Pre-licensing visit·January 8, 2024

Licensing Program Analyst (LPA) Lissett Padgett arrived at the facility to conduct the Pre-Licensing Inspection. LPA met with Administrator (AD) Jaswant “Ruby” Bajwa. LPA began the tour by entering through the front door of the 5 bedroom/2 bathroom/1 story home. Interior common areas have adequate furnishings and lighting. All 5 client bedrooms have the required beds, night stands with drawers and closet space. All bedrooms lacked chest of drawers for each resident. LPA was unable to determine if there are adequate bed linens as items were in bags and in various locations in the facility. Smoke and Carbon Monoxide detectors were tested and observed to be in working order. LPA observed a adequate supply of towels. There was an inadequate supply of personal hygiene and grooming products. There were no paper towels in the bathrooms. Hot water temperature in bathroom measured at 120 degrees F. Non-Skid mats present in the showers. AD states she has purchased grab bars for the shower. AD will inform LPA when these have been installed. Kitchen observed to have supply of dishes, plates, pots and pans. LPA observed utensils serving for 4, AD will purchase utensils sufficient for 6 residents. Food storage and preparation areas are clear and appropriate for food preparation. Cleaning supplies and chemicals are locked in the garage cabinet. Sharps/knives do not yet have a designated locked location. AD will address this issue. Appliances observed to be in working order. LPA observed did not observed a 7 day supply of non-perishable food. AD plans to store medications in locked cabinet in the laundry room. First aid kit contains all the required items. A fire extinguisher is present but did not have a purchase or expiration date. Washer and Dryer observed in the laundry room with additional storage space available in upper cabinets. See Lic.809-C for continuation of report. Doors and passageways are unobstructed throughout the home. Outside of the facility toured. There is a covered gazebo seating area and a self-latching gate found to be working properly. The home does not have a pool. LPA called and confirmed the facility phone number by calling (559) 515-6726 The following observed will need to be brought into compliance: Chest of drawers for each resident Utensils sufficient for 6 residents Proof of Fire Extinguisher in compliance Posting of Fire Clearance, PUB 475, Resident rights, Visiting Policy Repair broken tile in bathroom Lock sharps/knives in locked cabinet or box Repair elevated floor planks in home Provide paper towels for bathrooms Purchase adequate food supply for 7 days Replace mattress for 1 bed in bedroom 4 Install grab bars in showers Install night lights in hallway Purchase personal hygiene products, sufficient for 6 residents An exit interview was conducted and a copy of this report was left with AD, whose signature confirms receipt of these documents.