Pre-licensing visit·April 20, 2021

On 04/20/2021, Licensing Program Analyst (LPA) Allison O'Hollaren conducted a Tele-visit Pre-Licensing inspection via FaceTime due to Shelter in Place order directed by the Governor. LPA spoke with Administrator Clara Delgado. The facility's fire clearance was approved for ten non-ambulatory. During the tele-inspection, LPA toured facility with Administrator including but not limited to bedrooms, bathroom, common areas, kitchen, and outdoor area. COVID-19 signage is up in the facility. Resident's bedrooms are fully furnished with bed, dresser, night stand, and chair. Residents' bathrooms are equipped with grab bars and non-skid mats. LPA observed lighting in bedrooms. There is a locked storage cabinet for medications. Smoke detectors and carbon monoxide detectors are interconnected and in operation condition. Hot water temperature was measured at 118 degrees F. First aid kit is complete. Indoor and outdoor passageways were free of obstruction. Freezer temperature is maintained at 0 degrees F and refrigerator is maintained at 40 degrees F. Room temperature is maintained at 70 degrees F. LPA conducted Component III with Administrator on 04/09/2021. LPA presented Component III Power Point and discussed the regulations embodied in the presentation. This report will be submitted to the Centralized Application Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required. Exit interview conducted and a copy of report will be emailed.