Illustration — no photo of this home on file yet
- Care approvals on fileWheelchair · Hospice · BedriddenState licensing record · September 13, 2026
- Starting rate$5,500 a monthListed by the home on Seniorly · September 9, 2026
- Home sizeLicensed for 6Small care home · a licensed care home (RCFE)
- Room at the last state visit5 of 6 beds occupiedOctober 20, 2025 · not a current opening
- Ways to payAsk the homeMedi-Cal ALW participation not on file
- Last state visitDecember 4, 2025CDSS inspection record
Ns Care is a small care home in Fountain Valley — a licensed residential care facility for the elderly (RCFE), the licence category behind “assisted living” and “board and care.” It is licensed for 6 residents since 2012. Dementia care is not on file.
Built from CDSS public records · September 13, 2026. Every fact below names its source and date.
Quick answers and the state record
A citation does not make a home unsafe, and an empty file does not make a home good.
Quick answers about Ns Care
Is Ns Care licensed?
The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
How many residents is Ns Care licensed for?
6 residents — a small home, per CDSS records as of September 13, 2026.
Has Ns Care been cited?
0 Type A and 1 Type B citation since 2012, per CDSS records as of September 13, 2026. Those records count 10 state visits over the same years.
Is Ns Care still open?
This license was on the CDSS roster as of September 28, 2026.
What does Ns Care cost?
$5,500 a month to start — listed by the home on Seniorly · September 9, 2026.
The home lists this starting rate on Seniorly for assisted living private room, seen September 9, 2026.
Among 8 other homes of a similar licensed size in Fountain Valley that publish a starting rate, the middle half runs $4,100 to $6,000 a month, and the middle figure is $4,650 (n = 8 other homes publishing a starting rate).
Each of those is a home’s own published figure, gathered on its own date in September 2026 — not an average of ours, and not a survey. Similar size means small and mid-size homes counted together, and large communities counted on their own, because they are different markets.
A home outside the band is not overcharging or underpricing: a starting rate covers different things in different homes, which is the first thing to ask about.
The price is made in the phone call. Nothing here is a quote, an offer or a discount.
A starting rate is the room and the base care. California homes commonly bill care levels, medication management, supplies, transport and a second person in the room as extras. Many also charge a one-time fee at move-in. Ask for that list in writing before anything is signed.
Only prices a home put out itself count here: its own website, a listing it supplied, or a price a listing site says the home confirmed. Prices a site shows without saying where they came from are left out.
Does Ns Care take Medi-Cal?
On Medi-Cal’s Assisted Living Waiver: this home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
Who holds the license?
The license is held by Ns Care LLC, per CDSS records as of September 13, 2026.
Is there a hospital nearby?
UCI Health-Fountain Valley is 0.6 miles away in a straight line, per the CDPH licensed-hospital list dated September 16, 2026. See licensed care homes near it.
Can Ns Care keep a resident on hospice?
Hospice care is approved on this license, covering up to 2 residents, per CDSS records as of September 13, 2026.
Ns Care license and inspection record
- Name on the license: “NS CARE”, per the CDSS roster as of May 25, 2025.
- License #306004454. The state lists this license as “Licensed,” per CDSS records as of September 13, 2026.
- Licensed for 6 residents — a small home, per CDSS records as of September 13, 2026.
- Licensed to Ns Care LLC, per CDSS records as of September 13, 2026.
- First licensed in 2012, per CDSS records as of September 13, 2026.
- 10 state inspection visits since 2012, per CDSS records as of September 13, 2026.
- 0 Type A and 1 Type B citation on file since 2012, per CDSS records as of September 13, 2026. The same records count 10 state visits in that period.
- 2 complaints and 1 substantiated allegation on file since 2012, per CDSS records as of September 13, 2026. One complaint can carry several allegations.
- The most recent state visit on file is December 4, 2025, per CDSS records as of September 13, 2026.
California writes these definitions for every licensed home, not for this one. CDSS citation definitions (PDF) ↗
Can they support the care needed?
