Dream Home for Seniors

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 1:07PM. The LPA met with Administrator Zenaida Velasco who stated they did not have any residents. Entrance interview conducted. The LPA toured the physical plant areas inside and outside with the Administrator at 1:12PM. KITCHEN: Appliances in the kitchen appeared functional. The supply of perishable and nonperishable food is adequate. LPA observed a locked drawer and cabinet for knives and medications. BEDROOMS: There were six (6) total bedrooms: four (4) designated resident rooms and two (2) designated staff rooms. Bedrooms #2 and #4 had a direct exit outside. Bedroom #3 had a door that led to a connecting hallway that had two (2) staff rooms and a restroom. Each bedroom had adequate lighting. The Administrator stated that Bedroom #3 will likely not be a resident room and plans to decrease capacity to four (4). RESTROOMS: There were three (3) total bathrooms: one (1) private, one (1) shared, and one (1) staff. Bathrooms are in operating condition with grab bars. Hot water temperature was tested and measured at 138.7 degrees F, which is above the required range. Administrator stated that family is currently living in the property and they prefer hot water, but the water temperature will be lowered before admitting residents and when family vacate. Report Continued on LIC 809-C COMMON SPACES: At the time of the visit, common seating area and dining room furniture were observed to be in good condition. The common spaces included the living room, dining area, and sun room that contained an activity room, entertainment room, and office area. The LPA observed cameras in all common spaces and exterior. The LPA did not observe the required postings in the common hallway and Administrator was aware they are required to post posting throughout facility upon admission. A fire extinguisher was observed and purchased on 05/09/2025. The backyard had a covered outdoor area equipped with furniture for resident use. There are no bodies of water noted. RECORDS: No residents file reviewed as facility has no residents. MEDICATION REVIEW: No medication reviewed as facility has no residents. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.the state’s words, verbatim · CDSS document, Feb 5, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:51AM. The last annual visit was done on 02/26/2024. Administrator Zenaida Velasco opened the door at 10:53AM. Entrance interview conducted. Administrator reported to LPAsthat the facility does not have any residents at this time, that her family is living at the residence. No residents present. LPA toured the physical plant areas inside and outside, with Administrator at 10:54AM. BEDROOMS: There are four (4) bedrooms designated for resident use. Bedroom #2 and Bedroom #4 have a direct exit to the exterior. Each bedroom has adequate lighting. Bedroom #3 leads to a hallway, which allows for access to Bedroom #5 and Bedroom #6; however, those two rooms designated for staff. There is an exterior door that leads to Bedroom #5 and Bedroom #6. Staff are aware that once they have residents in Bedroom #3, staff would need to enter their rooms through the exterior door. Administrator stated that Bedroom #3 will most likely not be for resident use and plans to decrease capacity to five (5). RESTROOMS: There are two (2) bathrooms designated for resident use. There is a bathroom designated for staff use only. Bathrooms are in operating condition with grab bars. LPA observed one (1) restroom without a slip-resistant mat and Administrator stated they will purchase one. Hot water temperature was tested at 11:08AM and was 136.6 degrees F, which is above the required range. Administrator stated that family is currently living in the property and they prefer hot water, but the water temperature will be lowered before admitting residents and when family vacate. Continued on LIC 809-C COMMON SPACES: At the time of the visit, common seating area and dining room furniture were observed to be in good condition. The common spaces included the living room, dining area, activity room, entertainment room and office area. The LPA observed cameras in all common spaces and exterior. The LPA did not observe the required postings in the common hallway and Administrator was aware they are required to post posting throughout facility upon admission. Fire extinguishers were observed to be fully charged. The backyard has a covered outdoor area equipped with furniture for resident use. There are no bodies of water noted. KITCHEN: Appliances in the kitchen appeared functional. The supply of perishable and nonperishable food is adequate. LPA observed a locked drawer and cabinet for knives and medications. LPA advised Administrator to replace the locks as they were faulty at times. INTERVIEWS: No residents interviews as facility has no residents. RECORDS: No residents file reviewed as facility has no residents. MEDICATION REVIEW: No medication reviewed as facility has no residents. No citations were issued during today’s visit. Exit interview conducted, and a copy of the report provided.the state’s words, verbatim · CDSS document, Jan 7, 2025

The state marks this report as 10 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Valeria Conway and Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. The last annual visit was done on 12/21/2022. Administrator Zenaida Velasco opened the door at 2:45 PM. and explained the reason for the visit. Administrator reported to LPAs that the facility does not have any residents at this time, that her family is living at the residence. No residents present. LPAs toured the physical plant areas inside and outside, with Administrator at 2:55P.M. BEDROOMS: There are (4) four bedrooms designated for resident use. Bedroom #2 and Bedroom #4 have a direct exit to the exterior. Each bedroom has adequate lighting. Bedroom #3 leads to a hallway, which allows for access to Bedroom #5 and Bedroom #6; however, those two rooms designated for staff. There is an exterior door that leads to Bedroom #5 and Bedroom #6. Staff are aware that once they have residents in Bedroom #3, staff would need to enter their rooms through the exterior door. At 3:04P.M. room #1 had a locked door and Administrator was unable to open. Administrator stated she did not have a key to the room. RESTROOMS: There are (2) bathrooms designated for resident use. There is a bathroom designated for staff use only. Bathrooms are in operating condition with grab bars and non-skid surfaces. The LPAs advised the Administrators to ensure that bathrooms were stocked with paper towels and hand-washing signs prior to allowing resident admissions. Hot water temperature was tested throughout the home and was within normal ranges between 105.0 F and 120.0 F. Continued on LIC 809-C Continued from LIC 809 COMMON SPACES: At the time of the visit, common seating area and dining room furniture were observed to be in good condition. The common spaces included the living room, dining area, activity room, entertainment room and office area. The LPAs observed cameras in all common spaces and exterior. The LPAs did not observe the required postings in the common hallway and Administrator was aware they are required to post posting throughout facility upon admission. Fire extinguishers were observed to be serviced and fully charged, last serviced on 03/27/2023. The backyard has a covered outdoor area equipped with furniture for resident use. There are no bodies of water noted. KITCHEN: Appliances in the kitchen appeared functional. The supply of perishable and nonperishable food is adequate. INTERVIEWS: No residents interviews as facility has no residents. RECORDS: No residents file reviewed as facility has no residents. One (1) personnel record was reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Facility does not have an Administrator file at the facility. MEDICATION REVIEW: No medication reviewed as facility has no residents. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Administrator was informed that failure to correct the deficiencies may result in civil penalties. Administrator Zenaida Velasco refused to sign report at the time of the exit interview. A copy of the report was printed and issued to Administrator.the state’s words, verbatim · CDSS document, Feb 26, 2024

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.