Strawberry Hill at Gill Port

Allegation investigated: Facility did not provide adequate food service Staff did not provide adequate care Staff not competent and sufficient to provide care Facility did not address residents change in condition

On 7/13/2026 at 1:00PM, Licensing Program Analyst (LPA), A Gomez arrived unannounced to deliver findings for complaint allegations above. LPA met with Caregiver, Christian Malicsi and explained the reason for the visit. House Manager Rouge Castro approved caregiver to sign off on todays report. Christian Malicsi is also listed on the designation of facility responsibility. During the course of the investigation interviews were conducted, available records were reviewed, and observations were made. Report continues on LIC9099-C Unsubstantiated On the allegation “Facility did not provide adequate food service” LPA observed the current food service including but not limited to food available in the pantry, refrigerator, and meals being served. LPA observed the food service satisfactory. Through interview with W1 it was found that the nature of the allegation stem from a previous owner/facility that no longer exists and records are unavailable therefore the allegation is unsubstantiated On the allegation “Staff did not provide adequate care” LPA attempted to identify the previous staff and residents for the time frame of the allegation. Through interview with W1 it was found that the nature of the allegation stem from a previous owner/facility that no longer exists and records are unavailable. LPA observed that the current staff and facility provide adequate care therefore the allegation is unsubstantiated On the allegation “Staff not competent and sufficient to provide care” ” LPA attempted to identify the previous staff and residents for the time frame of the allegation. Through interview with W1 it was found that the nature of the allegation stem from a previous owner/facility that no longer exists and records are unavailable. LPA observed that current staff are up to date on all training's and competent to provide care therefore the allegation is unsubstantiated On the allegation “Facility did not address residents change in condition” LPA attempted to identify the previous staff and residents for the time frame of the allegation. LPA was unable to obtain any records for R1. Through interview with W1 it was found that the nature of the allegation stem from a previous owner/facility that no longer exists and records are unavailable therefore the allegation is unsubstantiated Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 13, 2026 · control 15-AS-20260225212617

Type of visit: Case Management - Other

On 2/27/2026 at 3:20pm, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a Case Management visit. LPA met with Annabel Danan, House Manager and explained the purpose of the visit. While LPA A. Gomez was conducting a complaint investigation (15-AS-20260225212617) on 2/27/2026. LPA observed medications on the living room couch unsecured and unlocked. The deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights providedthe state’s words, verbatim · CDSS document, Feb 27, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(h)(2) · Plan of correction due date: Feb 27, 2026

(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. The following requirement was not met as evidence by Based on observation the facility did not meet the requirement by having unsecured perscription medication on the living room couch which posed an immediate safety concern to residents in care.the state’s words, verbatim · CDSS document, Feb 27, 2026

Plan of correction: Staff locked away the medications POC clear

Type of visit: Required - 1 Year

On 1/14/2026 at 10:15 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Administrators Merdith and Rogue Castro. The LPA toured the facility including but not limited to residents’ rooms, bathrooms, kitchen, common areas and the backyard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the dining room was measured at 72.5 degrees Fahrenheit at 12:20 PM. The maximum hot water temperature was in the safe range of 105 to 120 degrees Fahrenheit. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. There is more than the minimum of a one week supply of nonperishable foods and 2 days of perishable foods. Centrally stored medications, sharps, and toxic cleaners are inaccessible to residents in care. The LPA observed the required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguishers were fully charged and serviced on 10/17/2025. The Emergency Disaster Plan was reviewed within the past year; the most recent review was on 3/15/2025. Emergency, disaster, and fire drills were not conducted on a quarterly basis. First aid kit was observed to be complete. Liability insurance expires on 9/3/2026. Continued on LIC 809-C . . . . . . Continued from LIC 809 Following deficiencies observed during visit: 12:45 PM: record review showed quarterly Emergency & Disaster drills not being done. 3:35 PM: record review showed that 40 hours of new staff training not done over the past 12 months. 3:45 PM: record review showed that 20 hours of existing staff training not done over the past 12 months. 4:05 PM: record review showed that 10 hours of new staff medication training not done over the past 12 months. 4:15 PM: record review showed that 8 hours of existing staff medication training not done over the past 12 months. The LPA reviewed 5 resident records and 5 staff records. 5 B Type citations were issued during the inspection. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC 809-D. Failure to submit Proof of Corrections (POCs) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 14, 2026

