Pre-licensing visit·April 10, 2023

An Pre-Licensing visit was conducted on the time & date by Licensing Program Manager (LPA) K. McClurg. LPM met with Sasheila Grice Applicant/Licensee (L). Facility phone: (559) 438-0980. Physical plant toured. Interior & exterior passageways free of obstructions. Sufficient lighting & furnishings in dining, living, & resident bedrooms. Locked centralized storage area for medications. First aid kit complete. Hot water tested & measured at 119 degrees F in front hall bathrooms. Physical plant is consistent with the facility sketch/floor plan. Fire extinguisher service date: 12/19/2022. Smoke & carbon monoxide detectors tested & observed to be operational. Component III conducted. Regulations & requirements reviewed in additional detail regarding: Staff transfer & verification of association process reviewed, including use of Guardian; Reporting requirements; Resident paperwork file updates in connection with change of ownership (CHOW). Medication paperwork (MARs & CSMDR); Admission Agreement to be used; Pre-Licensing is incomplete due to issues that require correction prior to licensing. Outstanding issues to be resolved no later than Monday, April 17, 2023* * . A follow up Pre-licensure LIC809 will be generated upon resolution of outstanding issues. **LPA to be contacted prior to due date above that all items reviewed with applicant have been resolved. Exit interview conducted with L. Report provided at time of visit. Results of visit emailed to CAB LPA @ time of visit.