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Inspection visit

Pre-licensing visit

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On Thursday, 4/23/26, Licensing Program Analyst (LPA) Ray Comer conducted an announced pre-Licensing visit and met with Administrator, Amy Morales. Licensee is " ANTELOPE VALLEY ASSISTED LIVING LLC". Fire Clearance granted on 9/30/25 for five (5) non-ambulatory residents, and one (1) resident which may be bedridden in Room #5. Hospice waiver approved for four (4) residents. Purpose of today’s visit was to inspect 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, with a total of five (5) bedrooms; one (1) shared, three (3) private, and one (1) for staff-only use. Facility has two (2) bathrooms. LPA tour of the physical plant was initiated at approximately 10:45 am , and observed the following: KITCHEN - LPA observed kitchen appliances, (Refrigerator, stove, microwave, etc.) working properly. Knives and sharps were stored in a lower cabinet , secured by locking magnetic fob, and inaccessible to residents. Cleaning agents were stored in secured lower cabinet underneath the large sink and inaccessible to residents. FIRE SAFETY: Multiple dual smoke/carbon monoxide detectors are installed, hardwired, and interconnected throughout the facility. Smoke detectors were tested and were working properly. One (1) Fire extinguisher was observed in the living room area; fully charged with purchased date of 9/19/2025. Evacuation routes were clearly labelled and posted. All entry\exit doors signal an auditory alert when opened. [LIC 809C]- Continued MEDICATIONS - Mediations will be stored in kitchen area cabinet, secured by a locking magnetic fob and inaccessible to residents. First aid kit was observed as fully stocked with required supplies. BEDROOMS – All bedrooms have sufficient lighting, and contained bed, linens, nightstand, chest of drawers, chair, trash can with a lid, and closet space . BATHROOMS- All bathrooms contained hand soap, slip resistant floor mats, grab bars and a trash can. Water temperature was measured at 105.0 degrees F; within the required temperature range. LAUNDRY – Laundry room is located across from bedroom# 5. Detergents and other cleaning agents were secured by locking magnetic fob in laundry room cabinets. Multiple closets were observed in the facility containing fresh linens, blankets, and towels for residents use. COMMONS: Consisting of the living room, and the dining area. Both Living room and Dining room were furnished with chairs and large table, television, and a sofa with seating adequate for residents. There were no hazards observed. There is a working telephone line, and internet access. OUTDOORS- Backyard area has a shaded area with a table and chairs sufficient for residents and staff. The driveway, passageways and entrance to the home were clear of obstruction. GARAGE: Garage is attached and accessible, via a hallway door near bedroom#5 . LPA observed service door to garage as key-locked. RECORDS - Staff and resident records will be stored in locked file cabinet located in the office area, (Room#1) adjacent to the living room . Component III was conducted with the applicant from 12:30 pm to 1:15 pm. [LIC 809C] Continued No deficiencies were observed. This report will be sent to Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when the license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview was conducted and a copy was provided to Administrator.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the April 23, 2026 inspection of ANTELOPE VALLEY ASSISTED LIVING LLC?

This was a other inspection of ANTELOPE VALLEY ASSISTED LIVING LLC on April 23, 2026. The inspection found no deficiencies and no citations were issued.

Were any citations issued to ANTELOPE VALLEY ASSISTED LIVING LLC on April 23, 2026?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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