Pre-licensing visit·December 6, 2024

On 12/6/2024, Licensing Program Analyst (LPA) Rachel Bruce arrived at the facility to conduct a Pre-Licensing Inspection. LPA met with Administrator (AD) Emily Ambriz. This facility has been operating since July 2023. There was a substantiated complaint of unlicensed care and as a result the application process has been completed. Today's visit is considered pre-licensing and that care tool was utilized at today's visit. Subsequent post licensing visit will be conducted as soon as license is provided and areas of concern are addressed. LPA 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. 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 in working order. The Fire Extinguishers (located near kitchen and in garage) were serviced May 2024. 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, adequate closet space and lighting. The resident bathrooms are clean, in good repair with grab bars and faucets delivering hot water at 110 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. Resident medications will be stored and locked in kitchen closet. The First aid kit contains all the required items. Doors and passageways are unobstructed throughout the inside and outside of the home. continued Outside of the facility was toured. There is a covered seating area and plenty of space to recreate. There is a built in pool which has an appropriate secured fence. There is a storage shed in the backyard. AD unlocked the shed and LPA observed inside. Garage contains two refrigerators for overflow of food, and locked cabinets to store soap, chemicals and cleaning supplies. Emergency Disaster and Infection Control Plans were reviewed and COMP III was conducted during this visit with AD. LPA counseled AD on issues that need to be addressed before licensure. The following issues are to be addressed immediately. Once completed AD will contact LPA for post licensing visit/inspection. Food supply- there were 2 days of perishable fresh food but there was not a seven day supply of non-perishible items for 4 residents Exit gate is not self latching. AD will shave the bottom of the gate to ensure it closes without assistance.\ Camera in front bedroom is non-fuctioning but still needs to be de-installed and removed. 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.