Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Health check

SERENITY LIVINGLicense 1072016633 citations on this visit
3 citations recorded

Inspector’s narrative

What the inspector wrote

On 5/28/25 Licensing Program Analysts (LPAs) M. Garza and M. Medina arrived for an unannounced case management visit. LPAs met with Designee, Elaine Salcedo, explained reason for visit and were permitted entry into the facility. Licensee, Josiane Jones was contacted and arrived some time later. LPAs completed a tour of the facility inside and out. Currently the facility has 4 residents in care. 3 observed in living area sitting in recliners and 1 in bed sleeping. Currently there are no residents receiving hospice services or home health services. This case management visit is being conducted to complete a health and safety check on residents in care and to gather documentation (residents census, staff schedule with contact information, emergency contact information, resident roster and staff roster) and verify an uncleared staff is not working at the facility. During visit LPAs observed the following: bed in bedroom #2 was without box springs (Licensee stated son preferred this way due to height with box spring). A smell of urine/feces, sufficient lighting was not supplied and the light switch was not functioning in bedroom #3. Room was observed to be dark with only 1 lamp providing light (Licensee and staff stated it was getting repaired today). Medicine closet was observed unlocked and accessible to residents in care (staff stated they were working in there upon LPAs arrival). Deficiencies cited per Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 809D's. If not corrected the violations will have a direct and immediate risk to the health, safety and or personal rights of residents in care. Exit interview completed with Licensee, Josiane. A copy of this report, deficiencies and appeal rights were discussed and provided. A plan of correction was developed by the Licensee and reviewed with the LPAs.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(a)Type B

    Maintain facility in clean, safe, sanitary condition

    87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidence by: LPAs observation, the licensee did not comply with the regulation cited above in that, a smell of urine and feces, sufficient lighting was not supplied and the light switch was not functioning in bedroom #3. This poses a potential health safety and or personal rights risk to residents in care.

  • 87307(a)(3)(A)Type B

    Bed provision and bedding standards for residents

    87307 Personal Accommodations and Services (a) Living accommodations and grounds...The following provisions shall apply: (3) Equipment and supplies necessary...: (A) A bed for each resident...Each bed shall be equipped with good springs, a clean and comfortable mattress, available pillow(s) and lightweight warm bedding. Fillings and covers for mattresses and pillows shall be flame retardant. Rubber sheeting shall be provided when necessary. This requirement was not met as evidence by: LPAs observation, the licensee did not comply with the regulation cited above in that, of bed in bedroom #2 was without box springs. This poses a potential health safety and or personal rights risk to residents in care.

  • 87462(h)(2)Type A

    87465 Incidental Medical and Dental Care (h) The following requirements shall apply to medications which are centrally stored: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision of the centrally stored medication. This requirement was not met as evidence by: LPAs observation, the licensee did not comply with the section cited above in that LPAs observed the medication closet off the kitchen to be unlocked and accessible to residents in care. This poses an immediate health, safety and or personal rights risk to residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 28, 2025 inspection of SERENITY LIVING?

This was an other inspection of SERENITY LIVING on May 28, 2025. 3 citations were issued: 1 Type A (serious) and 2 Type B.

Were any citations issued to SERENITY LIVING on May 28, 2025?

Yes, 3 citations were issued (1 Type A, 2 Type B). The first citation was for: "87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintena..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.