Pre-licensing visit·March 24, 2022

Pre-licensing visit conducted today by Michael Smith LPA and licensee/administrator Sonamjeet Dhami. There are no residents. Facility was granted fire clearance on 1/31/21 for a total of 6 residents, in which 4 can be non-ambulatory, and 2 bedridden seniors. Facility will serve 6 senior residents ages 60 and over. Administrator’s certificate expires on 2/7/24. Facility was inspected both indoors and outdoors. Outdoors was clean, tidy with adequate shading. Indoors has the requisite rooms for activity/den/dining. There are locked cabinets for personnel and client records. Facility has a First Aid kit and centrally stored locked cabinet for medication. Facility has appropriate linens for the bedrooms and baths. Bedrooms have the appropriate furnishings, chair, adequate lighting and storage. Water faucets are marked hot and cold with the hot water temperature at 117'. Smoke detectors were present. Fire extinguisher indicator revealed a full charge. Toxins and chemicals are appropriately locked in a cabinet. No hazardous debris noted. All adults ages 18+ who reside here and are not clients, and all staff shall be fingerprinted and pass a criminal background check, prior to being present at the facility. Licensee completed Component II on 2/15/22. Licensee is required to contact Community Care Licensing upon the admittance of their first consumer, after licensure. This report will be forwarded to the centralized application unit for continued processing.