Pre-licensing visit·December 30, 2025

On December 30, 2025, at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley arrived announced for the purpose of conducting the Pre-Licensing visit for an Initial Application. LPA conducted the visit with Applicant/Administrator Abel Marica, Assistant Mylene Manze, and Maintenance Director Marco Ramirez. The initial application to operate a Residential Care Facility for the Elderly (RCFE) was received by the Department of Social Services on June 30, 2025, for age range 60 and older, with Fire Clearance approved for five (5) non-ambulatory residents and one(1) Bedridden resident. LPA toured the facility's indoor and outdoor physical plant with Applicant Abel Marica. The following were observed: Structure: The facility is a single-story property in a residential neighborhood comprised of four resident bedrooms, four full bathrooms and a half bath, an office and staff room, and an attached two car garage that may only be used as garage. LPA observed all common areas which include the living room, dining area, and kitchen. Telephone Number: The facility currently has a land line with the number (657)232-0487. CONTINUE TO LIC809-C .... Emergency Phone Numbers/Exit Plan: Posted in the entry way. Postings: The See Something, Say Something (PUB475) was not posted. A receipt for the correct size poster dated December 11, 2025, was provided. All other required posting were available the entry way. Food Service and Menu: Supply of seven-day non-perishable and two-day perishables were observed in the kitchen. The emergency food/water supply were also available in the office. LPA observed the Activity Schedule and Food Menu posted. Smoke and Carbon Monoxide Detectors: The smoke detectors and carbon monoxide alert systems were tested and found operational. Fire Extinguishers: Two fire extinguishers were mounted, fully charged, and serviced on August 4, 2025. Fire Clearance: Approved on August 27, 2025, for five (5) non-ambulatory residents and 1 Bedridden resident. Signal System: The facility does not signal system. Bedrooms: The resident bedrooms had all required components, are spacious, and easily accommodate the residents’ furnishings. All rooms and closets contained space for residents’ personal items and belongings. CONTINUE TO LIC809-C .... Bathrooms: Bathrooms were clean, however sinks do not indicate hot/cold settings, Bathroom #1 does not have a grab bar inside shower, Half-Bathroom does not have grab bar near toilet, and Bathroom #5 has a shower spout that is damaged and needs to be replaced. Water Temperature: The water temperature in the four resident bathrooms measured at 113.9 and 117.5 degrees Fahrenheit. Linens and Hygiene Supplies: Clean linens and hygiene supplies for resident use were fully stocked. Appliances : Stove burners, microwaves, refrigerator, freezer, and washer/dryer were inspected and operating. Resident and Staff Files: Resident and staff records will be maintained on site. Medication: Medication will be secured in a closet near the kitchen. Reading Material, Games, Equipment, & Materials: Games and activities were not available. Sharps and Toxins: Sharps will be secured in drawer in the kitchen and inaccessible. Cleaning supplies and toxins were observed locked. Medications, First Aid Kit, & Manual: The First Aid Kit was checked and missing a thermometer. CONTINUE TO LIC809-C .. Liability Insurance: Facility does not currently have liability insurance. A proposal for liability insurance protection was observed. Component III is waived due to the applicant fulfilling the requirements previously for existing facilities. The following items requiring correction: · Repair and install window screens on all windows · Repair water damage in Staff Room/Office, below window, ensure no ants · Ensure faucets in all bathrooms clearly indicate hot and cold settings. · Install grab bars Hallway Bathroom and Bathroom#1 · Repair shower water spout in Bathroom #5 · Provide games and activities for residents use · Install night lights in hallway · Ensure First Aid Kit has a working thermometer · Provide a Teleconference Device for residents’ use · Ensure all emergency supplies which include but are not limited to whistles, cooler, and more are obtained per the Emergency Disaster Plan (LIC610E) · Amend the LIC610E reflecting the type of residents served · Missing postings - The See Something, Say Something (PUB475) · Submit proof of liability insurance policy Based on today’s observation, the facility is not ready for licensure. A subsequent visit will be conducted to review the corrections on January 15, 2026 and Applicant will contact the department if an extension is needed. An exit interview was conducted with Applicant Abel Marcia and staff, and a copy of this report was provided at the end of the visit.