Maria's Home Care

Allegation investigated: Staff physically abuses a resident

Licensing Program Analyst (LPA) Hiratsuka, conducted this unannounced complaint visit to deliver the results of the allegation above. LPA interviewed staff and residents. Based on the above the allegation cannot be determined because each side has their own version of events. Based on interviews conducted by the Department and records review, the preponderance of evidence standards has not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 22, 2026 · control 59-AS-20260401130616

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Hiratsuka, conducted this case management in response to an observation while investigating complaint 59-AS-20260401130616. Staff do not have training pertaining to lifting and transferring residents. One resident is using a Hoyer lift and there is no training for staff regarding the proper techniques of using the Hoyer lift. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and California Health and Safety Code. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Appeal rights were provided.the state’s words, verbatim · CDSS document, Apr 22, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(c)(3)(B) · Plan of correction due date: Apr 27, 2026

Personnel Requirements – General. All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training... The training shall include, but not be limited to, the following: Importance and techniques of personal care services... Licensee failed to comply to the section cited above based on record review showing staff do not have training for lifting and transferring residents, and no Hoyer lift training, which poses an immediate risk for residents in care.the state’s words, verbatim · CDSS document, Apr 22, 2026

Plan of correction: By 04/27/2026, the licensee shall at minimum schedule a third party trainer to give staff training on proper lifting, transferring, and using a hoyer lift. The training shall take place within two weeks of being scheduled. The licensee shall also submit in writing on how they shall ensure staff have training that meets all of the resident needs, not just what is required by the regulations.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a required annual inspection utilizing the inspection tool. LPA met with staff and explained the purpose of the visit. Staff then contacted Licensee who arrived to the facility shortly afterwards. Facility currently has five residents in care with one resident on hospice services. Facility is licensed for six non ambulatory, hospice waiver for two. Facility is compliance to licensure. Today's inspection, LPA and Licensee conducted a tour of the interior of the facility to ensure the health and safety of residents in care. Areas toured included but not limited to: five residents bedrooms, bathrooms, office, laundry room, and the common areas. LPA observed fire extinguisher present at the facility with recent service date of October 28, 2025. LPA observed bathroom to be free from malodor with presence of paper towels, nonskid mats and personal hygiene products. LPA observed residents bedrooms to be clean with no presence of cleaning supplies, medications and/or sharps. File review was conducted for five residents and two personnel records. CARE tool was completed and deficiencies were observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.the state’s words, verbatim · CDSS document, Jan 28, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a case management visit regarding an incident report that the Department received. LPA met with staff and explained the purpose of the visit, staff contacted Licensee who arrived to the facility shortly afterwards. The incident report reveals that resident (R1) was sent to the hospital on January 15, 2026 for a follow up on their blood work. R1 is currently in the hospital for drainage removal, with the discontinuation order of insulin. LPA and Staff discussed that R1's health conditions has changed due to lack of eating and health deterioration where hospice services may be beneficial. Licensee informed LPA this matter has not been brought to R1's primary care physician's attention has Licensee has been unavailable. LPA and Licensee discussed the importance of notifying primary car physician and responsible party regarding change of condition. Licensee will update LPA once R1 is discharged from the hospital. Copies of R1's observation notes were obtained. As a result of today's inspection, deficiencies cited. Exit interview and a copy of the report and appeal rights provided.the state’s words, verbatim · CDSS document, Jan 28, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87466 · Plan of correction due date: Jan 29, 2026

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement is not met as evidenced by: Based on interviews conducted, Licensee failed to comply to the section cited above as R1 has been declining with lack of appetite for approximately two weeks but change of condition was not brought to the attention of R1's primary care physician, which poses an immediate risk for residents in care.the state’s words, verbatim · CDSS document, Jan 28, 2026

Plan of correction: Licensee is to notify R1's primary care physician of R1's change of condition immediately. Additionally, Licensee is to submit a plan to LPA of facility's procedure of staff, Administrator, Licensee's responsibility on resident observations. Failure to complete plan of correction by January 29, 2026 will result to additional civil penalty of $100 per day until received.

Type of visit: Case Management - Other

On January 28, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a case management visit. This is a subsequential visit following LPA's visit on December 1, 2025. LPA met with Licensee and explained the purpose of the visit. On December 1, 2025, it was discussed with Licensee regarding the property being sold. Licensee has proof of control of property with a lease back agreement with current landlord to ensure facility can remain operable. Today's visit, LPA and Licensee discussed Licensee's failure to notifying Community Care Licensing Division and all residents along with responsible party with a 30 day notice regarding the transfer of the property. At this time, deficiencies cited. Please see LIC 809-D. Exit interview and a copy of report and appeal rights was provided.the state’s words, verbatim · CDSS document, Jan 28, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87109(b) · Plan of correction due date: Feb 20, 2026

87109 Transferability of License (b) The licensee shall notify the licensing agency and all residents receiving services, or their representatives, in writing as soon as possible and in all cases at least thirty (30) days prior to the transfer of the property or business, or at the time that a bona fide offer is made, whichever period is longer, as specified in Health and Safety Code Section 1569.191. This requirement is not met as evidenced by: Based on file review and interview, Licensee failed to comply as Licensee did not issue a 30 day notice to residents in care, repsonsible parties, and licensing agency regarding the transfer of property which poses a potential risk for residents in care.the state’s words, verbatim · CDSS document, Jan 28, 2026

Plan of correction: Licensee is to issue 30 day notice to residents, responsible parties and licensing agency regarding the transfer of property. Additionally, Licensee is to submit a statement of compliance of California Code of Regulation 87109. Failure to complete plan of correction by February 20, 2026 will result to additional civil penalty of $100 per day until received.

