The Legacy of Hemet 1

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Seo Jeon arrived unannounced to the facility to conduct a case management visit to follow-up on the health and safety case management visit conducted on 08-26-2026. LPA met with Priscila Brown, Administrator, who allowed LPA entry. LPA was informed that 12 residents currently reside at this facility. LPA toured the facility and observed all facility utilities to be on and operating without issues. The food supply meets the 7-day non-perishables, and 2-day perishables regulatory requirement. LPA did not observe any health and safety concerns. No deficiencies are being cited and no civil penalties per California Health & Safety Code and Code of Regulations, Title 22, Division 6. An exit interview was conducted where a copy of this report was discussed with and provided.the state’s words, verbatim · CDSS document, Aug 28, 2026

Type of visit: Case Management - Health Checks

On 08/26/2026, Licensing Program Analyst (LPA) Ahliah Sharp arrived at the facility unannounced to conduct a Case Management visit to ensure the health, safety and welfare of the residents that were relocated from another facility. The LPA was greeted by Administrator, Prescilla Brown and explained the purpose of the visit. During today's inspection, the LPA toured the facility, conducted personal observations, interviews with residents and staff, and reviewed documents. The LPA observed accommodations for the residents in care were met. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Based on the information obtained during today's visit, there are no immediate health and safety concerns for the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted, and a copy of this report was provided to Administrator, Prescilla Brown.the state’s words, verbatim · CDSS document, Aug 26, 2026

Type of visit: Case Management - Health Checks

On 08/20/2026, Licensing Program Analyst (LPA) Jacqueline Shaw-Ross arrived at the facility unannounced to conduct a Case Management visit to ensure the health, safety and welfare of the residents that were relocated from another facility. The LPA was greeted by Administrator, Prescila Brown and explained the purpose of the visit. During today's inspection, the LPA toured the facility and noted that they were operating within the capacity of the license. The LPA conducted personal observations, interviews with residents and staff, and reviewed documents. The LPA was informed by the Administrator that all medications were received and given to residents on time. The LPA observed accommodations for the residents in care were met. LPA assessed the available food supply and observed that the supply exceeds the requirement of a two (2) day supply of perishable foods and a seven (7) day supply of non-perishable foods. Based on the information obtained during today's visit, there are no immediate health and safety concerns for the residents in care. No deficiencies were cited during today's visit. An exit interview was conducted, and a copy of this report was provided to Administrator, Prescila Brown.the state’s words, verbatim · CDSS document, Aug 20, 2026

Type of visit: Required - 1 Year

On June 23, 2026, Licensing Program Analysts (LPAs), Ahliah Sharp and Venus Mixson arrived unannounced at the facility to conduct the Annual Inspection and met with the Administrator,Prescilla Brown, and owner Anita Labastida. The facility is licensed for 16 elderly adult residents and is currently operating at the capacity of 11 elderly adults. For a facility type of (740). LPAs toured the facility along with the Administrator and made observations pertaining to the annual visit. LPAs inspected the facility inside and outside. There were no obstructions or debris to the indoor or outdoor passageways observed. Additionally, there were no bodies of water seen on the premises at the time of this visit. The facility is a single-story building located at 320 South San Jacinto Street in the city of Hemet. Physical Plant: The new facility phone number is (951) 260-3501 and it is operable, and Administrator was advised to update the new number in the system. LPAs observed the residents’ bedrooms, and each were furnished as per Regulations and Title 22. LPAs inspected the facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPAs observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. The cleaning supplies and sharp items were locked and inaccessible to the residents in care presently. There were designated storage spaces for the residents’ and staff’s files, and it was locked and inaccessible to residents in care at present. Continued on LIC809… Continued from LIC809… Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There were no documented errors observed on the centrally stored medication forms, and medications were stored in their original containers at the present. The facility has three (3) caregivers present. Food Service& furniture: The non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents currently. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition and arranged in a manner which provides space for residents to move safely. The facility cooling system and other appliances are operable at present. Licensee informed LPAs there were safety lights for night throughout the facility. Care & Supervision/Administration: There were adequate staff present for the supervision of residents in care. The floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator, Prescilla Brown a current administrator’s certificate with an expiration date of 7/24/2026, and it is posted in the facility. Records Reviewed and Resident/Staff Files: LPAs reviewed the staff files and the facility's staff schedule. The staff files reviewed had the criminal clearances, updated training, along with current First Aid certifications. The resident files reviewed possessed the required paperwork as per Regulations at the present, including current TB tests. Disaster preparedness: LPAs reviewed the facility's emergency and disaster plan as well as the disaster training binder. LPAs observed the last fire drill met the Department standards and was conducted as required per standards. Infection Control: LPAs observed the hand-washing stations in the facility restrooms. LPAs observed cleaning supplies to conduct regular cleaning of the facility. LPAs reviewed the facility's infection control plan and found required infection control measures met the Department requirements. An exit interview was conducted. A copy of this report was reviewed and given to Administrator, Prescilla Brown.the state’s words, verbatim · CDSS document, Jun 23, 2026

Allegation investigated: Facility does not have sufficient food for the residents in care.