Type of visit: Office

On 12/17/2025 at 4:00 PM, an Informal Meeting was held via video conference with Administrator and Licensee Board Member Mary Asilum and Licensee Board Member Frank Asilum. The purpose of this Informal Meeting was to discuss the letter dated September 3, 2025 that was sent to resident families inappropriately announcing the transition of ownership and administration of the facility. Attendees: Harpreet Humpal - Licensing Program Manager (LPM) James Sampair - Licensing Program Analyst (LPA) Mary Asilum - Administrator and Licensee Board Member Frank Asilum - Licensee Board Member Issues discussed during the meeting: Licensees understand that they will retain control of property and stay on and be responsible for the operation of the facility until it is licensed by a new owner. Licensees understand that they will make no announcement of ownership transition until new owners have completed the application process and have been issued a license. Licensees will send letter rescinding the September 3, 2025 letter to Responsible Parties for every resident. Licensees understand that they may hire an administrator who must work a minimum of 20 hours per week during normal business hours. Licensees understand that they will establish hours being worked by current administrator Roche Castro and that they will send an LIC 500 to LPA Sampair by December 29, 2025 Exit interview conducted and a copy of this report provided to Licensee via Emailthe state’s words, verbatim · CDSS document, Dec 17, 2025

Type of visit: POC

At 11:45 AM on 10/09/2025, Licensing Program Analyst (LPA) James Sampair arrived unannounced for this Plan of Correction (POC) concerning the citations from the 9/30/2025 visit. Upon entry into the facility, the LPA identified himself and stated the purpose of the visit to Caregiver Julie Dual. Licensee applicants Merdith Ong-Castro and Rogue Castro arrived at approximately 12:30 PM. The LPA was able to clear 2 of the 3 citations from 9/30/2025. The LPA verified that Staff S1 who was not fingerprint cleared on 9/30/2025 was not present and no longer works at this facility. The LPA verified that Staff S3 is associated with the facility. The LPA was not able to clear the citation for Title 22 Regulation 87405(a), because the Licensee had neither hired nor appointed a certified Administrator by the due date of 10/07/2025. Civil Penalties totaling $200 have been assessed today for failure to meet POC due dates for this deficiency. The Licensee is subject to ongoing daily civil penalties until the deficiency has been corrected and proof of the correction has been sent to Community Care Licensing (CCL). Exit interview conducted. A copy of this report, appeal rights, and the LIC 421-FC have been provided.the state’s words, verbatim · CDSS document, Oct 9, 2025

Type of visit: Case Management - Other

At 2:00 PM on 9/30/2025, Licensing Program Analyst (LPA) James Sampair arrived unannounced for this Case Management visit regarding the change of ownership and change of administrator notification received from Licensee / Administrator (ADM) Mary Asilum on 9/23/2025. Upon entry into the facility, the LPA identified himself and stated the purpose of the visit to Caregiver Julie Dual. The LPA interviewed Staff S1 and Staff S2 in person and Staff S3 and Staff S4 by telephone about the change in ownership and the change in ADM. Before arriving at the facility, the LPA discovered that S4, whom the ADM had stated was taking over ADM duties, had an expired ADM certificate. While at the facility, the LPA discovered that S3, who had been acting as ADM, had no ADM certificate at all. During the inspection, the LPA discovered from record reviews that S3 was not associated with the facility and S1 was not fingerprint cleared. 2 Type-A and 1 Type-B citations were issued during this inspection (for details refer to LIC 809-D). Deficiencies are cited from Title 22 California Code of Regulations (refer to LIC 809-D). Failure to submit proof of correction may result in additional civil penalty. Exit interview conducted and a copy of the Appeal Rights, and this report provided.the state’s words, verbatim · CDSS document, Sep 30, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Oct 1, 2025

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review . . . shall prior to working . . . in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidenced by: Based on record review, licensee did not comply with the section cited above. Staff S1 was not fingerprint cleared, which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Sep 30, 2025

Plan of correction: On or before the due date, the Licensee has agreed to remove S1 from the facility until the CDSS Action Required Background Check ID: 7717780 per ID: 4600869903 has been completed to complete S1's fingerprint clearance process and to associate S1 with the facility. Civil penalty of $500 is being assessed.

From the deficiency page — Deficiency type: Type A · Section cited: CCR87355(e)(3) · Plan of correction due date: Oct 1, 2025

87355 Criminal Record Clearance (e) All individuals subject to a criminal record review . . . shall prior to working . . . in a licensed facility: (3) Request a transfer of a criminal record clearance . . . This requirement is not met as evidenced by: Based on record review, licensee did not comply with the section cited above. Staff S3's fingerprint clearance had not been transferred to this facility, which poses an immediate health and safety risk to the persons in care.the state’s words, verbatim · CDSS document, Sep 30, 2025

Plan of correction: On or before the due date, the Licensee has agreed to not allow S3 to return to the facility until they have their background clearance transferred to this facility. Civil penalty of $500 is being assessed.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87405(a) · Plan of correction due date: Oct 7, 2025

87405 Administrator - Qualifications and Duties (a) All facilities shall have a qualified and currently certified administrator. This requirement is not met as evidenced by: Based on interviews, Licensee did not comply with the section cited above. From interviews of Staff S1 through S4, it was established that Administrator (ADM) Mary Asilum has not been fulfilling the duties of an administrator for at least 6 weeks.the state’s words, verbatim · CDSS document, Sep 30, 2025

Plan of correction: On or before the due date, the Licensee shall hire a certified Administrator.

Type of visit: Case Management - Other

On 7/15/2025 at 12:05pm, Licensing Program Analyst (LPA) L. Hall and conducted an unannounced Case Management visit. LPA met with Erma "Julie" Dual, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Mary Asilum, via telephone. Upon arrival LPA observed S3 was not listed on guardian. LPA spoke with S3 and was told S3 has been employed for three (3) days. LPA verified that S3 was fingerprint cleared. LPA spoke with Administrator and was told that all paperwork for S3 has been received, but is not at the facility. *An immediate civil penalty of $300.00 will be assessed on today's date for association (87355(e)). Deficiency is cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421BG, and this report provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e) · Plan of correction due date: Jul 16, 2025

(e) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: This requirement was not met as evidence by: Based on record review and interview the Licensee did not comply with the section cited above in having S3 associated to the facility which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Jul 15, 2025

Plan of correction: Administrator agreed to associate or submit LIC9182 and a copy of S3's identification to CCLD by POC date.

Type of visit: Case Management - Incident

On 7/15/2025 at 11:10am, Licensing Program Analyst (LPA) L. Hall and conducted an unannounced Case Management visit regarding an incident that was reported to CCLD on 7/11/2025. LPA met with Erma "Julie" Dual, Caregiver and explained the purpose of the visit. LPA spoke with Administrator, Mary Asilum, via telephone. The incident reported occurred on 7/5/2025. The report stated on 7/5/2025, S2 administered 150mg dosage of medication instead of 75mg. S1 stated that S2 was not supposed to administer the medication. S2 stated that R1's responsible party was notified. S1 stated R1 was observed during the day but there were no changes. S4 stated S2 was terminated. S2 also stated there was an in-service training for all staff. LPA requested a copy the in-service training to be submitted to CCLD by close of business today. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 15, 2025

Type of visit: Post Licensing

On March 21, 2025 at 10:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this post licensing inspection. The LPA informed Caregiver Erma (Julie) Dual of the purpose of this visit and informed Administrator Mary Asilum of the purpose of this visit by phone. The LPA inspected the inside and outside of the facility. The inspection included the kitchen, dining area, common areas, bedrooms, and yard outside common areas. An adequate amount of food supplies were observed, more than the required minimum of 2 days of perishable and 7 days of non-perishable food. The central storage for medications was locked. The cleaning supplies and dangerous objects were stored in locked cabinets. The Facility has working smoke and carbon monoxide detectors. The staff of the facility conduct disaster / emergency and fire drills on a quarterly basis. The fire extinguishers were all replaced on May 3, 2024. The indoor temperature was 70.8 degrees Fahrenheit and the maximum hot water temperature was 111.7 degrees Fahrenheit, both within the acceptable range. The LPA reviewed facility, resident, and staff records. No citation was issued during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 21, 2025

Type of visit: Case Management - Other

On 1/17/2025 at 12:00 PM, Licensing Program Analyst (LPA) arrived at the facility for an announced Case Management visit to provide the COMP III training to Applicant/Administrator Mary Asilum. The LPA completed the training with Applicant/Administrator Mary Asilum. No citations issued. Exit interview completed and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 17, 2025

Type of visit: Case Management - Other

On 1/9/2025 at 12:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to complete the pre-licensing of the facility after completing a Plan of Correction (POC) visit. Upon arrival, LPA stated the purpose of the visit to Caregiver Erma Dual. The 3 A-Type and 2 B-Type citations were cleared. The Applicant Mary Asilum was not at the facility so the COMP III training was not completed. The LPA and Applicant scheduled a future date and time to conduct the COMP III training. No citations issued. Pre-Licensing is complete and this facility has no deficiencies. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 9, 2025

Type of visit: Prelicensing

On 1/03/2025 at 7:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct a change of ownership prelicensing visit. Upon entry into the facility, the LPA informed Applicant Mary Asilum of the purpose of the visit. The LPA toured the facility inside and outside. The LPA inspected the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The facility was clean, appropriately furnished, and well lit. More than the 2 days of perishable and 7 days of nonperishable food supplies were available. No body of water was on the facility grounds. Medications are centrally stored. Bathrooms and showers were observed to be fully functioning and clean. Carbon monoxide and smoke detectors were operational. The fire extinguisher was last serviced on 05/03/2024. Inside temperature was 73.2 degrees Fahrenheit. Facility did not pass this prelicensing inspection. The LPA will return unannounced after the POCs have been completed with the existing Licensee. Exit interview conducted and a copy of this report provided to the Applicant.the state’s words, verbatim · CDSS document, Jan 3, 2025

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 5 COMP II Participants: Name - Francis Asilum CEO/ Mary Karoline Asilum Administrator Interview Method: Telephone interview On December 20, 2024, Applicant/Administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-Licensing Readinessthe state’s words, verbatim · CDSS document, Dec 20, 2024