Pre-licensing visit·August 18, 2021

On 08/18/2021, Licensing Program Analysts (LPAs) Walton and Yang conducted an announced Pre-licensing / Component III Inspection. LPAs introduced selves, stated the purpose of the visit and was allowed entry into the facility. LPAs met with Facility Staff (S1), Pacita Baltazar and Administrator (A1), Alex Babakhani. The facility is a 5 bedroom and 2 bathroom home and fire clearance was granted for 6 Non-Ambulatory for a total capacity of 6. There are no residents present during this inspection. LPAs toured the facility with A1 and S1. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Bedrooms were observed to have the required furnishing and are ready for occupancy. Hot water temperature ranged between 108.1 to 110.3 degrees F. LPAs observed an extra supply of bed linens and personal hygiene products. Kitchen was toured and observed to have dishes, plates, and utensils. Knives will be kept locked and secure in the kitchen pantry. Medications will be locked in two cabinets in the kitchen. First aid kit was observed and contained all required items. Cleaning supplies and chemicals observed to be locked in a closet in the laundry room. A fire extinguisher was observed and had a service date of 07/25/2021. Smoke detectors and carbon monoxide were observed to be operational during this inspection. Outside of facility toured. Exits were open and free of obstructions. LPAs observed side gate to be self-latching. Component III was conducted during today's pre-licensing visit. We have found that the applicant has met all pre-licensing requirements. LPAs will submit documentation to CAB in Sacramento for final review prior to license being issued.