Senior Care Records.

Facility Evaluation Report

Serene Care Jacqueline, Pittsburg10/14/2025Licence 079200967

Capacity6
Census5
Date signed10/14/2025 05:46:44 PM
Name of licensing program analystLaura Hall
Name of licensing program managerHarpreet Humpal
The inspector’s account

On 10/14/2025, at 5:05pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct a Case Management visit. LPA met with Annabel Danan, House Manager, and explained the purpose of the visit.

While LPA L. Hall was conducting a complaint investigation 15-AS-20250624160351 on 10/14/2025. During record review LPA observed R1 and R2 had expired and the facility did not notify CCLD. LPA also reviewed after summary visits for R1 dated 1/24/2025 and 6/10/2025, and observed CCLD was not notified.

The deficiency were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction