Pre-licensing visit·May 6, 2025

On 05/06/2025 at 2:15PM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an announced pre-licensing inspection. This is a continuance from the previous visit conducted on 04/24/2025. LPA met with Paul Henry Salazar and Jan Jocson, Licensee/Administrator and explained the purpose of the visit. On 04/29/2025 at 10:03 AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted a Pre-licensing Inspection. LPA met with Licensee/Administrator, Paul Henry Salazar and explained the purpose of the visit. LPA toured facility including but not limited seven (7) bedrooms, one (1) bedroom occupied by staff, four (4) bathrooms, one (1) occupied by staff, living room, dining area, kitchen, garage, and outdoor area. LPA observed lighting in all rooms. LPA observed facility had some non-perishable food supply. Licensee will purchase additional food supplies once facility is licensed. Carbon monoxide and smoke detectors was observed in operating condition. First aid kit was complete. Fire extinguisher was last purchased on 12/18/2024. Facility inspection matches the sketch that was provided. Continue on LIC809C Continued from LIC809 LPA observed Licensee/Administrator made corrections from previous visit on 04/29/2025. LPA Conducted COMP III on 05/06/2025. The licensee/administrator was reminded of the statute that requires CCL to be notified within 5 business days of admitting their first resident. This notification may be done by phone, by mail, email, or by fax. No Issues were noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.