Senior Care Records.

Facility Evaluation Report

Serenity on Poppy, Fontana10/02/2024Licence 365530209

Capacity6
Census0
Date signed10/02/2024 04:23:54 PM
The inspector’s account

On 10/02/2024 at 1:15 PM, Licensing Program Analysts (LPAs) Becky Mann, Melody Brown and Renese Howell-Small conducted an announced visit to the facility for purpose of Prelicensing evaluation. LPAs Mann, Brown and Howell-Small met with Administrator/Applicant Zipora Stewart. An initial application to operate an Adult Residential Facility (ARF) was submitted to the Central Applications Bureau (CAB) on 12/06/2023 for a total capacity of six (6) Ambulatory. Fire clearance was granted on 06/03/2024. LPAs observed the following:

Facility was a two (2) story house with three (3) client bedrooms, one (1) office room and three (3) bathrooms, living room, dining area and kitchen. There's an attached two (2) car garage in the right side of the house.

Central heating and air conditioning system installed with one (1) central panel located in the hallway to

Each client bedrooms accommodate any ambulatory client. All client bedrooms were adequately furnished

with bed, chair, closet, appropriate linens, adequate lighting, a lamp and an operable smoke detectors.

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