Pre-licensing visit·May 2, 2024

This is an amended report. On this day, 06/12/2024, Licensing Program Analysts (LPAs), L. Alexander and L. Holmes returned to correct the deficiencies that were cited on the Pre-Licensing report but should have been cited on the current facility license # 11441151 . On 05/02/2024 at 9:45 AM, Licensing Program Analysts (LPAs) Lori Alexander and Lisha Holmes arrived unannounced to conduct Pre-Licensing inspection. LPAs met with Caregiver, Danilo "Sonny" Villar and explained the purpose of the visit. Sonny phoned the Licensee/Administrator, Richard De Leon to inform. LPAs spoke with Richard over the phone and Richard stated that he would not be available to come to the facility for the inspection. The facility currently has ten (10) residents. Administrator Certificate #6024437740 expires 02/02/2027. LPAs toured facility with Sonny including but not limited to twelve (12) bedrooms, five (5) bathrooms, kitchen, common areas and backyard. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 68 degrees F. and hot water temperatures was measured at 105.4 degrees downstairs and 111.5 degrees F. upstairs. LPAs observed 2 days supply of perishable and one week supply of non-perishable foods. First-aid kit was observed to be incomplete. Emergency Disaster Plan, contact information and personal rights were observed posted in common areas. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 03/12/2024. LIC809-C Continued... LIC809-C Continued... The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. LPAs observed that facility is not ready to be licensed. This report will be submitted to the Central Applications 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. Appeal Rights and a copy of this report provided.