Lidia's Blessed Home

Type of visit: POC

Unannounced Plan of Correction visit made out to this facility on 05/07/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility designated Administrator Lidia Hiriscau. A brief interview was conducted with the facility designated Administrator at this time. Current census was 4 residents. The purpose of this visit was to follow up on the deficiencies that were cited from a prior annual visit conducted on 04/14/2026. This visit was to follow up on the Plan of Correction that was due. The following deficiencies were observed and cited on 04/14/2026: All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance: Plan of Correction clearance letter was printed and a copy was provided to the facility designated Administrator 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, May 7, 2026

Type of visit: Required - 1 Year

Unannounced Annual visit made out to this facility on 04/14/2026 by Licensing Program Analyst (LPA) Charlie Yang. This LPA was met by the facility caregiver, Beniemin Ciurdas, who was briefly interviewed at this time. This LPA requested that he go ahead and contact the facility designated Administrator to inform them that CCL was present at this time. The facility designated representative, Lidia Hiriscau, was present at this time and was briefly interviewed at this time. Current census was 4 residents. It was learned that there were (2) residents under the care of hospice at this time. This facility does have an approved waiver to be able to accept and retain up to (6) residents under the care of hospice at any given time. It was learned that this facility has a program to be able to accept and retain dementia residents at any given time. It was learned that there were (2) residents diagnosed with dementia at this time. It was learned that there weren't any residents receiving services through home health at this time. It was learned that this facility does not have an approved bedridden fire clearance to be able to accept or retain any residents deemed to be bedridden at any given time. Tour of this facility was conducted. Dining area, living area, and all other areas intended for resident use were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Linen closet, located in facility hallway closet, was reviewed and observed to contain a sufficient supply of towels, sheets, and bedding able to meet the needs of the residents at this time. Kitchen area was toured. Kitchen drawers and cabinets were opened and reviewed. Food supply for 2-day perishable and 7-day nonperishable quantities was reviewed to make sure that they were in compliance at all times. Pantry area was toured. Laundry area was toured and observed to be locked at this time. A review of the bleach, detergent, and all other cleaning supplies was conducted to make sure that they were locked and made inaccessible to the residents at this time. Administrator certificate # 7003535740 for Lidia Hiriscau was observed to have an expiration date of 03/16/2026 and documents were already submitted to renew at this time since Dec 2025. Medication cabinet, located in the facility kitchen cabinet, was observed to be locked and made inaccessible to the residents at this time. First aid kit, located in the medication cabinet, was reviewed. This LPA observed that it did contain all of the required components at this time. Fire extinguisher located hanging on the hallway wall adjacent to the kitchen was observed to have been annually inspected by the local fire extinguisher company, Jorgensen Company Fire Extinguisher, with the inspection date of 03/26/2026 and in compliance at this time. Facility resident bedrooms were toured. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. Facility resident restrooms were toured. Grab bars and non skid mats were observed to be present and in good repair at this time. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees at all times. A tour of the facility exterior grounds was conducted. A review of the facility perimeter fence, side gates, and all other exits was conducted. A review of (4) facility personnel records was conducted and noted on the following LIC 859. A review of (4) facility resident records was conducted and noted on the following LIC 858. The following forms and documents were requested to be updated and submitted 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 Code. Appeal Rights were printed and a copy was given to the facility representative at this time. Exit Interviewthe state’s words, verbatim · CDSS document, Apr 14, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct an annual inspection. LPA Campbell met with Beniamin Siriciurdas, Caregiver and Lidia Hiriscau, Administrator and explained the purpose of the visit. As observed by LPA Campbell, there are five clients residing in the facility. All rooms have the required accessories of bed, chest of drawers, closet, night stand and lamp and chair. LPA Campbell toured the outside area. Vegetation was manicured and the patio area was furnished with dining furniture and a barbecue grill. Lemon and other trees provided shade. Pathways and exits were free of obstruction and accessible for non-ambulatory residents. LPA Campbell toured the facility and inspected common areas, the kitchen, bedrooms and bathrooms to ensure there are no safety hazards for residents. The temperature for the facility freezer was -2 degrees Fahrenheit (F) and the refrigerator temperature was set at 37 degrees F. The facility temperature was 72 degrees F, which is within the required range of 68 and 85 degrees. The facility's water temperature was measured at 110 degrees F, which is within the required range of 105 and 120 degrees F. Of the five residents present in the facility, LPA Campbell reviewed four resident files. One file did not have a record of TB results, past or present. Of the four staff working in the facility, four of their files were reviewed and found to be complete. LPA Campbell consulted with the Administrator about putting their hire dates below the staff names on the front to make the information easier to find. LPA Campbell observed first aid supplies, fully-charged and up-to-date fire extinguishers that were last inspected on 03/24/2025, and working carbon monoxide/smoke detectors. LPA Campbell observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable foods. LPA Campbell observed locked cabinets for the storage of medication. There were also locked storage areas for the storage of cleaning solutions in the laundry room and knives in the kitchen. Per California Code of Regulations (CCR's) - Title 22, Division 6, Chapter 8, deficiencies were observed or cited and noted on LIC 809D. Note that failure to correct any deficiencies will result in additional civil penalties. An exit interview was conducted with Lidia Hiriscau, Administrator and a copy of this report was providedthe state’s words, verbatim · CDSS document, Apr 23, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87458(c)(1) · Plan of correction due date: May 16, 2025

