Pre-licensing visit·July 8, 2022

Licensing Program Analyst(LPA) Jaclyn Avila conducted an announced pre-licensing visit with licensee Kristine Abejo. This facility has a fire clearance for six non-ambulatory a hospice waiver for two hospice residents. The facility has four resident rooms three of which can hold up to two residents. One room is currently being used as a staff room for live in staff. There is a master bedroom with bathroom and a hallway community bathroom. The kitchen, dining, and common areas were toured. There are locked cabinets for files and medications. The kitchen has a locked cabinet for sharp knives, and cleaning supplies under the sink. There is an exit to the backyard from the dining area. The backyard has a covered patio and sitting area. The passageways on the perimeter of the facility are free of obstructions. This facility is also a vendor with the Far Northern Regional Center. LPA reviewed component III orientation with the administrator who has prior working experience operating RCFEs. This facility meets all regulations. LPA will submit this report to the application specialist for final review. Pre-Licensing is complete and this facility has no deficiencies.