Pre-licensing visit·June 3, 2025

On 06/03/2025, Licensing Program Analyst (LPA) M. Medina arrived to conduct an announced Pre-Licensing inspection LPA introduced self, stated the purpose of the visit, and was granted entry to the facility. LPA met with Applicant, Socorro Gamez and Administrator Leticia Rodriguez. Facility is a 3 bedroom, 1 bath home, with 3 residents currently in place. Fire clearance has been approved for six (6) non-ambulatory. Facility was previously being run as Angels Room and Board, there are currently three (3) residents in placement. LPA conducted a tour of the facility and observed the following. Facility appeared clean and at a comfortable temperature. Common areas were furnished with adequate lighting and seating available. Kitchen toured and observed to have a 2-day supply of perishable and a 7-day supply of non-perishable food available. Knives observed to be locked and secured under kitchen sink. Kitchen has a supply of plates, cups, utensils, pots, pans, and to be safe for food preparation. Resident bedrooms were toured and observed to have the required furnishings. Bedroom #1 observed vacant with 2 beds, one bed observed to have half-bed rails. Bedroom #2 observed with 2 beds, and 1 resident (R1) present, R1s bed observed to have full bed rail and bed 2 observed to have half-bed rails in place. Bedroom #3 observed with 2 beds and 2 residents present. R2 has bed on floor without frame and in need of new box spring, R3 is bedridden and has full-bed rails in place. Bathrooms toured and observed to be operational. LPA observed grab bars and shower chair available but in need of skid-resistant mat. Hot water measured at 120 degrees F. Medications will be locked and secured in hallway closet. Smoke detector and carbon monoxide detector observed to be operational during today's inspection. Fire extinguishers present in the kitchen and living room area with no receipt for purchase date. First-Aid kit observed to be missing thermometer, first aid manual and sterile first aid dressings. Exterior tour conducted. All exits open free from obstructions. There is seating and shade umbrella for resident seating. Shed observed to be unlocked with numerous items being stored. LPA observed several areas in the backyard with miscellaneous items in need of storage or to be removed such as wheel barrow shovel, ladders, aluminum siding, boards, bed frames. Exit gate from back yard is not self-latching. Pre-Licensing is complete with the following items to be resolved by 6/19/25. Request Fire Clearance for Bedridden Obtain proof of service or receipts for fire extinguishers Remove full bed rails & half bed rails from beds in bedroom #1 & bedroom #2 Bedroom #3, one bed in need of bedframe and new box spring Purchase a skid resistant mat for shower First-Aid kit observed to be missing thermometer, first aid manual and sterile first aid dressings. Secure unlocked shed Remove and/or secure miscellaneous items from backyard Exit gate from back yard is not self-latching A follow up Pre-Licensing visit will be conducted upon completion of the items listed above, Component III will be conducted during subsequent visit. CAB will be notified of all updates.