A Place for Seniors

Type of visit: Case Management - Other

On 04/07/2026 at 9:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Case Management visit to verify status of Licensee's property and business ownership. Upon entry, the LPA stated the purpose of the visit to Caregiver Alisha Pina. During the visit, the LPA conducted phone interviews of Licensee Kamilla Distefano, Staff S1, and Staff S2. The phone interviews were conducted separately and in short succession. Each of the three interviewees made similar statements that the Licensee does not have a lease agreement nor sold controlling interest of A Place for Seniors, LLC to S2. No citations issued during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 7, 2026

Type of visit: Required - 1 Year

On 2/19/2026 at 1:00 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required Annual Inspection. Upon entry, the LPA stated the purpose of the visit to Nurse Latesha Sanders. The LPA toured the facility, including but not limited to, residents’ rooms, bathrooms, kitchen, common areas, and the yard. The LPA observed adequate lighting for the comfort and safety of residents in all rooms. Inside and outside areas are free of obstruction and no bodies of water. The temperature in the kitchen was measured at 69.3 degrees Fahrenheit. The maximum hot water temperature was measured at 126.6 degrees Fahrenheit in the kitchen, above the Title 22 105 to 120 degree. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. There is more than the minimum of a one week supply of nonperishable foods and 2 days of perishable foods. The LPA observed the required postings in the facility. Smoke detectors and carbon monoxide detectors were tested and found to be in operating condition. The fire extinguisher was fully charged and last serviced on 11/4/2025. The Emergency Disaster Plan was reviewed within the past year; the most recent review was on 2/19/2026. Emergency, disaster, and fire drills were conducted on a monthly basis; the most recent was 2/1/2026. First aid kit was observed to be complete. Liability insurance expires on 5/9/27/2026. Continued on LIC 809-C . . . . . . Continued from LIC 809 The LPA reviewed 4 resident records and 5 staff records. 1 A Type citation and 1 Technical Violation were issued during the inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 19, 2026

Type of visit: Required - 1 Year

On February 26, 2025 at 08:00 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct an annual required inspection. The LPA informed Caregiver Rosa Alvarado of the purpose of the visit. Administrator Tedra Richardson arrived at approximately 9:00 AM. The LPA inspected the inside and outside of the facility. The inspection included the kitchen, dining area, living room, bedrooms, bathrooms, garage, and yard. An adequate amount of food supplies were observed, more than the required minimum of 2 days perishable and 7 days non-perishable food. The central storage for medications was locked. The cleaning supplies and dangerous objects were stored in locked cabinets. Facility has working smoke and carbon monoxide detectors. Facility conducts disaster/emergency and fire drills on a quarterly basis; records showed that the most recent drill was conducted on February 1, 2025. The fire extinguisher was fully charged and last serviced on November 26, 2024. The indoor temperature was 69.7 degrees Fahrenheit and the maximum hot water temperature was 114.2 degrees Fahrenheit, in the acceptable range. The LPA reviewed 5 resident and 5 staff records. Citations for 1 A-Type and 1 B-Type deficiencies were issued (for details refer to LIC 809-D). Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Feb 26, 2025

Type of visit: Required - 1 Year

On 02/21/2024 at 9:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct a required annual inspection. LPA explained the purpose of the visit to Caregiver Brianna Sapp. LPA toured the interior and exterior of the facility. LPA inspected the kitchen, dining area, restrooms, community living spaces, bathrooms, resident rooms, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. Temperature in the dining room was measured at 79.0 degrees Fahrenheit at 1:04 PM. Fire extinguisher was fully charged and last serviced on 8/7/2023. Carbon monoxide and smoke detectors were fully operational. The LPA observed postings in the facility that included a complaint poster, Ombudsman and Personal Rights posters, Theft and Loss Policy, Rights to Resident Council, and Rights to Family Council, which were posted in a prominent location. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPA reviewed facility records, the records of 5 staff members, and the records of 5 residents. The LPA interviewed 2 staff members and 2 residents. 2 A-Type citations issued during inspection. Administrator to send updated copies of these documents to CCL on or before 02/29/2024: LIC500 - Personnel Report LIC308 - Designation of Financial Responsibility LIC610D - Emergency/Disaster Plan Evidence of sufficient Liability Insurance Exit interview conducted with Licensee. A copy of this report provided to the Licensee via email.the state’s words, verbatim · CDSS document, Feb 21, 2024

Allegation investigated: Staff did not ensure that facility had a proper lock on the front door of the facility.

