The Ark

Type of visit: Case Management - Annual Continuation

On 10/23/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Ivy Castillo, Caregiver and explained the purpose of the visit. Hilda Apande, House Manager arrived later during the visit. A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. LPA received a copy of the facility's liability insurance during the visit. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representative and a copy provided.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: POC

On 10/23/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct a Proof of Correction(POC) visit in regards to deficiencies cited during the Annual inspection on 10/14/2025. LPA Calandra was greeted by Ivy Castillo, Caregiver and explained the purpose of the visit. Hilda Apande, House Manager arrived later during the visit. On 10/14/2025, the Licensee was cited for a violation of California Code of Regulations(CCR) 87309(a)-Storage Space and Access as the Licensee did not have sharps locked and in-accessible to persons in care. During the visit on 10/23/2025, LPA observed that sharp knives were locked and in-accessible to persons in care. On 10/14/2025, the Licensee was cited for a violation of California Code of Regulations(CCR) 87705(f)(2)-Care of Persons with Dementia as the Licensee did not ensure that their fire clearance included approval of locked perimeter fence gate. During today's visit, LPA observed that the perimeter fence gate is no longer locked. No deficiencies cited during today's visit. An exit interview was conducted. This report was reviewed with facility representatives and a copy provided along with the POC clearance letters.the state’s words, verbatim · CDSS document, Oct 23, 2025

Type of visit: Required - 1 Year

On October 14, 2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Evelyn Wilcox, Caretaker and explained the purpose of the visit. LPA Calandra toured the physical plant. This is a 1-story building with 6 bedrooms and 4 and a half bathrooms, a living room, kitchen and backyard. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. Hot water temperature was measured between the required 105-120 degrees Fahrenheit. All bathrooms had the required grab bars and anti-skid floor mats. The facility had the required 2 days of perishables and 7 days of non-perishables. All soap, poisons, and detergents were observed to be locked and in-accessible to persons in care. LPA Calandra reviewed 5 staff files and 5 resident files. All were observed to be complete. During the inspection, LPA Calandra observed that the knives drawer in the kitchen was unlocked and accessible to persons in care. A Type A citation was provided for this deficiency. LPA Calandra also observed on a previous visit on 10/7/2025 that the Licensee locks the exterior gate in front of the facility and takes care of residents who have been diagnosed with Dementia. LPA confirmed that facility staff lock the exterior gate. A Type A citation was provided for this deficiency. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. The Annual will be completed at a later date. An exit interview was conducted. This report was reviewed with facility representative and a copy along with Appeal Rights provided.the state’s words, verbatim · CDSS document, Oct 14, 2025

Type of visit: Required - 1 Year

On October 3, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 12:33 PM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Yrvanie Velsaquez, Caretaker and explained the purpose of the visit. Carol Apande, Administrator arrived later during the visit. LPA Calandra toured the physical plant. This is a 1-story building with 6 bedrooms and 4 and a half bathrooms, a living room, kitchen and backyard. No accessible bodies of water or hazards were observed. All bedrooms had the required furniture and sufficient lighting. Hot water temperature was measured between the required 105-120 degrees Fahrenheit. All bathrooms had the required grab bars and anti-skid floor mats. The facility had the required 2 days of perishables but not the required 7 days of non perishables. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. All sharp objects, poisons, soaps, and detergents were observed to be locked and in-accessible to persons in care. LPA Calandra reviewed 4 staff files and 5 resident files. All were observed to be complete. LPA Calandra requested and received the following documents at the facility: -Current Liability Insurance -Administrator's Certificate A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility. The deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. This report was reviewed with Carol Apande, Administrator and a copy of the report along with Appeal rights left at the facility.the state’s words, verbatim · CDSS document, Oct 3, 2024

Type of visit: Prelicensing

On this day, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced prelicensing visit. LPA met with caregiver Ivy Velasquez and explained the purpose of today's visit. LPA contacted the licensee/administrator Carol Apande and informed her of LPAs presence at facility. She is unable to make it to the prelicensing on this day. During today's visit, LPA toured the facility with independently and made observations through out the facility and the exterior surrounding areas of the facility. LPA observed that the fire place is not in use. The emergency exits around the facility are clear of obstructions and fences are not locked. Outdoor furniture in the front and backyard are in good condition for resident, staff, and visitor use. All resident rooms are furnished with the required furniture outlined in regulations. These items are in good repair. The facility ambient temperature is comfortable for residents and visitors. Bathrooms are observed as operational. Water is tested at all sinks at 115F and those faucets are operating properly. Fire extinguisher inspections tag is current showing 06/26/2023. Carbon monoxide and smoke detectors are hard wired through out the facility. Medications are locked and knives are locked away appropriately. Cleaning supplies are locked as well. Food supplies are in place. Resident and staff files are reviewed as complete and current. Staff training is current. Facility does not handle resident money. Administrator certificate is current. Comp III orientation was given to the caregiver. Pre-Licensing is complete. Licensure is recommended pending final approval from the Central Applications Bureau. Report is reviewed with the caregiver Ivy and a copy of the report is provided. No citations issued.the state’s words, verbatim · CDSS document, Oct 17, 2023

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 Interview Method: Telephone interview On 10/3/2023, applicant/administrator participated in COMP II. Identification of the applicant / administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant / 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 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, Oct 3, 2023