Pre-licensing visit·September 8, 2022

Licensing Program Analysts (LPAs) Tao and Ramirez, conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPAs met with Phuoc Truong, applicant/administrator, who assisted with the visit. An application was submitted to CCLD on 05/25/2022. It is an initial application applying for Residential Care Elderly to serve elderly, ages 60 years old and older. The requested capacity is six (6) including five (5) non-ambulatory and one (1) bedridden. The applicant is D & P Homecare LLC and applied for dementia program. Fire clearance was approved on 7/8/22 and approved bedroom #2 for bedridden resident. Structure: Facility is a single house with six (6) resident bedrooms, two (2) bathrooms, living room, kitchen, backyard with shaded area, and laundry room. Passageways, walkways, driveways, steps and patios are free from obstructions. Bedrooms for Residents: Bedrooms are for six (6) residents including five (5) non-ambulatory and one (1) bedridden. The resident bedrooms are spacious and will easily accommodate the residents furnishings. Bathrooms: All bathrooms have a working toilet, wash basin, and shower with non-skid mat and grip bar. Linens & Hygiene Supplies: Beds have linen/supplies which include, pillowcase, fitted sheet, blanket and bedspreads. ( - continued in LIC 809 C - ) Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review at the entrance. Fire extinguishers located at kitchen mounted on the wall. First Aid kit and Red cross manual are in stock Smoke Detectors: Carbon monoxide detectors and smoke detectors are dual and operable. Appliances: Stove burners, oven, microwave, washer, and dryer are working. Medications: Medication drawer is locked and available to staff but inaccessible to residents. Issues were observed during the visit. 1) Water Temperature: Tested at 138.5 degrees Fahrenheit 2) Resident records: Stored in a cabinet but not locked 3) Alarm auditory devices at exits: Exits are not installed with alarm auditory devices. 4) Resident bedrooms: Mattress pads are missing in all residents room. 5) Resident bedrooms: No chair in residents' room 6) Side gate exits: Side gate exits were locked with a key lock. All key locks need to be removed. 7) Laundry room with cleaning compounds: cleaning supplies and water heater are stored in laundry room and accessible to residents. Laundry room needs to install a lock and inaccessible to residents. 8) Backyard: Water host on the ground which has trip hazard. ( - continued in LIC 809 C - ) Applicant will provide the proof of Plan of correction (POC)by 9/13/22. Component III: Conducted at the Pre-Licensing visit, information provided about how to operate the facility within substantial compliance. An exit interview was conducted and a copy of this report has been furnished to the applicant. Accordingly, LPA Tao will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.