Perpetual Love Senior Living

Type of visit: Required - 1 Year

On July 14, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Camille Santos was notified via telephone and later arrived to assist with the inspection. LPA observed that Camille Santos has a valid administrator certificate which expires on May 6, 2028. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, of which one may be bedridden in bedroom #2, and has an approved hospice waiver for two residents. The facility is a single story home with four resident bedrooms, one of which are shared, two shared resident bathrooms, one staff bedroom, a living room, a family room, a dining room, a kitchen, and an attached two car garage. LPA, accompanied by the AD, conducted a tour of the interior portion of the facility. On today's visit, LPA observed five residents in care and two care giving staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the four resident bedrooms and they were observed to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds had clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the two resident bathrooms. Resident bathrooms were clean. Resident bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 109.5 and 110.4 degrees Fahrenheit. LPA observed the staff bedroom to be locked and inaccessible to residents in care. LPA observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. CONTINUED ON LIC809-C LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals to be stored in a locked kitchen cabinet under the sink. LPA observed various fire extinguishers to be mounted on the walls across the facility. Fire extinguishers were observed to be charged and up to date on service. LPA tested the wired smoke detectors and individual carbon monoxide detector which tested operational. LPA observed the facility conducted their last emergency disaster drill on June 21, 2026. LPA observed the centrally stored medication to be kept in a locked closet in the resident hallway. LPA observed the facility has a first aid kit stored in the locked closet and it had all the required components. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage and laundry. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPAs observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gate of the facility to be self latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all five resident files. All the required documentation were present and current in the resident files reviewed. LPA reviewed residents' medication and medication administration records. LPA reviewed four staff files. LPA observed Staff #2 (S2) to not be background cleared or associated to the facility. LPA observed S2 to be present during the visit. LPA also observed S2 to be assisting residents and participating in activities with residents. Based on the observations made during today's visit, a deficiency is being cited on the attached LIC809-D page. An exit interview was conducted with Administrator Camille Santos. A copy of the report and appeal rights were provided at time of visit.the state’s words, verbatim · CDSS document, Jul 14, 2026