California licenses a home for specific kinds of care. The state’s record lists what this home is approved for; the home’s own answers fill in what changes as needs change.
- Wheelchair / non-ambulatoryApproved · covers up to 6 residents
- Dementia / memory careNot on file · ask the home
- Hospice careApproved · covers up to 2 residents
- BedriddenApproved · covers up to 6 residents
State licensing record · September 13, 2026. An approval may cover specific rooms or residents; it does not establish an opening.
Read the state’s own wording
6 NON-AMBULATORY, OF WHICH 6 MAY BE BEDRIDDEN. HOSPICE WAIVER FOR 2
935 - ELDERLY
CDSS record, verbatim · September 13, 2026
As needs change
- Staying through hospice
Hospice waiver on file · covers up to 2 — care may continue at the end of life
Ask: “If hospice is needed, can care continue here until the end?”
State licensing record · September 13, 2026
4 more questions to ask the home
- Two-person transfers or a lift
Not on file
Ask: “If two people or a lift are needed to transfer, can the person stay?”
- Someone awake overnight
Not on file
Ask: “Who is awake overnight, and how do residents ask for help?”
- Medicines
Not on file
Ask: “Who manages the medicines, and what happens when a dose is missed?”
- If memory loss develops
Dementia-care designation not on file
Ask: “If memory loss develops, what would change — and when would a move be needed?”
Care & day-to-day support
These are the home’s own statements about its day-to-day practice — they are not part of the state licensing record, and the state has not approved or reviewed them.
Respite / short-term stays
Reported on aplaceformom.com · seen September 9, 2026.
Medication management
Reported on aplaceformom.com · seen September 9, 2026.
Diabetes care
Reported on aplaceformom.com · seen September 9, 2026.
Incontinence care
Reported on aplaceformom.com · seen September 9, 2026.
What it costs here
This home’s starting rate
$5,500a month to start
Listed by the home on Seniorly · September 9, 2026 · See listing
Likely monthly total
$5,500a month
Likely $5,500–$6,100
With a shared room and basic help.
An estimate for planning, not a quote. The price is made in the phone call.
See the full cost breakdownRoom, care and fees · how people pay · where the price comes from
Memory care is not priced here: a dementia-care designation is not on file for this home. Ask the home.
Starting monthly rate$5,500this home
The home lists this starting rate on Seniorly for assisted living private room, seen September 9, 2026.
Shared room insteadAsknot on file
This home’s listed starting rate is for assisted living private room. A shared room, if one is offered, may cost less — ask.
Basic help with daily careUsually includedup to $600
Basic help is usually part of the starting rate. Homes that price care by level start around $600 a month (45 California homes publish a care-level range, seen in September 2026).
One-time move-in fee$2,000one time · likely $0–$4,000
Homes that list a one-time entry or community fee charge a median of $2,000 (134 California listings; middle half $1,000–$4,000). Many homes list none — ask.
- Likely monthly totalLikely $5,500–$6,100
- $5,500
- First monthWith a one-time move-in fee · likely $5,500–$9,600
- $7,500
Lines marked “Ask” are not in the totals.
How people payPrivate pay, Medi-Cal waiver, SSI/SSP, veterans, insurance
- Private payMost residents pay from savings, a home sale or family help. Ask for the rate and what it includes in writing.
- Medi-Cal Assisted Living WaiverThis home is not on the DHCS participation list dated September 23, 2026. Ask the program about current options. The waiver pays for care services, not room and board.
- SSI/SSPCalifornia’s 2026 standard is $1,626.07 a month; $1,444.07 of it goes to the home and $182 stays with the resident. Whether this home accepts it is not on file — ask.
- VeteransVA Aid & Attendance can add to a veteran’s or surviving spouse’s pension. Ask whether residents here have used it.
- Long-term care insuranceMost policies pay for licensed care homes. Ask what paperwork the home provides for claims.
- MedicareDoes not pay for room and board in a care home. It can still cover hospice or home-health visits inside one.
Avoid surprises on the billWhat changes the price, and what to ask
- The care level
Some homes charge one all-inclusive rate. Others add levels or points as needs grow. Ask how the level is set, who decides, and what the next level costs.
