Timeless Care

Type of visit: Required - 1 Year

On 12/08/2025, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct an annual inspection. There were no staff members or residents in care present at the facility. A family member (Amancia Garcia) of the administrator opened the door. LPA was able to speak with Administrator Valjoseph Zamore over the phone. Administrator stated that they are started working with the replacement agencies to get their first resident. Facility never had a resident since licensed by CCL. LPA was unable to complete the inspection and will return at another time to finalize it.the state’s words, verbatim · CDSS document, Dec 8, 2025

Type of visit: Required - 1 Year

On 1/23/2025 at 1:10 PM Licensing Program Analyst (LPA) Robert Frank arrived unannounced to conduct an Annual Inspection. The facility is a single story building with 6 bedrooms and granted fire clearance approved for 2 ambulatory and 4 non-ambulatory residents. The facility has a hospice waiver for 2. There are currently zero (0) residents at the facility. The facility has not had any residents since the license was granted. At 1:30 PM, LPA conducted a tour and inspection of the indoor and outdoor portions of the facility with Administrator/Licensee, Valjoseph Zamora. Facility was found to be clean and at a comfortable temperature with bedroom doors free from obstruction. Smoke detectors and carbon monoxide detectors were tested in common areas and client bedrooms all of which were found to be in working order. Emergency exits along the one side of the facility have appropriate hardware and found to be unobstructed. Water was measured at 126.6 degrees F in faucets used by residents which does not fall within regulation between 105 & 120 degrees F. Licensee agrees to ensure compliance and submit a water record log for correction prior to accepting any residents or by DOB 2/23/2025. A Technical Violation (TV) was issued for the hot water not being in compliance. There was an ample supply of linens with appropriate bedding equipped in client rooms. An additional supply of hygiene, continence and paper products are located in a secured cabinet in hallway. Stairs and hallways are equipped with several night lights for accessibility and client bedrooms have appropriate furnishings. There is a sufficient amount of dishes and cooking supplies for client use with sharps and other hazardous items kept secured in designated drawer and under the kitchen sink. Cleaning products and other toxins and chemicals are kept out of client access and found secured in the garage and laundry room cabinets and under kitchen sinks. Continued on 809-C... ...Continued from 809 LPA observed adequate supply of both perishable and non-perishable food sufficient for future residents in care. The facility will be conducting weekly grocery replenishment with consideration to client preferences and dietary restrictions. A sample menu is also located on the refrigerator and indicates a healthy and balance set of meals for residents in care. LPA conducted a review of two (2) staff files and found all staff files reviewed to have 1st Aid & CPR certification and annual training on file. LPA observed during file review and Inspection that the facility does not have current liability Insurance. A TV was issued for not having current liability Insurance. The backyard features a large yard and deck with seating for client outdoor use. Windows, screens and blinds are all found to be in good repair. There is a working telephone and internet device available for resident use. Emergency evacuation maps and clear exit signs are observed posted at each exit door. Administrator, Valjoseph Zamora Administrator Certification 7027878740 is current through 3/17/2026. Administrator, Nataly Zamora Administrator Certification 7027958740 is pending renewal. Application received on 5/24/2024. The Following Items are to be submitted to CCLD by DOB 2/23/2025: LIC 308 Designation of Facility Responsibility LIC 610E Emergency & Disaster Plan LIC 500 Personnel Report Proof of Liability Insurance Hot water record log No deficiencies cited during today's visit. Exit interview conducted. Copy of report and LIC9102 (Technical Violations/Advisories) discussed and provided to Administrator. Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documentsthe state’s words, verbatim · CDSS document, Jan 23, 2025

The state marks this report as 4 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On 1/18/2024 Licensing Program Analyst (LPA) Tobola conducted a pre-licensing inspection and was greeted by Licensee Applicant, Valjoseph Zamora. This pre-licensing inspection is being conducted for an initial licensing. The facility is a single story building with 6 bedrooms and a granted fire clearance approved for 2 ambulatory and 4 non-ambulatory residents. LPA conducted a tour and inspection of the indoor and outdoor portions of the facility. Facility was found to be clean and comfortable temperature with bedroom doors free from obstruction. Fire extinguisher located in the kitchen was found to be last charged on 12/23/2023. Smoke detectors and carbon monoxide detectors were tested in common areas and client bedrooms all of which were found to be in working order. Emergency exits along the one side of the facility have appropriate hardware and found to be unobstructed. Water was measured at 144.6 degrees F in faucets used by residents which does not fall within regulation between 105 & 120 degrees F. Licensee Applicant agrees to ensure compliance and submit a water record log for correction. There was an ample supply of linens with appropriate bedding equipped in client rooms. An additional supply of hygiene, continence and paper products are located in a secured cabinet in hallway. Stairs and hallways are equipped with several night lights for accessibility and client bedrooms have appropriate furnishings. There is a sufficient amount of dishes and cooking supplies for client use with sharps and other hazardous items kept secured in designated drawer and under the kitchen sink. Cleaning products and other toxins and chemicals are kept out of client access and found secured in the garage and laundry room cabinets and under kitchen sinks. LPA observed adequate supply of both perishable and non-perishable food sufficient for the 6 residents in care. The facility will be conducting weekly grocery replenishment with consideration to client preferences and dietary restrictions. A sample menu is also located on the refrigerator and indicates a healthy and balance set of meals for residents in care. Continued onto LIC809-C Medications are centrally stored and secured in a locked closet located near front corridor with Centrally Stored Medication Records and several other medication related forms ready for file. All staffing records and resident specified files including care plans, medical reports and dietary restrictions will also be located in this storage space. Program operation documentation, emergency disaster information and licensing form templates pertaining to resident and staff rights have also been posted in the front of the facility. The facility has begun the hiring process for direct care giving staff and have appropriate criminal record and transfer forms readily available. The backyard features a large yard and deck with seating for client outdoor use. The facility will be including additional recreational items based on client preference upon admission. Windows, screens and blinds are all found to be in good repair. There is a working telephone and internet device available for resident use. Emergency evacuation maps and clear exit signs are observed posted at each exit door. Infection control plan to be updated and protocol infection prevention information will be available upon licensing. A sign in sheet with proper screening devices and protection equipment were also observed in the living room. The facility and facility operation plan are found to be adequate and tour of the facility completed. The Licensee Applicant is to provide the following items: - 7-Day water temperature log for resident restrooms - photo of auditory alarm sensor in resident bedroom #1 - photo of emergency evacuation map at sliding all exits - Infection control plan All items to be submitted to CCLD by POC date1/31/2024 Licensee will be sending a copy of the updated liability insurance to CCLD. Component III orientation was conducted with the Licensee Applicant. The pre-licensing evaluation has been completed. License will be granted upon completion of a final review and approval from the Licensing Program Manager. This report was reviewed with applicant and a copy was provided to the Licensee.the state’s words, verbatim · CDSS document, Jan 18, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: ValJoseph Zamora, applicant/licensee, administrator Interview Method: Microsoft Teams On 11/27/23, applicant/administrator participated in COMP II. 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/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, Nov 27, 2023