Psalm 23 Assisted Living

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Case Management - Legal/Non-compliance. LPA was greeted and allowed entry into the facility and conducted the visit with Staff, Josie Marty. Administrator, Irma Laconsay and Licensee, Jerry Laconsay arrived during the visit. The Licensee agreed to remain in compliance with Title 22 Regulations and the Health and Safety Code at all times, including but not limited to the following sections: 87202 Fire Clearance 87468.2 Additional Personal Rights of Residents in Privately Operated Facilities 87217 Safeguards for Resident Cash, Personal Property, and Valuables Today, LPA reviewed the above mentioned regulations with the licensee. No deficiencies were issued regarding these topics. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Irma Laconsay whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jul 8, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility and conducted the visit with Staff, Josie Marty. Administrator, Irma Laconsay arrived during the visit. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant and measured at 110 F.. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, and/or fireplaces accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the licensee's staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed multiple staff and resident records/files. The reviewed files contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jul 8, 2026

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA), Natasha Persaud conducted a Case Management - Deficiencies visit. LPA was greeted and allowed entry into the facility by Staff, Josefina Hari. LPA spoke with Licensee, Irma Laconsay via telephone, while at the facility. On 05/28/26, LPA was at the facility reviewing resident records. During the record review, Resident #1 (R1)'s Physician's Report dated 07/31/25 indicated R1 was unable to handle their own activities of daily living (ADL), to include feeding. The report also indicated R1 was bedridden. On 05/11/25 and 05/28/26, LPA was at the facility and observed a wooden chair pushed up next to the side of the bed. On both occasions, the staff stated the chair was left at the bedside, due to feeding R1. R1 does not receive hospice services. Therefore, R1 has a prohibited health condition, where they rely on staff for all their ADLs. The licensee did not apply for an exception to retain R1. A deficiency was cited and attached on the LIC 809D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Josefina Hari whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jun 11, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87615(a)(5) · Plan of correction due date: Jun 18, 2026

Prohibited Health Conditions. Persons who require health services for or have a health condition including, but not limited to...for the elderly: Residents who depend on others to perform all activities of daily living for them as set forth in Section 87459, Functional Capabilities. This requirement is not met as evidenced by: Based on record review, the licensee did not request an exception for 1 out of 6 residents [R1] with a prohibited health condition, which poses a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Jun 11, 2026

Plan of correction: Licensee stated they will submit an exception for R1 by POC due date.

Allegation investigated: Unlawful eviction

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced complaint visit. LPA was greeted and allowed entry into the facility by Staff, Josefina Hari. Licensee, Irma Laconsay arrived during the visit. During the investigation, the facility was briefly toured, records reviewed, and interviews conducted with staff and outside sources. It was alleged the facility issued an unlawful eviction to Resident #1 (R1). On 04/28/26, the licensee issued a 30 day eviction notice to R1. The facility has a fire clearance approval for one (1) bedridden resident. The facility currently has two (2) bedridden residents. R1's Physician's Report dated XXXX indicated R1 was bedridden. The licensee was in violation of their fire clearance by retaining two (2) bedridden residents. The licensee issued the eviction notice to R1 to be in compliance with their fire clearance. The eviction notice listed the incorrect address for Community Care Licensing, which is required in the Health and Safety Code. Continued on LIC 9099C. Substantiated Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation was found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Licensee, Irma Laconsay whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, May 28, 2026 · control 08-AS-20260520130854

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.683(a)(3) · Plan of correction due date: Jun 1, 2026

Eviction notices; reasons for eviction contents; service. Information about the resident's right to file a complaint with the department regarding the eviction, with the name, address, and telephone number of the nearest office of community care licensing and the State Ombudsman. Based on record review, the licensee did not issue a lawful eviction for 1 out of 6 [R1] residents, which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 28, 2026

Plan of correction: The licensee stated they will issue a lawful eviction notice to R1 by POC due date.

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA), Natasha Persaud conducted a Case Management - Deficiencies visit. LPA was greeted and allowed entry into the facility by Staff, Josefina Hari. LPA spoke with Licensee, Irma Laconsay via telephone, while at the facility. LPA explained the reason for the visit was to issue a deficiency for a fire clearance violation. The facility has an approved bedridden fire clearance for one (1) bedridden resident. The licensee retained two (2) bedridden residents. LPA previously provided consultation along with multiple conversations about exceeding their one (1) bedridden approval along with transfer trauma. On 07/28/25, the licensee applied for an increase for three (3) bedridden residents but was denied by the fire department on 02/02/26. The fire department instructed the licensee a sprinkler system would need to be installed. The licensee declined the sprinkler system. On 04/28/26, the licensee issued a bedridden resident a 30 day eviction notice due to their bedridden status. Today, the department issued a deficiency for a fire clearance violation, along with a $500 civil penalty. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Josefina Hari whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, May 11, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87202(a)(2) · Plan of correction due date: May 9, 2026