- What is billed separately
Medication management, incontinence supplies, transportation and a second person in the room are often extra. Ask for the list in writing.
- Move-in costs
A one-time community fee or deposit is common. Ask what it covers and whether any of it comes back if the stay is short.
- Increases
California requires at least 90 days’ written notice, with reasons, before a rate rises (Health & Safety Code §1569.655). A change in the resident’s care level is the section’s own exception and can be billed sooner.
- What is the full monthly cost for the room and care we need, and what does it include?
- What would the next care level cost, and who decides when it changes?
- What is billed separately, and is there a one-time fee or deposit at move-in?
- Is any private-pay period required before another payment program can begin?
How this estimate worksWhere this price comes from
The home lists this starting rate on Seniorly for assisted living private room, seen September 9, 2026.
13 homes like this within 3 miles publish starting rates mostly between $3,900–$6,200.
- Only prices a home put out itself count: its own website, a listing it supplied, or a price Seniorly says the home confirmed. Prices a listing site shows without saying where they came from are left out.
- Nearby homes are the nearest of the same size that publish a rate, widening from 3 to 40 miles until at least 8 do. The estimate starts from what they charge, then adjusts for this home’s size, state care approvals, Medi-Cal waiver participation, years licensed and the area’s prices.
- Room, care-level, second-person and move-in lines come from what California homes publish on listing sites. Memory care uses Covelight’s researched premium over assisted living.
- Totals add each line’s figure and combine the lines’ ranges as separate charges, because a home is rarely at the top, or the bottom, of every line at once.
- We tested this estimate on 1,546 California homes that publish their own starting rate. It was within 10% of the real rate for 3 in 10 homes and within 25% for 7 in 10; the likely range held the real rate for 6 in 10 (September 12, 2026).
- It cannot see this home’s specials, how it assesses care, or which rooms are open.
Show the 13 nearby homes behind this estimate
- Fountain Garden Guest HomeFountain Valley · 1.3 mi · Small home$4,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Crystal Cove Care #1Fountain Valley · 1.4 mi · Small home$6,500Listed on Seniorly · assisted living private room · seen September 9, 2026
- Golden Touch Guest HomeFountain Valley · 1.4 mi · Small home$5,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Crystal Care HomeFountain Valley · 1.5 mi · Small home$4,000Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Loving Care Senior HomeFountain Valley · 1.6 mi · Small home$3,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- The Hills of Santa TeresaFountain Valley · 1.7 mi · Small home$4,200Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Coastside Senior HomeCosta Mesa · 1.9 mi · Small home$4,500Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Golden Heart Care HomeFountain Valley · 1.9 mi · Small home$4,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
- Sterling Senior Community 12Huntington Beach · 2.1 mi · Small home$6,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- Socal Assisted LivingHuntington Beach · 2.5 mi · Small home$6,500Listed on Seniorly · assisted living private room · seen September 9, 2026
- Matsonia Lane HomesHuntington Beach · 2.5 mi · Small home$5,500Listed on Seniorly · assisted living private room · seen September 9, 2026
- Angela's Residential CareCosta Mesa · 2.9 mi · Small home$6,000Listed on Seniorly · assisted living private room · seen September 9, 2026
- The Taylor CottageHuntington Beach · 2.9 mi · Small home$3,800Listed on Seniorly · assisted living shared bedroom · seen September 9, 2026
Where it is
- 10431 Avenida Cinco De Mayo, Fountain Valley, CA 92708Address from the public record · September 13, 2026. Confirm the entrance with the home before visiting.
Opening the neighborhood map…
The state record
California inspects every licensed home and publishes what it found. Here are the dated documents and the state’s own words, beside what is typical for homes this size.
Since 2021, the state has filed 10 documents for this home, and its records count 10 visits since 2012. The most recent is a facility evaluation report, dated December 4, 2025.