Type of visit: Required - 1 Year

On July 29, 2025, at 2:00pm, 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 was greeted and granted entry by Administrator (AD) Fregil Jimenez and Administrator (AD) Camille Santos later joined the inspection. LPA stated the purpose of the visit and requested Resident/Staff rosters and Personnel Record. The facility is licensed to operate for six (6) non-ambulatory residents, of which one (1) may be bedridden, and has a hospice waiver for two (2) residents. The facility is a single-story building located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, two living room areas, dining area, kitchen, an outdoor covered seating area, and an attached two car garage. LPA Bentley toured inside and outside of the physical plant with AD Pascual. There are no obstructions on the premises. There is a large, covered fish tank in the front living room. 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 clean and operational. The water temperature measured 130.1 degrees F to 130.4 degrees F and a deficiency is being cited. CONTINUE ON LIC809-C... LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. During the visit, LPA Bentley observed all mandated inspection control posters were posted. A comfortable temperature of 76 degrees F was maintained in the facility. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-968-6042) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency food, emergency water, and emergency supplies were stored in the garage. The facility has four (4) fire extinguishers that were charged, mounted, and serviced on May 29, 2025. Liability Insurance is effective November 21, 2024, and expires on November 21, 2025. Emergency safety drills were last conducted on June 20, 2025, and conducted quarterly. First aid kit is maintained and contains all the necessary elements. LPA Bentley conducted an audit of five (5) resident files (R1-R5), four (4) staff files (S1-S4), and a medication and medication administration review. LPA Bentley conducted two (2) staff interviews and five (5) resident interviews. During tour LPA Resident 1 (R1) bedroom with AD Santos and AD Jimenez and observed multiple medications unsecured on tray table, near R1 bed. LPA observed AD Santos remove and secure R1 medication Based on observations, interviews and record reviews, deficiencies are being cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided to Administrators Camille Santos and Fregil Jimenez at the end of the visit..the state’s words, verbatim · CDSS document, Jul 29, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Edward Kim made an announced visit to conduct the second pre-licensing inspection. LPA Kim was greeted and granted entry by Applicant Fregil Jimenez. LPA Kim explained the reason for the visit upon entry. The first pre-licensing inspection was made on July 1, 2024 and several corrections were needed. The applicant requested a capacity of 6 nonambulatory residents and of which one (1) bedridden. Applicant has requested a hospice waiver for two (2) residents. The facility is a one story house in a residential neighborhood with an attached 2 car garage with five (5) bedrooms, of which four (4) bedrooms are for residents and one bedroom (1) is for staff, two (2) full bathrooms, family room, dining room, a kitchen, and living room with a screened fireplace During a tour of the facility, LPA Kim observed that the following items have been corrected: 1) Furnace has been replaced and has been approved by Socalgas. 2) Electric stove front left burner is operable. All items have been corrected. No new deficiencies were observed. The facility is ready for licensure. The pre-licensing visit and Component III Orientation are now complete. It appears this facility meets the requirements for licensure. LPA Kim will forward this report to the Centralized Applications Bureau for review. The license will be granted upon completion of a final review and approval from the Centralized Applications Bureau. An exit interview was conducted and a copy of this report was provided to applicant Fregil Jimenez.the state’s words, verbatim · CDSS document, Jul 16, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Edward Kim and Licensing Program Manager (LPM) Lourdes Montoya conducted an announced visit to the facility to conduct the pre-licensing inspection. LPA Kim and LPM Montoya met with Applicant Fregil Jimenez and toured the facility. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing Division (CCLD) on November 6, 2023. The applicant requested a capacity of 6 nonambulatory residents and of which one (1) bedridden. Applicant has requested a hospice waiver for two (2) residents. Facility phone number (714)968-6042. LPA Kim and LPM Montoya observed the following. Structure: The facility is a one story house with an attached 2 car garage with five (5) bedrooms (1 is for staff), 2 full bathrooms, family room, dining room, a kitchen, and living room with a screened fireplace. There are 6 exits, one exit door in the family room, the exit in the front door, the exit in bedroom 1, the exit in bedroom 2, the exit in bedroom 3 which is approved for 1 bedridden resident, and the exit in bedroom 4. Air/Heating: Central air/heating system installed with a central panel to control entire house. Bedrooms: There are four (4) Resident Bedrooms. There are 3 private resident bedrooms and 1 shared bedroom (#4). The bedrooms are spacious and will easily accommodate the residents' belongings. All resident rooms had the required furnishings. Bedroom 5 is designated as the staff bedroom Evaluation Report Continues on LIC 809-C Bathrooms: All bathrooms have a working toilet, wash basin and walk in shower. All bathrooms are clean and operational. Linens & Hygiene Supplies: Adequate supply of linen stored in linen closet in the hallway. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting and emergency phone numbers listed. Sample menus posted and available. Food Service: There are residents living in the facility at this time. There is 2-day perishable food and 7-day non-perishable food supply on hand. Smoke Detectors/Carbon Monoxide Detectors: Smoke detectors/carbon monoxide detectors are hardwired and tested operational. There are fire extinguishers mounted on the wall in the dining area, and one mounted in the hallway next to the resident room 3 and resident room 4. All fire extinguishers are fully charged and serviced on April 5, 2024. Appliances: There is one 4 electric burner stove, 1 oven, microwave oven mounted above the stove, a refrigerator, dishwasher, washer, and dryer. Toxins: All cleaning supplies and chemicals are kept in two areas: kitchen cleaning supplies locked under the kitchen sink and all extra cleaning supplies are locked in the garage.. Evaluation Report Continues on LIC 809-C Water Temperature: Hot water was measured in all bathrooms. Hot water measured in private bathroom at 112.1 degrees Fahrenheit and shared bathroom at 115.7 degrees Fahrenheit. Medications, First-Aid Kit & Book: The first aid kit and the first aid manual are stored in dresser next to the dining room. The first aid kit has all the required elements. Medications will be stored in the closet in the hallway next to bedroom #1. Resident & Staff Files: The Resident and Staff Records will be kept locked in the closet next to bedroom 1.. Reading Material, Games, Equipment & Materials: Arts and craft, tablet, and board games are stored in the family room. Fire clearance: Fire Clearance approved by Fountain Valley Fire Department inspector Thang Nguyen on December 14, 2023. Component III: Component three will be discussed on next visit. During the pre-licensing inspection, certain items were observed which do not comply with applicable laws and regulations: the following items must be corrected and proof of correction shall be submitted to the CCLD office attention of LPA Edward Kim via email to edward.kim.@dss.ca.gov. If additional time is required to complete noted items to correct, then the applicant will request an extension in writing prior to the due date. Some items may require a follow-up inspection verification of corrections. 1) Furnace has an open flame and is not strapped securely and needs follow up with Socal Gas. 2) Electric stove front left burner is not operable. Evaluation Report Continues on LIC 809-C An exit interview was conducted and a copy of this report has been provided to Applicant Fregil Jimenez. LPA Edward Kim will submit a copy of the 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. END OF REPORTthe state’s words, verbatim · CDSS document, Jul 1, 2024

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 5 Method: Telephone call with CAB COMP II Participants: Fregil Jimenez, owner, Administrator; Camille Santos, Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. 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, Jun 10, 2024