Serene Suites

Type of visit: Required - 1 Year

On 12/04/2025 at 10:45 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Bradley Sanow and Licensee, Jonathan Gutierrez and explained the purpose of the visit. The facility’s fire clearance was approved for six (6) residents in which all may be non-ambulatory. Administrator Certificate ##7031683740 expires 10/22/2027. LPA toured facility with Bradley and Jonathan including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (6) total bedrooms which six (6) bedrooms are occupied by the residents. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 08/25/2025. Emergency Disaster Plan was last posted on. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/01/2025. LIC809-C Continued... LIC809-C (Page 2) LPA reviewed six (6) residents records. LPA reviewed four (4) staff records and 0 of 4 have current first aid training and all staff are associated to the facility. LPA reviewed a sample of two (2) resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/11/2025: LIC 308 Designation of Administrative Responsibility - Reviewed LIC 309 Administrative Organization - Reviewed LIC 500 Personnel Report LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance - Reviewed Current Administrator’s Certificate - Reviewed No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 4, 2025

The state marks this report as 17 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 12/26/2024 at 9:15 AM, Licensing Program Analyst (LPA) Ardalan Gharachorloo arrived unannounced to conduct 1-Year Annual Required inspection. At 10:25 AM, LPA met with Administrator,Bradley Sanow and explained the purpose of the visit. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 08/21/2024. Emergency Disaster Plan was last posted on 12/01/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/02/2024. At 11:40 AM, LPA reviewed 4 residents records and 6 staff records; all were complete. At 12:05 PM, LPA also reviewed a sample of resident’s medications. LPA requested and reviewed the following documents during the visit: LIC 308 Designation of Administrative Responsibility, LIC 500 Personnel Report, LIC 610E Emergency Disaster Plan, Liability Insurance,and Current Administrator’s Certificate. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 26, 2024

Type of visit: Prelicensing

On this day 12/14/2023 at 10:45 AM, Licensing Program Analyst (LPA) Lori Alexander arrived announced to conduct a Prelicensing Inspection. LPA met with Licensee, Jonathan Gutierrez and Administrator, Bradley Sanow and explained the purpose of the visit. The facility currently has no residents. LPA toured facility with Jonathan and Bradley including but not limited to 6 bedrooms, 2 bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 66 degrees F and hot water temperature was maintained at 105 degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational and hardwired linked to all the alarms. Fire extinguisher was last serviced on 08/17/2023. Starting at 12:00 PM, Component III was presented and completed to both Licensee and Administrator. No issues noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 14, 2023