Pre-licensing visit·October 9, 2025

Licensing Program Analysts (LPAs) Tena Herrera and Gabriela Castro conducted an announced pre-licensed visit and met with Licensee/Administrator Stephanie Gonzalez for the purpose of conducting a Pre-Licensing Inspection / Component III visit. The facility has an approved fire clearance to be licensed to serve 6 Adults ages 60 and over. The facility is a single story home: 3 bedrooms, 2 bathrooms, living room, dining area, kitchen with laundry area, office area, backyard, front yard and attached garage located in Downey, CA. The physical plant was toured inside and out alongside Stephanie Gonzalez. Pre-Licensed Inspection Tool was used. The following was observed/inspected · Bedrooms are equipped with one bed, night-stand, chair, sufficient lighting, appropriate closet and drawer space. · All beds had the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. · Bedrooms are large enough to allow for easy passage between and comfortable for usage of beds and other required items of furniture. · Sufficient supply of linens available to permit weekly changing and are stored in storage cabinet. · Sufficient personal hygiene supply available, laundry machine (wash/dryer) observed. · The 2 bathrooms have working toilets/wash basin, and shower. Shower is missing non-slip mat. water temperature was within range · Smoke Detectors and Carbon monoxide detectors are interconnected approved in the Fire Clearance. · Two (2) Fire extinguishers observed and charged. · Cleaning solutions and sharps are securely locked in kitchen and inaccessible to residents. · Kitchen cabinets, refrigerator/freezer , oven, microwave, dishwasher are in working condition, clean and sanitary. (Continued on 809-C) · Food Menu Samples observed. · Sufficient dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. · There is a designated space for Medications to be locked and inaccessible to residents. · Client and Staff files will be stored electronically and Administrator showed LPAs how files will be stored · First Aid Kit was observed with manual. · Physical plant is in good repair and building and grounds are free from hazards, window screens are in good condition. · There is a shaded area provided in the backyard to accommodate clients, no bodies of water observed. · The residence is equipped with central air and heating, temperature remains at comfortable temp. · Facility cell phone line operable, facility number: 562-291-0495 · Variety of activity supplies for clients observed. · Liability Insurance has not yet been purchased but administrator confirmed they will purchase the insurance prior to admitting first resident. Component III was also completed at the time of the visit and all required documents for Licensing were discussed. Facility has met the physical plant requirements/ inspection as required per California Code of Regulations Title 22 Division 6. An exit interview was conducted, and a copy of this report has been furnished to the Applicants. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.