Illustration — no photo of this home on file yet
Blessed Homecare
Small home·Licensed for 6·Thousand Oaks, California
- Care approvals on fileWheelchair · Hospice · BedriddenState licensing record · September 27, 2026
- Estimated starting rate$5,500 a monthCovelight estimate · likely $4,500–$6,750
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Room at the last state visit4 of 6 beds occupiedMay 15, 2024 · not a current opening
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitJuly 20, 2026CDSS inspection record
Blessed Homecare is a small care home in Thousand Oaks — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2021. Dementia care is not on file.
Built from CDSS public records · September 27, 2026. Every fact below names its source and date.
Quick answers and the state record
A citation does not make a home unsafe, and an empty file does not make a home good.
Quick answers about Blessed Homecare
Is Blessed Homecare licensed?
The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
How many residents is Blessed Homecare licensed for?
6 residents — a small home, per CDSS records as of September 27, 2026.
Has Blessed Homecare been cited?
0 Type A and 5 Type B citations since 2021, per CDSS records as of September 27, 2026. Those records count 7 state visits over the same years.
Is Blessed Homecare still open?
This license was on the CDSS roster as of September 28, 2026.
What does Blessed Homecare cost?
$5,500 a month to start is a Covelight estimate, likely $4,500–$6,750. This home’s own rate is not on file. Ask: “What is the all-in monthly rate, and what would push it higher?”
Covelight’s estimate starts from the rates 12 small homes within 15 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Among 17 other homes of a similar licensed size across Ventura County that publish a starting rate, the middle half runs $3,500 to $6,202 a month, and the middle figure is $5,000 (n = 17 other homes publishing a starting rate).
Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.
A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.
The price is made in the phone call. Nothing here is a quote, an offer or a discount.
A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.
Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.
Does Blessed Homecare take Medi-Cal?
On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
Who holds the license?
The license is held by Blessed Homecare Consulting & Staffing Inc., per CDSS records as of September 27, 2026.
Is there a hospital nearby?
Los Robles Hospital & Medical Center is 0.8 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Blessed Homecare keep a resident on hospice?
Hospice care is approved on this license, covering up to 6 residents, per CDSS records as of September 27, 2026.
Blessed Homecare license and inspection record
- Name on the license: “BLESSED HOMECARE, INC.”, per the CDSS roster as of May 25, 2025.
- License #565850160. The state lists this license as “Licensed,” per CDSS records as of September 27, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of September 27, 2026.
- Licensed to Blessed Homecare Consulting & Staffing Inc., per CDSS records as of September 27, 2026.
- First licensed in 2021, per CDSS records as of September 27, 2026.
- 7 state inspection visits since 2021, per CDSS records as of September 27, 2026.
- 0 Type A and 5 Type B citations on file since 2021, per CDSS records as of September 27, 2026. The same records count 7 state visits in that period.
- 2 complaints and 6 substantiated allegations on file since 2021, per CDSS records as of September 27, 2026. One complaint can carry several allegations.
- The most recent state visit on file is July 20, 2026, per CDSS records as of September 27, 2026.
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
Can they support the care needed?
California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.
- Wheelchair / non-ambulatoryApproved · covers up to 6 residents
- Dementia / memory careNot on file · ask the home
- Hospice careApproved · covers up to 6 residents
- BedriddenApproved · covers up to 1 resident
State licensing record · September 27, 2026. An approval may cover specific rooms or residents; it does not establish an opening.
Read the state’s own wording
AGE RANGE 60 AND OVER. APPROVED FOR 6 NON-AMBULATORY, OF WHICH 1 MAY BE BEDRIDDEN. HOSPICE CARE WAIVER FOR 6 RESIDENTS.
935 - ELDERLY
CDSS record, verbatim · September 27, 2026
As needs change
- Medicines
Level of medication service: reminders only
Ask: “Who manages the medicines, and what happens when a dose is missed?”
caring.com · 2026-09-09
- Staying through hospice
Hospice waiver on file · covers up to 6 — care may continue at the end of life
Ask: “If hospice is needed, can care continue here until the end?”
State licensing record · September 27, 2026
3 more questions to ask the home
- Two-person transfers or a lift
Not on file
Ask: “If two people or a lift are needed to transfer, can the person stay?”
