Pre-licensing visit·January 30, 2024

On 1/30/2024 at 9:10AM, Licensing Program Analyst (LPA) G. Luk conducted a Pre-licensing Inspection. LPA met with Licensee/Applicant, Carl Arcosa. LPA toured facility including but not limited to resident's bedrooms, bathrooms, living room, dining area, kitchen, garage, and outdoor area. LPA observed lighting in all rooms. LPA observed facility had some non-perishable food supply. Licensee will purchase additional food supplies once facility is licensed. Carbon monoxide detector was observed in operating condition. First aid kit was complete. Emergency disaster plan was complete. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1. Fire extinguisher was observed to be full, but unknown when it was last purchased or serviced. Licensee agreed to either provide a copy of the purchase receipt or have it serviced. 2. Hot water was measured at 131 degrees F in the hallway bathroom sink. Licensee lowered hot water and re-measured hot water at 129.4 degrees F. 3. LPA observed facility's smoke detector was beeping during inspection. 4. LPA observed two bathrooms does not have paper towel holders. 5. LPA observed bedroom #1 and #5 does not have chest of drawers. (Continue on LI809C...) 6. LPA observed facility does not have mattress pads for all resident beds. 7. LPA observed common bathrooms does not have night lights available. 8. LPA reviewed dementia plan and observed the plan does not address behaviors such as ingestion of toxic chemicals and wandering behaviors. Licensee/Applicant will submit proof of corrections to CCLD on/before 2/2/2024. Exit interview conducted and a copy of this report provided.