Pre-licensing visit·March 5, 2026

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an announced Pre-Licensing Inspection visit and met with Applicant Judy Ragano. This Pre-Licensing Inspection is due to a change of ownership. The facility has an approved fire clearance to be licensed to serve six (6) non-ambulatory residents age range 60 and over. Current licensee has a hospice waiver in place for six (6) residents. Currently one (1) of six (6) residents in care is receiving hospice services. LPA and Applicant toured the physical plant interior and exterior. The Pre-Licensing Inspection CARE Tool was used, and the following was observed/inspected: The facility is a single-story home located in a residential area of San Dimas consisting of living room/dining area, family room, kitchen, four (4) bedrooms, two (2) bathrooms, attached garage with laundry area, front and back yards. Physical Plant and Environment safety: Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available, were observed to be inaccessible to residents. LPA Gonzalez observed combination smoke and carbon monoxide detectors throughout the facility. LPA Gonzalez inspected four (4) resident bedrooms and two (2) resident bathrooms. All resident bedrooms contained required furniture, linens and lighting. Extra, clean linens were observed in the hall cabinet. Water temperatures in grooming and bathing areas were measured to be 120°F and 113.7°F, which is within the required 105° F – 120° F. Bathrooms were observed to contain grab bars near toilets and inside shower. Non-slip mats were observed in showers. continued on LIC809C Food Service: LPA observed sufficient supply of non-perishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Residents Rights-Information: LPA observed the following postings in common areas of the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. Disaster Preparedness: The facility has the Emergency Disaster Plan (LIC610D/9 pages) in place. LPA observed facility sketches with exits and emergency exits routes throughout various locations of the facility. Residents with Special Needs : There are no pools or large bodies of water. LPA observed signs posted indicating “No smoking - Oxygen in Use” in various locations of the facility. Knives, sharps or other items that could pose a danger to residents with dementia, were observed locked in a kitchen drawer, inaccessible to residents in care. Auditory devices were observed to be in working order. Health Related Services/Incidental Medical Services: The medications are centrally stored in a locked cabinet located in the dining area. Personnel Records Training: Staff files were made available upon request. LPA observed required CPR and First Aid for two (2) out of the three (3) personnel record reviewed. LPA observed annual training, TB testing results, Health screening, fingerprint clearance and job application for three (3) out of the three (3) personnel record reviewed. Resident Records/Incident Reports: LPA reviewed resident records for six (6) residents in care. Resident records are maintained at the facility. Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Consent for Medical Treatment, Preplacement Appraisal Information, Care Plan/Appraisal/Needs and Services Plan, Resident Rights were observed. Exit interview was conducted and a copy of this report was provided to Caregiver Marivic Sunico, applicant Judy Ragano had another appointment. 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.