Pre-licensing visit·April 8, 2022

Licensing Program Analyst (LPA) Katie Brown arrived at the facility to conduct the Pre-Licensing Inspection (Change of location). LPA met with Licensee Ronald Sanborne and Administrator Divina “Grace” Petil. LPA began the tour by entering through the front door of the home. All required are displayed and observed upon entry. LPA observed Covid-19 Health Screening area and visitor sign in. Furniture and flooring in common rooms observed to be in good repair with adequate lighting throughout. Resident bedrooms have the required furnishings, lighting and bed linens. Smoke and Carbon Monoxide detectors present and in working order. LPA observed supply of extra bed linens, towels, and personal hygiene/grooming products. Hot water temperature in resident bathroom measured at 105 degrees F. LPA observed hand soap, paper towels, garbage cans and grab bars in resident bathrooms. 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 and 2 day perishable food supply. Counter tops and cabinets are clear and appropriate for food preparation. Knives are kept in a locked drawer in the kitchen. Cleaning supplies and chemicals are stored in a locked cabinet in the garage 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. Medications will be stored in a locked kitchen closet along with First Aid Kit and resident/personnel files. The First aid kit contains all required items. A fire extinguisher is present in the kitchen dated 1/22/2022. Doors and passageways are unobstructed throughout the home. See LIC809-C for continuation Pre-Licensing Report continued LPA toured the outside of the facility. The home does not have a pool, bodies of water or other hazards. 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. There is a small shed in the back yard that was observed by LPA to be used for furniture and holiday decoration storage. Component III was conducted during the visit with the Licensee and Administrator. LPA called the designated facility phone (559) 389-0315. 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. A copy of this report was provided, and an exit interview was conducted with the Licensee and Administrator