On March 25, 2026, Lisencing Program Analysts (LPAs) Mia Lankford and Jarred Torres arrived at the facility unannounced and was greeted by Administrator, Prescila Brown. The LPAs explained the purpose of the visit. LPAs conducted a tour of the facility along with the Administrator and made Health and Safety observations pertaining to the listed allegation. Based on observation, the food supply does not meet the Title 22 Regulations. LPAs explained to Administrator that this investigation includes a deficiency 87555 (b)(26), which was issued during the visit. An exit interview was conducted, and a copy of this report, LIC 9099, LIC 9099-D, and Appeal Rights discussed and provided to Administrator, Prescila Brown. Substantiatedthe state’s words, verbatim · CDSS document, Mar 25, 2026 · control 18-AS-20260324134640

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(26) · Plan of correction due date: Mar 25, 2026

87555(b)(26) General Food Service Requirementsthe state’s words, verbatim · CDSS document, Mar 25, 2026

Plan of correction: Administrator will provide grocery receipts by the end of 3/25/26

Type of visit: Required - 1 Year

On November 14, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Annual Inspection and met with the Administrator, Kathleen Hyland. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. The facility is licensed for 16 elderly adult residents and is currently operating at the capacity of 15 elderly adults. For a facility type of (740). LPA Mixson toured the facility along with the Administrator, and made observations pertaining to the annual visit. LPA inspected the facility inside and outside. There were no obstructions or debris to the indoor or outdoor passageways observed. Additionally, there were no bodies of water seen on the premises at the tie of this visit. The facility is a single-story building located at 320 South San Jacinto Street Physical Plant: The facility phone number is (951) 765-1840 and it is operable. LPA Mixson observed the residents’ bedrooms, and each was furnished as per Regulations and Title 22. LPA Mixson inspected the facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately at the present. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. The cleaning supplies and sharp items were locked and inaccessible to the residents in care presently. There were designated storage spaces for the residents’ and staff’s files, and it was locked and inaccessible to residents in care at present. Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. There were no documented errors observed on the centrally stored medication forms, and medications were stored in their original containers at the present. The facility has three caregivers present. Food Service& furniture: The non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents at this time. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition and arranged in a manner which provides space for residents to move safely. The facility cooling system and other appliances were operable at present. Licensee informed LPA there were safety lights for night throughout the facility. Care & Supervision/Administration: There were adequate staff present for the supervision of residents in care. The floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator, Kathleen Hyland holds a current administrator’s certificate with an expiration date of 02/05/2027, and it is posted in the facility. Records Reviewed and Resident/Staff Files: LPA Mixson reviewed the staff files and the facility's staff schedule. The staff files reviewed had the criminal clearances, updated training's, along with current First Aid certifications. The resident files reviewed possessed the required paperwork as per Regulations at the present, including current TB tests. Disaster preparedness: LPA Mixson reviewed the facility's emergency and disaster plan as well as the disaster training binder. LPA observed the last fire drill met the Department standards and was conducted as required per standards. Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to conduct regular cleaning of the facility. LPA reviewed the facility's infection control plan and found required infection control measures met the Department requirements. An exit interview was conducted. A copy of this report was reviewed and given to the Administrator, Kathleen Hyland.the state’s words, verbatim · CDSS document, Nov 14, 2025

Type of visit: Case Management - Health Checks

On 06/17/2025, Licensing Program Analyst (LPA) Debbie Palacios conducted an unannounced Case Management visit. LPA met with administrator Kathleen Hyland and discussed purpose of the visit. During this visit LPA conducted a tour of the facility, there were no H&S concerns observed. The LPA requested and received pertinent documentation and made record reviews. LPA issued an Immediate Exclusion Order to the administrator for staff 1 (S1). The administrator accepted the letter and acknowledged the Immediate Exclusion, thus, (S1) cannot be allowed to work in a Licensed facility and S1 cannot have contact with residents and any residential facility licensed by the California Department of Social Services. LPA verified S1 was listed on the staff schedule, S1 was not present at the time of this visit. LPA advised the Administrator to disassociate the S1 from the roster and to submit an updated LIC 500, personnel report to LPA. The administrator reported S1 is not a caregiver at the facility, S1 duties are related to a remote position, payroll processing. An exit interview was conducted, this report was discussed, and a copy was given to administrator Kathleen Hyland. Exit interview conducted. Appeal rights discussed.the state’s words, verbatim · CDSS document, Jun 17, 2025

Type of visit: Collateral

Licensing Program Analyst (LPA) Debbie Palacios arrived unannounced to the facility to conduct a collateral visit in conjunction with complaint investigation at another facility and completely unrelated to this facility. LPA met with Haley Suarez and explained the nature of today’s visit. During today’s visit, LPA reviewed staff records. An exit interview was conducted, and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jan 14, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction, visit purpose and provided the facility caregiver with LPA identification and business card. Infection control plan is on file. Resident record review began. Five (5) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 120.0 degrees F with warning labels. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals in a separate building. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. Food Service- Food supply meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. A menu is posted, foods are dated to assure safety. Food prep areas are clean and organized. (Continued on next page) (Continued from Page 1) LPA began review of employee records. Five (5) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is present and current. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 01/02/2024. The facility is conducting emergency disaster drills quarterly. The last disaster drill was conducted on 05/01/2024. LPA allocated time to prepare this report for delivery. Based on the information received during this visit today, there are no deficiency that is being cited per Title 22, Division 6 of The California Code of Regulations. This report was reviewed with and a copy provided to the facility representative at the time of the exit interview. *LPA was away from the facility from 12:15PM-1:10PMthe state’s words, verbatim · CDSS document, Jun 20, 2024