- Someone awake overnight
Not on file
Ask: “Who is awake overnight, and how do residents ask for help?”
- If memory loss develops
Dementia-care designation not on file
Ask: “If memory loss develops, what would change — and when would a move be needed?”
Care & day-to-day support
These are the home’s own statements about its day-to-day practice — they are not part of the state licensing record, and the state has not approved or reviewed them.
Works with hospice
Reported on caring.com · seen September 9, 2026.
Level of medication serviceReminders only
Reported on caring.com · seen September 9, 2026.
Pharmacy services on site
Reported on caring.com · seen September 9, 2026.
What it costs here
Covelight estimate
$5,500a month to start
Likely $4,500–$6,750
From 12 nearby homes that publish rates · this home’s rate is not on file
Likely monthly total
$5,500a month
Likely $4,500–$6,900
With a shared room and basic help.
An estimate for planning, not a quote. The price is made in the phone call.
See the full cost breakdownRoom, care and fees · how people pay · how this estimate works
Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.
Starting monthly rate$5,500likely $4,500–$6,750
Covelight’s estimate starts from the rates 12 small homes within 15 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$500this home · one time
The home lists this one-time fee on Caring.com, seen September 9, 2026.
- Likely monthly totalLikely $4,500–$6,900
- $5,500
- First monthWith a one-time move-in fee · likely $5,000–$7,400
- $6,000
Costs & moving in
Payment methodsCheck
Reported on caring.com · seen September 9, 2026.
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
- Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
- Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
- SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
- VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
- Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
- MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
Avoid surprises on the billWhat changes the price, and what to ask
- The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
- What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
- Move-in costs
A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
- Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.
- What is the full monthly cost for the room and care we need, and what does it include?
- What would the next care level cost, and who decides when it changes?
- What is billed separately, and is there a one-time fee or deposit at move-in?
- Is any private-pay period required before another payment program can begin?
How this estimate worksWithin 25% for 7 in 10 homes in testing
Covelight’s estimate starts from the rates 12 small homes within 15 miles publish, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices. In testing, the likely range held the real rate for 6 in 10 homes. This home’s own rate is not on file.
12 homes like this within 15 miles publish starting rates mostly between $4,100–$6,500.
- Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
- Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
- Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
- Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
- We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
- It cannot see this home’s specials, how it assesses care, or which rooms are open.
Show the 12 nearby homes behind this estimate
- Colony of Thousand Oaks at VenusThousand Oaks · 0.9 mi · Small home$6,500Listed on Seniorly · assisted living private room · seen September 9, 2026
- Enduring Oaks Assisted LivingMoorpark · 4.4 mi · Small home$3,500Listed on A Place for Mom · seen September 9, 2026
- Heartland Senior Living at SunnydaleSimi Valley · 6.7 mi · Small home$4,500Listed on A Place for Mom · seen September 9, 2026
- A Nurturing TouchOak Park · 6.9 mi · Small home$5,500Listed on A Place for Mom · seen September 9, 2026
- Via EsmeraldaCamarillo · 9.0 mi · Small home$6,500Listed on A Place for Mom · seen September 9, 2026
- Brookhaven AlCamarillo · 9.4 mi · Small home$6,000Listed on Seniorly · seen September 9, 2026
- Ocean Breeze at BeechwoodCamarillo · 11 mi · Small home$5,700Listed on Seniorly · seen September 9, 2026
- Chateau Le Petite IIIWoodland Hills · 12 mi · Small home$6,000Listed on Seniorly · seen September 9, 2026
- My Home of AgingWoodland Hills · 13 mi · Small home$5,500Listed on Seniorly · seen September 9, 2026
- 4Th Generation Senior LivingWest Hills · 14 mi · Small home$4,500Listed on Seniorly · memory care shared bedroom · seen September 9, 2026. We don’t have this home’s dementia-care disclosure. California requires a home that advertises dementia care to describe that care in writing when you ask.
- Elite Retirement ResidenceWest Hills · 14 mi · Small home$5,500Listed on Seniorly · seen September 9, 2026
- Wholesome Life Senior LivingCanoga Park · 15 mi · Small home$5,000Listed on Seniorly · assisted living private room · seen September 9, 2026
Where it is
- 1908 Burleson Ave, Thousand Oaks, CA 91360Address from the public record · September 27, 2026. Confirm the entrance with the home before visiting.
Opening the neighborhood map…
The state record
California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.
Since 2021, the state has filed 8 documents for this home, and its records count 7 visits since 2021. The most recent is a facility evaluation report, dated July 20, 2026.
- On file since
- 2021
- State visits
- 7
- Most recent visit
- July 20, 2026
- Occupied · May 15, 2024 visit
- 4 of 6 bedsa count on that day, not an opening
We hold 2 complaint reports the state published for this home, dated November 12, 2021 to May 15, 2024. 2 of the 2 carry the state's recorded outcome word: “Substantiated” (2). 2 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 2 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
Beside homes the same size
- Type A citations0typical 0
- Type B citations5typical 0
- Substantiated allegations6typical 0
- Total complaints2typical 0
“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2021.
Year by year
The last 36 months — 4 of 8 documents
Jul 20, 2026Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator / Licensee Representative, Marebeth Mallare arrived shortly after and the reason for the visit was explained. Entrance interview. The LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a single-story home located in a residential neighborhood. COMMON AREAS: This includes the family room, living room, open office and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 1:22 p.m., hardwire combination of smoke / carbon monoxide detectors were tested and operational at the time of the visit. The fire extinguishers (x3) were observed and fully charged on 05/15/2026. The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted in the common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 07/02/2026 and are conducted quarterly. Activities were observed in the common areas. The fireplace in the living room was adequately screened. There is a functioning telephone on the premises. Auditory alarms at the entrances and exits were observed and functional at the time of the visit. LPA observed surveillance cameras installed in the common areas of the facility. The Administrator presented the live monitoring screen to the LPA, confirming that all cameras were functioning properly and that none of them were equipped with audio capability. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... INTERVIEWS: Starting at 10:11 a.m. and throughout the visit one (1) staff and two (2) resident interviews were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit. BEDROOMS: There are six (6) total bedrooms in the facility; four (4) bedrooms are designated as resident rooms; two (2) private , and two (2) shared and two (2) staff rooms. The staff rooms are kept locked at all times and observed to be occupied by staff. Two (2) out of four (4) resident rooms have exits to the exterior. All passageways were observed to be clear of obstructions. All rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen, which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. Each bedrooms have its own supply of linens stored in the closet. RESTROOMS: There are four (4) total restrooms. One (1) is designated as a shared / common resident restroom, One (1) is designated as a private resident restroom, One (1) is designated as guest restroom, and one (1) is designated as a staff restroom. Resident restrooms were observed to be equipped with a slip resistant surface / mat. Grab bars were observed in the restrooms. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in all resident restrooms and ranged between 115.5 - 116.1 degrees Fahrenheit, all within the required range. LPA observed storage space closets in the hallway containing extra clean linens and towels for resident use. KITCHEN: The LPA inspected the kitchen/food service area. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 116.3 degrees Fahrenheit. Cleaning supplies and other chemicals are kept in the laundry room locked and inaccessible to residents in care. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... LAUNDRY ROOM: LPA observed the locked laundry room adjacent to the kitchen. Laundry room has a washer and dryer and locked cleaning supplies directly above in locked storage cabinets. BACKYARD: The entire property is fenced. The backyard has an umbrella for shade with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There were no bodies of water noted at the time of the visit. There is a locked storage shed in the back yard inaccessible to residents. Only one (1) pathway is used as an emergency exit which was free of obstructions at the time of the visit. LPA observed a pile of supplies including but not limited to wheel chairs, walkers, and wood that were off the the left corner of the house. Administrator stated they have a scheduled pick up at the end of the month 07/31/2026. Technical advisory given. GARAGE: LPA observed the detached facility garage, which was locked and contained supplies such as incontinent supplies, extra furniture, and person protection equipment (PPE). RECORDS: Resident Records were reviewed beginning at 11:30 a.m. Four (4) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, Home Health records, Hospice records, PRN authorization letters, and current needs and services plan. During the review LPA discovered that Resident #1 (R1) was admitted to the facility on 09/01/2025 with a Prohibited Health Condition (PHC) of a G-tube which poses an immediate health, safety or personal rights risk to persons