Pre-licensing visit·May 31, 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 Administrator/Licensee Tamanna Rahman and Manager Designee Tawsique Salam. Assistant Administrator Latif Rahman and Manager of Facility Affairs Alexis Deseo were also present during inspection. 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 1/26/2024. The facility is a two-story home. The first floor houses three shared resident bedrooms, two bathrooms, living room, family room, dining room, kitchen, music room, staff room, covered patio, backyard and 2-car garage. The second floor houses the management office, three staff rooms, one bathroom and loft. The second floor is inaccessible to residents. Resident 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 at 112.4 degrees Fahrenheit and 113.9 degrees Fahrenheit in the Resident bathrooms. LPA observed the fire extinguisher to be fully charged as indicated by the arrow pointing in the green zone. Medication and First-Aid Kit will be locked in a cabinet in the dining room. Resident & Staff Files will be locked in the management office on the second floor. The fire clearance was approved by a fire inspector of Orange County Fire Authority on 3/12/2024. LPA observed chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to residents and are stored and locked in cabinets in the garage. A supply of extra linens is stored in a closet in the hallway as well as the garage 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 and dining 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, freezer, dishwasher, microwave, washing machine and dryer. LPA provided the Component III presentation to offer information and resources regarding maintaining facility compliance. The designated AD 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.