Blissful Assisted Living

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Yolanda Delgado conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. At approximately 10:00 AM, LPA met with Licensee/Administrator Raluca Parge. An initial application for Change of Ownership to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Central Applications Bureau (CAB) on 9/10/2025 for a total capacity of six (6) with five (5) non-ambulatory and one (1) bedridden residents. Fire clearance was granted on 2/11/2026. LPA Delgado observed the following: Structure: Facility was a 2-story house with four (4) resident bedrooms, two (2) resident bathrooms, living room, dining area and kitchen on the first floor. Second floor is designated for Licensee and family that consist of Master bedroom with bathroom, two (2) bedrooms and one (1) bathroom, family room; no residents will reside on the 2nd floor. There was an attached one car garage in the front of the house. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control the first floor and there is another panel located on the 2nd floor. Bedrooms: Resident bedroom #1 is a shared room will accommodate two (2) non-ambulatory, #2 shared room will accommodate one (1) bedridden and one (1) non-ambulatory resident only, and #3 and #4 designated private rooms will accommodate non-ambulatory resident. Four (4) resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm. (CONTINUED ON LIC 809C) (CONTINUED FROM LIC 809) Bathrooms: Two (2) resident bathrooms has a working toilet, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. At 11:47 AM, LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 112.0 degrees Fahrenheit. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked drawer located in the kitchen. There was adequate room for food storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals for all clients. Laundry room with washer and dryer was located inside the house. Laundry detergents are in the laundry room and cleaning supplies were observed in garage away from residents. Living/Family room: There was a living room with sufficient seating for all clients and working TV. Linens and Hygiene Supplies: An adequate supply of linens stored in the laundry room and hygiene supplies was stored in the garage. Yards/Outside: Patio table and six (6) chairs were observed in the backyard with a patio cover. There was a gate on the South side and North side of the property with a self-latching hook. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch were observed posted in the main hallway. Ombudsman poster and Let-Us-No poster observed. (Continued on LIC809C, Page 3) (Continued from LIC809C, Page 2) General items: One (1) fire extinguisher were charged and located in the dining area. Twelve (12) dual smoke alarms and carbon monoxide detectors were tested and were observed to be in working order; they are not hard-wired. Client records will be stored in a locked cabinet in the Kitchen. First Aid kit with required components, and locked area for medication storage was observed. LPA observed a facility phone and it was verified to not be ringing; notification from service provider was received that internet is down and will be restored later this day. Emergency water supply and 72-hour emergency food supply was observed. LPA observed a gun safe locked and secured inside the garage; it belongs to the previous Licensee and will not remain once the licensee is issued. Component III was completed on 9/8/2026 at the Riverside Regional Office. Pre-Licensing is incomplete and the following corrections to be resolved by 9/19/2026: ensure landline telephone is working at all times An exit interview was conducted with Raluca Parge and a copy of this report was given.the state’s words, verbatim · CDSS document, Sep 16, 2026

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 6 Interview Method: Telephone interview On 8/14/2026, applicant/administrator participated in COMP II. Identification of the applicant / administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant / 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, Aug 14, 2026