Pre-licensing visit·November 21, 2023

Licensing Program Analyst (LPA) Hansen conducted a pre-licensing inspection and met with Administrator Kelly Muelrath. Fire clearance has been approved for 6 non-ambulatory residents by Marin County Fire Department. LPA will conduct a component III orientation with Administrator Kelly Muelrath. Facility has a dementia care program and a request for hospice waiver for 2. LPA toured facility and observed: Facility is a one floor residence in good repair and at a comfortable temperature. Hot water temperature checked 115.5 degrees F to 115.7 degrees F in 2 out of 2 resident's bathrooms as required by Title 22 Regulations and Fire Extinguisher is fully charged. Smoke and Carbon Monoxide detectors present and in working condition. The facility has a phone line designated for resident’s use. There is an ample supply of personal hygiene products, bedding and linens, utensils, dishes, and cook ware. Personnel and residents' records will be stored in locked front hallway cabinet. Centrally stored medications will be kept in locked kitchen cabinet. Facility plans on having awake staff. The facility has three resident’s bedrooms and two bathrooms. Facility has a kitchen, laundry room, living room area, office, dining room. Facility plans on having several different activities available for residents as desired. There is outdoor deck space for activities and visiting. Resident's & Personnel records, medication, first aid supplies, and toxins will be locked. Postings noted to be current and in compliance with guidelines. Locked box for sharps in kitchen and cleaning/laundry supplies in locked cabinet in laundry room. First aid kit was observed. Emergency supplies and PPE located in kitchen cabinet and container to be stored. All exits have egress alarms. Infection Control Plan has been submitted. Inspection conducted and report generated in office and signature obtained off site. Licensee does not anticipate opening prior to January 7, 2024. Facility is cleared for licensure. No deficiencies cited during this inspection.