Fire Clearance. All facilities shall maintain a fire clearance approved by the...or the State Fire Marshal. Prior to accepting or retaining...and obtain an appropriate fire clearance approved by or the State Fire Marshal. Bedridden persons. This requirement is not met as evidenced by: Based on interviews, the licensee violated their fire clearance for 2 out of 6 residents [R1-R2] by allowing more than one bedridden resident to reside at the facility, which poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 11, 2026

Plan of correction: Licensee stated they issued a 30 day eviction to a bedridden resident on 04/28/26 to be in compliance with their fire clearance. POC corrected. A $500 civil penalty was assessed.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced Case Management - Other visit. LPA was greeted and allowed entry into the facility by Staff, Josefina Hari. LPA spoke with Licensee, Irma Laconsay via telephone while at the facility. Today's visit was regarding a fire clearance request submitted to the San Diego Fire Prevention Authority requesting a bedridden fire clearance for one (1) bedridden resident. The bedridden fire clearance was granted on 07/22/25 for one (1) bedridden resident in Room #4. Today, LPA briefly toured the facility, there were no health and/or safety concerns identified. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Josefina Hari whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Feb 3, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility and conducted the visit with Staff, Josie Marty. Administrator, Irma Laconsay arrived during the visit. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant and measured at 111 F.. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, and/or fireplaces accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detector, emergency lighting, and facility telephone were all working. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed multiple staff and resident records/files. Resident records did not reflect current ambulatory status. Residents #1, #2 #4 are unable to reposition on their own. Administrator confirmed the staff assist with repositioning as the residents are unable. Continued on an LIC 812C. The facility does not have a bedridden fire clearance. Resident #5 is not on hospice but has full bed rails. The administrator stated R5 is a fall risk and there was concern the resident would fall out of bed. Administrator was made aware bed rails may not be used as a restraint but for mobility use. Administrator stated they will remove the full bed rail. Confidential records were stored in locked areas. LPA was away from the facility for approximately one hour between 1:20pm and 2:20pm. Deficiencies were observed and cited during today's annual inspection. A civil penalty was assessed for a fire clearance violation. An exit interview was conducted with Administrator, Irma Laconsay to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jul 17, 2025