in care. R1 does not have an exemption on file. Additionally R1 currently has multiple Deep Tissue Injuries (DTI) which is also PHC. Administrator informed LPA that R1 recently returned from Skilled Nursing Facility (SNF) on 06/09/26 with the DTI after being in the hospital for about four (4) months. Administrator stated that R1 has a scheduled surgery on 07/22/2026 where they will recover at a SNF and during that time will submit the required documents to CCL. LPA discussed with Administrator what was required to submit an exemption and at the time of the visit emailed a list of the required items. Personnel Records Four (4) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. At the time of the visit LPA conducted a business search to ensure the Business / LLC is in good standing. Report Continued on LIC 809-C PAGE 4... (PAGE 4) Report Continued from LIC 809-C PAGE 3... INFECTION CONTROL/ EMERGENCY DISASTER PLANNING: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. Both documents were observed to be complete and updated annually (06/01/2026) as required. The facilities policies and procedures, as they pertain to infection control and emergency planning meet the regulatory standard. MEDICATIONS: Medication review began at approximately 3:10 p.m. Medications are centrally stored and locked in a cabinet in the dining room adjacent to the kitchen. Medications for two (2) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were properly documented on the centrally stored medications and destruction record, stored, locked and inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed. No errors observed during review. LPA observed the first aid supplies to be complete, including sterile first aid dressings, bandages, tweezer, a thermometer and a current version of a first aid manual. DOCUMENTS: Documents obtained during the visit include: LIC 500 facility roster, and LIC 9020A Resident roster. The Administrator informed LPA that they currently do not have liability insurance and have submitted all the required documentation and plan to be insured by August 2026 but will keep LPA updated. At the time if the visit the LPA reviewed the facilities contact information on file including phone numbers, email and annual fees. Administrator confirmed that all information is accurate. LPA informed Administrator that annual fees are due. Administrator stated they plan to pay their fees this week. At the time of the visit LPA emailed the Administrator their PIN along with instructions on how to pay fees online. Additionally LPA discussed reporting requirements with Administrator and informed them of the regulation. Technical advisory. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. The Licensee was made aware that failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 20, 2026
Jul 15, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator / Licensee Representative, Marebeth Mallare arrived shortly after and the reason for the visit was explained. Entrance interview. The LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. COMMON AREAS: This includes the family room, TV room, and dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 1:41 p.m., hardwire combination of smoke / carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 01/15/2025. The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted in common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 06/18/2025 and are conducted quarterly. Activities were observed in the common areas. The fireplace in the living room was adequately screened. There is a functioning telephone on the premises. Adjacent to the dining room is an open office where locked files are located. LPA observed surveillance cameras installed in the common areas of the facility. The Administrator presented the live monitoring screen to the LPA, confirming that all cameras were functioning properly and that none of them were equipped with audio capability. Report Continued on LIC 809-C PAGE 2... (PAGE 2) Report Continued from LIC 809-C... INTERVIEWS: Starting at 10:28 a.m. one (1) staff and two (2) resident interviews were conducted. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interview revealed that no concerns were noted or voiced at the time of the visit. BEDROOMS: There are six (6) total bedrooms in the facility; four (4) bedrooms are designated as private, single occupancy, resident rooms and two (2) staff rooms. The staff rooms are kept locked at all times and observed to be occupied by staff. Two (2) out of four (4) resident rooms have exits to the exterior. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. BATHROOMS: There are four (4) total restrooms. One (1) is designated as a shared / common resident restroom, One (1) is designated as a private resident restroom, One (1) is designated as guest bathroom, and one (1) is designated as a staff restroom. Resident restrooms were observed to be equipped with a slip resistant surface / mat. Grab bars were observed in the bathrooms. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured all resident bathrooms and ranged between 105.6-116.1 degrees Fahrenheit, all within the required range. LPA observed storage space closets in hallway containing clean linens for resident use. KITCHEN: The LPA inspected the kitchen/food service area at 10:44 a.m. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 118.6 degrees Fahrenheit at 10:45 a.m. Cleaning supplies and other chemicals are kept in the laundry room locked and inaccessible to residents in care. LAUNDRY ROOM: LPA observed the locked laundry room adjacent to the kitchen. Laundry room has a washer and dryer and locked cleaning supplies. Staff rooms and staff bathroom are accessed through the laundry room. BACKYARD: The entire property is fenced. The backyard has a covered patio area with shade, patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There were no bodies of water noted at the time of the visit. There is a locked storage shed in the back yard inaccessible to residents. Only 1 (one) pathway is used as an emergency exit which was free of obstructions at the time of the visit. Report Continued on LIC 809-C PAGE 3... (PAGE 3) Report Continued from LIC 809-C PAGE 2... RECORDS: Record review began at approx. 11:10 a.m. Resident Records were reviewed beginning at 11:11 a.m. and Personnel Records at 12:11 p.m. Three (3) Resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All records were in order. Four (4) Personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. At 12:15 p.m. record review revealed that Staff #1 (S1) who was listed on the staff roster -LIC 500 provided to the LPA during the visit was not associated to the facility and they were not listed on the Licensing Information System (LIS) report. LPA checked Guardian and did not observe S1 associated to the facility which poses/ posed an immediate health, safety or personal rights risk to persons in care. An immediate $500.00 civil penalty was assessed. At the time of the visit Administrator submitted documentation to CCL and the staff was associated to the facility. Infection Control / Emergency disaster planning: During today’s visit the LPA reviewed the facility’s infection control practices and the facilities emergency disaster plan. The facilities policies and procedures as it pertains to infection control and emergency planning are satisfactory. MEDICATIONS: Medications review began at approximately 4:05 p.m. Medications are centrally stored and locked in a cabinet in the dining room adjacent to the kitchen. Medications for two (2) residents were reviewed. Medications are labeled and checked for expiration dates. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications reviewed were found to be self-administered as prescribed and documented on the centrally stored medication and destruction records. No errors observed during review. Documents obtained during the visit include: LIC 500 facility roster and LIC 9020A Resident roster. The facility was unable to produce a copy of their liability insurance which is in violation of HSC 1569.605. Pursuant to Title 22, CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Civil penalty was issued in the amount of $500. Administrator was informed that failure to correct deficiencies may result in additional civil penalties. Exit interview conducted, report issued, and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 15, 2025
Jul 30, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 9:43AM. LPA met with Caregiver Lourdes Claro and Licensee/Administrator Marebeth Mallare who arrived at 10:05AM. Entrance interview conducted. Beginning at 9:44AM, the LPA, along with the Caregiver and Licensee/Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: Fire extinguishers are fully charged and were last serviced 01/14/2024. Hardwired smoke and carbon monoxide detectors were tested at 11:02AM and all were functional at the time of the visit. LPA observed exit alarms by all doors which were functional and operating. KITCHEN: LPA inspected the kitchen at 9:44AM. Knives and sharps are stored in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of 2 (two) days perishable and 7 (seven) days non-perishable food and an emergency water supply. Food was stored at appropriate temperatures. BEDROOMS: The facility consists of 6 (six) total bedrooms, 4 (four) are designated for resident use and 2 (two) are designated for staff use. Staff bedrooms were observed and were occupied by staff. 2 (two) out of 4 (four) resident rooms have exits to the exterior. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Report Continued on LIC 809-C LAUNDRY ROOM: LPA observed the locked laundry room adjacent to the kitchen. Laundry room has a washer and dryer and locked cleaning supplies. Staff rooms and staff bathroom are accessed through the laundry room. BATHROOMS: There are 4 (four) total bathrooms, of which 1 (one) is attached to resident room and 1 (one) is for staff use. Restrooms were observed to contain nonskid mats and grab bars by the showers and toilets. Water temperatures in all 3 (three) resident bathrooms were measured between 105.7 and 116.7 degrees Fahrenheit, which is within the required range. LPA observed storage space closets in hallway containing clean linens for resident use. COMMON AREAS: This includes the family room, TV room, and dining room. LPA observed common areas to be clean and properly furnished at the time of the visit. Facility is maintained at a comfortable temperature of 73 degrees Fahrenheit. LPA observed surveillance cameras in the common areas, however, they were not operating at the time of the visit. OUTDOOR SPACE: The backyard has a covered patio area with furniture including a table and chairs. There were no bodies of water on the premises. LPA observed a locked shed containing miscellaneous supplies. At 10:25AM, LPA observed the 2 (two) side exit doors outside to self-latch but failed to self-close. Only 1 (one) pathway is used as an emergency exit which was free of obstruction. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency disaster drills are conducted quarterly as is required, with the last drill conducted on 06/01/2024. Report Continued on LIC 809-C RECORD REVIEW: LPA began record review at 10:31AM. LPA reviewed 5 (five) out of 5 (five) resident files and 4 (four) staff files for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. Resident files were complete and had no missing documents. At 10:08AM, LPA observed Staff #1 (S1) assisting Resident #1 (R1) with undergarments with the door open, failing to afford R1 privacy. LPA observed S1’s facility file to not contain trainings on residents’ rights. LPA and administrator discussed the importance of residents’ rights. At 12:10PM, LPA observed 1 (one) staff file to be missing 40 hours initial training records. LPA and administrator discussed training requirements. LPA explained how many hours per training topic is required and provided administrator with resources for initial and continuing trainings. MEDICATION REVIEW: Medications are centrally stored and locked in a cabinet in the dining room. LPA began medication review at 01:10PM and medications for 2 (two) residents were observed. 1 (one) out of 2 (two) resident medications observed were labeled and stored properly. At 1:20PM, LPA observed 4 (four) medications not logged properly on the centrally stored medication and destruction record. INTERVIEWS: During today's visit, LPAs interviewed 1 (one) staff and 2 (two) residents. During today's visit, LPA obtained a copy of the facility's liability insurance. The facility’s insurance expired 1 (one) day ago on 07/29, however, administrator has already submitted a renewal. Pursuant to Title 22, CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Civil penalty was issued in the amount of $500. Administrator was informed that failure to correct deficiencies may result in additional civil penalties. Exit interview conducted, report issued, and appeal rights provided.the state’s words, verbatim · CDSS document, Jul 30, 2024
May 15, 2024Complaint investigation reportSubstantiated
Allegation investigated: Staff is unable to communicate effectively Staff is not providing adequate care and supervision Staff did not afford a resident privacy Staff are not properly trained Staff do not properly maintain a resident's room
Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to the facility. The purpose of the visit is to deliver investigation finding. Upon arrival LPA met with staff. Administrator was contacted. LPA met with Administrator and explained the reason for the visit. Entrance interview conducted. On 04/30/2024, Community Care Licensing Division received the above complaint allegations. Investigation into the allegations consist of physical plant tour, interview with staff, and residents on 4/30/2024. In addition staff were interviewed and staff training records were reviewed on 04/30/2024 and 05/15/2024. Following is a summary of the allegations and investigation finding: Allegation) Staff is unable to communicate effectively – It was reported that staff #1 who lives and works at the facility is unable to communicate effectively with resident and in an emergency situation would not be able to effectively communicate with emergency personnel. (Continue to LIC9099c). Substantiated On 05/01/2024, LPA interviewed four (4) residents and one (1) staff. Four out of four resident interviewed agreed that it is challenging communicating with staff #1 since he cannot hear. Administrator acknowledged understanding and reported that moving forward she will ensure that staff #1 is on duty with another staff. Regarding allegation - Staff is not providing adequate care and supervision - It was reported that since staff #1 is unable to communicate effectively with the residents in care and the only staff on duty at the time, adequate care and supervision is not provided to the residents. Four out four residents interviewed including a credible witness revealed that when staff #1 is the only staff on duty adequate care and supervision is not afford to the residents especially in case of an emergency. Based on interviews, allegation “Staff is not providing adequate care and supervision” is deemed Substantiated at this time. Regarding allegation - Staff did not afford a resident privacy - It was reported that staff were observed assisting resident with under garments in the room with the door open. Staff reported they usually do close the door when assisting residents with hygiene/toileting. Residents interviewed expressed that they really haven't paid attention if their room door is closed or left open when staff assist them with anything. Credible witness provided information that they witnessed staff assisting resident in the room with hygiene /toileting needs. Staff did not afford resident privacy by changing resident with the door open. Based on interviews, allegation “Staff did not afford a resident privacy” is deemed Substantiated at this time. Regarding allegation - Staff are not properly trained - It was reported that the staff are not properly trained of residents care and personal rights. To investigate this allegation staff was interviewed and training records were reviewed on 5/15/2024. Training records for staff #1 were incomplete with missing training times (duration). Also interview conducted with staff #1 revealed that additional training is required for staff #1. Staff was unable