Pre-licensing visit·August 1, 2024

Licensing Program Analysts (LPAs) Katie Brown and Daiquiri Boyd arrived at the facility to conduct a Pre-Licensing Inspection. LPA met with Administrator (AD) Rajvinder Samra LPAs began the tour by entering through the front door of the 4 bedroom - 2 bathroom – one story home. All required postings were hung. Common areas were found to be well lit with ceiling fans throughout. Furniture was observed to be properly spaced and in good condition. Flooring is intact throughout the home. Smoke and Carbon Monoxide detectors were tested and found to be I working order. The Fire Extinguisher was serviced 3/15/2024 by Valley Fire. LPA observed additional supply of paper products, bed linens, towels, personal hygiene/grooming products. Resident rooms are found to be in good repair and contained required linens, furnishings, and lighting. Bedrooms have ceiling fans which were working. The resident bathrooms are clean, in good repair with grab bars and faucets delivering hot water at 115 degrees. The kitchen was observed to have a supply of dishes, plates, utensils and cooking items. Food storage areas are clear and appropriate for food preparation. Cleaning supplies, chemicals, and sharps/knives are all locked as required. Appliances were found to be in working order. LPA observed the required food supply. Resident medications will be stored in a designated locking hall cabinet. The First aid kit contains all the required items. Doors and passageways are unobstructed throughout the inside of the home. Outside of the facility was toured. There is a covered seating area and a self-releasing gate found to be working properly. There is a storage shed in the backyard. AD unlocked the shed and LPA observed inside. LPA called and confirmed the facility phone number by calling (559) 554-3094. See Lic809C for continuation of this report Emergency Disaster and Infection Control Plans were reviewed and COMP III was conducted during this visit with AD. 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.