Pre-licensing visit·July 22, 2021

On 7/22/2021 at 9:10AM, Licensing Program Analysts (LPAs) G. Luk and C. Fowler conducted an unannounced Pre-licensing Inspection. LPAs met with Administrator/Applicant, Grace Del Rosario. LPAs inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining room, kitchen, living room, garage, and outdoor area. Hot water temperature was measured at 105 degrees F. No bodies of water observed. Disaster plan was completed on 1/5/2021. Home is clean and well ventilated with appropriate lighting. LPAs observed liability insurance. Fire extinguisher was last serviced on 3/1/2021. Smoke and carbon monoxide detectors were observed. First aid kit was complete. Facility has a 7-day non-perishable and 2-day perishable food supply. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1. S1 and S3 were not associated to the current facility. Administrator provided LIC9182 and copy of ID to LPAs during inspection. 2. LPAs observed unlocked medication on kitchen counter and medication cabinet was unlocked. Staff locked up medications during inspection. 3. LPAs observed unlocked scissors and gardening tools. Staff locked up scissors and gardening tools during inspection. 4. S3 did not have first aid training on file during record review. (Continue on LIC809C...) 5. S3 does not have health screening and TB test on file during record review. Licensee/applicant will submit proof of corrections to CCL on/before 8/6/2021. LPAs conducted Component III with Licensee during inspection. LPAs presented Component III Power Point and discussed the regulations embodied in the presentation. Exit interview conducted and a copy of this report provided.