Pre-licensing visit·June 3, 2024

On 06/03/24, Licensing Program Analysts (LPA) M. Yang conducted an announced Pre-licensing / Component III Inspection. LPA introduced self, stated the purpose of the visit and was allowed entry into the facility. LPA met with Licensee 1 (L1) Marilen Gonzales and staff Joanna “Ann” Lorio. The facility is a 6 bedroom, and 3 bathroom home and fire clearance were granted for 6 non-Ambulatory for a total capacity of 6. LPA toured the facility with L1. There are no residents present during this inspection. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Medications will be locked and inaccessible to resident in the kitchen cabinet. First aid kit was observed and contained all required items . Kitchen was toured and observed to have dishes, plates, and utensils. Knives will be kept locked in kitchen drawer. Refrigerator temperature maintained at 40 degrees F and freezer maintained at 0 degree F. Adequate non-perishable and perishable food supplies observed. A fire extinguisher was observed and had a service date of 01/29/24. LPA observed an extra supply of bed linens, towels, and personal hygiene products. Bedrooms were observed to have the required furnishing and are ready for occupancy. Mattresses and box springs were in good condition. Hot water temperature ranged between 108.4 and 113.5 degrees F in bathroom, 107.7 degrees F in bathroom 2, and between 119.4 and 118.3 degrees in shared bathroom. Bathroom observed to be operational. Outside of facility toured. LPA observed adequate outdoor seatings available for residents. Smoke detectors and carbon monoxide were observed to be operational during this inspection. LPA observed side gate to be self-latching and free debris. Component III was conducted during today's pre-licensing visit. I have found that the applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued.