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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306005298
Report Date: 08/01/2024
Date Signed: 08/01/2024 02:29:55 PM


Document Has Been Signed on 08/01/2024 02:29 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868



FACILITY NAME:A SERENE SENIOR LIVINGFACILITY NUMBER:
306005298
ADMINISTRATOR:SANSANO, MINEVAFACILITY TYPE:
740
ADDRESS:24562 DARDANIA AVETELEPHONE:
(949) 295-6854
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:6CENSUS: 6DATE:
08/01/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:18 PM
MET WITH:Minerva SansanoTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced Plan of Correction (POC) visit to follow up on deficiencies cited on 07/22/2024. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator/ Licensee Minerva Sansano arrived during the visit.

Deficiency cited under Title 22 Regulation 87465(h)(2) pertaining to Centrally Stored Medications has been cleared. Facility has discontinued pre-pouring medications and LPA observed medications in their original containers. Licensee has complied with the POC.

Advisory note given 07/22/2024 indicated the following:
  • Facility was checking blood pressure for medication administration. Facility has discontinued the practice.
  • Exit gate appears broken. Facility has repaired gate.
  • One out of six residents was missing an updated physician report. Facility has obtained updated physician report.

Facility has been advised to remain in compliance with all items cited.



Exit interview conducted and a copy of this report was left at the facility.
SUPERVISOR'S NAME: Alisa OrtizTELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly LymanTELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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