Easy St. Senior Living

Type of visit: Required - 1 Year

On 11/13/25, at 12:10pm, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit to Easy St. Senior Living. LPA met with Christopher Jones, Licensee, and the purpose of today’s visit was explained. The facility is licensed to serve six (6) non-ambulatory adults; of which one (1) may be bedridden in bedroom #1 only. Waiver granted for hospice care for three (3). Currently, the facility has (0) clients. The facilities’ annual fees are current. The facility is a single-story family home located in a residential neighborhood. It consists of the following: 3 bedrooms, 1 1/2 bathrooms, dining room, kitchen, living room, and laundry area. At 12:30pm, LPA and staff toured the facility. There are no bodies of water or firearm/ammunition on the premises. All client rooms were checked. Beds and bedding were in good condition, adequate lighting was provided, and adequate storage for client’s personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly. The shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries are accessible to clients. The water temperature measured 119.2F degrees, and a comfortable temperature is maintained in the facility. LPA observed the facility to be clean, sanitary, and appropriately furnished at the time of visit. Storage areas for cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available for clients. All food items were stored properly. Medication cabinet was centrally stored and properly locked, first aid kit was checked and fully stocked with manual. The fire extinguishers were fully charged, and the smoke/ carbon monoxide detectors were operable. The facilities administrator’s certificate was valid from 08/21/2024 through 12/25/2026 certificate # 6073152740. Report Continued on LIC809-C LPA did not conduct a review of client records or staff records because the facility has no staff or clients at the time of the visit. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA advised the facility to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing (www.cdss.ca.gov) for Provider Informational Notices (PIN) and for any updates relating to COVID-19 guidance and other related issues. No deficiencies were cited during this inspection visit. An exit interview was conducted, and a copy of this Facility Evaluation Report was provided to Christopher Jones, Administrator.the state’s words, verbatim · CDSS document, Nov 13, 2025

Type of visit: Prelicensing

On 10/25/24, at 9:00am, Licensing Program Analyst (LPA) Perry Scott conducted an announced visit to this home. LPA was greeted by applicant Christopher Jones and the LPA explained the purpose of today’s Pre-licensing inspection visit. An application was submitted to CCLD on 06/07/24 in the initial license application for a Residential Care Facility for the Elderly aged 60 and over. The applicant requested a capacity of six (6) non-ambulatory individuals; of which one (1) may be bedridden in bedroom #1 only. A waiver was granted for hospice care of three (3). Structure: The home is a three (3) bedroom, one and a half (1.5) bathroom, one-story home with a garage situated in a residential neighborhood. The home includes a living room, dining room, kitchen, and laundry area. The living area included couches, love seat, and a table. The kitchen has a refrigerator, microwave, and a stove. The rear exterior is fenced throughout with a patio that includes a table and six (6) chairs. The passageways, walkways, and steps are free from obstructions. The front and back entrances are wheelchair accessible. Bedrooms Residents: The facility has three (3) bedrooms. There are three bedrooms with two beds in each, bedroom #1 is designated as a room for a bedridden resident. All rooms include two (2) twin-size beds, two (2) chairs, two (2) nightstands, and two (2) table lamps. All bedrooms are equipped with a ceiling light and a dresser. All rooms had closets for ample storage. Facility Evaluation Report Continued On LIC809-C Bedrooms Staff: There is no bedroom designated for live-in staff. Bathrooms: The home has 1.5 bathrooms. Both bathrooms have a working toilet, and washbasin, the full-size bathroom has a shower with grab bars, non-skid mats, and a chair. Linens & Hygiene Supplies: Beds have the required linen supplies which include, pillowcases, mattress pads, fitted sheets, blankets, and bedspreads. An adequate supply of linen is stored in the hall storage area. Emergency Phone Numbers, Exit Plan & Menu: The emergency disaster plan is posted along with the exit plan. There are three (3) fire extinguishers located in the facility, one in the kitchen mounted on the wall, one in the pantry, and one in the garage. A telephone line is available in the living room. The applicant has submitted a mitigation plan. Food Service: Dishes, cups, and flatware are stored in the kitchen cabinets, inspected, and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked cabinet. Food supply is adequately stored in kitchen cabinets and consists of can and other dry goods. Smoke Detectors: Smoke and carbon monoxide detectors throughout the interior space are operable. Toxins & Kitchen: All toxins are locked and stored under the kitchen sink. Stove burners, oven, microwave, washer, and dryer are working. There is one (1) refrigerator in the kitchen and a freezer in the garage. The refrigerator measured a temperature of at least 45 degrees Fahrenheit for appropriate food storage. The home is equipped with heaters and air conditioning systems. Facility Evaluation Report Continued On LIC809-C Water Temperature: The water temperature measured 111.5 degrees in the kitchen and bathrooms. Medications, First-Aid Kit & Book: A first aid kit and manual are stored in the locked medication cabinet which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze, and current first aid manual locked and inaccessible to residents. The client's medications will be stored in the same medication cabinet locked in the kitchen area and inaccessible. Resident & Staff Files: The applicant will be handling the cash resources for residents. Records of staff and residents will be stored in a locked cabinet in the living room. Reading Material, Games, Equipment & Materials: The facility has board games, books, magazines, and other recreational materials for the resident's use all stored in the living room. Pool/Jacuzzi & Pets: There are no pets, jacuzzi, or pool in the fenced area. Fire clearance: A Fire Clearance inspection was conducted on 08/12/2024 and approved for a capacity of six (6) non-ambulatory residents; of which one (1) may be bedridden in room #1 only. Component III: LPA and the applicant completed the Component III PowerPoint presentation, which gives an overview of what to expect while running a Residential Care Facility for the Elderly. During the Pre-licensing inspection visit, the department did not observe any deficiencies. An exit interview was conducted, and a copy of this Facility Evaluation Report has been furnished to the applicant, Christopher Jones. The department will submit a copy of this Facility Evaluation Report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.the state’s words, verbatim · CDSS document, Oct 25, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INTL Capacity: 6 Census : 0 Method: Telephone call with CAB COMP II Participants: Christopher Jones (Administrator/Licensee) & Tammy Edwards (Analyst). Administrator/Licensee participated in COMP II via telephone call with CAB analyst. Identification of the Administrator/Licensee was verified by confirming driver’s license number. During COMP II, Administrator/Licensee confirmed the understanding of Title 22. Component II was successfully completed. Administrator/Licensee was advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Administrator/Licensee'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, Sep 24, 2024