SERENITY VILLA JJA, INC.

1036 VIA LA PAZ, San Pedro CA 90732

Facility 198320181 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 4, 2025Licensed

Additional info
Licensee
SERENITY VILLA JJA, INC.
Administrator
ESPIRITU, JONATHAN &EVELYN
Contact
ESPIRITU, JONATHAN &EVELYN
License first date
Sep 10, 2021
License effective date
Sep 10, 2021
District office
EL SEGUNDO ASC · (424) 544-1075
Regional office
11
Clients served
935 - ELDERLY

Summary

The available records show 6 Type B deficiencies for this facility.

Most recent inspection
Oct 4, 2025
Most recent deficiency
Oct 4, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 1,564 Los Angeles County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 5 reports for this facility: 4 inspections, 0 complaint investigations, and 1 licensing or administrative record.

Those records contain 0 Type A and 6 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
6

Well above the typical 1

2 in the last 12 months

Type A deficiencies
0

Most this size also have none

0 in the last 12 months

Type B deficiencies
6

Most this size have none

2 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(d)
Regulation authority
CCR

What the official deficiency says

(d) The licensee shall maintain documentation that an administrator has met the certification requirements specified in Section 87406, Administrator Certification Requirements or the recertification requirements in Section 87407, Administrator Recertification Requirements. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review and interview, the licensee did not comply with the section cited. LPA identified Staff #4 (Administrator) did not have the Administrator Certification Requirement or the recertification requirements. The Administrator's Certificate expired January 2025. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2025 Plan of Correction Licensee will ensure to complete the recertification requirements for an Administrator's Certificate. POC is due by 10/20/25 to ernand.dabuet@dss.ca.gov

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General - All RCFE staff...shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review and interview, the licensee did not comply with the section cited above. LPA identified staff #4 did not a valid or current CPR/First Aid on file. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/20/2025 Plan of Correction Licensee is to obtain current first aid certificate for staff#4 and will create a plan to ensure that ensure that staff who assist residents with personal activities of daily living receive annual first aid training. POC will be submitted to CCL via email at ernand.dabuet@dss.ca.gov.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Admission, assessment, and evictionType B
Official classification
Type B
Official code
87458(b)(1)
Regulation authority
CCR

What the official deficiency says

(b) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the physician's primary diagnosis and secondary diagnosis, if any and results of an examination for communicable tuberculosis, other contagious/infectious or contagious diseases or other medical conditions which would preclude care of the person by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) (record review)], the licensee did not comply with the section cited above. LPA identified (R3) no medical assessment (Physician's Report) on file. This volation poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/30/2022 Plan of Correction The licensee will adhere to Title 22 87458 and obtain a medical assessment for resident #3 (R3) a proof of correction must be submitted by fax to 323-981-1781 by POC due date: 12/30/22.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87412(a)(1-13)
Regulation authority
CCR

What the official deficiency says

87412 Personnel Records a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:... This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) (record review), the licensee did not comply with the section. LPA identified staff #5 & staff #6 did not have a complete personnel file. This violaiton poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/30/2022 Plan of Correction Licensee will review 87412 Personnel Record and send complete file for each employee. Proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 12/30/22

Plan of correction recorded
Correction not verified in available records
View official report
Resident rightsType B
Official classification
Type B
Official code
87468.1(a)(2)
Regulation authority
CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) (record review) the licensee did not comply with the section cited above. LPA identified Medication Administrationi Records were not maintained current and updated when meds are administered for residents in care. This violaiton which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/30/2022 Plan of Correction Licensee will ensure to retrain staff to ensure record keeping on medication administration is maintained accurate and in order for all residents in care. LIcensee will submit correction by fax to 323-981-1781 by 12/30/22.

Plan of correction recorded
Correction not verified in available records
View official report
Staffing, personnel, and trainingType B
Official classification
Type B
Official code
87411(c)(1)
Regulation authority
CCR

What the official deficiency says

87411 Personnel Requirements - General (c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69 (1) Staff providing care shall receive appropriate training in first aid from persons qualified by such agencies as the American Red Cross. This requirement is not met as evidenced by: Deficient Practice Statement Based on (observation) (record review), the licensee did not comply with the section cited. LPA identified staff #3 and staff #4 did not have current CPR First Aid. This vioilaiton poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 12/30/2022 Plan of Correction Licensee will ensure to adhere to Title 22 87411 and obtain CPR/First Aid for staff #3 and staff #5. Proof of correction sent by fax 323-981.1781 to El Segundo Regional office by 12/30.22.

Plan of correction recorded
Correction not verified in available records
View official report
Licensing recordNot an inspection of the operating facility
No deficiencies recorded in this report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology