Pre-licensing visit·April 30, 2025

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with the applicants, Peter and Marites Grabicki. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on September 24, 2024. A fire clearance was approved on October 23, 2024 for four (4) non-ambulatory residents, one (1) bedridden resident, and one (1) ambulatory for a total capacity of six. The facility is a one story building. The smoke alarms and carbon monoxide detector are dual and inter-connected. The fire extinguisher is located at the living room. The charge date is October 21, 2024. A tour of the physical plant was initiated at approximately 10:00am and the following was observed: KITCHEN: The kitchen is equipped with a refrigerator, microwave oven and sink. There is an adequate supply of nonperishable food items on stock. Perishable food items not required at this time as facility has zero (0) census. Applicants were advised to purchase perishable food items once licensed and facility starts operating. Applicant has enough dining ware to accommodate a maximum capacity of six (6). Knives/sharps and cleaning supples were observed locked in a kitchen cabinet. First aid kit and manual is maintained in a kitchen cabinet. BEDROOMS: There are four (4) bedrooms designated for client use. Per STD 850, Bedroom #1 has the bedridden fire clearance. Bedrooms #2 and #3 are shared. Bedroom #4 is ambulatory only. The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space. BATHROOMS: The facility has three (3) bathrooms. Bedrooms #1 and #4 has it's own bathroom with shower. The third bathroom is located in the hallway by bedrooms #2 and #3. All three bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms measured at 120 degrees. COMMON AREAS: These included the living room and dining room. The living room is furnished with two couches, one recliner and one television. There is a fireplace that is screened with a glass door. Fireplace is non-functional. The dining room table is large enough to seat up to six (6). Floors and furniture were observed to be maintained and in good repair. Entry and exits were clear of obstruction. LAUNDRY: The washer/dryer is located in the kitchen. MEDICATIONS: The medications will be kept locked in individual drawers in the staff office. OFFICE/STAFF WORKSTATION: Staff office is located by the living room, where resident and staff records will be kept in a locked drawer. SURROUNDING GROUNDS: The driveway, passageways and entrance to the home was clear of obstruction. All entry and exit doors have a functional auditory alert when the doors open. The backyard of the facility has a patio and backyard furniture to accommodate the six (6) residents. The facility backyard has sufficient yard space to hold outdoor activities. There is no swimming pool or any other bodies of water. There is an ADU at the side of the home. Per STD 850, not part of the fire-clearance. ADU will only be used as staff break room. In addition to the Pre-Licensing inspection, a Component III power point presentation was also held. Pursuant to Title 22, Division 6 of the CA Code of Regulations, the facility's physical environment is compliant and ready for licensure. CAB will be advised and a copy of this report provided.