Pre-licensing visit·February 19, 2026

At 09:15 am Licensing Program Analyst (LPA) Tihesha Smith conducted an announced pre-licensing visit at this facility. The licensee and administrators’ identity were verified by photo ID. The facility has a capacity of six (6) and there are two (2) residents in the facility. Purpose of today’s visit is to inspect the facility to ensure that the facility is in compliance with the rules and regulations of California Code of Regulations, Title 22, Division 6. The facility is a single-story building. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: The common areas (kitchen, living room, and dining areas were appropriately furnished, and lighting was adequate. The facility has a variety of adequate perishable and non-perishable food supply with emergency supply /water in hall closet near kitchen. Appliances in the kitchen appeared to be functional. The living room has a television and comfortable furniture. Games and activities for residents are stored on the console table. There is one (1) fire extinguisher: attached to living room wall next to tv and was observed to be fully charged. Dual Smoke and Carbon Monoxide detectors were observed all over the facility, tested, and observed to be operational at time of visit. An emergency exit plan/sketch is posted near front entrance wall with other posting requirements and additional sketch posting will be added to each room. There are two (2) bathrooms in the facility with one (1) of the bathrooms located inside the room. The hot water was tested for the bathrooms and measured 120 and 128.7 °F with cautions signs. Bathrooms have trash cans and bathroom has functional grab bars. (cont. to 809C) The sharps are stored and locked in drawer in kitchen under stove. Medications and first aid locked in stand-alone cabinet in office area next to kitchen and toxins locked in 2 nd hall closet. Laundry is off the kitchen behind employees only door. The laundry appliances observed to be in good repair. Linens stored in hall closet next to main bathroom. There is no body of water at the facility. Backyard has a covered patio that is wheelchair accessible, has a large table, sufficient seating and is in good repair. The garage is attached (with no indoor entry) and used for facility storage. The following were discussed during the visit: Remodeling the main bathtub to shorten or make wheelchair accessible will not be pursued at this time. Flooring sections around door jamb and transition strip to be replaced/photos to be sent to LPA Smith. At the time of this visit the physical plant is meeting Title 22 requirements. Component III presentation completed at 11:30 am and administrator acknowledged understanding. No health and safety hazards were noted during this visit. Copy of this report will be forwarded to the CAB specialist. Exit interview was conducted and a copy of report was issued.