- On file since
- 2021
- State visits
- 10
- Most recent visit
- December 4, 2025
- Occupied · October 20, 2025 visit
- 5 of 6 bedsa count on that day, not an opening
We hold 2 complaint reports the state published for this home, dated June 5, 2024 to October 20, 2025. 2 of the 2 carry the state's recorded outcome word: “Substantiated” (1), “Unfounded” (1). 2 include the transcribed allegation the state investigated, word for word. Summary composed by computer from the 2 complaint reports below — every count derives from them, and the documents themselves are the state's records, verbatim. We never grade, score, or color a record.
Beside homes the same size
- Type A citations0typical 0
- Type B citations1typical 0
- Substantiated allegations1typical 0
- Total complaints2typical 0
“Typical” is the statewide median across the 6,808 licensed small board-and-care homes (6 or fewer beds) in the state record — larger, longer-licensed homes accumulate more visits and reports, so compare like with like. One complaint can contain several allegations. Counts cover this licence since 2012.
Year by year
The last 36 months — 8 of 10 documents
Dec 4, 2025Facility evaluation reportReport on file
Type of visit: Required - 1 Year
On December 4, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility, after stating the purpose of the visit. Licensee (LI) Novac Sofroni arrived at the facility and remained to assist during the visit. Novac Sofroni has an administrator certificate that expires on June 26, 2027. The facility is licensed to operate for six (6) non-ambulatory residents of which six (6) may be bedridden, with a hospice waiver for two (2). The facility is a two-story house located in a residential neighborhood, with ten (10) bedrooms, nine (9) bathrooms, a living room, dining room, kitchen, three car garage, and outdoor covered seating area. The upper level consists of three (3) staff bedrooms and three (3) bathrooms, and the lower level includes seven (7) resident bedrooms and six (6) bathrooms. There are three (3) residents in care and present during today’s visit. During the inspection, LPA toured inside and outside of the physical plant with LI Sofroni. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be operational. The water temperature in six (6) resident bathrooms measured between 113.7 degrees F and 117.3 degrees F. A comfortable temperature of 74 degrees F was maintained throughout the facility. Medications were observed unlocked and accessible to residents in care and a deficiency was cited. CONTINUE TO LIC809-C.... LPA observed the facility to be unsanitary and in need of deep cleaning at the time of visit. Cleaning supplies/toxins, and sharps objects were not securely stored and found to be accessible to residents. The kitchen was inspected and LPA observed an insufficient amount of perishable and non-perishable food. Some items were not properly maintained and multiple food items were observed past their expiration date. A deficiency was cited. Evaluation Report Continues on LIC 809-C Evaluation Report Continues on LIC 809-C A working telephone (714)599-3531 remains available and the facility currently has a device that can be used for video teleconference purposes. Liability Insurance was observed effective October 8, 2025 and expires October 8, 2026. The smoke detectors were operable. LPA did not observe an operable carbon monoxide detector. The facility has two (2) fire extinguishers that were charged with a last serviced date of November 1, 2024. LPA observed receipt that LI purchased new extinguishers during the visit. LPA observed the facility does not have a sufficient amount of emergency food, emergency water, and emergency supplies. Emergency safety drills were last conducted on June 1, 2024. Deficiencies were cited. LPA conducted an audit of five (5) resident files (R1-R5), four (4) staff files (S1-S4), and medication and medication administration review. Staff files for S1, S3, S4 were not available for review at the time of the visit. Resident and staff interviews were conducted. Deficiencies were cited during this visit, as per Title 22 Division 6 Chapter 1 of the California Code of Regulations. CIVIL PENALTIES ASSESSED. An exit interview was conducted, and a copy of this report, LIC809-D, LIC811, LIC421BG, and appeal rights were provided to Licensee Novac Sofroni at exit.the state’s words, verbatim · CDSS document, Dec 4, 2025
The state marks this report as 13 pages; the online copy we transcribed has 10. You can request the full file from the county licensing office.
Oct 20, 2025Complaint investigation reportSubstantiated
Allegation investigated: Facility failed to assist resident with follow up medical appointments.
