Keepsake Care

Type of visit: Required - 1 Year

On 02/28/26026 at 10:15 am Licensing Program Analyst (LPA) Lorena Casillas met with Administrator Tejeira Daniels for an unannounced one (1) year required visit for this facility. LPA was greeted and granted access by Administrator. LPA explained the reason for the visit and an entrance interview was conducted. The facility is fire cleared for two (2) non-ambulatory residents and two (2) ambulatory residents for a total capacity of four (4). Currently there are no residents living in the facility as they are waiting to be vendorized by North Los Angeles Regional Center. Infection Control and Emergency Preparedness Plan: LPA reviewed facility Infection Control Plan and Emergency Preparedness Plan to make sure protocols are being reviewed and/or updated. Plans were discussed and updated. The tool kit was not used, as there are no residents in the facility yet. A tour of the physical plant was initiated at approximately 11:00 am and the following was observed: KITCHEN: LPA conducted a tour of the kitchen at 11:00 am and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects locked and inaccessible to residents in the staff office located in an area of the living room. The medications will be stored in a locked cabinet in the kitchen. BEDROOMS: There are three (3) bedrooms designated for resident use. Two (2) rooms are designated as private rooms. One (1) bedroom will be shared. The bedrooms have beds, nightstands, chairs, dressers, bedding and linen. All rooms had sufficient lighting. BATHROOMS: The facility has two (2) bathrooms. All bathrooms were observed to have the proper fixtures, and non-skid mats. The hot water delivered in the bathrooms measured 118.3˚F. COMMON AREAS: These included the living room and dining room areas, which were equipped with living room furniture, a television, tables, and chairs. The dining room table is large enough to accommodate up to four (4) residents. There is a fireplace with a glass barrier. No fireplace tools or fixtures are present. There were no visible immediate hazards. The smoke alarms are hard-wired inter-connected and are functional. The carbon monoxide detector is functional and installed by the entrance. The facility has one fire extinguisher that was fully charged on 01/06/2026. It is located in the common area near the entrance. LAUNDRY ROOM: The laundry room is locked and located adjacent to the kitchen. Cleaning detergents and supplies are locked and inaccessible. SURROUNDING GROUNDS: LPA toured the outside area of the facility and observed the driveway, passageways and entrance to the home to be clear of obstruction. The backyard of the facility has a patio and enough backyard furniture to accommodate four (4) residents. The facility backyard has sufficient yard space for outdoor activities and has a covered porch for shade. There are no swimming pools or bodies of water. GARAGE: LPA observed the garage to be attached to the facility and currently being used for extra storage. There are no additional refrigerators or freezers. ADMINISTRATIVE: Administrator Certificate, and Liability Insurance was emailed to LPA. Annual fees are current. RESIDENT & STAFF FILES: LPA did not conduct a file review as there are no residents or staff. No citations issued. Exit interviewed conducted and a copy of the report was provided to the Administrator.the state’s words, verbatim · CDSS document, Feb 28, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Lorena Casillas met with Administrator Tejeira Daniels for an unannounced one (1) year Required visit for this facility. LPA arrived at 9:30 am, there was no one in the facility. LPA called Administrator who stated that there were no residents yet, LPA explained the reason for the visit and Administrator stated that they would be arriving soon. Administrator arrived shortly after. The facility is fire cleared for two (2) non-ambulatory residents and two (2) ambulatory residents for a total capacity of four (4). There were no residents observed in the facility. The tool kit was not used, as there are no residents in the facility yet. A tour of the physical plant was initiated at approximately 10:30 am and the following was observed: KITCHEN: LPA conducted a tour of the kitchen at 10:40 am and observed there to be sufficient stock seven-day non-perishables foods, perishable foods will be purchased when residents are obtained. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects locked and inaccessible to residents in the staff office located in an area of the living room. The medications will be stored in a locked cabinet in the kitchen. BEDROOMS: There are three (3) bedrooms designated for resident use. Two (2) rooms are designated as private rooms. One (1) bedroom will be shared. The bedrooms have beds, nightstands, chairs, dressers, bedding and linen. All rooms had sufficient lighting. BATHROOMS: The facility has two (2) bathrooms. All bathrooms were observed to have the proper fixtures, and non-skid mats. The hot water delivered in the bathrooms measured 115.1 degrees F. Continued on LIC809-C COMMON AREAS: These included the living room and dining room areas, which were equipped with living room furniture, a television, tables, and chairs. The dining room table is large enough to accommodate up to four (4) residents. There is a fireplace with a glass barrier. No fireplace tools or fixtures present. There were no visible immediate hazards. The smoke alarms are hard wired and inter-connected and were tested at 10:50 am. The carbon monoxide detector is functional and installed in the entrance, also tested at 10:55 am. The facility has one fire extinguisher that was fully charged on 09/27/2023, LPA advised Administrator that although the fire extinguisher is full, it does need to be serviced or replaced. Administrator will send LPA proof of service as soon as possible. It is located by the dining room and living room area. LAUNDRY ROOM: The laundry room is locked and located adjacent to the kitchen. Cleaning detergents and supplies are locked and inaccessible. Physical environment: LPA toured the outside area of the facility at 11:00 am. The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility has a patio and backyard furniture. The facility backyard has sufficient yard space to accommodate outdoor activities and has a covered porch for shade. There is no swimming pool or bodies of water. Garage: LPA observed the garage to be attached to the facility and currently being used for extra storage. There are no additional refrigerators or freezers. Administrative: Administrator Certificate, and Liability Insurance was emailed to LPA. Annual fees are current. Client & Staff Files: LPA did conducted a file review as there are no residents or staff. Medications: LPA did not review medications, as there are no residents. Staff/Resident Interviews: LPA did not interview staff or residents. No citations issued. Exit interviewed conducted and a copy of the report was provided to the Administrator.the state’s words, verbatim · CDSS document, Dec 17, 2024

