Alvin's Homecare LLC

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ivashia Wright conducted an unannounced annual required visit. Upon entry, LPA was greeted by Ailyn Mireles, Administrator, and informed them of the purpose of the visit. At the time of the visit, there were three (3) staff members and six (6) residents present. Facility Overview: The facility is a single story home with five (5) resident bedrooms, two (2) resident bathrooms, a kitchen, living/family room and garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked inside the garage and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was measured at 113.7F, meeting the department requirements. LPA observed fire extinguishers to be in compliance with the department's requirements and with an expiration date of 8/27/2026. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods. Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate and CPR certification which expires 4/8/2028. Record Review and Resident/Staff Files: LPA reviewed files for three (3) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Three (3) resident files were reviewed and contained all required documentation. LPA observed first aid kit to be stored in a locked cabinet inaccessible to residents. Health-Related Services/Incidental Medical Services: All resident medications were securely locked in hallway closet. LPA reviewed medications for 6 (six) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last fire/earthquake drill conducted on 7/1/2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed and provided to the Administrator Ailyn Mireles.the state’s words, verbatim · CDSS document, Aug 13, 2026

Type of visit: Prelicensing

On 7/15/2025, Licensing Program Analyst (LPA) Janette Romero conducted an announced visit to the pending facility to conduct a pre-licensing inspection for a change of ownership. LPA met with Administrators Daniel Mireles and Ailyn Joy Bulaoro who were informed of the purpose of the visit. On 5/12/2025, a fire clearance was granted for one (1) bedridden, two (2) ambulatory, three (3) non-ambulatory elderly residents. During today's visit, LPA observed five (5) residents and two (2) care staff present. LPA was informed four (4) residents are currently receiving hospice services at the facility. LPA toured the facility with the administrators. The facility is made up of a one-story home with five (5) resident bedrooms, two (2) resident bathrooms, a kitchen, living/family room and garage. No bodies of water were observed on the premises. Indoor and outdoor passageways are free of obstruction. An outdoor shaded seating area is available for the residents. LPA observed a charged fire extinguisher in the kitchen. Administrator Mireles tested one (1) of the smoke alarms/carbon monoxide detectors and LPA heard them to be operational. The facility also has a working telephone and staff present have a criminal record clearance. LPA observed locked areas for facility files, cleaning solutions, and knives. Resident bedrooms had the required bedding, furniture, closet storage, and lightin. Bathrooms had grab bars and non skid mats in the showers. Additional linens are available in a hallway closet. LPA toured the kitchen and observed facility had a two-day supply of perishable foods and seven-day supply of nonperishable food items. Medications are centrally stored in a hallway closet secured with a master lock. Living/family room has a working television and adequate seating in common areas. The facility has a central heating and air conditioning system installed with a central panel located in the hallway to control entire house. Emergency phone numbers/disaster plan, residents' personal rights, facility sketch, and complaint procedures were posted near the kitchen/dining room. The pending facility's certificate of liability insurance expires on 11/7/2025 and administrators have a valid administrator's certificate. During today’s visit, LPA did not observe any issues or concerns. Departmental records note Administrators Mireles and Bulaoro completed the COMP III requirement on 7/8/2025. Final approval of licensure will be granted by the Centralized Application Bureau analyst. An exit interview was conducted and a copy of this report was reviewed and provided to the administrators.the state’s words, verbatim · CDSS document, Jul 15, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 6 Interview Method: Telephone interview On 5/21/2025, 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, May 21, 2025