Pre-licensing visit·September 16, 2025

Licensing Program Analyst (LPA) Alberto Lopez conducted an “announced” PRE-LICENSING visit to the facility and met with Licensee Applicant/Administrator Boris and Amanda Palomino. Licensee Applicant is a corporation [PALOMINO RESIDENTIAL CARE, INC] and Administrator [Boris Palomino] is designated for the facility. Licensee will operate a business as Palomino Residential Care inc. Component III was not required. Facility has an approved fire clearance for six (6) non-ambulatory residents (age 60 and above), including one (1) bedridden in room two (2), and was granted on 08/18/2025. Physical plant was toured inside and out. Facility is equipped with smoke detectors (inter-connected w/battery backup), fire alarm device, and carbon monoxide system. Bedroom #1 is a shared bedroom with no bathroom. Bedroom #2 is a shared bedroom with no bathroom. Bedroom #3 is a private room for one (1) resident Bedroom #4 is a private room for one resident. The bedrooms are set up with beds, nightstands with sufficient lighting, dressers, and closet space. The supply of extra bedding and bath linens is adequate. All resident rooms are equipped with smoke detectors, and the facility smoke alarm system is synchronized with battery backup. The common bathroom in the living room has a toilet with grab bars. The common areas (living room and dining area) were appropriately furnished, and the lighting is adequate. There is a fireplace in the living room that the licensee stated gas was capped and will not be used. LPA observed controls removed from fireplace. Fire extinguisher (located in the kitchen area) is fully charged and was inspected on June 11, 2025. Medications will be stored in a locked cabinet (located in the kitchen area). A first-aid kit was complete with first-aid manual and stored in the locked cabinet in the kitchen area. (continued from 809) Kitchen cleaning supplies and other toxins are stored in a locked cabinet under the kitchen sink. The laundry room with washer and dryer has a secure cabinet for laundry detergents and are in a locked cabinet in the laundry area. The hot water temperature measured between 108.6 - 112.6 which is within the required range of 105.0 -120.0 degrees F. The Facility Administrator stated that the facility will have phone service transferred from the current facility next door on same day of approval. The administrator agreed to not install or use any video cameras in private rooms until the department has approved the use of video cameras in the private rooms. During the visit, LPA observed all four (4) resident rooms with no video cameras installed. Two (2) rooms have the hardware for video cameras and Licensee agreed to not install video cameras until approval is granted by the department. Licensee was asked and agreed to send an updated facility sketch to California Application Bureau (CAB) showing the absence of video cameras in the four (4) resident’s room. There is a locked drawer in the kitchen where the knives will be stored and inaccessible to residents. The supply of perishable and non-perishable food is adequate. The supply of dishes is adequate. Appliances (stove, oven, microwave, refrigerator, dishwasher) in the kitchen are functional. The front yard is well landscaped with one palm tree. The backyard is secured with a self-closing gate and patio cover. LPA observed the patio furniture with appropriate shade. LPA did not observe bodies of water in the backyard. The trash cans have covered lids. There is an attached garage used for storage and not accessible to residents. The licensee cleared all obstructions from outside of the home during the visit. Facility has current disaster plan with relocations sites and approved plan of operation. Facility is ready for license LPA will submit the Pre-Licensing Report to CAB. Licensee was advised to contact their CAB analyst with further questions. An exit interview was conducted, and a copy of this report was provided to Licensee/Administrator Boris and Amanda Palomino.