Pre-licensing visit·April 21, 2025

On 4/21/25 at 9:30am, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a Pre-Licensing Inspection with the facility Administrator Francisco F Fabregas. Upon arrival, LPA introduced herself by showing her department badge. This is a single story house which will be operating as Residential Care Facility for Elderly (RCFE). A fire clearance was approved on August 1st, 2024, for five (5) Non-Ambulatory residents of which one (1) may be Bedridden for bedroom #5, and one (1) Ambulatory resident for bedroom #1. Facility also received Hospice approval for six (6) residents. The smoke alarms and carbon monoxide detectors are hard wired and inter-connected, they were tested and are operational. The facility has one (1) fire extinguisher that was purchased on 9/24/2024 and is located on the kitchen wall. A tour of the physical plant was initiated at approximately 10:15am and the following was observed: KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, gas stove, microwave oven and sink. There were adequate supplies of two (2) days of perishable and seven (7) days of nonperishable food, dining ware to accommodate a maximum capacity of six (6) residents. Knives and other sharps were observed locked inside the kitchen cabinet and chemicals observed stored inside locked cabinet under the kitchen sink. Kitchen area is open plan facing dining area. BEDROOMS: The facility has five (5) bedrooms and all bedrooms are designated for residents' use. All residents' bedrooms observed to be nicely furnished with beds, night stands, lamps, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and a closet space. Additional linen is available inside each bedroom’s closet and inside the linen cabinet located in the hallway. Continue on LIC809-C BATHROOMS: The facility has two (2) bathrooms, both designated for residents’ and staff use. All bathrooms were observed to have the proper fixtures, grab bars, non-skid mats, trash cans with closed lids, paper towels and washing hands signs. The hot water delivered in the bathrooms measured at 10:35am to be at 108.9 degrees F. COMMON AREAS: These includes living room and a dining room. The living room was equipped with new furniture, a television, and chairs. There is a fireplace in the living room area which is fenced and blocked with flowers. The dining area has a dining table to accommodate six (6) clients. There were no visible immediate hazards. The facility has comfortable temperature which was measured at 10:45am to be at 68 degrees F. Office/Activity room: Facility has separate activity/resting room located next to the kitchen. LPA observed a cabinet with various activity supplies nicely stored and ready for residents' use. The office area is furnished with office desk, cabinets, printer and other required office supplies. GARAGE: The garage is currently being used as staff room / storage for facility equipment, supplies and water. Garage is attached to the facility and has access from the kitchen area. LAUNDRY ROOM: The washer and dryer is located in a laundry area next to the kitchen. Laundry chemicals will be kept inside the garage, which will always be locked and under supervision. MEDICATIONS: Medications will be kept inside the locked kitchen cabinet. First Aid and the new manual is also locked inside the same cabinet. LPA observed the First-aid has all proper items and is current. Client/Staff Files : All files and documents will be kept locked inside the commercial cabinet located in the office area. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home were clear of obstruction. The backyard of the facility is properly fenced, has a patio and backyard furniture to accommodate six (6) clients. Continue on LIC809-C LPA observed the facility is clean, safe and sanitary. All window screens were in good repair. Auditory signals were installed on exit doors. All passageways were free of obstruction. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, CA Code of Regulations, the facility's physical environment appears to be compliant and ready for licensure. CAB will be advised. An emergency exit plan/sketch along with other posting requirements were available and posted on the wall. No deficiency cited on today’s visit. Exit interview conducted and copy of this report signed and delivered to the Administrator.