Pre-licensing visit·December 30, 2025

Licensing Program Analyst (LPA) Andrea Mendivil made an announced visit to conduct a pre-licensing inspection. LPA identified themselves and discussed the purpose of the visit with Executive Director Susan Ruiz Hidalgo an initial application to operate a Residential Care Facility for the Elderly application was received by CCL on 01/28/2025 for a capacity of 70 non-ambulatory and 30 bedridden residents for a total of 100 resident capacity. LPA Mendivil along with Health and Wellness Director Robin Aquino, Executive Director Susan Ruiz Hildago and Memory Care Director Alma Gomez toured the facility at 10:00AM and observed the following: Structure: Facility is a three story building with , 82 rooms, 6 public restrooms. The exit gates on first floor are secured delayed egress. Living Room/ Dining Room : Adequate seating is available in the dining room and living room. Bedrooms Residents: First floor is Assisted Living with 25 single occupancy rooms all of which contain their own bathrooms. Second floor is a secured Memory Care with 26 rooms of which 10 rooms are shared occupancy. Third floor is Assisted Living with 31 rooms all of which are single occupancy. Bathrooms: Resident bathrooms have a working toilet/ wash basin . Linens & Hygiene Supplies: Facility supplies basic care items such as toilet paper and paper towels. Emergency Phone Numbers and Exit Plan: Posted behind receptionist desk in entry of facility. . Food Service: Licensee has 2 day perishable and 7-day nonperishable foods kept in facility kicthen. Smoke Detectors: Smoke detectors/ carbon monoxide detectors were tested by Fire Service Corp on 10/20/2025. Appliances: Faciltiy kitchen's appliances such as oven, stove top and refrigeration were operational. Toxins / Sharps : LPA observed a secure area for sharps in secured kitchen. CONTINUED ON LIC 809C DATED 12/30/2025. Water Temperature: LPA tested hot water and it read as following 106.7 to 110.3 degrees fahrenheit. Emergency Supplies: LPA observed supply of emergency water and food in staff break room and dry storage area in dining room. Medications, First-Aid Kit & Book: First aid kit observed contained all required items. Medication is stored in a secured medication cart which are housed in secured medication rooms on the first and second floors. Resident & Staff File: Resident records such as admission agreements and intake documents are stored in secured Executive Director's office and medical documents such physicians report and orders are stored in secured medication rooms. Reading Material, Games, and Equipment: . LPA observed games and coloring books in facility in facility palor. Backyard : LPA observed a shaded area for residents. Fire Clearance: Approved for 70 non-ambulatory and 30 bedridden residents on 09/08/2025. Facility is ready to be licensed. Component III completed. Exit interview conducted and a copy of this report was left at the facility.