The Legacy of Hemet 2

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 16 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. LPA observed three (3) portable air-conditioners were installed to mitigate the lack of functioning air-conditioner. LPA checked all three (3) portable air-conditioners and confirmed that they were functioning as they were blowing cold air. The Administrator informed that the repair technician will be performing the air-conditioner repair at around 5 PM today, 08-28-2026. The same information was provided to The Department on 08-26-2026. The Administrator informed that the repair will be done as it was scheduled. The Administrator agreed to inform the Regional Office upon completion of the air-conditioner repair via email. 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 unannounced to the facility 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 and conducted personal observations, interviews with residents and staff, and reviewed documents. The LPA observed accommodations being provided to the residents in care were not being fully met as the temperature on the thermostat read 87 degrees Fahrenheit and an additional thermostat read 95 degrees Fahrenheit. LPA interviewed residents and R3 reported it was “uncomfortably hot” to the point of impairing their ability to rest at night. LPA asked staff and Administrator how long the air has been in disrepair, it was reported that a repairman was scheduled to come back on this Friday (8/28/2026). Administrator Anita Labastida reported that service order was placed last week, the worker had to order a part, but when the part arrived, it was the wrong part, and the new part will not be in until Friday. Fans were being used, but they were blowing hot air, no cooling devices were on the premises in the immediate vicinity. LPA notified Administrators of the potential health and safety risk and a deficiency was issued. 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. 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

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(b) · Plan of correction due date: Aug 28, 2026

87303 Maintenance and Operation (b) A comfortable temperature for residents shall be maintained at all times. This requirement was not met as evidenced by: Based on interviews, and observations, facility did not supply enough fans to ensure comfortable temperatures in (3) residents rooms. This poses a potential health safety or personal rights risk to residents.the state’s words, verbatim · CDSS document, Aug 26, 2026

Plan of correction: The administrator already had scheduled for a repair man come 08/28/2026, and provide proof to licensing by the POC due date. Additionally, administrator agreed to provide portable air conditioning units for immediate relief to residents. The Administrator agreed to have storage fans, and to update their emergency plan to reflect mitigating air conditioning failure. This is due by 09/23/2026.

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: Case Management - Annual Continuation

On 08/11/2026, Licensing Program Analyst (LPA), Ahliah Sharp, arrived unannounced at the facility to conduct a continuation of a yearly inspection started on 08/07/2026. LPA met with Administrator Prescilla Brown to conclude inspection, explained the purpose of the visit, discussed deficiencies being cited, and developed plans of corrections for each deficiency. Each deficiency was noted on the initial LIC809 and LIC809C dated 08/07/2026. A signed copy of this report, the corresponding deficiencies, technical assitances and technical violations along with the appeal rights were provided to Administrator Brown.the state’s words, verbatim · CDSS document, Aug 11, 2026

Type of visit: Required - 1 Year

On 08/05/2026, Licensing Program Analyst (LPA), Ahliah Sharp arrived at the facility unannounced to conduct the Annual Inspection. LPA was greeted by Cook Bernadette Reyes, who was notified of the purpose of the visit. LPA asked if the administrator was on grounds. Cook Reyes notified LPA that Administrator Prescilla Brown had just left to pick up an employee and called ADMIN Brown who notified Cook that she would be returning shortly. LPA was escorted into the facility and eventually met with Administrator Brown. The facility is licensed for 14 elderly adult residents and is currently operating at the capacity of 10 elderly adults. LPA Sharp toured the facility along with Administrator Brown 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 time of this visit. The facility is a single-story building located at 320 South San Jacinto Street and no firearms observed or reported at the time of the visit. Physical Plant: LPA Sharp observed the residents’ bedrooms, and all but one, were furnished as per Regulations and Title 22. Room 209 did not have a chair in it for people to sit in. LPA Sharp notified Administrator Brown that a chair is required. LPA Sharp inspected the facility bathrooms and observed a shared bar of soap was in the common bathroom, and no towels were visible and no paper towels were visible. The bathrooms were clean, and appliances were operating appropriately at the time of the visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Sharp observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. There were designated storage spaces for the residents’ and staff’s files, and it was locked and inaccessible to residents in care the time of the inspection. Continue on LIC809C… Continued from LIC809… Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. Medications were stored in their original containers at the time of the inspection. LPA performed an audit of the medication and observed the visible MARS were dated 7/31/2026, the day of the visit it was 8/5/2026. This would be in contrast to the passing of medication daily. Resident 1 (R1) had medication that was dispersed through 8/6/2026 already. Food Service& furniture: The perishable food supply was sufficient per regulations, but the non-perishable were a little scarce. Administrator Brown notified LPA Sharp that food is delivered on Fridays after 6:00 p.m. 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. There are several cabinets in the resident’s rooms, kitchen and restrooms that are in need of repair (i.e., difficult to open or difficult to close).The facility cooling system and other appliances were operable at the time of the visit, and temperatures registered within regulation. Records Reviewed and Resident/Staff Files: LPA Sharp reviewed the staff files and the facility's staff schedule. The staff files reviewed had criminal clearances, updated training's, along with current First Aid certifications, but the reviewed staff were missing personal rights. The resident files reviewed did not possess the required paperwork as per Regulations at the time of the visit. They were from another facility and not showing updated for the current facility. Infection Control: LPA requested a copy of the infection control, but Administrator could not produce one. Due to time, LPA will have to finish the annual later and issue the necessary deficiencies at that time. An exit interview was conducted. A copy of this report, and an 811 was submitted to the Administrator, Prescilla Brownthe state’s words, verbatim · CDSS document, Aug 5, 2026

