Facility Evaluation Report

Serenity One LLC, Harbor City10/26/2024Licence 198320198

Capacity4
Census3
Date signed10/26/2024 01:49:00 PM
The inspector’s account

On 10/26/2024 at around 10:40 AM, the Department of Social Services – Community Care Licensing Division (CCLD) staff conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Licensee/Administrator Jimmy David. CCLD staff explained the purpose of the visit and was accompanied by a staff member inside and outside the facility during this inspection.

This facility is licensed to serve 4 adults ages 18 – 59 years, of which 3 may be non-ambulatory clients.

A total of 3 ambulatory clients are currently residing in this facility.

The facility is a one-story house located in a residential street. The home consists of 4 client bedrooms, 1 office room, 2 bathrooms, 1 living room/dining room/kitchen area, 1 attached garage with laundry area, 1 front yard patio area with shaded seating, and 1 backyard patio area with shaded seating.

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