Care Home Partners

Type of visit: Required - 1 Year

On June 8, 2026, Licensing Program Analyst Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the annual inspection visit. LPA initially met with staff on duty and explained the purpose of the visit. The administrator, Jennifer Labios (AD) and licensee, Rose Debellis, were notified and arrived later during the visit. Overview: Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to six elderly residents, up to five may be non-ambulatory and one may be bedridden. The bedroom at the entrance of the facility is only for one ambulatory use. Facility does not have a clearance for delayed egress, and locked exterior/interior. Facility has a hospice waiver for 2 residents. Physical Inspection: Areas inspected include, but not limited to, the kitchen, resident units, resident bathrooms, dining room and outdoor areas. LPA inspected 5 resident bedrooms and 2 bathrooms. Bathrooms are equipped with non-skid flooring and grab bars. Faucet, toilet and shower are in working condition. Hot water temperature was 114 degrees Fahrenheit in one of the bathrooms. Room temperature was maintained at 72 degrees Fahrenheit throughout this visit. There is a fire door leading to the residents’ bedrooms. Per fire safety, advisory was provided to ensure the fire door is closed at all times. In the kitchen/dining area, LPA observed at least 7-day nonperishable and 2-day perishable food items. Knives/sharps and cleaning chemicals were locked under the sink. Fire extinguishers observed and last serviced on 5/5/2026. Fireplace was observed to be screened. Smoke detectors were observed throughout and one carbon monoxide detector. Adequate linen supply was observed. Medication was observed to be locked and not accessible to residents. Advisory was provided to ensure foods that are contaminated or moldy are discarded. {1 of 2} Outdoor area was inspected. Walkways were observed to be unobstructed. Fence and gate were in good repair at this time. No bodies of water were observed at this time. There is a shaded area for outdoor activities. LPA observed outdoor furniture. Shut-off valves were located. Advisory was provided to ensure all staff know the location of each of the shut-off valves and know how to operate each one in case of emergency. Record Reviews: Review of 3 of 6 resident files was conducted, including but not limited to, review of Admission Agreement, Physician Reports, and Ambulatory Status. Advisory was provided to ensure all residents’ Care Plans (LIC625) are complete. Per review of resident records, at least one person was assessed to be at risk if they have direct access to nutritional supplements. Advisory was provided to ensure all nutritional supplements are not accessible to residents in care. Medication review was conducted for 2 residents, including review of resident’s medication, PRN authorization letter, prescription records, Centrally Stored Medication Records, and Medication Administration Records. Advisory was provided to ensure each resident has current PRN authorization letter. Advisory provided to ensure medications are not pre-poured ahead of time. Current RCFE Medication Guide was provided. Review of 2 staff files included but not limited to background clearance, first aid/CPR certification, and training. Facility conducts monthly Fire/Emergency Drill. Advisory provided to facility to review their Emergency Disaster Plan and Infection Control Plan at least annually and document each review. Interviews: One staff member and one resident in care were interviewed. Documents Requested: LPA requested a copy of updated Liability Insurance, LIC500, and LIC308. Per the California Code of Regulations, Title 22, Division 6, no deficiencies were cited. Exit interview was conducted with AD. A copy of the report was provided upon exit. {2 of 2}the state’s words, verbatim · CDSS document, Jun 8, 2026