Type of visit: Case Management - Deficiencies

On December 1, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a case management visit regarding a deficiency observed. LPA met with staff and explained the purpose of the visit. Staff contacted Licensee, who arrived to the facility shortly afterwards. The purpose of the visit was to discuss the status of facility administrator. On November 3, 2025, LPA received an email notification from Administrator of her resignation effective October 31, 2025. LPA has not receive any new updated from Licensee of appointed Administrator. At this time, there is no active administrator on file. As a result of facility not have an active Administrator since October 31, 2025, deficiency cited. Please see LIC 809-D. Exit interview and a copy of report and appeal rights provided.the state’s words, verbatim · CDSS document, Dec 1, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Dec 12, 2025

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. The licensee and the administrator may be one and the same person. The administrator shall have sufficient freedom from other responsibilities and shall be on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility as specified in this section. When the administrator is not in the facility, there shall be coverage by a designated substitute who shall have qualifications adequate to be responsible and accountable for management and administration of the facility as specified in this section. The Department may require that the administrator devote additional hours in the facility to fulfill his/her responsibilities when the need for such additional hours is substantiated by written documentation. This requirement is not met as evidenced by: Based on observation and file review, Licensee did not comply as the appointed Administrator resigned effective Ocotber 31, 2025 but Licensee has not appointed a new Administrator which poses a potential risk for residents in care.the state’s words, verbatim · CDSS document, Dec 1, 2025

Plan of correction: Licensee is to hire a new administrator and submit the appropriate notification to Licensing. The following is due Friday December 12, 2025. Failure to correct by due date may result to $100 civil penalty per day until corrected.

Type of visit: Case Management - Other

On December 1, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to conduct a case management visit regarding a concern observed. LPA met with staff and explained the purpose of the visit. Staff contacted Licensee, who arrived to the facility shortly afterwards. Today's visit, it was observed that the property was recently sold in September 2025, but notification was not submitted to LPA. LPA and Licensee discussed the current status regarding the control of property. Licensee stated he does have an active lease with the landlord. It was discussed that Licensee is to have control of property until the new change of ownership application is submitted and approved. At this time, Licensee will submit a copy of the lease agreement to LPA by Friday, December 5, 2025. Additionally, an office meeting will be scheduled to discussed change of ownership. No deficiencies cited at this time. Exit interview conducted and a copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 1, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 1/9/25 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator / licensee arrived to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. Advised: Medication cabinet have a lock vs child latch, fire doors are to be allowed to close freely and to organize dry goods first in-first out. 4- Resident files reviewed- some records found to need updating for R1, R2 and R4 1- Staff files reviewed- additional staff training is ongoing. interviews conducted for 1 resident and one staff. Licensee was advised of new regulations updates and provided pamphlet. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jan 9, 2025

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Collateral

On 08/30/24, Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived unannounced at the facility to conduct a collateral visit. LPAs met with staff, Marcia Waite and explained the purpose of the visit. LPAs conducted a visit to this facility today to follow up on R1 who was relocated to this facility on 08/30/2024. R1 was relocated due to a Temporary Suspension Order issued at another licensed facility by the Department. LPAs spoke to R1 who indicated that they are adjusting well. R1 has a positive attitude and is optimistic about the change. No deficiencies are cited during today’s visit. Exit interview conducted and copy of the report was left at the facilitythe state’s words, verbatim · CDSS document, Aug 30, 2024

Type of visit: Required - 1 Year

On 02/28/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA met with staff, Marcia Waite, and explained the purpose of the visit. LPA requested for staff to notify Administrator of LPA's presence at the facility. Administrator, Andrei Costea arrived at the facility shortly after. LPA and staff conducted a tour of the facility. Areas toured included but not limited to the kitchen, dining room, five (5) residents bedrooms, bathrooms, common areas and backyard. LPA observed the facility to have sufficient food supplies for seven (7) day non-perishable and two (2) day perishable. LPA observed toxins, knives and centrally stored medications to be locked and inaccessible to residents in care. All required Licensing posters are present in common areas in the facility. Hot water temperature was measured at 112.8 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 72 degrees. Fire extinguishers was last inspected on 02/08/24. LPA conducted a file review of three (3) resident files. LPA observed one (1) resident file to be missing the medical assessment. LPA reviewed two (2) personnel records. LPA observed one (1) personnel file to be incomplete with no annual training. LPA requested a copy of the current liability insurance to be sent to LPA Ratajczak by 03/13/24. LPA completed the full care tool and deficiencies was observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.the state’s words, verbatim · CDSS document, Feb 28, 2024