Pre-licensing visit·February 11, 2025

On 02/11/25, Licensing Program Analysts (LPA) M. Yang conducted an announced Pre-licensing / Component III Inspection. LPA introduced self, stated the purpose of the visit and was allowed entry into the facility. LPA met with Licensee 1(L1) Neil Orillosa. LPA toured the facility with L1. The facility is a 3 bedroom, and 2 bathroom home and fire clearance were granted for 6 non-Ambulatory for a total capacity of 6. There are no residents present during this inspection. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Medications and sharps will be locked and stored in kitchen shelf. First aid kit was observed and did not contain all required items. Kitchen was toured and observed to have dishes, plates, and utensils. Knives will be kept locked in kitchen drawer. Refrigerator temperature maintained at 35 degrees F and freezer maintained at 0 degree F. Adequate non-perishable food observed. Perishable food supplies will be purchased prior to resident reside at facility. LPA observed an extra supply of bed linens and towels. Bedrooms were toured. Bedroom observed with mattress, bedspread, top sheet, and bottom sheet with pillow. Bathroom observed operational and functional. Bathroom observed with non-skid mat. Hot water temperature tested at 115.3 degrees F in bathroom and 117.6 in master bathroom. A fire extinguisher was observed and had a service date of 09/16/24. Outside of facility toured. Exits were open and free of obstructions. LPA observed side gate to be self-latching and free debris. Smoke detectors and carbon monoxide were observed to be operational during this inspection. Facility phone number 661-412-7100. The following observed will need to be brought into compliance: 1. Night light in hallway 2. First aid kit did not have all required items 3. All bedrooms have no blankets 4. Bedroom furniture observed with no chair 5. All bathroom have no grabbed bar in the shower/ tub. A follow up inspection will be scheduled once all above items are in compliance.