Mount Helix Senior Care

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Arian Golbakhsh conducted a scheduled Pre-Licensing Inspection and Component III Training. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Licensee Karina Lopez and staff Patricia Tapia. The facility's planned capacity is for six (6) non-ambulatory residents, one (1) of which may be bedridden in room #1 only. Additionally, the facility was granted a waiver for six (6) hospice residents. As the facility is not yet licensed, during today’s inspection there were zero (0) clients in care. LPA, Licensee Lopez, and Staff Tapia toured the interior and exterior of the facility and inspected each room. Facility sketch was consistent with the current layout of the facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: common restroom sink read at 119.1F. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility was prepared to contain at least two (2) days of perishable food, and at least seven (7) days non-perishable food. Cooking, dining equipment, and utensils were present. LPA observed locked drawers for safe storage of knives and similar sharp objects. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients. Centrally stored medication cabinet was locked, per regulation. No pools or bodies of water exist on the premises. Per Licensee Lopez, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors and emergency lighting were all in working order. Fire extinguisher was purchased within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA conducted the Component III Training with Licensee Lopez and Staff Tapia. LPA also answered additional questions regarding regulations and responsibilities and provided resources for Licensing Forms and best practices. No immediate health and/or safety concerns were observed during today's visit and LPA determined the facility is ready for residents. The facility's request for licensure will be forwarded to management and the Centralized Application Bureau (CAB) for final review and approval. If and once granted their license, licensee will notify LPA within seven (7) days of receiving their first client. An exit interview was conducted with Licensee Lopez to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.the state’s words, verbatim · CDSS document, Jul 15, 2026

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Karina Lopez Managing Member/ Vanessa Nunez Administrator Interview Method: Telephone interview On July 7, 2026, 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 the 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 Readiness 9. Pre-licensing Facility Grounds Inspection and Operational Readinessthe state’s words, verbatim · CDSS document, Jul 7, 2026