Horizon Senior Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with the Administrator Celfa Aronne and explained the reason for the visit. The Administrator's certificate expires February 1, 2027. The facility is licensed for 6 non-ambulatory residents with a hospice waiver for 2. Facility is a single story home with 6 bedrooms, 1 is for staff and 1 room is shared, facility has 2 bathrooms, kitchen, dining room, living room with a screened fireplace, laundry room and a two car garage. The laundry room leads to the garage and is kept locked. The garage is kept locked and used for storage. LPA and the Administrator toured the facility. LPA observed the kitchen is clean and organized. Knives are kept locked and inaccessible to residents. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the 5 burner stove lights unassisted. LPA observed the stove knobs are kept inaccessible when not in use. LPA inspected the first aid kit. The first aid kit has all the required elements. The last emergency drill was conducted on July 6, 2026. LPA observed the fire extinguisher in the kitchen is fully charged. LPA observed the smoke detectors/carbon monoxide detectors tested operational. LPA observed both bathrooms are clean and operational. Hot water measured 128.3 degrees Fahrenheit in the bathroom by the main entrance. LPA observed all resident rooms had the required furnishings and linens. LPA observed extra linens stored in the hall closet. LPA observed medications are kept locked in the closet next to the kitchen. LPA observed cleaning supplies stored in the locked laundry room. LPA observed the garage is used for storage of supplies and old furniture. LPA observed a 3 day emergency supply of food and water stored in the garage. LPA toured the backyard. No bodies of water observed. LPA observed a shaded seating area to sit outside. The exit gate on the West side of the house is operational. No obstacles or hazards observed in the backyard. LPA reviewed 3 resident files and medications. LPA observed Resident 2 and Resident 3 did not have a current care plan (reappraisal). No other discrepancies observed. LPA reviewed 2 staff files. LPA observed Staff 1 and Staff 2 did not have current CPR training. LPA observed Staff 1 and Staff 2 had 20 hours of training but did not have 4 hours of training specific to postural supports, hospice and restricted health conditions. Both staff members are background cleared and associated to the facility. No other discrepancies observed. LPA observed the facility has an internet device for dedicated resident use. LPA consulted with the Administrator regarding reporting requirements. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations (CCR). An exit interview was conducted with the Administrator and a copy of the report provided along with appeal rights.the state’s words, verbatim · CDSS document, Aug 25, 2026

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Celfa Aronne was notified of the visit via telephone and arrived later to assist. There are currently three residents in care, two of which are receiving hospice care at this time. LPA observed residents relaxing in their respective bedrooms or in the facility's common living areas. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage, with four private bedrooms, one shared bedroom and an additional staff room. There are are two shared bathrooms on the premises. Bedrooms appear clean and sanitary. Both hospice residents are observed to have beds equipped with full-length bed rails. Hospice plans of care reviewed for both, however one hospice file does not include the order for postural support. Consultation provided. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are equipped with grab bars and slip mats. Hot water temperature measured within acceptable limits by facility staff regularly. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secure. CONTINUED ON FORM LIC809-C CONTINUED FROM LIC809 Both fire extinguishers present are charged with up-to-date maintenance tags. Maintenance will be performed on the day of the visit for the upcoming year. Carbon monoxide and smoke detectors were found to be present and operational. The garage is secured and used for the storage of supplies and food. Emergency food and water supplies verified to be present. LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with furniture for resident use. The identified routes of egress are free of clutter and obstructions. There are self-latching gates on both sides of the premises. There are no bodies of water present. Egress alarms are in use on exit doors, however facility does not utilize locked perimeters or delayed egress. LPA reviewed three resident records which included all necessary components. LPA reviewed resident medication records and prescription orders for all residents with no discrepancies observed. One resident's admission agreement is still established under the previously licensed entity. Consultation provided. LPA reviewed staff records for two staff members present during the visit. CPR training, initial and annual training reviewed for 2024 and 2025. Disaster drills are conducted quarterly and documented. Staff members are verified to be background cleared and associated to the licensed location. The administrator certificate is however neither pending nor current due to a delay in payment. Payment submitted during the visit. Type B deficiency issued. Based on the observation conducted during the present visit, one type B deficiency is being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights was provided.the state’s words, verbatim · CDSS document, Jul 7, 2025

The state marks this report as 7 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made a scheduled visit to the facility for the purpose of conducting a pre-licensing inspection. LPA was greeted and granted entry by Celfa Aronne, administrator. An initial application for a license to operate as a Residential Care Facility for the Elderly was received by the Department on February 5, 2024 for a capacity of six non-ambulatory clients. This is a change of ownership with four residents already in care. LPA accompanied by administrator toured the physical plant. The facility is a one-level home with a frontyard, backyard and attached garage. There are four individual bedrooms and one shared bedroom. Each of the bedrooms include all necessary components of furnishing including a light, chair, storage space for personal items and a full-size bed as well as a supply of linen and bedsheets. There are two bathrooms on the premises, one of which is mostly designated for use by the residents. Water temperature was measured to be within acceptable range. Common living spaces are present and a device connected to the internet is present for the use of the clients in care. Facility is clean, sanitary and free of odors in all areas inspected. Required posted documents are observed to be present, with the exception of the facility's theft and loss policy. Policy will be posted shortly and documentation provided to LPA. Kitchen equipment is present and operating as required. Sharp items and cleaning supplies are confirmed to be secured. A sufficient supply of perishable and non-perishable food is present as required by Title 22 Regulations. The centrally stored medication storage is located in a secure cupboard. The garage is also used for additional storage of food along with emergency and back-up supplies. Staff and client records were reviewed and confirmed to include all necessary components. CONTINUED ON FORM LIC809-D CONTINUED FROM FORM LIC809 Three out of four residents currently admitted are receiving hospice care. Prospective licensee is instructed to request an updated hospice waiver prior to receiving the license, for a capacity of three or more residents. Materials submitted to include a request letter addressed to the Orange County Regional Manager, current plan of care materials for all three residents in addition to any other supporting material The fire clearance has been obtained and provided to the Department before the pre-licensing visit. Combined smoke and carbon monoxide detectors are observed throughout the facility and confirmed to be functional. Two fire extinguishers present on the premises are observed to have maintenance tags indicating they were last verified to be operational in November 2022. Consultation is provided to the licensee regarding the need for annual maintenance of fire extinguishers. The fire extinguishers will be verified by a third-party and proof of maintenance will be submitted to LPA shortly. First aid kit verified to be complete. LPA and licensee toured the outside of the facility and observed it to be free of obstructions. Multiple shaded areas are present in the back of the house and are equipped with outdoor furniture for the enjoyment of residents and visitors. The perimeter gates present on both sides of the house are self-latching and can easily be opened in an evacuation. There are no bodies of water on the premises. Component III was waived as the prospective licensee has already been acting as the current facility administrator. This report was reviewed with facility representative and a copy of this report was emailed to the prospective licensee before the conclusion of the visit.the state’s words, verbatim · CDSS document, Jul 1, 2024