Pre-licensing visit·September 12, 2022

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 09/12/2022 to conduct a Pre-Licensing inspection. This is a change of ownership with residents in care. LPA met with applicant, Edwardson Manalo. LPA toured building and grounds which were found to be clean and in good repair. Exits and walkways were clear and unobstructed. Exit alarms were working properly. Resident bathrooms had necessary grab bars and non-slip mats. Facility is two story building with resident bedrooms located on the first floor. There are 3 shared bedrooms. There was a sufficient supply of perishable and non-perishable food available for residents. Toxins were locked and secured. Medications were centrally stored and inaccessible to residents in care. LPA observed a sample menu and activity schedule posted. Facility had necessary licensing and LTCO postings. Extra linens and towels were available for residents. Facility has a large living room for activities and a large backyard. LPA and applicant discussed the need for new admission agreements for new license. Facility had resident and staff files available for inspection upon request. Facility has an approved fire clearance dated 04/21/2022 for 6 non-ambulatory residents. LPA reviewed Component III with applicant. No deficiencies observed during today's inspection. LPA will notify application unit to proceed with licensing process. Exit interview conducted with applicant and a copy of this report printed.