Pre-licensing visit·July 16, 2024

Licensing Program Analyst (LPA) Edward Kim made an announced visit to conduct the second pre-licensing inspection. LPA Kim was greeted and granted entry by Applicant Fregil Jimenez. LPA Kim explained the reason for the visit upon entry. The first pre-licensing inspection was made on July 1, 2024 and several corrections were needed. The applicant requested a capacity of 6 nonambulatory residents and of which one (1) bedridden. Applicant has requested a hospice waiver for two (2) residents. The facility is a one story house in a residential neighborhood with an attached 2 car garage with five (5) bedrooms, of which four (4) bedrooms are for residents and one bedroom (1) is for staff, two (2) full bathrooms, family room, dining room, a kitchen, and living room with a screened fireplace During a tour of the facility, LPA Kim observed that the following items have been corrected: 1) Furnace has been replaced and has been approved by Socalgas. 2) Electric stove front left burner is operable. All items have been corrected. No new deficiencies were observed. The facility is ready for licensure. The pre-licensing visit and Component III Orientation are now complete . It appears this facility meets the requirements for licensure. LPA Kim will forward this report to the Centralized Applications Bureau for review. The license will be granted upon completion of a final review and approval from the Centralized Applications Bureau. An exit interview was conducted and a copy of this report was provided to applicant Fregil Jimenez.