Pearl Heights Care Home

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Mariana Agban conducted a Pre-Licensing Inspection with Licensee Jefferey M.Alvarez. A Change in Ownership (CHOW) Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on January 5th,2026. A fire clearance was approved on July 20, 2026, for two (2) non-ambulatory residents and four (4)bedridden residents, for a total capacity of six. The bedridden fire clearance is for rooms #1,#2, and #3. A dementia plan of operation has been submitted. A hospice waiver has been requested and approved for six (6) residents. The smoke alarms and carbon monoxide detectors were tested to be functional. The facility has two fire extinguishers with a service date of 03/10/26. The fire extinguishers are located in the main hallway and the dining area. A tour of the physical plant was initiated at approximately 10:10 am and the following was observed: KITCHEN: The facility has a Kitchen area equipped with a refrigerator, microwave oven, and sink. Adequate supplies of perishable and nonperishable food and dining ware accommodated a maximum capacity of six (6). Medications are kept locked in one of the kitchen cabinets BEDROOMS: There are four (4) bedrooms designated for residents' use. Two (2) bedrooms are designated for private use, and two (2) rooms are shared. Bedrooms #1, #2,#3, are for Bedridden residents. Bedroom #4 is for non-ambulatory residents. All four bedrooms in use by residents were properly furnished with appropriate beddings and linens and with sufficient lighting. BATHROOMS: The facility has three (3) bathrooms for the residents' use. All bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured 114.3 degrees. No cleaning supplies or hazardous items were present in each bathroom. (Continue on 809C) COMMON AREAS: These included the living room and dining room. The living room was equipped with furniture, a television, tables, and chairs. The dining area has a large dining room table to accommodate six (6). There is a fireplace in the living room. It is screened, and there are no tools. There were no visible immediate hazards. There is a functioning telephone on the premises in the living room. There is also an office/workstation area in the living room where residents and staff files are kept locked. LAUNDRY ROOM/GARAGE: The washer and dryer are located in the garage. The garage is used as extra storage. There is another refrigerator in the garage for additional perishable food items. Laundry detergents are kept locked in the garage and inaccessible to residents. Resident Files: LPA conducted a file review of random resident records to ensure compliance with licensing forms. Staff Files: LPA also conducted a file review of the Administrator's file to ensure records are in compliance. SURROUNDING GROUNDS: The driveway, passageways, and entrance to the home were clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility's backyard has sufficient yard space. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised and a copy of this report providedthe state’s words, verbatim · CDSS document, Sep 3, 2026