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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881849
Report Date: 08/31/2026
Date Signed: 08/31/2026 01:14:41 PM

Document Has Been Signed on 08/31/2026 01:14 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:TRUE CARE FOR ELDERLY LLCFACILITY NUMBER:
331881849
ADMINISTRATOR/
DIRECTOR:		SANTIAGO, CARMINAFACILITY TYPE:
740
ADDRESS:786 DE PASSE WAYTELEPHONE:
(951) 299-8208
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY: 6CENSUS: 5DATE:
08/31/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:48 AM
MET WITH:ADMINISTRATOR, CARMINA SANTIAGO TIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On August 31, 2026, Licensing Program Analyst (LPA), Venus Mixson arrived for a scheduled visit for the purpose of conducting a Change of Ownership (CHOW) visit, and met with the Administrator, Carmina Santiago. LPA introduced herself and stated the purpose of the visit.
Physical Plant: location is a single-story home located at 786 De Passe Way, Hemet Ca. 92544. The facility lain-line is (951) 260-3663, and was operable.
The facility's four bedrooms were observed and had the required furnishings per licensing. The three bathrooms were observed at the time of the change of ownership visit to be clean and free of clutter and odor.
The living room was observed at the time of the visit to be clean and arrange for easy movement for walker and wheel chair. The dining room, kitchen, and the two car garage were observed at the time of the visit to be neat and orderly. There were no observable challenges seen at the time of this visit. The Hemet Fire Department approved this facility for five (5), non- ambulatory, and one bedridden on December 23, 2025. The home has a first aid kit and manual, the Administrator, Carmina Santiago has received First Aid and CPR training, and a current TB test. Administrator’s certificate is current, with an expiration date of February 03, 2027.(87202(a).
Medications: LPA observed where medications are stored, locked, and inaccessible residents. Home is equipped with lights in the passages and stocked with emergency night lights throughout the home. Smoke and carbon monoxide detectors were observed and are operable. LPA observed the fire extinguisher; it was charged and in the green. The cleaning supplies were locked and inaccessible, along with the sharp objects and the Administrator, Carmina indicated that there are no firearms, or bodies of water anywhere on the premises at this time.
Jazmond D Harris
Venus Mixson
DATE: 08/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: TRUE CARE FOR ELDERLY LLC
FACILITY NUMBER: 331881849
VISIT DATE: 08/31/2026
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Bedrooms: were large enough to allow for easy passage between the beds, and other required items of furniture were present currently at the time of this inspection. Items observed at the time of this visit include a chair, nightstand, and sufficient lighting. Kitchen/Food: Knives were locked in a kitchen drawer, plenty of pots, pans, and other kitchen accessories. LPA observed hygiene supplies for residents. There were no pesticides, poisons, or other toxic substances stored near any food storage or preparation area currently at the time of this inspection. Records: LPA Mixson observed where the staff and resident files will be maintained. This area was lockable and inaccessible to the. There is confidential storage space for personnel records currently. Bathrooms: bathrooms were observed to be clean currently. The floors were clean and sanitary and free of odors at the time of this visit. Hot water tested within regulations and was logged. Water and other appliances were operable at the time of this visit. The hot water temperature tested within regulations. There was at least one toilet and sink for each six persons to include residents, family, and personnel. And at least one bathtub/shower for each ten persons which includes residents, family and/or live-in personnel. Administration: LPA observed emergency exiting plans and telephone numbers posted, Personal Rights, Complaint Poster, and other required documents were posted currently at the time of this visit, along with the current Administrators certification. The facility theft and loss program policy are posted, currently at the time of this inspection. Activities: There are activity supplies and equipment available for residents. Including access to daily newspapers, current magazines, and a variety of reading materials in the language of choice. There is an outdoor activity area equipped for outdoor use. LPA observed outdoor activity space with a shaded area and furnished for outdoor use. Miscellaneous: There is a first aid kit, including sterile dressings, bandages, thermometer, and other items as required by regulations. There are laundry supplies and equipment, including machine in good repair, and there is space for clean linen storage and a separate space for soiled linen. LPA Mixson observed emergency lighting supplies to include flashlights, and extra batteries, and they are operable.
Food Service: LPA observed that the dining room is near the kitchen, the refrigerator and freezer are clean and large enough for the storage of at least two days supply of perishable food items. (85076), The freezer is (0) degrees Fahrenheit, and the refrigerator is a maximum of 45 degrees Fahrenheit. LPA observed that there are a sufficient amount of equipment for the storage, and preparation of food. Equipment, dishes, and utensils were observed to be in good condition, and well maintained. Kitchen, food storage, and preparation areas were observed to be clean and free of clutter. An exit interview was conducted, and a copy of this report was discussed and provided to the Administrator, Carmina Santiago.
NAME OF LICENSING PROGRAM MANAGER: Jazmond D Harris
NAME OF LICENSING PROGRAM ANALYST: Venus Mixson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2026
LIC809 (FAS) - (06/04)
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