Pre-licensing visit·November 3, 2023

Licensing Program Analyst (LPA) Alberto Lopez made an announced visit and was greeted by Licensee/Administrator Michelle Aguirre and Administrator Rebecca Sinclair for the purpose of conducting a pre-licensing and Component 3 visit. Tour was conducted and the following was observed; medications were in a locked area, physical plant is in good repair, smoke detectors operate properly, fire extinguishers are properly charged, cleaning solutions and sharps are locked, building and grounds are free from hazards, passageways, and doors are not blocked or obstructed, signal system is operable, beds have the required linen/supplies, mattresses and bedsprings are in good repair, resident's rooms have the appropriate furniture (one chair, night stand, adequate lighting for each resident, adequate closet and drawer space), bedrooms are large enough to allow for easy passage between and comfortable for usage of beds and other required items of furniture and any assistant devices such as walkers. Water temperature was not within normal range (105 F to 120 F) degrees Fahrenheit. Refrigerator, stove, telephone, sinks, tubs, toilets and showers operate properly. There are enough bath towels, hand towels and wash cloths for all clients. Enough personal hygiene supplies are available for residents. There are enough linens available to permit weekly changes to ensure use of clean linens at all times by residents. All bathrooms were equipped with grab bars, (one grab bar is loose and needs to be repaired) and non-skid mats. Pantry's cupboards, freezers, stoves, microwaves, refrigerator, and counters are clean. Garbage cans have tight fitting covers. Two day supply of perishables available on day 1 of move in of residents, seven day supply of non-perishable available. The facility has sufficient dining tables and chairs. Pesticides and other toxic substances are stored and locked away from food supply. Resident records are inaccessible to unauthorized persons. Emergency disaster plan, personal rights and complaint procedures are posted with exception of Ombudsman poster. First Aid Kit is fully stocked. There is adequate seating in common area for licensed capacity. No resident bedrooms are used as public or general passageway to another room, bath or toilet. Night lights are maintained in the hallway and passages to non-private bathrooms. Post labor information as required by law is not posted. Notices of planned activities are posted in a central facility location readily accessible to clients, relatives and representatives of placement and referral agencies. Activity supplies, available. Privacy is provided in all toilets, bath, and shower areas. Facility has a theft and loss policy posted. Emergency exiting plans and telephone numbers are posted. Procedures to file confidential complaints are posted; a copy of resident rights or instructions on how to obtain a copy of the rights is provided to residents. There is a working telephone. Carbon monoxide detector is operable. The following rooms were inspected: #01, 02, 03, 04. Physical plant will meet Title 22 Regulations when grab bar in restroom is repaired, ombudsman labor poster is posted, and water temperature is adjusted to be in compliance with department regulations and measure in the range of 105-120 degrees F. Licensee will summit proof of Liability Insurance once obtained. Exit interview conducted and copies provided.