On October 20, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted a 10-day complaint visit to investigate the above allegation. LPA met with Caregiver Astrid Jocelyn Zamarripasalman, stated the purpose of the visit, and was granted entry into the facility. Licensee Novac Sofroni was contacted by telephone, arrived a short time later, and remained throughout the visit to assist with the investigation. LPA stated the purpose of the visit to Licensee Novac Sofroni and conducted an interview. During today’s visit, LPA observed five residents present and two caregivers on duty. LPA conducted a tour of the facility with Licensee and observed no imminent health and safety issues. LPA reviewed documents for five residents and two staff including the following facility records: Resident/Staff Rosters, Personnel Record (LIC500), face sheets, physician’s reports, and needs and services appraisals. Report continued on LIC 9099C…. Substantiated Regarding allegation: Facility failed to assist resident with follow up medical appointments. It was alleged that the facility failed to assist resident with follow up medical appointments for laboratory (labs), Obstetrics and Gynecology (OB/GYN), and Psychiatry. LPA interviewed five residents and two staff. LPA is unable to qualify two resident interviews due to their medical condition. Per Licensee, Resident 1 (R1) schedules their own appointments and has the house phone all day which they use to schedule the appointments on their own. Licensee stated R1 has missed some appointments but they are not sure which ones. Based on record review of Progress Notes, on September 5, 2025 Community Care Center conducted an in-office exam with R1 and provided referrals for follow-up appointments for labs, OB/GYN, and Psychiatry. R1 was seen at Community Care Center again on October 15, 2025 and based on appointment records dated October 20, 2025, R1 did not attend appointments for labs and OB/GYN by that date. Based on LPA interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is deemed to be SUBSTANTIATED. A deficiency is being cited as per California Code of Regulations, Title 22, Division 6 and Chapter 8. An exit interview was conducted with Licensee Novac Sofroni, and a copy of this report including the LIC811, LIC9099D, and the appeal rights were provided at the end of the visit.the state’s words, verbatim · CDSS document, Oct 20, 2025 · control 22-AS-20251016145831
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87465(a)(1) · Plan of correction due date: Oct 27, 2025
87465(a) (1) The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above. LPA reviewed R1’s record that medical appointments for labratory and OBGYN were not scheduled by facility. This poses a potential health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 20, 2025
Plan of correction: The Licensee stated they will ensure appointments are schduled for R1 by the facility, and submit proof to CCLD via email by POC due date.
Oct 20, 2025Facility evaluation reportReport on file
Type of visit: Case Management - Other
On October 20, 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted a case management deficiency visit unrelated to allegation of complaint #22-AS-20251016145831. Per record review, S1 is not associated with the facility. Per interview with Licensee Sofroni Novac stated, S1 began working at the facility as a caregiver on August 23, 2025, is full-time, and works 5 days per week. During today's visit, LPA observed S1 working at the facility and providing care to residents in care. A deficiency was cited by Title 22 Division 8 Chapter 6. An exit interview was conducted, and a copy of this report and appeal rights were provided to Licensee Sofroni Nova.the state’s words, verbatim · CDSS document, Oct 20, 2025
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Oct 21, 2025
87355 (e)(3) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on observation, interview, and record review, the licensee did not comply with the section cited above. LPA reviewed S1’s record that they are not associated with the facility. This poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 20, 2025
Plan of correction: The Licensee stated they will associate S1 to the facility and submit proof to CCLD via email by POC due date.
Oct 20, 2025Facility evaluation reportReport on file
Type of visit: Case Management - Other
On October 15, 2025, the licensee assigned an individual to accompany Resident 1 (R1) to an appointment at the Community Health Center in Garden Grove. However, this individual is not employed by the facility, does not possess a background clearance, and has no official association with the facility. Per record review, I1 is not associated with the facility. Per interview with Licensee Sofroni Novac stated, I1 was asked to attend a doctor's appoint with a resident but does not work at the facility and is not associated. A deficiency was cited by Title 22 Division 8 Chapter 6. An exit interview was conducted, and a copy of this report and appeal rights were provided to Licensee Sofroni Nova.the state’s words, verbatim · CDSS document, Oct 20, 2025
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(3) · Plan of correction due date: Oct 21, 2025
87355 (e)(3) All individuals subject to a criminal record review... shall prior to working, residing or volunteering in a licensed facility: (3)Request a transfer of a criminal record clearance... This requirement is not met as evidenced by: Based on interview and record review, the licensee did not comply with the section cited above. LPA reviewed Guardian Roster and confirmed I1’s is not background cleared and associated with the facility. This poses an immediate health, safety, and personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Oct 20, 2025
Plan of correction: The Licensee stated they do not wish to employee I1 and will ensure the individual will no longer have contact with residents in care.
