Pre-licensing visit·June 12, 2025

On 06/12/2025 at 12:10 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a pre-license inspection. LPA met with lead staff; Jason Salvador explained the purpose of the visit. The administrator (ADM) was not available at the time of the inspection. LPA received verbal consent from ADM for the lead staff to sign the report. The facility currently has 10 residents. Fire clearance approved for 3 ambulatory and 11 non-ambulatory. LPAs toured facility, including but not limited to 7 bedrooms, 3 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 cabinets. There is sufficient lighting throughout the facility. The room temperature was maintained at 70 degrees F. Smoke detectors and carbon monoxide detectors were operational. Fire extinguisher was last serviced on 6/3/2025. Prior to licensure, the following shall be corrected and proof sent to CCL by 06/20/2025. - Store/ de-clutter all wheelchairs that are not being used - Remove all objects from including but not limited to the back, the side, and in front of the garage. - Fix the garage door that cannot operate correctly. Issues were noted during inspection. LPA observed that facility is not ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.