Pre-licensing visit·January 16, 2024

On 1/16/23, Licensing Program Analyst (LPA) M. Medina conducted an announced Pre-licensing inspection. LPA introduced self, stated the purpose of the visit, and was granted entry into the facility. LPA met with Licensees, Sheila Dillard. LPA toured the facility with Licensee. The facility is 4 bedrooms and 3 bathrooms home. Fire clearance was granted for 6 non-ambulatory residents. Common areas were furnished and had adequate seating and lighting available. All bedrooms were observed to have required furnishings. Kitchen was toured and observed to have dishes, plate, and utensils. Facility has 7-day supply of non-perishable food available as of date of inspection. Resident bathrooms have grab bars in the shower and toilet areas, and a non-skid mat available. Knives and medication will be locked and secured in hall closet. Cleaning supplies and chemicals will be locked and secured in laundry room. Fire extinguisher present with a purchase date of 9/01/23 . Smoke detectors and carbon monoxide detectors were observed to be operational during this inspection. Water temperature measured at 110 degrees F. Facility has a working telephone of (661) 213-3926. Outside of facility toured. Exits open free of obstruction. Pool is surrounded by a locked and secured gate and inaccessible to residents. Component III conducted during pre-licensing inspection. LPA found that applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento for final review prior to license being issued. Exit interview conducted. A copy of this report was provided for facility records.