Serenity Gardens

Type of visit: Prelicensing

On 05/08/26, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an announced visit to this facility. LPA was greeted by applicant, Amber Coxom, and explained the purpose of the visit. LPA was granted entry to the facility. An initial license application was submitted to Community Care Licensing Division (CCLD) on 10/08/25 for a Residential Care Facility for the Elderly (RCFE). The applicant requested a capacity of six (6) non-ambulatory individuals. Structure: The home is a four (4) bedroom, three (3) bathrooms, single-story home situated in a residential neighborhood. The home includes a living room, kitchen, dining area, laundry area in the kitchen, and shaded seating area in the backyard. The living area included table, sofa, couch, chair, and a television. The kitchen has a refrigerator and a stove. The rear exterior is fenced throughout with a patio that includes a table, and chairs. The passageways, walkways, and steps are free from obstructions. Bedrooms for Residents: The facility has four (4) bedrooms. All rooms include at least one (1) twin size bed, one (1) chair, one (1) night stand, and table lamps. All bedrooms are equipped with ceiling lighting, and a dresser. All rooms have closets with ample storage space. Bedrooms for Staff: There is no bedroom designated for live-in staff. Bathrooms: The home has three (3) bathrooms. All bathrooms have a working toilet, washbasin, shower/tub with grab bars, and non-skid mats. Continued on LIC809-C Linens & Hygiene Supplies: Beds have the required linen supplies which include pillowcases, mattress pads, fitted sheets, blankets, and bedspreads. An adequate supply of linen is stored in the hall storage area. Emergency Phone Numbers, Exit Plan & Menu: The emergency disaster plan is posted along with the exit plan. There are two (2) fire extinguishers, one located in the activity room and the other in the hallway. The facility has land-line telephone located in the living room. The applicant has submitted a mitigation plan. Food Service: Dishes, cups, and flatware are stored in the kitchen cabinets, inspected, and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked cabinet. Food supply is adequately stored in kitchen cabinets and consists of can and other dry goods. The facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days that were observed. Smoke Detectors: Smoke and carbon monoxide detectors are located throughout the interior space and bedrooms. Toxins & Sharps: All toxins and sharps are locked and stored in the kitchen. Stove burners, oven, washer and dryer are working. There is one (1) refrigerator in the kitchen and another (1) in the bedroom, along with a deep freezer. The refrigerator measured a temperature of at least 45 degrees Fahrenheit for appropriate food storage. The home is equipped with heaters and air conditioning. Water Temperature: The hot water temperature properly measured between 105.0 F and 120.0 F degrees in the kitchen and bathrooms. Medications, First-Aid Kit & Book: A First aid kit and manual were stored in the locked medication cart, which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, and gauze medication cabinet that is locked and inaccessible to residents. The resident's medications will be stored in a locked medication cart and inaccessible to residents. Resident & Staff Files: Staff and resident files will be stored in locked cabinets located in the kitchen island. Reading Material, Games: The facility has board games, books, magazines, and other recreational materials for the residents. Continued on LIC809-C Pool/Jacuzzi & Pets: There are no pets, jacuzzi, or pool at the facility. Fire clearance: A Fire Clearance inspection was conducted on 11/06/25 and approved for a capacity of six (6) non-ambulatory residents. LPA did not observe pad locks or other mechanisms which may be obstructions for safe and quick egress during an emergency on the front and back exits. Component III: LPA and the applicant completed the Component III Power Point presentation, which gives an overview of what to expect while running a Residential Care Facility for the Elderly (RCFE). During the pre-licensing inspection no items were observed which do not comply with applicable laws and regulations; no items require a follow up inspection for verification of correction. Pre-Licensing is complete, and this facility has no deficiencies. The department will submit a copy of this Facility Evaluation Report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application. An exit interview was conducted, and a hard copy of this Facility Evaluation Report has been furnished to the applicant, Amber Coxomthe state’s words, verbatim · CDSS document, May 8, 2026