Pre-licensing visit·October 14, 2025

An announced Pre-Licensing/Component III (Pre/CompIII) visit was conducted on the date above by Licensing Program Analysts K. McClurg & M. Vega. LPA's met with Administrator (Admin) Leilani "Lani" Aragon, introduced selves, provided business cards, stated purpose of visit & was allowed entry. Facility telephone number: (559) 319-6988. No bodies of water on the premises, such as pools, spas, fountains, etc. No fireplaces or wood burning stoves on the premises. Facility Fire Cleared for all Non-Ambulatory with room #4 Fire Cleared for 1 Bedridden. Facility map updated to correctly identify room #4 (bedridden) & show back patio as covered. This facility does not have delayed egress; This facility does not have a secured perimeter; RE: Hospice Waiver: Admin indicated during this visit that they would like to have a Hospice waiver. Admin agreed to submit Hospice waiver request to Centralized Application Bureau (CAB) immediately, prior to facility being licensed. (Continued) (Continued) Physical plant toured. Kitchen, Dining, & Living Kitchen appeared to be clean with appliances at appropriate temperatures. Kitchen area has trash can with a tight fitting lid. Locked area to secure knives & stove knobs & make inaccessible when not in use. Dining room sufficiently furnished with adequate lighting. Living room has adequate lighting. Seating in Living room insufficient to accommodate 6 residents. Bedrooms & Bathrooms Resident bedrooms sufficiently furnished with adequate lighting Facility does not have mattress pads on the premises. Bathroom fixtures operational & appear to be clean. Hot water in resident back bathroom tested & measured at 131 degrees F. Toilet & shower area in back bathroom do not have grab bars Facility has dedicated area to secure & maintain resident & staff records as well as medications & medication records. Operational auditory alarms on all exits. Smoke detectors tested & operational Carbon monoxide detector operational; Interior & exterior passageways free of obstructions. (Continued) Garage & Yard Areas Garage area has laundry equipment that appeared to be clean & in working order. Storage cabinets with ability to lock available to make contents inaccessible. Front & backyard areas appeared to be maintained w/ absence of miscellaneous debris. Side gates are is not self-closing & self-latching. West side gate will not open completely. "Pre-Licensing is incomplete with deficiencies to be resolved b y Monday,October 20, 2025 . A follow up Pre-licensure LIC809 will be generated upon resolution of deficiencies." Exit interview conducted with Admin. Copy of report provided. CAB notified, prior to end of visit, that inspection has been conducted & ready for review.