This facility has a consistently clean record with no deficiencies found in any inspection reports, including the most recent annual inspections on September 30, 2025. All evaluations, from initial licensing to annual reviews, showed the facility in good repair with proper safety measures, accurate documentation, and well-managed medication storage. No complaints were filed or investigated, and no enforcement actions or fines were noted in the available reports. The facility has maintained compliance with all licensing requirements since its pre-licensing inspections in 2024. This long history of clean inspections suggests stable and reliable operations.
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies; all resident and staff files were current and up to date, the facility was in good repair, safety equipment was compliant, and supplies were properly stored and secured.
Report Facts
Residents on hospice: 4Staff files reviewed: 3Resident files reviewed: 6Administrator certificate expiration: 2027Fire extinguisher service date: 2025
Employees Mentioned
Name
Title
Context
Maria Angelica Souxouay
Facility Designated Administrator
Met during inspection and involved in medication review
The visit was an unannounced annual inspection conducted by Licensing Program Analyst Arielle Pascua to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found the facility to be in compliance with all licensing requirements. No deficiencies were observed or cited during the visit. The facility was well maintained, medication storage and logs were properly managed, and safety measures were in place.
Met during inspection and involved in medication review
Arielle Pascua
Licensing Program Analyst
Conducted the inspection visit
Analiza Manganti
Staff Member
Met during inspection
Michael Manganti
Staff Member
Met during inspection
Inspection Report Original LicensingCapacity: 6Deficiencies: 0Oct 3, 2024
Visit Reason
The visit was conducted as a pre-licensing inspection to evaluate the facility prior to licensing.
Findings
The facility passed the pre-licensing inspection with no hazards observed. All areas toured, including kitchen, bedrooms, bathrooms, and living areas, were found to be in good repair and compliant with regulations.
Report Facts
Facility capacity: 6Current census: 0
Employees Mentioned
Name
Title
Context
Maria Angelica Souxouay
Applicant / Prospective Facility Administrator
Met with Licensing Program Analyst during the pre-licensing visit
Arielle Pascua
Licensing Program Analyst
Conducted the pre-licensing inspection visit
Lisa Rios
Licensing Program Manager
Named as Licensing Program Manager on the report
Inspection Report Original LicensingCapacity: 6Deficiencies: 0Sep 17, 2024
Visit Reason
The visit was conducted as an initial licensing evaluation for Serenity Home Care II LLC to verify the applicant/administrator's understanding of community care facility licensing laws and readiness for operation.
Findings
The applicant/administrator successfully completed Component II, demonstrating understanding of licensing laws, facility operation, admission policies, staffing requirements, emergency preparedness, complaints reporting, and pre-licensing readiness. Identification was verified and required documentation obtained.
Employees Mentioned
Name
Title
Context
Ma. Angelica A. Souxouay
CEO/Administrator
Applicant/Administrator who participated in the licensing evaluation and interview.
Tracy Thompson
Licensing Program Manager
Named as Licensing Program Manager on the report.
Ricmar Soriano
Licensing Program Analyst
Named as Licensing Program Analyst who signed the report.
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