will be emailed to LPA by POC 4/10/2026.

Type of visit: Case Management - Deficiencies

On 12/03/2025 Licensing Program Analyst (LPA) Raquel Hernandez conducted a unnanounced visit in regards to complaint 56-AS-20251125220805. LPA met with facility staff Nestor Frijas and explained purpose of visit. Upon visit, LPA observed facility did not follow appropriate reporting requirements in regards to Resident #1 (R1) medical emergency. LPA observed incident occurred on 11/24/2025 and has since then not been reported to licensing department within seven days of occurrence. Based on the observations made during today’s visit, a deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to Staff Nestor Frijas. Along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Dec 3, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Dec 10, 2025

87211 Reporting Requirements: (a) Each licensee shall furnish to the licensing agency... (1) A written report shall be submitted to licensing agency... (D) Any incident which threatens the welfare, safety or health of any resident... Based on record review, the licensee did not comply with section cited above by not ensuring a written report was submitted to licensing for incident regarding Resident #1 (R1) within seven days of occurence, which poses a potential health, saftey or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Dec 3, 2025

Plan of correction: Licensee stated to read over regulation 87411 Reporting Requirements with facility staff to ensure compliance. POC will be cleared.

Allegation investigated: Facility fire system is out of compliance

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrators Ghislaine and Oscar Ramasar and explained the purpose of the visit. The investigation consisted of facility tour and staff interviews. For the allegation, Facility fire system is out of compliance. LPA observed Staff #2 (S2) on 08/08/2025 placing batteries into beeping smoke dectector. S1 stated fire department came to facility on 08/01/2025 and did not replace batteries due to not being able to find them. A previous licensing report was issued on 02/05/2025 giving notice of the same violation. Because you have been cited for repeating the same violation within 12 months, the following civil penalty shall be assessed until the violation is corrected. An immediate civil penalty of $250 is hereby assessed for the date of 09/03/2025. Substantiated Based on the evidence gathered during today’s investigation, the allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because the preponderance of evidence the standard has been met. During today’s visit, a deficiency and Civil Penalty was cited/issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099), LIC9099D, (LIC421FC) was discussed and provided to Administrator Ghislaine and Oscar Ramasar along with a copy of the appeal rights. For the allegation, Facility staff are unable to provide emergency fire personnel information about the resident's medical condition. LPA conducted (2) staff interviews. 2 out of the 2 staff stated facility staff will provide emergency fire personnel with residents ID/Emergency contact sheet, medication log, and any allergies they may have. S2 stated when emergency personnel arrives they are provided with current medication log and resident information. Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and this report (LIC9099A) along with other reports were discussed and provided to Administrators Ghislaine and Oscar Ramasar.the state’s words, verbatim · CDSS document, Sep 3, 2025 · control 56-AS-20250802215035

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Sep 10, 2025

Maintenance and Operation 87303 (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidenced by Based on observations, the licensee did not comply with the section cited above by not ensuring all smoke detectors were in working ability, which poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 3, 2025

Plan of correction: During visit on 08/08/2025 staff replaced smoke detector with batteries. Plan of Correction will be cleared.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrators Oscar & Ghislane Ramasar and was granted entry to the facility. Licensed capacity is (15) current census (14). LPA was accompanied by Administrator Oscar and Ghislane Ramasar to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. LPA Hernandez observed cleaning supplies, scissors, and a hammer unlocked accessible to residents in care. Deficiency will be issued. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (7) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA reviewed (7) resident medications. LPA Hernandez observed Resident #1 (R1) Medication Administration Record (MAR) to not be documented for AM medication. Deficiency will be issued. LPA Hernandez observed Resident #1 (R1), Resident #2 (R2), Resident #3 (R3) and Resident #5 (R5) to have no Pre-Placement Apprasial completed. Additionally, R1 is missing a Reapprasial form and no updated physician report. LPA Hernandez observed Resident #4 (R4), Resident #5 (R5), Resident #6 (R6) and Resident #7 (R7) to not have a Needs and Services plan completed. LPA Hernandez observed R5 to not have a completed Admission Agreement. Moreover, R1, R2, R3, R5, R6 and R7 do not have a Functional Capabilities Assessment. Deficiencies will be issued. Additionally, LPA also reviewed (5) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. No issues were observed. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) and (LIC809D) was discussed and provided to Administrator Oscar & Ghislane Ramasar.the state’s words, verbatim · CDSS document, Apr 9, 2025

Type of visit: Case Management - Deficiencies

On 04/09/2025 Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced case management visit to the facility. On 03/26/2025 LPA Hernandez delivered findings for complaint number 56-AS-20240319145136. The findings were substantiated, however, LIC9099-D page was unable to be printed due to technical issues. LPA Hernandez will deliver findings for allegations listed on today's visit. During today's visit, a deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) and (LIC809D) was discussed and provided to Administrator Oscar & Ghislane Ramasar. Along with Appeal Rights.the state’s words, verbatim · CDSS document, Apr 9, 2025

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.31(e) · Plan of correction due date: Apr 10, 2025

1569.31 Basic Services Requirement (e)Monitoring the activities of the residents while they are under the supervision of the facility to ensure their general health, safety, and well-being. Based on interviews, licensee failed to meet this requirement by not ensuring staff were properly supervising residents, which poses an immediate health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 9, 2025

Plan of correction: Licensee stated to submit proof of staff training on supervision rules to LPA Hernandez by Plan of Correction (POC) due date.

Allegation investigated: Resident left in soiled diapers for extended amount of time.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrators Ghislaine and Oscar Ramasar and explained the purpose of the visit. The investigation consisted of staff and resident interviews. For the allegation, Resident left in soiled diapers for extended amount of time. LPA Hernandez conducted (5) resident interviews. 5 out of the 5 residents stated they have not witnessed any residents left in diapers for a prolonged time. Additionally Resident #1 and Resident #2 stated they wear diapers and staff do not leave them in their diapers for a prolonged time. LPA Hernandez conducted (3) staff interviews. 3 out of the 3 staff stated they do not leave residents in their diapers for a prolonged time nor have they witnessed facility staff leaving residents in diapers for prolonged time. Unsubstantiated Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. During today’s visit containing to these allegations, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Oscar and Ghislaine Ramasar.the state’s words, verbatim · CDSS document, Mar 26, 2025 · control 56-AS-20230821115822

Allegation investigated: Staff did not ensure resident care needs were met

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrators Ghislaine and Oscar Ramasar and explained the purpose of the visit. The investigation consisted of resident interviews and record review. For the allegation, Staff did not ensure resident care needs were met. LPA Hernandez conducted (4) resident interviews. 4 out of the 4 residents stated the facility does take care of all of their personal needs. Additionally, Administrators stated some clients at the facility deny showering and medication at times. Unsubstantiated Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. During today’s visit pertaining to the allegation listed, no deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Oscar and Ghislaine Ramasar.the state’s words, verbatim · CDSS document, Mar 26, 2025 · control 56-AS-20250121144847

Allegation investigated: Staff did not provide adequate supervision, resulting in a resident leaving the facility unsupervised.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrators Ghislaine and Oscar Ramasar and explained the purpose of the visit. The investigation consisted of staff and resident interviews. LPA Hernandez spoke with Administrator Oscar and Ghislaine Ramasar. Administrators stated Resident #1 did leave the facility without staff knowing. LPA observed R1’s physician report which stated R1 is unable to leave the facility unsupervised. Additionally, R1 has now moved to different facility that is more secured. Based on the evidence gathered during today’s investigation, the one (1) allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because the preponderance of evidence the standard has been met. Substantiated During today’s visit containing to these allegations, a deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted and a copy of this report (LIC9099) and (LIC9099D) was discussed and provided to Administrators Oscar and Ghislaine Ramasar along with a copy of appeal rights.the state’s words, verbatim · CDSS document, Mar 26, 2025 · control 56-AS-20240319145136

Type of visit: Case Management - Other

On 03/26/2025 Licensing Program Analyst (LPA) Raquel Hernandez attempted to deliver findings for complaint 56-AS-20240319145136. Due to technical issues LPA Hernandez was unable to print copy of LIC9099, LIC9099-C, and LIC9099-D. LPA Hernandez reviewed all reports with both Administrators as well as explained purpose of findings. LPA Hernandez will provide copy of reports to both Administrators at a different time.the state’s words, verbatim · CDSS document, Mar 26, 2025

