Pre-licensing visit·February 9, 2024

On 02/09/2024 at 10:00 am, Licensing Program Analyst (LPA) Lorena Casillas conducted an announced Pre-Licensing Inspection with the Administrator Shawn Lakhanpal. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on June 05, 2023. A fire clearance was approved on November 07, 2023, for five (5) non-ambulatory residents and one (1) bedridden resident for a total capacity of six (6). The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. The Component III presentation was conducted from 10:05 am until 12:00 pm with Administrator. A tour of the physical plant was initiated at approximately 12:00 pm and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven and sink. There was an adequate supply of nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives will be locked in a cabinet in the kitchen area. BEDROOMS: There are four (4) bedrooms designated for resident use. Two (2) rooms are designated to be private rooms. Two (2) bedrooms will be shared. Bedroom #1 has a direct exit and will be for non-ambulatory and a bedridden resident. Bedroom #4 has a direct exit and will be used for a non-ambulatory resident. The applicant furnished the resident bedrooms with beds, night stands, chairs, dressers, bedding and linen. All rooms had sufficient lighting. Continued on 809-C BATHROOMS: The facility has three (3) bathrooms. All bathrooms were observed to have the proper fixtures, and non-skid strips. The hot water delivered in the bathrooms measured 110.8 degrees F. COMMON AREAS: These included the living room and dining room areas, which were equipped with living room furniture, a television, table, and chairs. The dining room table is large enough to accommodate up to six (6) residents. There is a fireplace with a metal barrier. No fireplace tools or fixtures present. There were no visible immediate hazards. The smoke alarms are hard wired and inter-connected. The carbon monoxide detector is functional and installed in the entrance. The facility has one fire extinguisher that was fully charged on 10/03/2023. It is located in the kitchen. . LAUNDRY ROOM: The laundry room is located in the locked garage. Cleaning detergents and supplies are locked in a cabinet in the garage. MEDICATIONS: Medications will be stored in a locked cabinet in the kitchen. STAFF/RESIDENT RECORDS: Staff and resident records will be stored in a locked cabinet, located in the entrance. The applicant was advised to ensure that resident and staff records will be accessible to the licensing agency upon request or during inspection. Facility will have awake staff. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility has a patio and backyard furniture. The facility backyard has sufficient yard space to accommodate outdoor activities. There is no swimming pool or bodies of water. Exit Interview was conducted, and a copy of this report was given to applicant.