On 12/12/2023 at 03:05 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the initial 10-day complaint inspection of the facility pertaining to the allegation above. Upon arrival, LPA stated the purpose of the visit to Caregiver Brianna Sapp and Caregiver Monique Alcindor, then stated it again to Licensee/Administrator Kamilla DiStefano over the phone at approximately 3:15 PM. The complainant alleged that staff did not ensure that facility had a proper lock on the front door of the facility. Shortly after entering the facility, the LPA confirmed that two locks were on the front door. One was the standard lock, which was safe. The other lock was a "butterfly" type of lock that caregivers commonly use to stop residents from exiting and therefore not safe. The preponderance of the evidence standard has been met, and the allegation is SUBSTANTIATED. One (1) Type-B citation was issued (refer to LIC9099-D for details). Exit interview conducted and a copy of this report provided for Administrator/Licensee via email. Substantiatedthe state’s words, verbatim · CDSS document, Dec 12, 2023 · control 15-AS-20231211090200

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)(6) · Plan of correction due date: Dec 19, 2023

87468.1 Personal Rights of Residents in all Facilities (a) Residents ... have all of the following personal rights: (6) ... to not be locked into any ... facility ... This requirement was not met as evidenced by: Based on observation, the Licensee had an improper lock on the front door, which posed a potential health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Dec 12, 2023

Plan of correction: Lock removed from door during inspection.

Type of visit: Case Management - Licensee Initiated

On 10/06/2023 at 09:00 AM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced for a Case Management visit concerning the request by Licensee to increase the capacity from 6 to 7 residents. LPA stated the purpose of the visit to Caregiver Michelle Boyer upon entering the facility. Licensee Kamilla DiStefano arrived at approximately 10:30 AM. LPA reviewed the floor plan facility sketch during his tour of the facility inside and outside. The sketch is inaccurate and it will need to be rewritten and pass re-inspection by LPA before submission to the Fire Marshall to complete a new Fire Safety Inspection. 3 Type-B citations issued during inspection (refer to LIC809-D for details). Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. Appeal Rights and a copy of this report provided via email.the state’s words, verbatim · CDSS document, Oct 6, 2023

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87705(h) · Plan of correction due date: Oct 13, 2023

87705 CARE OF PERSONS WITH DEMENTIA (h) Outdoor facility space used for resident recreation and leisure shall be completely enclosed by a fence with self-closing latches and gates, or walls, to protect the safety of residents. This requirement is not met as evidenced by: Based on observation, the side gate latch and self-closing hinge are not working, which poses a potential threat to the health, safety, and personal rights of the residents.the state’s words, verbatim · CDSS document, Oct 6, 2023

Plan of correction: On or before due date, Licensee shall send LPA photo proof and statement attesting to the fully operating gate.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(d)(6) · Plan of correction due date: Oct 13, 2023

87307(d)(6) Personal Accommodations and Services (6) All outdoor and indoor passageways and stairways shall be kept free of obstruction. This requirement is not met as evidenced by: Based on observation, the sliding glass door to the deck was blocked by furniture, which posed a potential threat to the health, safety, and personal rights of the residents.the state’s words, verbatim · CDSS document, Oct 6, 2023

Plan of correction: Licensee corrected citation during inspection.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(d)(2) · Plan of correction due date: Oct 13, 2023

87307(d)(2) Personal Accommodations and Services (2) The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement is not met as evidenced by: Based on observation, the doors in bathroom next to bedroom #6 are not operating correctly, which pose a potential threat to the health, safety, and personal rights of the residents.the state’s words, verbatim · CDSS document, Oct 6, 2023

Plan of correction: On or before the due date, the Licensee shall send photo proof and attest to the LPA of the full functioning of the door handles in that bathroom.