Allegation investigated: Staff financially exploited resident

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced complaint visit to deliver findings on the above allegation. LPA met with Administrator, Irma Laconsay and we discussed the purpose of the visit and elements of the complaint. On December 2, 2024, it was alleged that a facility staff financially exploited a resident in care. It was specifically reported that Staff #1 (S1) used Resident #1’s (R1) cash resources for personal use. The Department’s investigation consisted of a financial audit including a review of facility and resident bank records, as well as interviews with facility staff and outside sources. A review of R1’s records indicated that R1 required help in managing their own cash resources. R1’s physician’s report dated August 8, 2024 further revealed that R1 had a Major Neurocognitive Disorder and was not able to handle their own cash resources. It should also be noted that the facility did not handle any resident funds, and a third-party agency assisted in handling R1’s finances. Continued on an LIC 9099C. Substantiated On December 16, 2024 the Department interviewed R1. R1 stated that S1 helped R1 with their finances. R1 did not know how they or S1 got their money. R1 later revealed that they gave money to S1 because they needed it, at which point R1 offered to give checks to S1. S1 was interviewed at the facility on December 16, 2024. S1’s English was limited so Licensee helped with translation. The Department explained to Licensee that they needed to translate exactly what S1 stated. S1 stated that S1 provided care services to R1, and that R1 was like a parental figure to them. S1 was willing to help R1 since R1 was kind to S1. R1 told S1 that they were an angel and that R1 wanted to marry them, however, S1 refused as they saw R1 like a parent. S1 further stated that they did not ask R1 for money, however it was provided because S1 took care of R1. According to S1, R1 specifically gave them a $500 check and asked them to purchase food for R1. S1 reported that they spent $31 on food for the resident and returned the remaining cash to R1. According to S1, $100 of the remaining funds was then given to an Outside Source (OS1). On another occasion, S1 admitted to receiving a $1,000 check made out to them, which they claimed was then cashed and returned to R1. S1 said that they did not know what R1 did with that cash. S1 further admitted that R1 gave S1 additional checks totaling $3,500. S1 clarified that they received assistance from the Licensee and friends to repay $5,000 to R1’s Power of Attorney (POA), which was confirmed in subsequent interviews conducted by the Department. The Department interviewed R1’s POA/OS1 on December 6, 2024. OS1 corroborated that S1 repaid the cash to OS1 who opened a new account in R1’s name deposited the funds into it. OS1 stated that OS1 also took R1’s checkbook and debit card after learning about the financial abuse. On December 16, 2024 OS1 provided the department with additional information. OS1 stated that S1 had recently proposed to marry R1 and R1 was going to give S1 $500. OS1 spoke with Licensee regarding the matter and Licensee stated that R1 could gift the money if R1 wanted to. The Licensee of the facility was interviewed at the facility on December 16, 2024. Licensee stated they received a call from OS1 who reported that money was missing from R1’s account. After receiving the report, Licensee said they questioned S1 regarding the matter and S1 confirmed that they received the money since R1 wanted to help them. Continued on LIC 9099C. Licensee stated that S1 had a large family with financial struggles. After learning what occurred, Licensee called OS1 to resolve the matter. Licensee stated that $5,000 cash was paid to OS1 to repay R1. Licensee helped S1 repay R1. Licensee stated that OS1 advised them that $5,000 was taken from R1’s account, but S1 stated they were only given $3,500. S1 stated they received three checks of $500. The first check S1 cashed, bought some fruit for R1, then returned the leftover change which was $469 to R1. Of the $469, R1 gave OS1 $100 so $379 was left on R1’s person. On another instance, R1 gave a $1,000 check to S1 and S1 cashed it and returned the cash to R1. S1 advised Licensee that they did not ask for any of the money. Licensee further stated that OS1 was not R1’s power of attorney at the time of these transactions. Licensee stated that they spoke with other Community Care Licensing staff and an outside agency who both stated R1 was alert. Outside agency told Licensee that R1 was in their right state of mind, and they believed R1 had the right to give money to whoever they wanted. R1 told Licensee that they wanted to rescind the POA. Licensee stated that they were not aware of any relationship between S1 and R1. R1 had told Licensee in the past that R1 liked S1 and wanted to marry S1. Licensee stated that S1 gave R1 the “attention for the care that R1 needed.” Licensee instructed staff not to talk about family issues with residents and emphasized the importance of not accepting gifts from residents. Licensee further stated that they suspended S1 from employment after the incident but planned to resume S1’s employment since S1 needed to work to repay the $5,000 to Licensee. A subpoena was served to TD Bank, N.A. on December 10, 2024 to obtain R1’s bank records for R1’s account at TD Bank. The Department received bank records for R1’s bank account. The expenditures were reviewed after R1’s admission to the facility on September 17, 2024. The following relevant information was found: Five personal checks were written to S1 between October 10, 2024 and November 23, 2024 totaling $5,000. Per the interviews conducted during the audit, the Department learned that R1 voluntarily gave the checks to S1, and S1 accepted the money. S1 stated that S1 did not keep all $5,000 that was withdrawn and returned some of the cash to R1. During this time, R1 did not have a conservator or Power of Attorney, but the Physician’s report indicated that R1 had a Major Neurocognitive Disorder and was not capable of managing their own cash resources. The Licensee was advised to ensure all new hire's have appropriate on-boarding training to include Personal Rights training with a focus on financial exploitation/abuse. Based on interviews which were conducted and record review to include the results from the financial audit, the preponderance of evidence standard has been met, therefore the above allegation was found to be substantiated. California code of Regulations, Title 22, Division 6 & Chapter 8 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Administrator, Irma Laconsay whose signature below confirms receipt of these rights.the state’s words, verbatim · CDSS document, Apr 23, 2025 · control 08-AS-20241202161915

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.2(a)(8) · Plan of correction due date: Apr 24, 2025

In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities...facilities for the elderly shall have all of the following personal rights: (8) To be free from neglect, financial exploitation...This requirement was not met as evidenced by Based on record review and interviews, the licensee did not keep R1 free from financial exploitation for 1 out of 6 [R1] residents, which posed an immediate personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Apr 23, 2025

Plan of correction: The Licensee agreed to attend and have all staff in-serviced on client personal rights with a focus on financial exploitation. Licensee will schedule training by POC due date and submit proof of training within 2 weeks.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced Required Annual Inspection. LPA was greeted and allowed entry into the facility by Staff, Josie Marty. Licensee, Irma Laconsay arrived during the visit. According to the facility’s license, the facility has a maximum capacity of six (6) residents, all of whom must be non-ambulatory. This facility does not feature a secured perimeter or delayed egress doors. LPA, accompanied by licensee’s staff, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was 80 degrees F. Hot water temperature at taps accessible to resident's measured at 105 degrees F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water were observed on the premises. Per the Administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detector, emergency lighting, and facility telephone were all working. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed multiple staff and resident records/files. The reviewed files contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Licensee, Irma Laconsay to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Jul 23, 2024