Gables Residential Care Facility

Type of visit: Required - 1 Year

On 7/22/2026, Licensing Program Analyst (LPA) M. Medina attempted to conduct an Annual Required inspection at this location. LPA met with Christina Marsy, Administrator and Licensee, Valerie Civelli via telephone. LPA Medina was advised by licensee that residents at this location were moved in December 2025 to two other licensed facilities. Licensee has lost control of property as there are now tenants residing at this address and LPA is unable to gain access for a final walk through. Licensee e-mailed correspondence to LPA confirming information and will be on file with this report. Fresno Regional office will process facility closure. Exit interview conducted with Administrator and a copy of report provided for facility records.the state’s words, verbatim · CDSS document, Jul 22, 2026

Allegation investigated: Licensee did not comply with change of ownership requirements Licensee did not maintain operational control of the facility

On 3/10/2026, Licensing Program Manager (LPM) S. Pidgirny and Licensing Program Analyst (LPA) M. Medina conducted an office meeting to deliver findings for this complaint. LPM and LPA met with Licensee, Valerie Civelli and Administrator, Christina Marsy. During the investigation, LPA conducted interviews, gathered information and toured facility. Based on information gathered, Licensee Valerie Civelli transferred the facility or facility property, operations, operational controls and financial obligations to prospective buyer as a part of agreement on/or after March 21, 2025. Licensee entered into a formal written agreement on March 25, 2025, then entered into a formal written contract on July 18, 2025. The facility was not licensed by Department until July 29, 2025. The preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies are being cited on the attached 9099-D. Exit interview conducted and a copy of report and appeal rights will be provided for facility records. Substantiatedthe state’s words, verbatim · CDSS document, Mar 10, 2026 · control 24-AS-20251118094345

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87109(b) · Plan of correction due date: Mar 11, 2026

(b) Except as provided in subdivision (e), the property and business shall not be transferred until the buyer qualifies for a license or provisional license within the appropriate provisions of this chapter. **This was not met as evidenced by Licensee entered into a formal written agreement on March 25, 2025, then entered into a formal written contract on July 18, 2025. The facility was not licensed by Department until July 29, 2025.the state’s words, verbatim · CDSS document, Mar 10, 2026

Plan of correction: Licensee to provide written statement to Department acknowledging that regulation has been read and submit to by plan of correction due date.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87205(a) · Plan of correction due date: Mar 11, 2026

(a) The licensee, whether an individual or other entity, shall exercise general supervision over the affairs of the licensed facility and establish policies concerning its operation in conformance with these regulations and the welfare of the individuals it serves. **This was not met as evidenced by Licensee transferred operational control to 3rd party including but not limited to payroll, facility utility bills, expenses of facility.the state’s words, verbatim · CDSS document, Mar 10, 2026

Plan of correction: Licensee to provide written statement to Department acknowledging that regulation has been read and submit to by plan of correction due date.

Type of visit: Office

On 3/10/2026, an informal office meeting was conducted at Fresno Regional Office to obtain information regarding complaints, operations, operational control, and Title 22 regulations. In attendance from Fresno Regional Office: Sergiy Pidgirny, Licensing Program Manager Alexandria Walton, Licensing Program Manager Shawna Doucette, Licensing Program Manager Melinda Medina, Licensing Program Analyst Licensee provided documentation during meeting. No deficiencies cited. A copy of report was provided for facility records.the state’s words, verbatim · CDSS document, Mar 10, 2026

Type of visit: Case Management - Health Checks

On 2/24/2026, Licensing Program Analyst (LPA) M. Medina conducted an unannounced Case Management for health and safety of residents in care. LPA conducted facility visit with Administrator, Christina Marsy. Currently, there are 0 residents in care at this location. The two residents that were present were re-located to the other licensed homes with family approval on December 10,2025. Facility toured and their are no personal belongings in the bedrooms and/or closets. Facility does have utilities in place. Exit interview was conducted and a copy of this report was provided to Administrator for facility records. No deficiencies cited during visit.the state’s words, verbatim · CDSS document, Feb 24, 2026

