Pre-licensing visit·January 18, 2024

Licensing Program Analyst (LPA) L. Padgett arrived or announced reinspection of this facility. LPA met with Licensee, Jaswant (Rubie) and Balwinder Kaur and toured the facility. Common areas have adequate furnishings and lighting. All 4 client bedrooms have the required furnishings, bed linens, proper lighting and smoke detectors. LPA observed a supply of extra bed linens, towels, and personal hygiene and grooming products. Non-Skid mats are available, soap, paper towels present along with storage available for client personal items. Kitchen observed to have supply of dishes, plates, utensils, pots and pans. Food storage and preparation areas are clear and appropriate for food preparation. Cleaning supplies and chemicals are locked in the lower kitchen cabinet and in locked cabinet in garage. Sharps/knives in a lock drawer in the kitchen. Appliances observed to be in working order. LPA observed a 7 day of non-perishable food stored in a pantry. Licensee has designated a locked cabinet in the laundry room. First aid kit contains all the required items. Washer and Dryer observed in the laundry room with additional storage space available. Doors and passageways are unobstructed throughout the home. AD has addressed the following: Utensils sufficient for 6 residents Proof of Fire Extinguisher purchased on 1/11/2024. Posting of Fire Clearance, PUB 475, Resident rights, Visiting Policy Lock sharps/knives in locked cabinet or box Provide paper towels for bathrooms Purchase adequate food supply for 7 days Install grab bars in shower Install night lights in hallway Purchase personal hygiene products, sufficient for 6 residents. continued on 809C In regards to the elevated floor planks in bedroom 5, licensee has decided to use this room as a staff rooom and will place rug over planks until they are replaced. Licensee will submit updated facility sketch to LPA by tomorrow. 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 and a copy of this report was left with AD, whose signature confirms receipt of these documents.