Serenity Senior Living Home

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Brian Balisi conducted a pre-licensing visit to the above noted facility. Upon arrival LPA met with applicants Claudio Pryor and William Newsom. Fire clearance was granted on 06/17/2026 for five (5) non-ambulatory residents and one (1) bedridden resident. The facility is a one-story building with five (5) resident bedrooms. The facility does not have a fire sprinkler system. At approximately 10:05 a.m., a physical plant inspection was conducted inside and outside the facility. Kitchen knives and other sharp objects were stored inaccessible to residents in a drawer to the left of the dishwasher. Cleaning supplies were stored inaccessible under the sink. The facility had an adequate supply of dishes, utensils, pots, pans, and drinkware. The freezer was maintained at 0°F, and the refrigerator was maintained at 40°F. The supply of nonperishable food was adequate. No pesticides, poisons, or other toxins were stored in food storage or food preparation areas. Kitchen appliances were clean and appeared functional at the time of the inspection. Oven knobs were made inaccessible with plastic covers. Trash cans had tight-fitting lids. No flies or other vermin were observed. Cabinets and counter space are located on at the wall near the facility entrance. Medication, resident files, and facility files are to be stored in locked cabinets in this area. A complete first aid kit was observed, including a thermometer and a current first aid manual. Multiple iPads and other electronic devices were also available for resident use. A laundry area is located next to the kitchen and was inaccessible to residents in care. Cleaning supplies are to be stored in locked cabinets above the washer and dryer. All resident bedrooms were furnished with a bed, nightstand, lamp, chest of drawers, chair, and closet space. Each bedroom also had a television. Resident beds were furnished with comfortable mattresses and clean linens, including mattress pads, top and bottom sheets, pillowcases, blankets, and bedspreads. Bedroom lighting was adequate. No bedroom was used as a passageway to another room, bathroom, or toilet. There was no staff room on the premises. All rooms were free of odors, and window screens were clean and in good repair. A storage closet near Room #1 contained emergency food and water, evacuation supplies, PPE, cleaning supplies, and other facility supplies. Cabinets in the hallway between Rooms #3 and #4 contained an adequate supply of extra bed and bath linens. The facility has three (3) bathrooms. Resident bathrooms have showers with non-skid surfaces, and toilets and showers are equipped with grab bars. Hot water was tested in the bathrooms and kitchen and measured between 105°F and 120°F. Common areas were appropriately furnished and adequately lit, with sufficient seating for residents. Adequate space was available for indoor and outdoor activities. A screened fireplace and a functioning telephone were present. No obstructions were observed inside or outside the facility. The facility has a furnace capable of maintaining rooms at a minimum of 68°F and central air conditioning capable of maintaining a comfortable temperature not exceeding 85°F. Emergency exit plans/sketches and required emergency telephone numbers and other postings were displayed in common areas.Hard-wired smoke and carbon monoxide detectors were tested and functioned properly at the time of the visit. Fire extinguishers were fully charged and recently purchased. No cameras were installed in the common areas at the time of the visit. Applicants stated they would notify LPA if they decide to install cameras. Exterior passageways were clean and free of obstructions. Appropriate outdoor furniture was provided, and the outdoor area was large enough for resident activities. One (1) self-latching gate was observed. One (1) outdoor shed was located in the backyard and was inaccessible to residents in care. The shed contained gardening supplies, extra furniture, and other facility supplies.A swimming pool is located on the premises. The pool was fenced and locked. A detached garage will be inaccessible to residents in care and contained an office area for staff and administrator use. Component III was conducted in conjunction with the visit. This report will be forwarded to the Centralized Application Bureau (CAB). The CAB Analyst will notify the applicant when the license has been approved. The facility may not begin operating until the applicant has been notified of license approval by the CAB Analyst. Failure to comply may affect license approval. No corrections were required at this time. An exit interview was conducted, and the report was issued to and provided to the applicant.the state’s words, verbatim · CDSS document, Sep 24, 2026

Type of visit: Office

COMPONENT II interview has been conducted and 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 and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program 2. Admission Policies 3. Staffing Requirements & Training 4. Personal Rights 5. Restrictive/Prohibited Health Conditions 6. General Provisions 7. Emergency Preparedness 8. Complaints & Reporting 9. Pre-licensing Facility Grounds Inspection and Operational Readiness Congratulations, you have successfully completed the COMPONENT II Interview.the state’s words, verbatim · CDSS document, Sep 8, 2026