Nov 18, 2024Facility evaluation reportReport on file
Type of visit: Required - 1 Year
Licensing Program Analysts (LPAs) Rose Ruppert and Fred Arias made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPAs were greeted and granted entry by Staff #1 at 8:15 AM. During today’s visit, LPAs met with Novac Sofroni, Administrator (AD). The facility is a two-story, ten bedroom, nine bathroom residential building with an approved fire clearance of six non-ambulatory residents of which six may be bedridden and two are approved for hospice. The facility currently has a census of six residents in care of which two residents are on hospice. During today’s visit, LPAs toured the facility and inspected the physical plant, including but not limited to testing all smoke and carbon monoxide detectors, testing hot water temperatures in four of four resident bathrooms, and testing auditory devices on all exits. The hot water temperatures measured between 105.6 and 118.5 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational. LPAs observed the PUB 475 "See Something, Say Something" poster was not 20" X 26." The fire extinguisher is charged and was serviced on November 2023. AD purchased new fire extinguishers during our visit. The facility’s last fire drill was conducted on June 1, 2024. LPAs inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPAs observed medication storage and reviewed the centrally stored medications. Per review of medications it is not clear if medications are being given as prescribed. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. LPAs interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPAs confirmed that administrator has a current administrator certificate which expires on June 26, 2025. (Continued on LIC 809-C) (Continued from LIC 809) The following deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Novac Sofroni, Administrator and a copy of this report was given to the facility along with a copy of the LIC 858, LIC 859; LIC 809-D, LIC 9102-TVs and Appeal Rights.the state’s words, verbatim · CDSS document, Nov 18, 2024
The state marks this report as 7 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.
Jun 6, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Deficiencies
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit in conjunction to delivery of complaint investigation findings for complaint control #22-AS-20240311085256. LPA Quiroz was granted entry by Caregiver 1 (CG1). L/AD Novac Sofrani arrived shortly after. LPA Quiroz explained the reason for the visit. During today's visit, LPA Quiroz along with (L/AD) Sofroni conducted a tour of the interior and exterior of facility premises. On or about 4:02pm, while reviewing facility personnel report, LPA Quiroz observed CG1 not associated to the facility. L/AD Sofrani indicated " She just started today. Not able to get her live-scan done yet." CG1 verified today was their first work day at facility. LPA Quiroz requested for CG1 to leave the facility premises due not being background cleared. LPA Quiroz observed CG1 leave facility premises. (See LIC 809-D and Civil Penalty Assessment LIC 421IM). At 4:25pm, while LPA Quiroz along with L/AD Sofrani conducted tour of facility premises, LPA Quiroz observed three vehicles parked on facility driveway and two vehicles on side walk/street blocking facility driveway. Three of five vehicles were observed to have expired tags and one of five was observed to not be operable. (L/AD) Sofroni indicated "Yeah they still have expired tags, and the 69 Chevy Nova has bad battery. Three of the cars are not permitted to be operated on the public road until tags are renewed." (See LIC 809-D) At 4:30pm while conducting tour in the garage area, LPA Quiroz observed clutter and not able to walk through the garage area. This was verified with (L/AD) Sofroni who indicated "Yeah, it's still bad. I know I need to clean it. I clean it and then it gets bad again." This poses a potential risk to residents in care The facility is being cited per Title 22, Division 6 of the California Code of Regulations. Repeated violations and failure to correct was assessed on today's date. (SEE CIVIL PENALTY ASSESSMENT – FAILURE TO CORRECT AND REPEAT VIOLATIONS) An exit interview was conducted with (L/AD) Sofroni, and a copy of this report, LIC 811-Confidential Names, 809-D pages, LIC 421IM, LIC 421-FC pages and Appeal Rights were provided at exit.the state’s words, verbatim · CDSS document, Jun 6, 2024
