Pre-licensing visit·September 20, 2022

Licensing Program Analyst (LPA) Luis Mora conducted an announced pre-licensing visit. LPA met with Rowena Marantal Carrillo (Licensee) and explained the reason for the visit. The home is located in a residential neighborhood in the city of Downey and it is a two story building. The downstairs consists of 2 resident bedrooms, 2 resident bathrooms, 2 living room, dining area, kitchen, laundry room, and attached garage. The upstairs consists of 4 resident bedrooms, 3 resident bathrooms, 1 staff bedroom, and 1 living room. The home has a fire clearance from the local Fire Department for a capacity of 6 ambulatory residents ages 60 and over. LPA Mora conducted the tour with Rowena Marantal Carrillo and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Sharps are kept locked in a kitchen cabinet. The First Aid kit is kept locked in a kitchen cabinet and it is fully stocked with all required items including a current manual. Medications will be centrally stored in a locked kitchen cabinet. Cleaning and chemical solutions are kept locked in the laundry room and under the kitchen sink. Dining and living room have sufficient lighting and sitting area. All bedrooms have all required furniture, lighting, and bedding. There is clean linen in each bedroom closet. There are clean towels in the laundry room. All bathrooms were observed with non-skid material and grab bars. The water temperature was tested in all 5 resident bathrooms and it measured at 105 degrees F, which is within the required 105-120 degrees F. A fire extinguisher was observed in each floor, and both were fully charged. Smoke detectors were observed in each bedroom and throughout the facility and were operable during the visit. A carbon monoxide was observed in each floor and were operable during the visit. Resident and staff files will be kept locked in a laundry room cabinet. All exit doors have an auditory device and was operable during the visit. The facility has a stair lift chair that was operable during the visit. The front yard and backyard are clean, and there is a shaded sitting area in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction. (CONTINUED TO LIC 809C) No outstanding or pending items were observed by the LPA requiring additional pre-licensing visits. LPA will notify the assigned Centralized Applications Bureau (CAB) Analyst of the completed pre-licensing facility evaluation visit conducted, which included the Component III Orientation. Exit interview conducted and a copy of this report was provided to the Administrator.