Pre-licensing visit·January 4, 2022

On 1/4/2022 at 9:25AM, Licensing Program Analysts (LPAs) G. Luk and G. Clark conducted an unannounced Pre-licensing Inspection. LPAs met with staff, Amalia Saptang and Janet Quines. Licensee/Administrator, Grace Del Rosario arrived 2 hours later. 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 110 degrees F. No bodies of water observed. Disaster plan was completed on 3/2/2021. Home is clean and well ventilated with appropriate lighting. LPAs observed liability insurance. Fire extinguisher was observed to be full and purchased on 6/22/2021. 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. LPAs observed that facility did not have a plan of operations at the facility. Licensee will send the plan of operations to LPAs and maintain a copy at the facility. Licensee/applicant will submit proof of corrections to CCL on/before 1/10/2022. LPAs waived Component III as Licensee/Administrator have been in this position for 15 years and have other licensed facilities. LPAs provided a copy of the Component III for review. Exit interview conducted and a copy of this report provided.