From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(a) · Plan of correction due date: Jun 6, 2024
87355(a) Criminal Record Clearance. (a) The Department shall conduct a criminal record review of all individuals... and shall have the authority to approve or deny... presence in the facility, based upon the results of such review. This requirement was not met as evidenced by: CONT CONT...Based on file review and interview, the Facility did no secure criminal background clearance for CG1. CG1 was allowed to work at the facility and have direct contact with the residents without criminal background clearance since 6/6/24 at 8am. CONTINUE...the state’s words, verbatim · CDSS document, Jun 6, 2024
Plan of correction: LPA Quiroz requested for CG1 to leave premises immediately. L/AD Sofrani indicated he will work and relieve CG1. Immediate risks reduced. Immediate civil penalty was assessed. This poses immediate threat to safety of the residents in care. (see LIC 421BG)
From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(d)(6) · Plan of correction due date: Jun 6, 2024
87307(d)(6) Personal Accommodations and Services: (d)The following space and safety provisions shall apply to all facilities:(6)All outdoor and indoor passageways and stairways shall be kept free of obstruction...At 4:25pm, while conducting tour of CONTINUED CONT..facility premises, LPA Quiroz observed 3 vehicles parked on facility driveway and 2 vehicles on side walk/street of which 3 of 5 have expired tags and 1 of 5 is not operable. (L/AD) Sofroni indicated "Yeah they still have expired tags, and the 69 Chevy...CONTINUE...the state’s words, verbatim · CDSS document, Jun 6, 2024
Plan of correction: L/AD Sofrani will remove 3 of 5 vehicles with expired tags from facility driveway by POC due date of 6/10/2024. CONT... Nova has bad battery. Three of the cars are not permitted to be operated on the public road until tags are renewed." This poses a potential risk to residents in care.
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: Jun 6, 2024
87203: Fire Safety-All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not being met as evidenced by: At 4:30pm while CONT...conducting tour in the garage area, LPA Quiroz observed clutter and not able to walk through the garage area. This was verified with (L/AD) Sofroni who indicated "Yeah, it's still bad. I know need to clean it." This poses a potential risk to residents in carethe state’s words, verbatim · CDSS document, Jun 6, 2024
Plan of correction: (L/AD) Sofroni agreed to have garage cleaned by POC due date of 6/13/2024 and submit proof of correction via pictures email to CCL by POC due date.
Jun 5, 2024Complaint investigation reportUnfounded
Allegation investigated: -Resident sustained an unexplained injury -Due to lack of supervision resident wandered away
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz, was greeted and met with Novac Sofrani, Licensee/Administrator (L/AD) for the purpose to deliver findings for complaint allegations listed above. The initial 10-day visit was completed on March 12,2024 by LPA Quiroz. It was alleged that "Resident sustained an unexplained injury," and that "Due to lack of supervision resident wandered away" as a result of a hospitalization occurring on March 08, 2024. During the course of this investigation, the Department conducted interviews, reviewed documents including but not limited to Resident Roster, Physician Report, Needs and Services Appraisals and emails provided by Licensee including a chronology of events for Resident 1 (R1). During an inspection dated October 20, 2017, the facility was found to be operating beyond capacity and was cited. At the time, the L/AD Sofrani reported R1 did not require care and supervision. Shortly after the visit, L/AD Sofrani informed the Department R1 had moved out of the facility. During facility inspection visits conducted on March 12, 2024, LPA Quiroz did not observe R1 present at the facility. Six of six residents residing at the facility were not identified to be R1. CONTINUED... Unfounded CONTINIED...Per interview conducted with L/AD Sofrani, he had known R1 and their mother for years and upon moving out of the facility allowed R1 to move into one of his other homes as a renter. L/AD Sofrani denied providing any elements of care and supervision to R1 at that location. Per physician report reviewed dated October 25, 2017, R1 is able to communicate their needs and complete all activities of daily living independently meaning bathing, toileting, managing cash resources and feeding self. R1 is able to leave the facility unassisted per Physician Report. Although R1 was hospitalized, the investigation concluded that R1 does not reside at NS Care Facility and that L/AD Novac Sofrani is not providing care for R1. Therefore based on the preponderance of evidence gathered through interviews and observations conducted by LPA Quiroz, the allegation that the "Resident sustained an unexplained injury," and that "Due to lack of supervision resident wandered away" is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. This agency has investigated this complaint. No deficiencies cited during today's visit. An exit interview was conducted with L/AD Sofrani and a copy of report was provided.the state’s words, verbatim · CDSS document, Jun 5, 2024 · control 22-AS-20240311085256
Mar 12, 2024Facility evaluation reportReport on file
Type of visit: Case Management - Deficiencies
On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit in conjunction to a 10 day inspection visit for complaint control #22-AS-20240311085256. LPA Quiroz met with Licensee/Administrator (L/AD) Novac Sofroni and explained the reason for the visit. During today's visit, LPA Quiroz along with (L/AD) Sofroni conducted a tour of the interior and exterior of facility premises. At 1:02pm, while conducting facility tour in garage area, LPA Quiroz was not able to walk through garage area due to clutter. (L/AD) Sofroni verified indicating "Yeah, I know I need to clean this garage. It's bad." (SEE LIC 809-D) At 1:08pm, while standing in garage area, LPA Quiroz observed a ziploc bag of cannabis. This was verified with (L/AD) Sofroni who indicated "Garage is always locked and secured. I've had plumbers working on the garage lately and don't know who that belongs to." (See LIC 9102 TV) At 12:33pm, while conducting tour of outdoor premises, LPA Quiroz observed 4 vehicles parked on facility driveway, of which 3 of 4 have expired tags and not operable. (L/AD) Sofroni indicated "Yeah they have expired tags, bad batteries and not permitted to be operated on the public road until tags are renewed." (See LIC 809-D) The facility is being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted with (L/AD) Sofroni, and a copy of this report, 809-D pages, LIC 9102-TV and Appeal Rights were provided at exit.the state’s words, verbatim · CDSS document, Mar 12, 2024
From the deficiency page — Deficiency type: Type B · Section cited: CCR 87203 · Plan of correction due date: Mar 19, 2024
87203: Fire Safety-All facilities shall be maintained in conformity with the regulations adopted by the State Fire Marshal for the protection of life and property against fire and panic. This requirement is not being met as evidenced by: At 1:02pm while CONT... CONT...conducting tour in the garage area, LPA Quiroz observed clutter and not able to walk through the garage area. This was verified with (L/AD) Sofroni who indicated "Yeah, it's bad. I know need to clean it." This poses a potential risk to residents in carethe state’s words, verbatim · CDSS document, Mar 12, 2024
Plan of correction: (L/AD) Sofroni agreed to have garage cleaned by POC due date of 3/19/2024 and submit proof of correction via pictures email to CCL by POC due date.
From the deficiency page — Deficiency type: Type B · Section cited: CCR87307(d)(6) · Plan of correction due date: Mar 21, 2024
87307(d)(6) Personal Accommodations and Services: (d)The following space and safety provisions shall apply to all facilities:(6)All outdoor and indoor passageways and stairways shall be kept free of obstruction. At 12:33pm, while conducting tour of outdoor premises, LPA Quiroz observed CONT...the state’s words, verbatim · CDSS document, Mar 12, 2024
Plan of correction: 4 vehicles parked on facility driveway, of which 3 of 4 have expired tags. "Yeah they have expired tags and not permitted to be operated on the public road until tags are renewed." (L/AD) Sofroni agreed to have all current registrations for all vehicles on facility driveway and to operable by POC due date of 3/21/2024.
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