Pre-licensing visit·August 4, 2022

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced on 08/04/2022 at approximately 9:30 AM to conduct a prelicensing inspection. LPA was greeted and signed in by applicant Leonardo Lalim. Application was submitted for a change of ownership with residents in care. Current licensee Leni Stayman was also present during the inspection. There are currently six residents in care, one resident is on hospice. Fire clearance was granted on 06/06/2022 for 6 nonambulatory residents. LPA toured facility with applicant. Facility was a comfortable temperature and exits were free from obstructions. Building and grounds were clean and in good repair. There are a total of four bedrooms, two of which are shared. Bedrooms had required furnishings. Bathrooms were equipped with necessary grab bars and nonslip floors. Extra linens and towels were available for residents. Facility has a large living room for activities and a large backyard. LPA observed sufficient perishable and nonperishable food. Water temperature was measured at 113.5 degrees F. Toxins were secured and inaccessible to residents. Medications were centrally stored and inaccessible. Facility had resident and staff files available for inspection upon request. LPA and applicant discussed the need for new admission agreements for new license. Fire extinguishers were last charged 01/04/2022. LPA observed necessary complaint and long term care ombudsman postings. Resident rights were prominently posted. LPA conducted COMP 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.