Pre-licensing visit·March 17, 2026

On 03/17/26, at 9:06am, Licensing Program Analyst Gina Saucedo conducted an announced Pre-licensing visit. LPA met with Mary Jane Mclelland, Administrator. An application was submitted to Community Care Licensing Division-CCLD on 08/2025, Initial license for a Residential Care Facility for the Elderly (RCFE), 60 years and older. The requested capacity is for five (5) three (3) ambulatory, two (2) non-ambulatory-total of up to five (5) residents and fire clearance was approved on 10/17/2025. Structure : The facility is a single-story building with four (4) bedrooms and three (3) bathrooms. One (1) of the bathrooms is in one (1) of the bedrooms and the other two (2) bathrooms are in the hallway. Entrance : There is only one (1) entrance being utilized. Required postings such as: Personal Rights of Residents, Rights of Resident by Council, Facility Sketch, YES are posted against the walls of the facility. Toxins, cleaning solutions, and laundry detergents will be kept locked under the sink in the kitchen inaccessible to residents. Living/Dining area : The living room is neat, clean, and organized with sufficient seating for both residents and staff. Both areas are properly furnished and in good repair. The facility maintains a comfortable temperature of seventy-two (72) degrees. No firearms observed or will be maintained on the premises. There is a working telephone on the premises. LIC809C-continued Resident/staff files : Resident and staff files will be kept locked in a filing cabinet in the kitchen area. Kitchen : Sufficient supplies of dishes, cups, and silverware located within the kitchen cabinets and drawers. Sharps are stored on the right side of the kitchen locked and inaccessible to the residents. Kitchen appliances are working and are in good repair. The washer and dryer are located in the kitchen area. Emergency : Fire extinguisher located in the kitchen on the left side and dated 04/2025. There is another fire extinguisher in the hallway dated 04/2025 and fully charged. Medications : Medication will be stored in a cabinet in a filing cabinet area locked and inaccessible to the residents in the kitchen area. First-aid kit will also be kept in this area. Bedrooms : The bedrooms are properly furnished with bed, nightstand, applicable lightening, and seating. Window coverings are in good repair, not broken or damaged. Bathroom : The bathrooms are in proper condition and will be equipped with sufficient personal hygiene for each resident. Hallways : Hallway is properly lighted. Staff room : there is no designated staff room in the facility at this time. Water Temperature : The water temperature was measured in the bathrooms between 118.2 and 113.3 Fahrenheit and is within regulations. LIC809C-continued Smoke detectors : Dual interconnected smoke detectors and carbon monoxide observed to be working properly and were tested. There are also egress doors. Garage : There is a detached garage. Outside: There is a shaded area for residents. Pool : No bodies of water located at the facility. Administration : The facility had submitted an Emergency and Disaster Plan For Residential Care Facilities For The Elderly and Infection plan. Let it be noted, there is an ADU-Accessory Dwelling Unit-detached from the facility with a different address that is not part of the facility. The Component III Orientation RCFE-Residential Care Facilities Elderly was shown/reviewed with the Administrator. 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 to the administrator.