Pre-licensing visit·September 1, 2022

On 09/1/2022 at 01:00 PM, Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct a Change of Location Pre-licensing Required inspection. LPA met with Applicant/Administrator Ma. Mercedes Morales and explained the purpose of the visit. The facility currently has no residents living at the facility. Fire clearance was granted on 8/16/2022. LPA observed COVID signs posted in the front entrance, common areas and bathrooms. LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected 3 residents’ bedrooms, 1 staff room, 3 bathrooms, kitchen, common areas and backyard. Bathrooms were equipped with grab bars and shower mats. There is sufficient lighting throughout facility. Facility was observed equipped with refrigerator, microwave, dishwasher, washer and dryer. Cabinet for knives, cleaning supplies, and central storage for medications were observed with locks. Activity supplies were available. Hot water temperature was maintained at 110 degrees F. Smoke detectors and carbon monoxide were operational. Pathways inside and outside were free of fire hazards and obstruction. Fire extinguisher were shown to be brand new. ...Continue to LIC809C... Applicant agreed to do the following: To have linens and hygiene supplies available to residents in care. To have dinner ware and silver wares available for residents' use. Applicant agreed to have food supplies good for seven days of non-perishables and two days perishables. Outdoor activity space is available once residents move-in to this location. Applicant/Administrator agreed to let LPA know once all residents move-in to this location from facility 079200854. No deficiencies were observed during visit. Facility is 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 and a copy of this report provided via email.