Pre-licensing visit·October 19, 2021

Licensing Program Analyst (LPA) Katie Brown arrived at the facility to conduct the Pre-Licensing Inspection. LPA met with Ronald Sandone and Percival Tobias. LPA began the tour by entering through the front door of the home. An Emergency Evacuation Plan, Disaster Plan and required postings were observed upon entry. LPA observed Covid-19 Health Screening area including hand sanitizer and visitor sign in. Furniture in common rooms observed to be in good repair with adequate lighting throughout. Resident bedrooms have the required furnishings, lighting and bed linens including mattress covers. Smoke and Carbon Monoxide detectors present and in working order. LPA observed a supply of extra bed linens, towels, and personal hygiene/grooming products . Hot water temperature in bathrooms measured at 117 degrees F. Soap and paper towels were placed in bathrooms along with trash cans and hand washing signs posted.. Kitchen observed to have supply of dishes, cups, plates, utensils, pots and pans and cooking utensils in good repair. LPA observed a 7 day of non-perishable food. Counter tops and cabinets are clear and appropriate for food storage and preparation. Knives are kept in a locked drawer. Cleaning supplies and chemicals are stored in the locked laundry room and separate from any food items. A Washer and Dryer were observed in the laundry room with additional shelving for storage. Appliances observed to be in working order and at proper temperature. A locked storage closet for medications, First Aid Kit, Personnel and Resident files was observed and located in the hallway. First aid kit contains all required items. A fire extinguisher is present in the kitchen. Doors and passageways are unobstructed throughout the home. Outside of the facility toured. The home does not have a pool, no bodies of water or other hazards were observed. Outdoor activity space with shaded areas and seating were located on the backyard patio. LPA observed a self-releasing gate and windows have screens in good repair. Component III was conducted during pre-licensing visit with the Administrator. LPA called the designated facility phone (559) 353-2603 during the visit. The phone is set up and in working order. The applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. An exit interview was conducted with the Administrator. A copy of this report was provided to Licensee.