Pre-licensing visit·April 23, 2021

LPA Albert Johnson arrived unannounced at the facility and was met by Hope Bitler (Administrator). LPA conducted a tour inside and outside the facility. LPA observed all hallways and passageways to be free of clutter or hazards. LPA observed resident's rooms and living areas to be adequately furnished. LPA observed adequate supply of linens and first aid kits. Emergency exit and phone number are posted. LPA tested water temperature in resident bathroom (133) at 119 degrees F. LPA observed bathroom facilities to be functioning properly. Cleaning supplies and chemicals are stored in locked cabinets. Medications and confidential paperwork are stored in locked areas. LPA waived the Component III. Fire clearance is for 78 total of which 19 AMBULATORY residents and 59 NON AMBULATORY(1st and 2nd floor only). Activity supplies available. LPA observed fully charged fire extinguishers. Smoke alarms and Carbon Monoxide detector operational. Facility telephone number is (209) 729-2200. This report will be forwarded to the centralized application unit for continued processing.