Marilag's Care Home

Type of visit: Case Management - Other

Licensing Program Analyst Manuel Monter conducted an unannounced case management- other regarding the facility’s hospice waiver request. LPA met with Administrator Wennie Concepcion and explained the purpose of the meeting. During todays visit, LPA discussed with ADM the status of the hospice waiver. LPA discussed with the licensee hospice regulations. LPA informed ADM the facility hospice plan that was provided to the department is insufficient: due to having incorrect codes and cites older code sections that are not applicable. LPA informed ADM she has the option to reapply in 6 months. No deficiency was cited during todays visit. This report was reviewed with Administrator Wennie Concepcion. A copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 18, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Wennie Concepcion. During the visit, LPA observed 1 residents and 2 staff. LPA explained the purpose of the visit. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, restrooms and resident bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected. While touring the facility living room, LPA noted a medication bottle on the coffee table, accessible to residents in care. LPA observed the medication container had medication tablets. ADM stated that medication belongs to her family member and must have forgotten it on the coffee table. While touring the facility bathroom closest to the backyard, LPA observed a container of Comet Cleaner, next to the toilet, accessible to residents in care. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured at 110 degrees F in resident bathrooms. Page 1 Out of 2. Fire extinguisher was serviced in July 31, 2025. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on October 10, 2025. LPA reviewed facility records for 2 staff and 1 residents. LPA noted R1's Needs and services plan is dated October 31, 2024. ADM stated she did complete an updated care plan, but stated she sent it to the family for signature and doesn't have a copy for LPA to review. LPA reviewed 1 resident medications and centrally stored medication records. Deficiencies are being cited during today's visit. See LIC809-D This report was reviewed with Administrator Wennie Concepcion and a copy of the signed report was provided. Appeal rights were provided. Page 2 Out of 2. END OF REPORT.the state’s words, verbatim · CDSS document, Dec 26, 2025

Type of visit: POC

On January 16, 2025, LPA Monter conducted a case management POC visit. LPAs met with Administrator, Wennie Concepcion On January 9, 2025, the facility was issued the following citations with a POC due date of January 10, 2025. On January 10, 2025, the licensee requested POC extension from 01/10/2025 to 1/17/2025. The following deficiencies were cited during an annual inspection January 9, 2025 are as follows: 87307(d)(6), Personal Accommodations and Services (Type A). Cleared on 1/16/2025, during visit. 87309 Storage Space and Access (a). Cleared on 1/16/2025, during visit. 87468.1 Personal Rights of Residents in All Facilities (a)(2). Still pending. ADM stated she will send LPA this pending POC by end of day. 87507 Admission Agreements (d). ADM stated she has filled out the form and will send to LPA by end of day. No deficiencies cited during todays visit. A copy of the report was provided.the state’s words, verbatim · CDSS document, Jan 16, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator Wennie R. Concepcion. During the visit, LPA observed 1 residents and 2 staff. LPA explained the purpose of the visit. LPA entered the home at 10:33am, and was welcomed by staff S1. As LPA was midway thru the living room, staff S2 entered living room, coming from staff rooms/ bedroom #3 area. Staff S2 was only wearing grey underwear. S2 then entered the living room and began to get changed in the living room. ADM stated S2 must have just washed his/her cloths and that this usually doesn't happen. ADM acknowledged S2 has his/her own bedroom, and he/she should have gotten changed in his/her bedroom. ADM acknowledged S2 entering the living room with just his/her underwear would create an uncomfortable environment for visitors and residents in care. ADM stated staff S2 is a reliever staff. LPA toured the facility inside out with ADM which included the Living room, kitchen, dining room, 3 restrooms and 3 residents bedrooms. The staff area of the facility was also inspected. The front yard and backyard were inspected. While touring the backyard, LPA observed an unattended torch gun, with its propane tank attached. (Photograph was taken.) ADM stated the cooking torch gun was just used last night and the other night. ADM stated it is used to brown the meat. ADM stored the torch gun during visit, inside locked storage shed. While touring the backyard, LPA observed a stack of boxes near the exit of the staff room and resident bedroom #1, creating an obstruction. (Photograph was taken.) LPA observed a rolled up rug in front of resident bedroom #1, creating an obstruction. (Photograph was taken.) ADM moved the rug during visit. LPA also observed the sideyard, between staff room & the living room had a narrow walk way. (Photograph was taken.) LPA advised ADM to ensure the facility is free of clutter and to ensure all passageways inside & out are free from obstruction. ADM agreed and understood. Page 1 Out of 2. Two-day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 70 degrees F, and hot water temperature was measured at 116 degrees F in both resident bathrooms. Fire extinguisher was serviced in 7/12/2024. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on November 1, 2024. LPA reviewed facility records for 3 staff and 1 residents. LPA requested to review R1's admission agreement. LPA observed the facility was using the LIC604A form for the admission agreement. LPA observed R1's admission agreement has pages 1-5, but does not have pages 6-8. (Page 8 of the LIC604A has a section for signatures for the resident/ Residents responsible party/ licensee/facility representative.) ADM stated the admission agreement was signed, but she could not find it. LPA reviewed 1 resident medications and centrally stored medication records. LPA provided ADM with CDSS Flyer, "Important updates to Dementia Care and Miscellaneous Changes, effective January 1, 2025." Deficiencies cited during today's visit. This report was reviewed with Administrator Wennie R. Concepcion and a copy of the signed report was provided. Appeal Rights were provided. Page 2 Out of 2. END OF REPORT.the state’s words, verbatim · CDSS document, Jan 9, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Administrator (ADM) Wennie Concepcion . During visit, LPA observed 1 residents and 2 staff. LPA toured the facility inside out with ADM which included; the Living room, garage, kitchen, dining room, 2 restrooms and 3 residents bedrooms. The staff area of the facility was also inspected. Front yard and backyard were inspected. There was no obstruction to block the walkways. Two day perishable food supplies and seven day nonperishable food supplies were observed. LPA observed the medication closet, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. Room temperature was at 75 degrees F, and hot water temperature was measured to range from 116-118 degrees F in both resident bathrooms. Fire extinguisher was serviced in June 30, 2023. The facility was equipped with smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were functional. LPA observed facility first aid kit and facility fire/earthquake drill log. The facility's last drill was on January 10, 2024. LPA reviewed facility records for 3 staff and 1 resident. LPA reviewed 1 resident medications and centrally stored medication records. LPA conducted interviews with one staff (ADM) and 1 resident (R1). No deficiencies cited during today's visit. This report was reviewed with Administrator Wennie Concepcion and a copy of the signed report was provided.the state’s words, verbatim · CDSS document, Feb 13, 2024