Pre-licensing visit·February 26, 2026

Licensing Program Analysts (LPA) Nune Margaryan conducted an announced pre-licensing visit using CARE Tool. LPA met with Administrator Geraldine Rodriguez and explained the reason for the visit. This Pre-Licensing Inspection is due to a change of ownership. The facility has an approved fire clearance for four (4) non-ambulatory residents, one (1) ambulatory and one (1) bedridden resident. Facility approved for total capacity of (6) six. The facility is a single-story home, located in a residential area, that consists of a living area, dining area, four (4) resident bedrooms, two (2) bathrooms (1 for staff and 1 for residents), a kitchen, detached garage/ storage room. LPA toured the facility. All indoor and outdoor passageways were free of obstruction. The front and backyard are well maintained and there are no pools or large bodies of water. All rooms were properly furnished with appropriate beddings and linens with sufficient lighting. The hot water temperature was tested and measured within Title 22 Regulation guidelines. Grab bar and non-slip mat was observed in the bathroom bathing area. Common areas including the living room and dining area were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Facility wall thermostat was set at 75.0°F and observed to be within the required range . Laundry located in the garage. There is second refrigerator in the garage. Garage/Storage door is locked. LPA observed shaded seating area in the front of the house. Carbon monoxide detectors are present at the facility and residents bedrooms. They were tested and were operational during the visit. The kitchen was inspected. There is sufficient dishes and utensils in the kitchen. Continue 809C There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked and are inaccessible to residents. LPA observed plenty of linens and towels in the linen closet in the dining room. Fire extinguisher observed in the facility fully charged. The first aid kit was observed and found to be in compliance with the Title 22 Regulations. Resident and staff records locked in a cabinet located in the dining room area. The common area is properly furnished, and activity supplies are available. The dining room is near the kitchen and has sufficient seating. LPA conducted Component III with Administrator. The Pre-licensing is complete, and the facility has no deficiencies. Exit interview conducted and a copy of this report was provided to Administrator. 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.