Pre-licensing visit·May 21, 2025

Licensing Program Analyst Christine Yee conducted an announced Prelicensing and Component III visit using the complete CARE Inspection Tool. LPA Yee met with Laura Aceituno Garcia, Applicant/Licensee and Ovsanna Khayalyn, Corporate Officer. The facility is a single storey family home consisting of a living room, dining room, kitchen, 3 resident bedrooms and 2 full bathrooms. The facility is located behind the home with the address of 15015 Marlin Place. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN residents. Bedroom #2 is designated for bedridden use. The following was observed on today's visit: the living room and dining room is furnished with the appropriate furniture and sitting. Located in the living room is a desk, a filing cabinet for staff and resident files and the facility telephone. The facility phone number is (747)264-1052. the kitchen is equipped with a refrigerator, stove, microwave and coffee maker. Located in the kitchen is the only fire extinguisher purchased on 2/11/25. Dish washing detergent and cleaning solutions are stored in a locked cabinet under the sink. Knives are stored in a locked kitchen drawer and medications will be stored in a locked kitchen cabinet. Sufficient non-perishables foods were observed for a minimum of 7 days but could be supplement with more protein foods. Perishables foods for a minimum of 2 days will be purchased prior to accepting the first resident. All 3 bedrooms are furnished with 2 twin beds, 2 night stands, 2 lamps, 2 covered trash cans, 1 chair and a built in closet. sufficient bed linens and towels were observed in the closet of the 3 bedrooms except for blankets. A total of 5 blankets were observed. Additional blankets need to be purchased to allow for changing. the common bathroom located by bedroom #3 is equipped with a walk in shower, a toilet and a single sink. A slip resistant mat and grab bars were observed in the walk in shower and by the toilet. The water temperature was tested and read 123.3 degrees Fahrenheit. The staff bathroom located closest to the living room is equipped with a bath tub and a shower, a toilet and a sink. A slip resistant mat and no grab bars were not observed in the shower or by the toilet. Water temperature was tested and read 122.7 degrees Fahrenheit. Located inside the bathroom is the washer and dryer. Additional hygiene products, cleaning solutions, laundry detergent were observed stored in a cabinet under the sink and in a mounted cabinet. Recommendation was made to lock the cabinets to ensure that the items would be inaccessible to the residents if staff forgot to lock the bathroom door or if the bathroom was needed in an emergency. The hard wired smoke detectors located in the 3 bedrooms and the only combination smoke/carbon monoxide detector located in the hallway were tested and were operational. A first aid kit with the required tweezer, scissors, thermometer and supplies was observed. A first aid manual was also observed. the outside area was observed with a covered gazebo with a padded bench, a table with 4 chairs, a rattan bench and a chair with a glass table. Trash cans were observed to be tightly sealed. The outside areas were observed to be clean and well maintained. The following deficiencies need to be corrected prior to licensure: the thermostat for the water heater needs to be adjusted and the water temperature in the two bathrooms needs to be within a range of 105-120 degrees Fahrenheit. 3 additional chairs need to be provided in the 3 bedrooms 7 twin blankets need to be purchased to allow for changing Grab bars need to be installed in the staff bathroom for emergency resident use. locks need to be placed on the cabinets that contain the cleaning supplies, laundry detergent and hygiene products in the staff bathroom to allow for emergency resident use. provide a dedicated internet device for resident use with a device usage policy purchase additional non-perishable foods and proteins to supplement the food currently in the facility. The following will be completed upon licensure of the facility: purchase liability insurance with limits of a $1 million dollars per occurrence and $3 million total aggregate. purchase perishable foods for a minimum of 2 days prior to accepting the first resident and to be maintained on the premises. Files will be created for all residents, staff and any volunteers Component III was also conducted with Laura Aceituno Garcia, Applicant and Ovsanna Khayalyn, Corporate Officer on today's visit. Applicant will notify LPA Yee once all the corrections have been completed and evidence of corrections are provided. Exit interview was conducted and a copy of this report was provided.