Follow-up on corrections·October 8, 2024

On 10/08/24, Licensing Program Analyst (LPA) Ernand Dabuet conducted a Case Management visit at this facility. LPA met with designated administrator Cheresa Reyes who allowed for the entry in this facility. LPA informed Reyes the purpose of the visit is to conduct a health and safety check. Investigation revealed the following: LPA conducted a tour of the entire facility. During the inspection, LPA observed the following: (4) resident bedrooms, (2) staff bedroom, (1) bathroom, kitchen, living/activity room, and an outside patio area. LPA observed (6) resident residing at this home requiring assistance with assisted daily living (ADLs) and (2) residents in hospice care. This property address is licensed to Golden Care Living IV #198320027. According to Residential Lease Agreement (dated: 08/17/24), Golden Care Living IV lost control of the property effective 08/16/24. The Residential Lease Agreement contract had Lester Mark Samson, & Charesa May Francisco Reyes under contract effective 08/17/24. Serene Living Care submitted an Application for A Community Care Facility LIC 200 on 08/28/24 to Central Applications Bureau, which is still under consideration. Based on the Department’s observation and interviews conducted, the preponderance of evidence standard has been met, therefore the allegation of “Unlicensed Care is Being Provided" is found to be: "Substantiated". You are hereby issued a Notice of Operation in Violation of the Law letter. You are to cease operation or submit an application to the CCLD Senior Care Office on or before 10/23/24 or relocate the resident to a licensed assisted living facility. If you fail to: cease operation or relocate the resident a civil penalty will be assessed. (Evaluation Report continues LIC 809-C) Failure to comply will result in civil penalties of $200 per day until a completed application is submitted, operations cease, or written verification from a licensed mental health professional or residents are relocated. The operator was given a copy of the “Notice of Operation in Violation of Law" letter. Deficiency Cited: Health and Safety Code 1569.44. An exit interview was conducted with Cheresa Reyes, and a copy of the report and appeals rights were provided.