Pre-licensing visit·May 25, 2021

Licensing Program Analyst (LPA) Angela Elliott conducted a pre-licensing inspection on 10/1/2020 via tele-visit. Due to COVID – 19 precautions, a facility visit is not able to be conducted at this time. LPA spoke with applicant Susanna Villasenor. The facility has a fire clearance from the City of Calistoga for a total of 5 non-ambulatory resident and 1 bedridden resident approved on 4/27/2020. LPA observed all exits were unobstructed. Facility has three bedrooms and two bathrooms. Laundry area was open but toxins were located either in locked cabinets or secured areas. Water temperature measured between 110-112 degrees Fahrenheit in areas accessible to residents. LPA observed multiple carbon monoxide detectors and smoke detector alarms which were found to be operational. The fire extinguishers were inspected on 4/16/2021. Medications will be locked in a cabinet off the entry way area. Knives were observed locked and inaccessible in a kitchen drawer. The facility has extra linens and hygiene supplies available. Bathroom had required non-slip mats and grab bars. Resident bedrooms contained required furnishings. Night lights were observed in the hallway. First Aid kit was present. Postings noted to be current and in compliance with regulations. noted. The Component III Orientation was completed with applicant. *signatures in file