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the ... diagnosis or diagnoses and results of an examination for all of the following: This requirement is not met as evidenced by: Based on record review, a resident did not receive tuberculosis test results during their medical assessment, nor did they receive results of a chest x-ray, which poses a potential health, safety, and/or personal rights risk.the state’s words, verbatim · CDSS document, Apr 23, 2025

Plan of correction: Licensee agrees to send LPA Campbell documentation of either a negative TB test or results from a chest x-ray indicating no evidence of active, communicable tuberculosis by POC due date. Information will be sent to renee.campbell@dss.ca.gov

Type of visit: Required - 1 Year

On 3/25/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual visit. LPA Jensen met with Licensee Lidia Hiriscau and explained the purpose of today's visit. LPA Jensen toured the facility grounds and observed them to be well maintained. All paths were free of obstruction. There is outdoor furniture available and shaded areas for gathering. There are no bodies of water on the property. All window screens were observed to be in good repair. LPA Jensen reviewed the marketing materials which consist of a brochure and business card and determined them to be in compliance with the Health and Safety Code (HSC). The facility entrance has a wall mounted thermometer for screening if needed. The exits are clearly marked. LPA Jensen observed the Long Term Care Ombudsman Poster, Personal Rights and Fair Labor Practices poster. LPA Jensen did not observe any postings for See Something, Say Something and Resident Council. Technical assistance was provided. The facility carries current liability insurance through 2/19/2025 that is compliant. The Emergency Disaster Plan is posted and is compliant. The facility conducts fire drills that are logged and posted. The Administrator has submitted a certification renewal timely and is waiting for the renewal to be processed. All staff were determined to have criminal background clearance. The first aid kit was checked and determined to be complete. The carbon monoxide detector and smoke detector were observed to be in good working order. There is an emergency food supply and emergency lighting available. LPA Jensen toured the facility and observed it to be sanitary and free of odor. There are currently 5 residents, one of which is on hospice care. The facility has 4 bedrooms and 4 bathrooms. Each bathroom is equipped with grab bars and non-skid flooring in the shower/bath area. The bathrooms have paper towel dispensers mounted to the walls. All garbage cans have tight fitting lids. There is adequate furnishing and lighting throughout. The facility maintains an adequate supply of linens. Medications, cleaning supplies and sharp objects were all observed to be locked and inaccessible to residents in care. LPA Jensen inspected the kitchen. The facility maintains a 2 day supply of perishable food and a 7 day supply of non-perishable food. LPA Jensen interviewed 4 of 5 clients and 2 of 2 staff members present. All residents interviewed were satisfied with the care received. LPA Jensen reviewed 5 of 5 resident files. 3 of 5 resident files contained outdated Physician reports. 5 of 5 resident files were missing pages 2 and 3 of the Needs and Service Plans. 3 of 5 Needs and Service Plans were older than one year. Technical assistance is being provided. LPA Jensen reviewed 3 of 3 caregiver files. All caregiver files were observed to be complete and compliant. LPA Jensen provided technical assistance on refund upon death of a resident. The facility sketch was observed to accurately reflect the facility layout and room usage. The fire extinguisher was last serviced January of 2024 and is in compliance. The water temperature in the bathroom was measured at 107 degrees which falls within the required range of 105-120 degrees Fahrenheit. The facility thermostat was set at 73 degrees which falls within the required range of 68-85 degrees Fahrenheit. The facility was determined to be in substantial compliance. No deficiencies were issued as a result of this visit. An exit interview was conducted and a copy of this report is being emailed to the Licensee.the state’s words, verbatim · CDSS document, Mar 25, 2024

