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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005803
Report Date: 07/29/2021
Date Signed: 07/29/2021 02:54:12 PM

Document Has Been Signed on 07/29/2021 02:54 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:A TOUCH OF SERENITY RESIDENTIAL CAREFACILITY NUMBER:
306005803
ADMINISTRATOR:REYES, NAYEHYFACILITY TYPE:
740
ADDRESS:24562 ARTEMIA AVETELEPHONE:
(949) 633-5336
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY: 6CENSUS: 5DATE:
07/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Adminitrators Juan and Nayehy Reyes TIME COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Albert Marin conducted an unannounced required annual inspection in this facility. LPA met with Administrators (ADs) Juan and Nayehy Reyes and stated the purpose of this visit.

The facility is a single level structure and licensed for 6 non-ambulatory and hospice waiver for four. For this visit, there two residents under hospice care.

About 1:45 PM, LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. Facility had five residents in care and two staff members on the floor. LPA toured the interior and exterior portions of the facility. There were four private and 1 shared rooms. Rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Hardwired smoke, carbon monoxide and auditory exit alarms were tested to be operational. Bathrooms were observed to be in good repair, provided with grab bars and nonskid floor mats. Hot water was measured at 115 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food stock requirements. Medications, cleaning supplies and sharp items were inaccessible to residents in care. Fire extinguisher was mounted and charged. For the exterior portion, facility had patio furniture in good repair, and grounds were free of tripping hazards. Facility had a pool feature with steel fence and rendered inaccessible to residents in care. Side exit doors were self-closing and self-latching.

LPA reviewed the COVID 19 mitigation plan of the facility.

For this visit, the facility was observed to be in substantial compliance with Title 22 Division 6 of the California Code of Regulations.

LPA Marin conducted an exit interview with Administrator Neyehy Reyes ; and copy of this report was left in the facility.
SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Albert Marin
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2021
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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