Rise and Shine Villa Park

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Samer Haddadin made an unannounced visit to the facility to conduct an annual inspection. Upon arrival, LPA was greeted by and granted entry into the facility by Administrator (AD) Alexandra Gavrilas. The facility is a one-story home with five bedrooms and four restrooms. The facility has an approved fire clearance for five ambulatory residents and one non-ambulatory resident. At that time of this visit the facility had six residents 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 that was inaccessible to residents. The hot water temperature was measured in the bathrooms and recorded at 117.6 degrees Fahrenheit. All restrooms were observed to be stocked with an adequate supply of soap, toilet paper, and towels. LPA verified that all required Department postings were displayed and confirmed the facility was operating within its licensed capacity. Food supplies were inspected and found to include a minimum of one week of non-perishable food and two days of perishable food. Additional food storage was observed in the facility pantry and in a spare refrigerator located in the garage. Cleaning solutions, toxic chemicals, and disinfectants were observed secured under the kitchen sink and maintained in a manner that was inaccessible to residents. {***809 CONTINUE***} The facility was observed to maintain an adequate supply of clean linens. Client bedrooms were inspected and observed to have sufficient lighting to support resident safety and comfort, and each room contained the required furnishings and components. Safety equipment was evaluated during the visit. Smoke detectors were tested and found to be operational. The fire extinguisher was last inspected on January 9, 2026. Fire drills are conducted quarterly, with the most recent drill documented on February 1, 2026. The exterior of the facility was also inspected, and all passageways were observed to be free of obstructions. A shaded seating area was observed and is available for resident use. LPA reviewed two resident records and staff files and confirmed required documentation was present and current. Based on observations made during the annual inspection, no deficiencies were cited at this time. An exit interview was conducted, and a copy of this report was provided to Administrator Alexandra Gavrilas.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 the facility today to conduct a Prelicensing visit. LPA was greeted and granted entry by Administrator (AD) Alexandra Gavrilas. The facility is a one-story home with 5 bedrooms and four restrooms The facility has an approved fire clearance of five ambulatory residents and one none ambulatory; 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 all four restrooms, and testing audio devices on all exits. The hot water temperature measured between 118.8- and 119.6-degrees Fahrenheit, and all smoke detectors were operational. The fire extinguisher is charged with a proof of purchase of September 23nd, 2024. LPA inspected the exterior of the facility; no bodies of water observed. Facility has enough outside space for activity. LPA Checked emergency exits and all were cleared 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 the PUB 475 is posted in the required 20" X 26" size. Visiting hours were posted. LPA confirmed that administrator has a current administrator certificate which expires on January 16th, 2027. LPA conducted Component III with Administrator. LPA observed medication storage and a First Aid Kit with all the required components and medication storage is locked. LPA observed all required department posting hung by the entrance... 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 24, 2025

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Alexandra Gavrilas (Managing Member/Administrator) Interview Method: Virtual interview via Microsoft Teams On February 05, 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, Feb 5, 2025