Harmony Grove Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit today for a required one-year inspection. Upon arrival, LPA Haddadin explained the purpose of the visit and was greeted and granted entry by Administrator Alex Silva. The facility is a one-story residence featuring four bedrooms and two bathrooms. It maintains an approved fire clearance for six non-ambulatory residents, which includes provisions for one bedridden resident and a hospice waiver for six individuals. At the time of the inspection, six residents were in care. During the tour of the premises, LPA reviewed the storage of medications and confirmed they were properly labeled and maintained in a manner inaccessible to residents. A measurement of the hot water temperature in the bathrooms recorded 118.6 degrees Fahrenheit. All restrooms were equipped with a sufficient supply of soap, toilet paper, and towels. LPA verified that all required department postings are displayed on the facility walls and confirmed the facility remains within its licensed capacity. Food supplies were inspected, revealing a minimum of one week of non-perishable food and two days of perishable food available, with additional storage located in a pantry and a spare refrigerator in the garage. Cleaning solutions, toxic chemicals, and disinfectants were found to be secured under the kitchen sink and remained inaccessible to the clients. The facility maintains a clean supply of linens, and an inspection of the client bedrooms showed sufficient lighting for safety and comfort, with all rooms containing the required components. {***CONTINUE 809C***} Safety equipment was evaluated, and smoke detectors were tested and found to be fully operational. The fire extinguisher was last inspected on November 14, 2025. Fire drills are conducted quarterly, with the most recent drill recorded on January 30, 2026. The exterior of the facility was also inspected; passageways were found to be free of obstructions, and a shaded seating area is provided for resident enjoyment. A review of three resident records and several staff files was completed, confirming that all required documentation is present and current. Based on the observations made during the visit, no deficiencies were cited at this time. An exit interview was conducted, and a copy of this report was provided to Administrator Alex Silva.the state’s words, verbatim · CDSS document, Feb 9, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Samer Haddadin made an announced visit to conduct a Pre-licensing . LPA was greeted and granted entry by Administrator (AD) Alex Silva. The facility is one story a home with 4 bedrooms and two restrooms. The facility has an approved fire clearance of six none-ambulatory residents in which one maybe bedridden and hospice waiver for 6, Facility had no residents in care at the time of visit. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in both restrooms, and testing auditory devices on all exits. The hot water temperature measured between 112.4- and 114.6-degrees Fahrenheit, and all smoke detectors were operational. Restrooms toilets and water faucets were also observed to be operational. Grab bars were secure, and showers were observed to be free of mold/mildew. The fire extinguisher is charged with last inspected date of October 31, 2024. LPA inspected the exterior of the facility, and the facility has no bodies of water (pool) . LPA also observed a shaded seating area for residents’ enjoyment. LPA checked outside emergency exits to be functioning and free of obstacles. LPA inspected the facility food supply and observed the facility retained seven days of non-perishable food on hand and will have two days of perishable items once there are residents in care. Knives and cleaning supplies are secured in a separate cabinet located in the kitchen. LPA observed medication storage and a First Aid Kit with all the required components and medication storage is locked in kitchen cabinet. LPA observed all required department postings by the entrance. LPA confirmed that administrator has a current administrator certificate which expires on October 30th 2nd, 2026. LPA conducted Component III with Administrator. The Administrator was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. An exit interview was conducted, and a copy of the report was provided to Licensee.the state’s words, verbatim · CDSS document, Feb 4, 2025

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Name - Alexandre Silva CEO/Administrator Interview Method: Telephone interview On November 27, 2024, 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 the 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 27, 2024