Pre-licensing visit·June 1, 2021

Licensing Program Analyst (LPA) Joseph Alejandre made this announced visit to conduct the pre-licensing inspection. LPA was greeted and granted entry by Administrator Cynthia Garcia. Cynthia Garcia's Administrator's certificate expires 4-1-2022. Application received on 12/16/2020. Facility is to operate a continuing care retirement community, capacity is for 125 non-ambulatory residents. LPA and Administrator toured the facility. Facility is a two story building and surrounding parking lot. No bodies of water observed. LPA inspected resident rooms, kitchen, dining rooms, laundry room, medication room and theater room. LPA observed no obstacles or hazards in the facility. Call system is operational. LPA observed a wired smoke/carbon monoxide detector in each room. System tested during Fire inspection and on 5/27/21 by Johnson Control inc. Hot water temperature measured 105 degrees Fahrenheit. LPA toured the courtyard and outside parking lot, no obstacles or hazards observed. All fire extinguishers were fully charged. LPA observed the emergency chair lift mounted next to each stairway door. Facility telephone number is 949-248-8855. LPA observed that the kitchen was clean and knives are kept secured. First-Aid Kit & Activity Supplies. observed and available. Resident & Staff Files facility, no files reviewed. Delayed Egress exit doors are operational. Fire clearance was approved by Orange County Fire Authority Inspector Marco Heredia 05/27/2021 . Facility meets Title 22 Division 6 of the California Code of Regulations. Facility is ready for licensure. LPA explained the process of this application and also about post licensing visit once the facility is licensed. Applicant was informed today that the final approval will be processed by the CAU supervisor in Sacramento. Component III was completed with applicant. An exit interview was conducted and a copy of this report, LIC809 was explained and provided to Cynthia Garcia.