Pre-licensing visit·August 2, 2021

On 8/2/2021 at 9:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Pre-Licensing inspection. LPA met with Executive Director (ED), Angeles Sticka. The facility's fire clearance was approved for 113 non-ambulatory and 8 bedridden residents. LPA toured facility with ED including but not limited to resident's bedrooms, bathrooms, kitchen, laundry room, activity room, and outdoor area. Resident's rooms were fully furnished and clean. Resident's bathrooms were equipped with grab bars and non-skid mat/material. LPA observed lighting in all rooms. LPA observed facility had a 7-day of non-perishable and 2-day of perishable food supply. Facility has medication carts with locks kept in the med room. Smoke detectors and Carbon Monoxide detectors are interconnected with sprinkler system. First aid kit is complete. LPA measured hot water temperature at 112.8 degrees F in resident's bathroom. Indoor and outdoor passageways were free of obstruction. Fire extinguisher was observed to be full and last serviced on 2/11/2021. Emergency disaster plan was completed. The following will need to be completed before recommending licensure to Centralized Application Bureau (CAB): 1. LPA observed that S1, S2, S4, S6, S7 did not have current 1st aid training on file. Licensee/applicant will submit proof of corrections to CCL on/before 8/9/2021. LPAs conducted Component III with Licensee during inspection. LPA presented Component III Power Point and discussed the regulations embodied in the presentation. Exit interview conducted and a copy of this report provided.