The state marks this report as 15 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 6/16/2025, Licensing Program Analyst Arvin Villanueva (LPA) arrived at this facility unannounced to conduct their required annual inspection. LPA met with Administrator/Co-Licensee Jennifer Labios (AD) and stated the purpose of the visit. Present during today's visit were 4 residents in care with 2 staff on duty. The other Licensee Rose Debelis arrived later during the visit. LPA evaluated the physical plant with AD to ensure the health and safety of the residents in care. The facility is a one-story home located in a residential neighborhood. Areas inspected are including but not limited to the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA observed the inside of the facility to be clean and in good repair at this time. LPA inspected 5 of 5 resident bedrooms and were observed to be equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the hot water temperature in 1 of 2 resident bathroom to be 106 degrees Fahrenheit. Room temperature was observed at 72 degrees Fahrenheit upon arrival. LPA observed sufficient seven day non-perishable and two day perishable food supplies. One fire extinguisher was observed and were last inspected on 4/30/2025. Smoke and carbon monoxide detectors were observed and tested and found to be operable at this time. LPA observed centrally stored medications, toxins, and sharp objects were kept locked and inaccessible to residents in care. No bodies of water was observed at this time. Fireplace was observed to be screened and non-operational at this time. Exit doors have audible alarms. Oxygen signs were observed. Con't 809-C Outdoor area was inspected. Facility has a covered porch equipped with outdoor furniture for resident use. Facility has 1 side gate exit. Advisory was provided to relocated the 3 garbage bins as they were blocking the exits for non-ambulatory residents. AD immediately relocated the bins to the back of the facility. The storage shed, located at the other side of the facility, was observed to be accessible to residents. LPA observed inside the shed to contain miscellaneous items. Advisory was provided to AD to lock this storage shed for possible risks to residents. AD immediately locked the shed with a padlock. Review of 4 resident files (R1, R2, R3 R4) include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Advisory was provided to obtain PRN Authorization Letter for each of their residents. Advisory was also provided to update/develop Needs and Services Plan for all residents. Medication review of 2 residents (R1, R2) include review of physician orders for over-the-counter medications. No issues were noted at this time. Review of 3 staff files (S1, S2, and S3) include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. Administrator Certificate is current. No issues were noted at this time. Facility conducts quarterly disaster drill. Facility has a dementia and infection control plan. Administrator to submit current Liability Insurance Certificate, LIC500 and LIC308 to the Department. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during today's visit. Exit interview was conducted and a copy of the report was provided upon exit.the state’s words, verbatim · CDSS document, Jun 16, 2025

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Post Licensing

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a post-licensing visit. LPA Valerio met with Administrator Jennifer Labios, and explained the purpose of the visit. LPA Valerio observed 1 resident and 1 staff present in the facility. LPA Valerio and Administrator Jennifer toured the facility to ensure compliance with Title 22 regulations. LPA Valerio observed the common areas to be clean, free from odors, and organized. Resident bedrooms were clean and fully furnished. Bathroom water temperature was within regulatory range. The facility was observed to meet the requirements of 2 days of perishable food items and 7 days of non-perishable food items. Emergency exits were free from obstructions. LPA Valerio reviewed one (1) staff file and one (1 resident file). Files were observed to have necessary documentation. Per California Code of Regulations (CCR) - Title 22 - no deficiencies were observed. An exit interview was held, and a copy of the report was provided to Administrator Jennifer Labios.the state’s words, verbatim · CDSS document, Sep 26, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Christina Valerio arrived announced to the facility to conduct a pre-licensing inspection. LPA met with Licensee Rosalia Debellis and Jennifer Labios. The facility will be a Residential Care for the Elderly. It has been fire cleared to serve a maximum of 6 individuals, of which only 4 may be non-ambulatory, only 1 bedridden, and 1 ambulatory. The facility has an approved Dementia Care Program. The facility has an approved hospice waiver for two (2) hospice resident. Jennifer Labios has an active administrator certificate, #7019969740, expiration date 11/05/2025. LPA Valerio reviewed the facilities infection control plan and their emergency disaster plan. LPA Valerio and licensee toured the facility. LPA Valerio inspected 5 bedrooms. Bedrooms were observed to be fully furnished. There will be no live-in care staff present at the facility. Two (2) bathrooms were observed to be fully stocked with skid mats, hand rails, shower chair, hand soap, paper towels, toilet paper, and a trash can. Hot water was measured and met Title 22 requirements. The kitchen was observed to have appliances that were in good repair and working condition. The pantry was stocked with canned goods that were dated and organized. The cabinets used for cleaning supplies, medications, resident records, staff records, and toxins were labeled and locked. A fire extinguisher was observed near the front hallway. Carbon monoxide detectors and smoke detectors were tested and observed to be in working condition. The exterior area was observed to have a shaded area for sitting, a grass area, and a shed for storage. The exit way located on the left side of the home was observed to be clear and fenced with a self-latching gate. LPA Valerio, Licensee, and Administrator Jennifer went over CDSS website, Guardian, and facility records. Component III was completed with the licensee. Licensee Rosalia and Jennifer had no further questions. LPA Valerio to inform the CAB Analyst that the Pre-Licensing is complete and this facility has no deficiencies.the state’s words, verbatim · CDSS document, May 24, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): COMP II Participants: Jennifer Labios & Rose DeBellis Interview Method: Telephone interview On February 16, 2024, 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. General Provisions / Fire Clearance Capacity 3. Staffing requirements & Training 4. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Feb 16, 2024