to respond to questions asked by LPA regarding residents personal rights, and residents plan of care. Based on interviews, records review and observation, allegation “Staff are not properly trained” is deemed Substantiated at this time. Regarding allegation - Staff do not properly maintain a resident's room - It was reported that there are two buckets in resident's room beside the bed. During the physical plant tour LPA observed these buckets in resident #1's room (with no lid) beside residents bed. Resident interviewed did provide any information. Staff were informed to remove the buckets from the residents room and provide a trash basket with a lid. Based on observation, allegation “Staff do not properly maintain a resident's room” is deemed Substantiated at this time. Pursuant to Title 22, California Code of Regulations, the following deficiency will be cited (refer to LIC 9099-D) Exit interview conducted, appeal rights discussed, and a copy of the report provided.the state’s words, verbatim · CDSS document, May 15, 2024 · control 29-AS-20240430160600
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.1(a)3 · Plan of correction due date: May 17, 2024
Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by. Based on observation and interviews, licensee/administrator did not comply with the above. Staff did not afford resident privacy during assistance with hygiene/toileting care in residents room. This poses a potential personal rights risk to residents in care.the state’s words, verbatim · CDSS document, May 15, 2024
Plan of correction: Licensee/Administrator agreed and reported that in-service training will be provided to staff on resident "Personal Rights". Submit copy of in-service training record and supporting documents.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87411(a) · Plan of correction due date: May 17, 2024
Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. Based on interviews, four out four resident agreed that staff #1 should not be on duty alone due to difficulty hearing and understanding residents needs daily and in emergency situation This poses a potential personal rights, health and safety risk to residents in care.the state’s words, verbatim · CDSS document, May 15, 2024
Plan of correction: Licensee/Administrator agreed and reported that staff #1 will not be left alone on duty moving forward. Submit copy of LIC500 showing appropriate staff coverage.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(f) · Plan of correction due date: May 15, 2024
(f) Solid waste shall be stored and disposed of as follows:(3)All containers, except movable bins, used for storage of solid wastes shall have tight-fitting covers on the containers.... This requirement is not met as evidence by: Based on observation and interview Licensee/administrator did not comply with this section cited. LPA observed to buckets/trash bin with no lid and a urine bottle hanging on the bed rail in resident #1's room. This poses a potiential health risks to residents in care.the state’s words, verbatim · CDSS document, May 15, 2024
Plan of correction: Licensee/Administrator removed the to buckets/trash bins from the room and will provide a trash can with a lid for resident #1's room.
From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.625 · Plan of correction due date: May 17, 2024
(b) (1)... receive appropriate training. This training shall consist of 40 hours of training....(2)...training requirements shall also include an additional 20 hours annually. This requirement was not met as evidenced by: Based on record review and interviews the Licensee did not comply with the Health & Safety code above, staff did not have the initial or annual training requirements covering each required subject with date/time/hours which poses a potential health, safety and personnel rights risk to residents in care.the state’s words, verbatim · CDSS document, May 15, 2024
Plan of correction: Administrator agreed to read, review and provide training for all staff according to requirements in H&S code 1569.625, 1569.69, 1569.696, and 1569.618, Regulations 87411, 87705, 87707 and 87470. Submit training plan and schedule to CCL by 5/17/24. Also administrator shall maintain the completed training for each staff according to regulations. Submit letter of understanding this requirement with staff training plan and schedule.
What the state’s words mean
CDSS citation definitions (PDF) ↗ · CDSS complaint outcomes ↗
Life here
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Cable or satellite TV
Reported on caring.com · seen September 9, 2026.
Outdoor spaceGarden
Reported on caring.com · seen September 9, 2026.
LaundryDone by staff
Reported on caring.com · seen September 9, 2026.
Visitor parking
Reported on caring.com · seen September 9, 2026.
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Reported on caring.com · seen September 9, 2026.
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Meals are cooked in the home's own kitchen
Reported on caring.com · seen September 9, 2026.
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Languages spoken by caregiversEnglish
Reported on caring.com · seen September 9, 2026.
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Residents may bring a pet
Reported on caring.com · seen September 9, 2026.
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Transport for group outings
Reported on caring.com · seen September 9, 2026.
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