The state marks this report as 6 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Facility staff is financially abusing resident

On 10/28/24 a meeting was held via Microsoft Teams to deliver findings related to the above listed allegation. Present in the meeting were Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Lisa Rios, Licensing Program Analyst (LPA) Maja Jensen and Licensee Lidia Hiriscau. During the course of the investigation, the Department conducted interviews the Licensee, Resident 1 (R1) , the responsible parties for resident 2 (R2), the responsible party for resident 3 (R3) and the original reporting party. The Department also reviewed a letter from R1, R1's bank statements, canceled check copies, R1's admission agreement, facility register of residents, facility personnel records, emails from the Licensee to the Department and a Power of Attorney designation document executed on 9/23/23. During the course of the interviews conducted R1 stated they are not being financially abused or coerced in anyway. Unsubstantiated The responsible parties for R2 and R3 also stated there was no financial abuse occurring at the facility. The Licensee stated R1 asked her to be R1's Power of Attorney and she complied with the request but that none of R1's funds have ever been misappropriated. Based on the review of the records and interviews conducted the allegation "Facility staff is financially abusing resident" is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it. A separate case management is being conducted to address deficiencies in the area of safeguards for cash, personal property and valuables. An exit interview was conducted and a copy of this report was provided by email for electronic signature.the state’s words, verbatim · CDSS document, Feb 28, 2024 · control 27-AS-20230921092607

Type of visit: Case Management - Deficiencies

On 10/28/24 a meeting was held via Microsoft Teams to deliver findings related to complaint investigation. Present in the meeting were Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Lisa Rios, Licensing Program Analyst (LPA) Maja Jensen and Licensee Lidia Hiriscau. During the course of the investigation for compliant control number 27-AS-20230921092607, it was learned that the Licensee was designated as the financial Power of Attorney (POA) for resident 1. The Department conducted interviews with Resident 1 and the Licensee who both confirmed that the Licensee took over as R1's POA. The Department also reviewed a notarized document dated 9/23/23 showing the Licensee as R1's POA. Deficiencies are being cited pursuant to the California Code of Regulations (CCR) Title 22, Division 6. Failure to correct deficiencies may result in the assessment of civil penalties. An exit interview was conducted and a copy of this report was sent by email for electronic signature. Appeal rights and an LIC 811 was also sent by email to the Licensee.the state’s words, verbatim · CDSS document, Feb 28, 2024

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87217(d)(2) · Plan of correction due date: Feb 29, 2024

Safeguards for Resident Cash, Personal Property, and Valuables...no licensee or employee of a facility shall: ...accept any general or special power of attorney for any such person. This requirement was not met as evidenced by: Based on the Department's review of documentation appointing the Licensee as R1's POA. This poses an immediate risk to the health, safety and personal rights of residents in care.the state’s words, verbatim · CDSS document, Feb 28, 2024

Plan of correction: Licensee will email an attestation that the regulation has been read, understood and will be complied to maja.jensen@dss.ca.gov by POC due date and will send proof that she has been removed as POA by 3/6/24.