Type of visit: Case Management - Health Checks

On 12/05/2025 Licensing Program Analyst (LPA) M. Medina conducted an unannounced Case Management for health and safety of residents in care. LPA arrived, introduced self, and allowed entrance to facility by direct care staff. Administrator, Christina Marsy contacted by telephone and arrived a short time later to conduct visit with LPA. Currently, there are 2 residents in care, and both receiving hospice services. LPA observed facility to be clean and a comfortable temperature during visit. Facility has a 2-day supply of perishable food and a 7-day supply of non-perishable food. The following documents were provided to LPA during facility visit by Administrator: LIC 500 LIC 9020 Liability Insurance Copy of message sent to families on 11/17/2025 Per telephone conversation with Valerie Civelli during Case Management a spreadsheet will be provided via e-mail by close of business on 12/05/2025 which documents all utilities and account holder for the facility. Exit interview was conducted and a copy of this report was provided to Administrator for facility records. No deficiencies cited during visit.the state’s words, verbatim · CDSS document, Dec 5, 2025

Type of visit: Office

On 11/25/2025, a office meeting was conducted at Fresno Regional Office to obtain information regarding operations, operational control, and licensure. In attendance from Fresno Regional Office: Brenda White, Regional Manager Sergiy Pidgirny, Licensing Program Manager Melinda Medina, Licensing Program Analyst Licensee provided documentation during meeting. No deficiencies cited. A copy of report was provided for facility records.the state’s words, verbatim · CDSS document, Nov 25, 2025

Type of visit: Prelicensing

On 7/17/2025, Licensing Program Analyst (LPA) M. Medina conducted an announced Pre-licensing inspection. LPA introduced self, stated the purpose of the visit, and was allowed entrance into the facility. LPA met with Administrator, Christian Marsy and Licensee Representative, Antoinette Sillas. . The facility is 5 bedrooms and 3 bathrooms home. Fire clearance was granted for 6 residents, 5 non- ambulatory and up to 1 bedridden residents. Currently, there are 5 residents in care. Facility observed to clean, odor free, and a comfortable temperature. Common areas observed to be furnished and have adequate seating and lighting available. All bedrooms were observed to have required furnishings. Bathrooms toured, fixtures observed operational. Grab bars available and skid-resistant surfaces in showers observed. Kitchen was toured and observed to have pots, pans, plates, cups and utensils. Facility has a 2-day of perishable and a 7-day supply of non-perishable food available as of date of inspection. Knives observed to be locked and secured and stove knobs observed to be removed. Medication observed to be locked and secured in medication room. Cleaning supplies and chemicals are locked and secured under kitchen sink and in laundry room. Fire extinguisher present with a service date of 9/17/2024. Smoke detectors and carbon monoxide detectors were observed to be operational during this inspection. Water temperature measured at 116 degrees F. Facility has a working telephone of Outside of facility toured. Facility has a covered patio with seating available. Exits open free of obstruction. . Gate observed to be self-latching. Component III conducted during pre-licensing inspection. Pre-Licensing is complete and this facility has no deficiencies Exit interview conducted. A copy of this report was provided to Administrator for facility records.the state’s words, verbatim · CDSS document, Jul 17, 2025

Type of visit: Office

***Amended report to change census to 4**** Component II completion: Successful Facility Type: Residential Care Facility for the Elderly (RCFE) Application Type: Change in Ownership (CHOW) Capacity: 6 Census (if any clients in care): 4 COMP II Participants: Christina Marsy, Administrator Valerie Civelli, Member Interview Method: COMPONENT II Wavied On May 30, 2025, Applicant and Administrator participated in COMP II for the below pending facilities: Gables Care for Elderly Inc - 157209521 located at 13303 Nantucket PL, Bakersfield, CA 93314 Identification of the Applicant and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program. 2. Admission Policies 3. Staffing Requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General Provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing Readinessthe state’s words, verbatim · CDSS document, Jun 6, 2025