Pre-licensing visit·May 5, 2026

On today's date Licensing Program Analyst (LPA) William Vanegas conducted an announced visit for the purposes of completing a pre-licensing inspection. Upon arrival LPA was greeted and granted entry to the facility by the Administrator (AD) Arthur Nuguid. LPA began a tour of the facility and observed the following. AD has an active Administrator certificate that is valid from March 14, 2025 through March 13, 2027. Physical Plant The facility is a one storied home with six bedrooms and two bathrooms. Five of the six bedrooms will be utilized for residents in care and one will be utilized for live in staff. The facility has a large front and back yard, and it is equipped with a two car attached garage. Kitchen Area and Food Supplies LPA observed kitchen area to be clean and free of any mildew. Hazards and sharps were observed to be stored away and inaccessible to future residents in care. LPA observed a refrigerator, dishwasher, microwave, and gas stove in kitchen area. All appeared to be in good repair and tested operational. LPA observed all appliances to be in good repair and tested operational. LPA observed for the facility to have a two day supply of non-perishable food and a seven day supply of perishable food, along with a sufficient amount of emergency water on hand. Resident Bedrooms and Facility Bathrooms LPA observed resident bedrooms to be clean and free of any hazards and debris. Bedrooms are large enough to walk about freely and have all required furnishings including a bed, clean linens in good repair; meaning no strains or tears, a reading lamp, a chest of drawers, a chair, and enough storage space to store personal belongings. LPA observed resident bathrooms to be clean and free of any mildew and debris. Water faucets and toilets tested operational. Bathrooms had all required furnishings including grab bars, slip resistant floor matts, and grab bars. Hot water temperature tested between 113.4 and 114.3 degrees Fahrenheit CONTINUED ON LIC809-C Postings, Fire Extinguishers, Smoke and Carbon Monoxide Detectors, and First Aid Kit LPA observed all requiring postings to be posted in the main entrance of the facility, including the PUB 475 sign, Long term care ombudsman sign, personal rights sign, rights of family council, and rights of resident council. LPA observed all fire extinguishers to be fully charged and to have an updated service tag attached to it. LPA observed all smoke detectors and carbon monoxide detectors to be in good repair and tested operational. LPA observed first aid kit to have all required items including scissors, tweezers, adhesive tape, a thermometer, bandages, and a first aid manual. Exterior of the Facility LPA conducted a tour of the exterior of the facility and observed the following. The backyard of the facility is large enough to participate in outdoor activities upon resident request. The backyard has a shaded sitting area, and side doors were observed to be free of any obstructions and debris. Side doors were observed to be self latching and unlocked. Component III LPA conducted component III with AD and advised that their facility is ready to be licensed. LPA advised that they will notify the Centralized Application Bureau with the updated information. An exit interview was conducted with AD and a copy of this report was provided to the facility.