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

On 4/2/26 Licensing Program Analyst (LPAs), Mia Lankford and Robert Campbell, conducted an unannounced visit to the facility to initiate the investigation into the allegations listed above, and to conduct a health and safety check. LPAs met with Administrator Prescila Brown and informed her the reason for 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, Apr 2, 2026 · control 18-AS-20260324135313

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555(b)(26) · Plan of correction due date: Apr 2, 2026

87555(b)(26) General Food Service Requirements.Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. Cont. Evidenced based on the following; Licensing Program Analyst Lankford's observtion of the refrigerator and kitchen cabintes not having the 2 day supply of perishables and the 7 day non perishishables.the state’s words, verbatim · CDSS document, Apr 2, 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 Hylanthe 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: Prelicensing

Licensing Program Analyst (LPA) Yolanda Delgado conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. At approximately 9:00 AM, LPA met with Kathleen Hyland. An initial application for Change of Ownership to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 5/3/2024 for a total capacity of fourteen (14); ten (10) non-ambulatory and four (4) bedridden residents. Fire clearance was granted on 05/23/2024. LPA Delgado observed the following: Structure: Facility was a one-story building with two (2) additional structures, thirteen (13) resident bedrooms, eight (8) resident bathrooms, living room, dining area and kitchen. There is no garage; one structure for food storage, personal hygiene storage and second structure is the laundry room and one (1) resident shared room. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control the main building. Bedrooms: Each resident bedroom #101, #102, #103, #104, #105, #108, #109, #110, #111 and #112 will accommodate any non-ambulatory resident, bedrooms #106, #107 and #400 A&B will accommodate bedridden residents. 12 resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting. All resident rooms are furnished with a TV. (CONTINUED ON LIC 809C) (Continued from Page 1) Bathrooms: The eight (8) resident bathrooms has a working toilet, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. At 10:15 AM, LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 121. degrees Fahrenheit with warning labels. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked cabinet located in the kitchen. There was adequate room for food storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals for all clients. Laundry room with washer and dryer was located in a separate structure. Laundry detergents and cleaning supplies were observed in separate structure away from residents. Living/Family room: There was a living room with seating for clients and a TV. Linens and Hygiene Supplies: An adequate supply of linens was stored in the personal hygiene structure. Yards/Outside: Patio table and chairs were observed in the outdoor area. There was a gate on the North side with a self-latching lock. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch were observed posted at all exits. Obudsman poster and Let-Us-No poster observed. (Continued on Page 3) (Continued from Page 2) General items: Five (5) fire extinguishers were charged and located in the kitchen, hallway, 400 structure, break room and laundry room. Three (3) smoke alarms and four (4) carbon monoxide detectors were tested and were observed to be in working order except for one (1) carbon monoxide detector in 400 structure. Three (3) structures are maintained by Security Signal Devices monitors the alarm panel and SBRC Fire Protection that provide fire protection and life safety services for the fire sprinklers and other services. Client records will be stored in a locked cabinet in the Office. First Aid kit with required components, and locked area for medication storage was observed. LPA observed a facility phone and it was verified to be operational as evidenced by LPA dialing the number to trigger a ring. Emergency water supply and 72-hour emergency food supply was observed. Component III will be completed on July 25, 2024 at Riverside RO. There are no firearms stored and no bodies of water observed. Pre-Licensing is incomplete and the following corrections to be resolved by 8/05/2024: obtain new flooring obtain door alarms for 400 structure, room #106, #107 obtain keylock for cleaning supplies under kitchen sink obtain cover phone line obtain paper towel holder organized overflow of medications repair carbon monoxide detector in 400 structure repair cabinets doors inside the kitchen repair exterior window screen for 400 structure repair broken drawer in laundry room repair base shelf under kitchen sink (Continued on Page 3) (Continued from Page 3) replace dressers in 400 structure replace ceiling fan light bulb for room #111 replace broken window blinds replace fan exhaust screen for stove remove missing toilet paper brackets remove missing towel bar brackets remove bottom latch on exit door set-up room for second resident in 400 structure An exit interview was conducted with Kathleen Hyland and a copy of this report was given.the state’s words, verbatim · CDSS document, Jul 8, 2024

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 14 Census: 14 COMP II Participant: Kathleen Hyland, Administrator Interview Method: Telephone interview On 6/17/24, administrator participated in COMP II. Identification of the administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, 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 Administrator’s understanding of 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, Jun 17, 2024