Pre-licensing visit·June 7, 2021

Licensing Program Analyst (LPA) Albert Marin conducted an announced prelicensing visit to this facility and met with Licensee and Administrator (AD) Brian Schott. LPA stated the purpose of this visit. The facility is a single level structure. On May 14, 2021, The Orange County Fire Authority granted the fire clearance of six non-ambulatory. At 10 AM, LPA Marin conducted a tour of the interior and exterior portions of the facility. LPA observed two staff members and 4 residents in care. There were four private and one shared resident's rooms; and one staff room. Rooms were provided with linens adequate furniture, and adequate storage space. Hallway was provided with adequate light and kept free of tripping hazards. Three common bathrooms were observed to have grab bars and non-skid floor features. Hot water was measured from 110 to 114 degrees Fahrenheit. Smoke, carbon monoxide and auditory alarms were tested to be operational; and fire extinguisher was mounted and charged. Kitchen appeared clutter free. Sharp kitchen utensils, cleaning supplies, medications and facility files were kept accessible to facility staff only. Facility met the two-day perishable and seven-day non-perishable food stock requirements. LPA observed the posting requirements in place. Exterior features had adequate open space with furniture in good repair. Exterior exit gate was self-latching and self-closing. LPA Marin conducted Component III orientation with AD Schott. For this visit, the facility was observed to be in substantial compliance with the Title 22 Division 6 of the California Code of Regulations. AD Schott is NOT planning to advertise for Dementia Special Care Program. The prelicensing and Component III orientation are now complete. LPA Marin will forward this report to the Centralized Applications Bureau for review. LPA Marin conducted an exit interview with AD Schott. Copy of this report was left in the facility.