The Irwin House

Type of visit: Case Management - Other

On 1/26/26, Licensing Program Analyst (LPA) J. Leffall arrived for an announced case management inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. LPA met with Licensee, Stefanie Chavez. The purpose of today’s visit is to conduct a Pre-Licensing continuation inspection. On 1/26/2026, a pre-licensing inspection was conducted, and multiple deficiencies were observed. During today’s visit, LPA found no deficiencies. LPA have found that the applicants has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. Exit Interview conducted. A copy of this report was provided to Licensee, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jan 26, 2026

Type of visit: Prelicensing

On 1/8/26, Licensing Program Analyst (LPA) J. Leffall conducted an announced Pre-Licensing / Component III inspection. LPA introduced self, stated purpose of visit, and was allowed entry into the facility. LPA with Administrator’s, Stefanie Silveira-Chavez, and Dmarie Rose. Facility has one central entry and exit. LPA observed a temperature check upon entry. The facility is a 11 Bedroom and 4 Bathroom home and fire clearance was granted for 14 Ambulatory for a total capacity of 14. LPA toured the facility with Administrators. Common areas were furnished and had adequate seating and lighting available. Bedrooms had required furnishings and are ready for occupancy. Hot water ranged from 111.2 to 116.7 degrees F. LPA observed toilet area to have no grab bars. LPA observed bed linens, however facility is in need of extra supply of bed linens. LPA observed hallway lights. Facility has an adequate supply of personal hygiene products. Kitchen was toured and observed to have dishes, plates, and utensils. Cleaning supplies and chemicals were observed in unlocked cabinet. Medications designation area is need of a lock. First aid kit was observed and contained all required items. Fire extinguishers are in need of a service date or receipt purchase date. Smoke detectors and carbon monoxide were observed to be operational. Outside of facility toured. Exits were open and free of obstructions. LPA observed side gate to be in need of pull for self-latching. Northwest side of backyard has construction materials that need to be removed. LPA is requesting that the facility correct necessary deficiencies: -Grab bars in toilet areas in both bathrooms -Debris removed from backyard -Extra linens be included in hall closet -Locks on cabinets and designated areas for sharps, chemicals, and medications -Washer and dryer installed in laundry room -Pull latch on fence where emergency exits will be conducted -Service tags/receipts attached to Fire Extinguishers in reference to regulation CCR-87203 -Visitor log/Sign in sheet Component III was conducted during today’s pre-licensing visit. LPA will return at a later date to confirm if the corrections have been made. LPA will notify CAB that the facility is ready to be licensed once the above corrections have been made. Exit Interview conducted. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Jan 8, 2026

The state marks this report as 9 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 14 Census (if any clients in care): 0 COMP II Participants: ROSE, DMARIE C Interview Method: Telephone interview On 11/04/2025, applicant/administrator participated in COMP II. 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/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, Nov 4, 2025