Pre-licensing visit·May 3, 2024

On 05/03/2024 at 11:00 AM, Licensing Program Analysts (LPAs) J. Sampair and A. Gharachorloo arrived unannounced to conduct a change of ownership prelicensing visit. Upon entry into the facility, the LPAs informed Administrator Jingjing Wang Costello the purpose of the visit. LPA toured the facility inside out with the ADM. The LPA inspected the kitchen, common areas, bedrooms, bathrooms, and the exterior of the facility. The facility was clean, appropriately furnished, and well lit. More than the 2 days of perishable and 7 days of nonperishable food supplies were available. No body of water was on the facility grounds. Medications are centrally stored. Personnel, client, and facility records stored at facility. Bathrooms and showers were observed to be fully functioning and clean. Carbon monoxide and smoke detectors operational and the fire extinguishers were last serviced on 02/22/2024. First aid kit inspected. Facility has emergency lighting. Facility passed pre-licensing inspection and Component III training provided for ADM. Final review of application and license to be granted by Central Applications Bureau analyst. Exit interview conducted and a copy of this report provided to the applicant.