565801730-3-19-2026-29-AS-KDUK-DSBV4J-20260319160622

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 565801730
Report Date: 03/19/2026
Date Signed: 03/19/2026 04:07:00 PM

Document Has Been Signed on 03/19/2026 04:07 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME:	FINEST LIVING AT ARCADE		FACILITY NUMBER:	565801730
ADMINISTRATOR/ DIRECTOR:	GARNER J. CRUZ		FACILITY TYPE:	740
ADDRESS:	350 SOUTH ARCADE DRIVE		TELEPHONE:	(805) 628-3776
CITY:	VENTURA	STATE: CA	ZIP CODE:	93003
CAPACITY: 6		CENSUS: 6	DATE:	03/19/2026
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:18 AM
MET WITH:	Adelaida (Aida) Cruz		TIME VISIT/ INSPECTION COMPLETED:	04:10 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Licensing Program Analyst (LPA) Kelly Dulek conducted a required annual inspection. LPA met with facility staff Marlene Santos. LPA explained the reason for the visit. Staff contacted the licensee representative Adelaida (Aida) Cruz who arrived at the facility at 02:48 p.m.

Beginning at 12:05 p.m., LPA along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguishers appeared fully charged and were last serviced on 08/22/2025. Carbon Monoxide detector was tested at 01:27 p.m. and the smoke detectors were tested at 1:25 p.m. and all were functional at the time of the visit.

KITCHEN: LPA observed the kitchen to be clean and appliances appeared to be functional. The knives were locked in a drawer. The dish soap and cleaning detergent was stored in a locked cabinet under the sink. The facility had a sufficient amount of perishable and non-perishable food.

LAUNDRY ROOM: The laundry room is adjacent to the kitchen. There are two doors leading to the laundry room which are kept locked unless staff are using the room. The emergency supply of non-perishable food and water is kept in the laundry room, as well as a freezer for extra food storage. Laundry detergent is kept in a locked cabinet above the washer and dryer.

COMMON AREAS: This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. The fireplace was screened. LPA observed cameras in the common areas.

Report Continued on LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Kelly Dulek
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

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)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: FINEST LIVING AT ARCADE	FACILITY NUMBER: 565801730
	VISIT DATE: 03/19/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

BATHROOMS: There are two (2) bathrooms for resident use and one (1) for staff use. Resident restrooms were observed to be equipped with slip-resistant surfaces. Grab bars were observed in the bathrooms. The bathrooms had toilet paper, paper towels and wipes. The hot water temperature was measured at 113.2 degrees Fahrenheit.

BEDROOMS: There are six (6) resident bedrooms designated for private resident use. There is also one staff room. There is another staff room at the front of the house used for storage. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. LPA observed that Resident #1 (R1) who is non-ambulatory is residing in Room #5, which has a fire clearance for ambulatory only.

OUTDOOR SPACE: The backyard has a patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. There were no bodies of water on the premises. Two (2) locked sheds were observed in the outdoor area, which are used for storage.

RECORD REVIEW: LPA reviewed five (5) residents' files. Records were complete. Staff records were reviewed for three (3) staff. All records were complete, including training records and CPR/first aid.

INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan was complete and reviewed annually as required. Emergency evacuation drills are conducted with staff quarterly with the last drill conducted on 01/30/2026.

MEDICATION REVIEW: Medications for two (2) residents were observed. All medications observed were labeled, stored, and properly documented at the time of the visit. Medications are stored in a locked hall closet.

INTERVIEWS: During today's visit, LPA interviewed two (2) staff and two (2) residents. No concerns noted.

Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Civil penalty issued in the amount of $500. Licensee representative was informed that failure to correct the deficiencies may result in additional civil penalties.

Exit interview conducted. A copy of the report and appeal rights were provided. A copy of today's report was provided.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Kelly Dulek
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 03/19/2026 04:07 PM - It Cannot Be Edited

Created By: Kelly Dulek On 03/19/2026 at 03:09 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: FINEST LIVING AT ARCADE	FACILITY NUMBER: 565801730
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

87202(a)

Fire Clearance

(a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department or district providing fire protection services, or the State Fire Marshal: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above as R1, who is non-ambulatory, is using Room #5 and the fire clearance indicates Room #5 is approved for ambulatory only which poses an immediate health and safety risk to persons in care.
	POC Due Date: 03/20/2026
	Plan of Correction
1 2 3 4	Licensee agreed to move R1 out of the room and change another resident who is ambulatory into room #5. Licensee will contact families by POC due date, move the residents and provide proof of room change by 03/27/2026.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Kristin Heffernan
NAME OF LICENSING PROGRAM MANAGER:

	Kelly Dulek
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026

LIC809 (FAS) - (06/04)

Page: 4 of 4