Pre-licensing visit·December 31, 2024

On 12/31/2024 Licensing Program Analyst (LPA) William Vanegas made an announced visit for the purposes of a pre-licensing visit. Upon arrival LPA Vanegas was greeted and granted entry to the facility by licensee (LIC) Desiderio Gonzalez. LPA Vanegas set up equipment and began tour of the facility at 8:19 AM and observed the following. This is a one storied home with five bedrooms, two of which are staff rooms. and two bathrooms one of which is a staff bathroom and an attached two car garage. LPA Vanegas observed facility kitchen to be clean and sanitary. LPA Vanegas observed electric stove, microwave, and dishwasher to be operational. LPA Vanegas observed food pantry to hold a two day supply of perishable food and a seven day supply of non-perishable food. LPA Vanegas observed facility to have operational smoke and carbon monoxide detectors in each room and in common areas. LPA Vanegas observed fire extinguishers to be fully charged and brand new with receipt attached to it. LPA Vanegas observed resident bedrooms to have all required furnishings such as a lamp, chair, chest drawer, bed, and required closet space. Linens were observed to be clean and in good repair meaning no strains or tears. All windows were observed to be screened in resident rooms and common areas. LPA Vanegas observed resident bathrooms to be clean and free of debris and mildew. Bathrooms had all required furnishings such as hand rails, and slip resistant matts. Water temperature tested between 115.4 and 115.7 degrees. Toilet and faucet tested operational. LPA Vanegas toured the outside of the facility and observed the following, LPA Vanegas observed a body of water that is fenced and locked with a fence that is 5ft high. CONTINUED ON LIC809C LPA Vanegas observed there to be no obstructions on ramps or inclines, and no obstructions on emergency exit route. Side gates are self latching and not locked. LPA Vanegas observed a washer and dryer in the facility garage and it was tested to be operational. LPA Vanegas conducted component III with Licensee and administrator and advised that email will be sent to application analyst and the next steps in the licensing process will be taken care of by the Centralized Application Bureau (CAB). An exit interview was completed and a copy of this report was left at the facility.