Type of visit: Case Management - Other

On 03/26/2025 Licensing Program Analyst (LPA) Raquel Hernandez conducted a case management visit at facility. According to Complaint 56-AS-20240319145136. Administrator Ghislaine and Oscar Ramasar failed to report to the department Resident #1 (R1) leaving the facility. within 7 seven days of the occurrence. R1's physician report states they are unable to leave the facility without supervision. Based on the observations made during today’s visit, a deficiency was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) (LIC809D) was discussed and provided to Assistant Administrator Ghislaine and Oscar Ramasar. Along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Mar 26, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(1)(D) · Plan of correction due date: Apr 1, 2025

87211 Reporting Requirements (1) A written report shall be submitted to the licensing agency..seven days of the occurrence of any of the events specified..(D)..unexplained absence of any resident. Based on record review, licensee failed to meet this requirement by not ensuring disapperance of resident was reported to licensing agency within seven days of occurence, which poses a potential health, saftey or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Mar 26, 2025

Plan of correction: Licensee stated to submit written report of all occurences within seven day such as those stated within regulation to licensing department.

Allegation investigated: Smoke detectors are not operable

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrators Ghislaine and Oscar Ramasar and explained the purpose of the visit. The investigation consisted of facility tour and staff interviews. LPA Hernandez observed one (1) smoke detector to not be working. During investigation, LPA Hernandez was accompanied with Corona Fire Department Inspector Daniel Calabrese where it was observed one smoke detector located in facility hallway did not have battery placed into it correctly as well as it not being hard wired. Substantiated Based on the evidence gathered during today’s investigation, the one (1) allegation listed above are deemed SUBSTANTIATED. A finding that the complaints are SUBSTANTIATED means that the allegation are valid because the preponderance of evidence the standard has been met. During today’s visit, one (1) deficiency were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) and LIC9099D was discussed and provided to Administrator Ghislaine and Oscar Ramasar along with a copy of the appeal rights.the state’s words, verbatim · CDSS document, Feb 5, 2025 · control 56-AS-20250205105800

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Feb 12, 2025

Maintenance and Operation 87303 (a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement is not met as evidenced by: Based on observations, the facility administrators did not comply with the section cited above by not ensuring all smoke alarms were in working ability. This poses a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Feb 5, 2025

Plan of correction: Licensee stated to ensure all smoke alarms are hard wired and batteries are replaced to ensure alarms are in working ability and submit photo documentation to LPA Hernandez by Plan of Correction (POC) due date.

Allegation investigated: Staff handled resident in a rough manner.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrators Oscar & Ghislaine Ramasar and explained the purpose of the visit. The investigation consisted of staff and resident interviews and request of documentation. For the allegation, Staff handled resident in a rough manner. LPA Hernandez conducted (4) staff interviews. During the staff interviews (4) out of the (4) staff stated they have not handled any resident in care in a rough manner or witnessed any resident being handled in a rough manner by staff at facility. LPA Hernandez conducted (7) resident interviews. During resident interviews (5) out of the (7) residents stated staff at facility have not handled them in a rough manner. (5) out of the (7) residents stated all staff treat them with respect and help them whenever they need assistance. Unsubstantiated (2) out of the (7) residents in care stated they have witnessed staff treat other residents in a rough manner. (2) out of the (7) residents stated staff have not treated them in a rough manner. Based on the evidence gathered during today’s investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Oscar and Ghislaine Ramasar.the state’s words, verbatim · CDSS document, Dec 5, 2024 · control 56-AS-20241025110240

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Licensee Ghislaine Ramasar and was granted entry to the facility. Licensed capacity is (15) current census (14). LPA was accompanied by Licensee Ghislaine Ramasar to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for client/staff files. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (5) client files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (5) client medications. LPA also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Licensee Ghislaine Ramasar.the state’s words, verbatim · CDSS document, Mar 15, 2024