Pre-licensing visit·April 13, 2023

Licensing Program Analysts (LPAs) Sean Haddad and Dwayne Mason Jr. conducted this announced inspection for the purpose of conducting a pre-licensing inspection. LPAs met with Applicant (AP) William Manalo, discussed the purpose of the inspection, and toured the facility. Facility is to operate a Residential Care Facility for the Elderly. Application was submitted to Community Care Licensing on 01/20/2023. This is a change of ownership with persons in care. This is the second pre-licensing inspection. Please see LIC809 dated 03/22/2023. During the initial pre-licensing inspection, AP stated that the facility currently handles the money for 2 residents. LPA reviewed AP’s application which states that the facility will not handle resident money and that the applicant does not have a surety bond. AP agreed to either stop handling resident money or obtain a surety bond and ensure their application meets all requirements for a facility that handles resident money. Since the initial pre-licensing inspection, AP obtained a surety bond and updated their application to meet all requirements for a facility that handles resident money. During today’s inspection, LPAs toured the facility with AP, reviewed the surety bond, and reviewed the changes to the application. LPAs confirmed the issue noted during the initial pre-licensing inspection has been addressed. LPAs explained the process of this application and about the post licensing inspection once the facility is licensed. AP was informed today that the facility is ready for licensure and final approval will be processed by the CAB supervisor in Sacramento. Component III was completed with AP during the initial pre-licensing inspection. An exit interview was conducted and a copy of this report was discussed with and provided to AP.