Pre-licensing visit·September 29, 2023

Licensing Program Analysts (LPAs) Gary Tan and Gina Saucedo conducted an announced Pre-Licensing visit to this facility and met with Licensee representative Lusine Meliksetyan. The applicant is "Sunrise AT Lindley II". Fire Clearance dated 06/01/23 was received for six (6) residents-five (5) non-ambulatory and one (1) bedridden in bedroom #6. Purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 6. Facility is a single story home. Today's site visit consisted of LPA's touring the physical plant at around 10:00 AM inside and outside and observed the following: The facility smoke alarm system is hard wired and interconnected and have a sprinkling system. The fire extinguishers are located near the main entrance door and dining area and were observed to be fully charged and last bought on 09/11/2023. The facility uses a dual Carbon Monoxide/Smoke alarm detectors all over the common areas of the facility. Alarms were tested and observed to be operational. Hot water was tested in the common bathrooms and measured between 114.4F and 116.6 F. There is a functioning telephone on the premises which was tested. An emergency exit plan/sketch is posted on the hallway wall with other posting requirements. There are six (6) resident bedrooms, room #1 and room #6 have their, own private bathrooms. There is a total of six (6) bathrooms. All resident bedrooms were observed to be appropriately furnished. The common areas (living room, kitchen, and dining areas) were appropriately furnished and lighting was adequate. The living room has a comfortable furniture and dining room table. Residents, staff records and medications will be stored in a designated secured cabinet in the dining area. The first aid kit is readily available. The bathrooms have appropriate grab bars installed and non-skid mats. (continued to LIC 809-C) (continued from LIC 809) The kitchen knives and sharps are stored in a locked drawer in the kitchen using a magnetic lock. Kitchen cleaning supplies are stored in a locked cabinet below in the kitchen. Laundry detergents, cleaning supplies and other toxins are stored in a locked cabinet below the kitchen sink. The laundry area is located in the hallway near the kitchen. The necessary precautions have been made to the facility to safely house dementia residents such as auditory alarms on all doors. Auditory alarms were tested and observed to be operational. Facility appears to be clean and in good repair. Appliances in the kitchen appeared to be functional. There is a screening station immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. Required covid 19 posters are posted all over the facility. The facility had submitted a Mitigation and Infection plan. There is a sitting area in the back yard for residents to conduct outdoor activities. The backyard is fenced. There is no body of water in the facility. Component III was waived as approved by LPM Troy Agard as the licensee has one (1) other existing facility. Facility is in compliance with Title 22 Regulations at this time. This report will be forwarded to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. Exit interview conducted and copy of this report issued