Pre-licensing visit·March 28, 2024

Licensing Program Analyst (LPA) Dwayne Mason Jr. made an announced inspection to the facility for purpose of conducting a pre-licensing inspection. LPA arrived and was greeted and granted entry by Administrators Manuel Abadines and Maria Cecilia-Sangrador. An application to operate a Residential Care Facility for the Elderly (RCFE) for (6) capacity, (0) ambulatory, (6) non-ambulatory, and (0) bedridden residents was received by Community Care Licensing (CCL) on 7/20/2023. The facility is a one-story home with three shared resident bedrooms, two bathrooms, two living rooms, dining room, kitchen, staff lounge, laundry room and backyard. Client Bedrooms have all the necessary requirements including bed, chair, storage for clothing and ample lighting. LPA observed all windows were screened. All bathrooms have working plumbing and designated hand washing posters. Hot water measured between 119 and 120 degrees Fahrenheit. LPA issued a technical assistance advising the ADs to maintain a water log to ensure proper temperatures continue to be maintained. LPA observed the fire extinguisher to be fully charged as indicated by the arrow pointing in the green zone. The service tag indicates the extinguisher was serviced on May 2, 2023. Medications and First-Aid Kit will be locked in a lock box in a closet in the hallway. Resident & Staff Files will be locked in a closet in the living room. The fire clearance was approved by a fire inspector of Orange County Fire Authority on 7/31/2023. Extra hygiene supplies and linens will be stored in a closet in the hallway. LPA observed space in the garage where the ADs will keep chemicals, cleaning solutions, laundry toxins and disinfectants. ADs stated they will purchase additional locks to ensure all toxins remain inaccessible to residents. Emergency Phone Numbers, Exit Plan, Activity Calendar and Menu are all posted and available for review. LPA observed other necessary postings in the living room. Smoke and Carbon Monoxide detectors are stationed throughout the home and are wired together. Both types of detectors were tested and noted as operational. Operational appliances include a gas stove, oven, two refrigerators, dishwasher, microwave, washing machine and dryer. LPA reviewed and provided Administrators with the Component III presentation to offer information and resources regarding maintaining facility compliance. The designated ADs was notified that the final application approval will be issued by the Centralized Applications Bureau in Sacramento. Exit interview was conducted and a copy of this report was provided to designated AD.