Pre-licensing visit·August 14, 2025

Licensing Program Analyst (LPA) Ruth Martinez conducted an announced visit to the facility for the purpose of a pre-licensing evaluation. LPA was greeted and granted entry by applicant Suha Abdalla. An initial application to operate an Adult Residential Facility for the Elderly, age 60 years and over, for (6) capacity, (0) ambulatory, (0) non-ambulatory, and (6) bedridden residents was submitted to CCL on 3/7/25. Structure: The facility is a one story house with an attached garage with 4 resident bedrooms, 2 full bathrooms, a living rooms, a dining room, and a kitchen. The residents’ bedrooms are spacious and will easily accommodate the residents’ furnishings. There is a large backyard with a covered patio and one exit walkway on each side of the house with seating for the residents. Signal system: Central air/heating system installed with a central panel to control the entire house. Bedrooms Residents: Bedrooms are for 6 bedridden residents. Bedrooms will accommodate 6 residents with 2 private rooms and 2 shared room accommodating two residents per. Bedrooms Staff: No bedroom designated for awake staff. Bathrooms: All bathrooms have a working toilet, wash basin, bath-tub/shower. Linens & Hygiene Supplies: Adequate supply of linen stored in hallway space closet. Emergency Phone Numbers, Exit Plan & Menu: Posted & readily available for review an emergency disaster plan with means of exiting and emergency phone numbers listed. Menus posted and Continued LIC809-D available. Menus prepared one week prior and listed for food serve for one week. Food Service: Adequate supply of 7-day non-perishable and 2-day perishables are stored in the kitchen with surplus goods stored in the kitchen. Smoke Detectors: Smoke detectors and carbon monoxide alert systems are hardwired, were tested and found operational . Appliances: Gas five-burner stove, single oven, refrigerator/freezer, microwave, are clean and noted to be operational . Toxins: All and any toxic chemicals, cleaning solutions and disinfectants are inaccessible to residents are stored and locked in a storage cabinet located underneath sink and in the garage storage . Water Temperature: Tested and recorded maintained at a comfortable temperature and the water temperature measures 116.7 Fahrenheit degrees. Medications, First-Aid Kit & Book: Medication will be stored in a locked cabinet located in kitchen and first aid/manual is missing. Resident & Staff Files : Records will be kept locked in a cabinet in the living room by piano . Reading Material, Games, Equipment & Materials: The facility has board games, books, and other recreational materials for the residents' use, commensurate with the plan of operation. Fire clearance: Was approved on 4/8/25. Component III: Component three waived during the visit. Applicant is Licensee/Administrator of other licensed facilities. Based on the observations made during this visit, the physical plant facility does not meet the requirements of Title 22 Regulations and is not ready for licensure. The following items must be completed prior to licensure: 1. Facility bathrooms (2) shall have slip-resistant mats, strips, or flooring. 2. Facility shall be equipped with a laundry unit: washer and dryer. 3. Complaint poster (PUB475) shall be 20” x 26” in size. 4. A complete first aid kit and current first aid manual. 5. Emergency food supplies and water. 6. Theft and loss posting. 7. The dining room electricity outlet shall be fixed. Any items noted during today’s visit are to be corrected and the verifications by LPA visit. Applicant will contact LPA once they are ready for the inspection. All corrections need to be completed prior to licensure. Exit interview was conducted and a copy of this report was left with the applicant.