Pre-licensing visit·November 17, 2025

An announced Prelicensing - continuation visit was conducted on the date above by Licensing Program Analyst (LPA) K. McClurg. LPA met with Co-Administrator (CoAdmin) Glenn Bilog. LPA greeted CoAdmin & was allowed to proceed with visit. In addition to items as stated on previous visit 10/14/25 LIC809 it was determined that: Bedroom #4 does not meet California building standards & requirements to be classified as a "bedroom". This room, while having an exterior door, has no windows to the outside to allow for natural light & for ventilation. This was reviewed & discussed with Admin by telephone. The Admin has decided to reduce facility capacity by the one (1) for room #4 & will use the room as a storeroom, etc., & will not use as a bedroom. May install window in the future. To notify Community Care Licensing (CCL) if & when. - CORRECTED. PAPERWORK SUBMITTED TO CAB TO REDUCE CAPACITY & IDENTIFY ROOM FOR USE OTHER THAN A BEDROOM, I.E., STORAGE, ETC. Main bathroom (hall bath) entry does not allow sufficient clearance for a walker or wheelchair to gain access to toilet. It also does not allow a 2nd person to be present to provide assistance. Blocked access for residents & for staff due to how door opens inward & insufficient room to maneuver. Door swings in & does not provide adequate room to meet the needs of a non-ambulatory resident w/ physical limitation or need to use mechanical aid. The door does not provide room to close to access toilet, or to exit toilet area. LPA walked this area during initial visit 10/14/25) & demonstrated how even without any mechanical aid that the door as is created an issue of access & access for staff assistance as well. This was reviewed & discussed with Admin by telephone. According to Admin, current door will be removed & replaced with solid door that allows for the mobility, while maintaining privacy, for non-ambulatory residents. - CORRECTED. SUFFICIENT ROOM TO INSTALL SLIDING BARN DOOR ALLOWING FULL ACCESS TO HALL BATHROOM & DOES NOT INTERFERE WITH HALL PASSAGEWAY KEEPING ALL PASSAGEWAYS CLEAR & FREE OF OBSTRUCTION. Remaining items for review from previous visit 10/14/25 : Living room has adequate lighting. Seating in Living room insufficient to accommodate 6 residents. - CORRECTED. SEATING FOR 6 AVAILABLE. Facility does not have mattress pads on the premises. - CORRECTED . Hot water in resident back bathroom tested & measured at 131 degrees F - CORRECTED - TESTED & MEASURED @ 109 DEGREES F. Toilet & shower area in back bathroom do not have grab bars - INCOMPLETE: GRAB BAR IN MASTER BATH SHOWER REQUIRED . (Toilet corrected). Side gates are is not self-closing & self-latching. West side gate will not open completely. - INCOMPLETE. WEST SIDE GATE NOT SELF-CLOSING. NOT SELF LATCHING - to make corrections as needed on East gate as well. Adding from previous visit 10/14/25 : Backyard fencing has exposed pop-out nails in wood & miscellaneous nails on ground. - CORRECTED - IMMEDIATELY EXPOSED METAL BOLTS, 3" SCREWS; ETC. REMOVED. Exit interview conduced with CoAdmin. CoAdmin agreed to have final corrections made by date below. LPA to be notified prior to or by due date that corrections have been completed & are ready to be inspected. Component III was conducted during initial visit 10/14/25. CAB notified of today's visit & pending deficiencies to be resolved by due date. "Pre-Licensing is incomplete with deficiencies to be resolved by Thursday, November 20, 2025".