Pre-licensing visit·October 2, 2024

On 10/02/2024, Licensing Program Analyst (LPA), Sandra Urena conducted a subsequent pre-licensing visit. The LPA arrived at the facility at 09:30 a.m. and met with Applicant Edith Mardorossians. This is a new facility application for a Residential Facility or the Elderly (RCFE). On 09/2024, the initial pre-licensing visit was conducted by Licensing Program Analyst (LPA), Sandra Urena. The LPA arrived at the facility and met with Applicant Edith Mardorossians. The LPA, and the applicant toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. This is a new facility application for a Residential Facility or the Elderly (RCFE) four (4) non-ambulatory residents, which one can be a bedridden resident. Fire Clearance was approved on 12/14/2023 for one bedridden resident in bedroom #2. A hospice waiver was granted for four (4) residents. At 09:45 a.m., the LPA and the Applicant toured the facility to ensure the corrections were completed. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview was conducted and reviewed with applicant. A copy of the report was issued.