Pre-licensing visit·July 22, 2022

On 7/22/2022 Licensing Program Analysts (LPA’s), Stephanie Cifuentes conducted an announced inspection to the above facility for purpose of a change of ownership pre-licensing evaluation. An application was submitted to Community Care Licensing Department(CCLD) on 04/23/2022, for a Change of Ownership for a Residential Care for the Elderly. The requested capacity is for 6 clients, 5 non-ambulatory, 1 bedridden. Facility has a dementia care plan in place. LPA was greeted and accompanied on inspection by Licensee/administrator Mona Alcaraz Structure: The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) bedrooms, (6) bathrooms, living room, family/ dining room, kitchen, garage/ storage and front porch and covered backyard patio area. There is an apartment on the second floor that is rented out to a tenant. The client bedrooms are spacious and will easily accommodate the client's furnishings. There is a shaded back yard with a covered patio, tables and chairs. Outdoor passageways, walkways, driveways, steps and patios are free from obstructions. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. Linens & Hygiene Supplies: Beds have the required linen/supplies which include, pillowcases, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linen and hygiene supplies stored in hallways cupboards. Due to time constraints LPA could not complete pre-licensing, LPA will return at a later date. An exit interview was conducted with Mona Alcaraz, Administrator and a hard copy was provided.