Type of visit: Prelicensing

On 01/05/2024 at 10:00 am, Licensing Program Analyst (LPA) Lorena Casillas conducted an announced Pre-Licensing Inspection with the Administrator Tejeira Daniels and Licensee Porscha Daniels. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on October 17, 2023. A fire clearance was approved on October 18, 2023, for two (2) non-ambulatory residents and two (2) ambulatory residents for a total capacity of four (4). The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. The Component III presentation was conducted from 10:15 am until 10:58 am with Administrator and Licensee. A tour of the physical plant was initiated at approximately 11:00 am and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven and sink. There was an adequate supply of nonperishable food and dining ware to accommodate a maximum capacity of four (4). Knives will be locked in a cabinet in the office area. BEDROOMS: There are three (3) bedrooms designated for resident use. Two (2) rooms are designated to be private rooms. One (1) bedroom will be shared. Bedroom #1 has a direct exit and will be for Non-Ambulatory residents. The applicant furnished the resident bedrooms with beds, nightstand, chairs, dresser, bedding and linen. All rooms had sufficient lighting. BATHROOMS: The facility has two (2) bathrooms. All bathrooms were observed to have the proper fixtures, and non-skid mats. The hot water delivered in the bathrooms measured 114 degrees F. Continued on 809-C COMMON AREAS: These included the living room and dining room areas, which were equipped with living room furniture, a television, tables, and chairs. The dining room table is large enough to accommodate up to four (4) residents. There is a fireplace with a glass barrier. No fireplace tools or fixtures present. There were no visible immediate hazards. The smoke alarms are hard wired and inter-connected. The carbon monoxide detector is functional and installed in the entrance. The facility has one fire extinguisher that was fully charged on 09/27/2023. It is located by the dining room and living room area. LAUNDRY ROOM: The laundry room is located adjacent to the kitchen. Cleaning detergents and supplies are locked in a cabinet in the living room area. MEDICATIONS: Medications will be stored in a locked cabinet in the kitchen. STAFF/RESIDENT RECORDS: Staff and resident records will be stored in a locked cabinet, located in the living room. The applicant was advised to ensure that resident and staff records will be accessible to the licensing agency upon request or during inspection. Facility will have awake staff. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. The backyard of the facility has a patio and backyard furniture. The facility backyard has sufficient yard space to accommodate outdoor activities. There is no swimming pool or bodies of water. Exit Interview was conducted, and a copy of this report was given to applicant.the state’s words, verbatim · CDSS document, Jan 5, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Tejeira Daniels (Corporate Board Member & Administrator) Interview Method: Virtual interview via Microsoft Teams On October 30, 2023, 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. 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, Oct 30, 2023