Pre-licensing visit·March 13, 2026

On March 13, 2026 Licensing Program Analyst (LPA) Garlli Tat conducted a scheduled pre-licensing visit to the facility and was greeted and granted entry by applicant Minerva Sansano. LPA reviewed the Administrator's Certificate that expires on April 9, 2026. LPA toured the exterior and interior portion of the facility with Minerva Sansano. Facility is a single level home. On February 18, 2026, The Orange County Fire Authority granted fire clearance for a capacity of six residents (five of which may be non-ambulatory, one may be bedridden, and a request for hospice waiver for six has been submitted for review). There are a total of five bedrooms, two of which are private resident bedrooms, two are shared resident bedrooms, and one staff bedroom. There is a garage that is utilized for storage. All bedrooms were provided with furniture, in good repair, clean linens, adequate storage space, and kept hazard free. The bathrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature in residents' bathrooms were measured between 109.5 to 110.4 degrees Fahrenheit. Adequate supply of brand new linens are stored in the hallway. LPA observed the PUB475 "See Something, Say Something" poster posted by the front entrance. Emergency disaster plan and Personal Rights are posted by the front entrance. Sharp items and knives will be locked in the kitchen drawers. Facility had back-up emergency food and water supply located in the garage. Continued on LIC 809-C. Wired smoke and carbon monoxide detectors were tested and operational. All auditory exit alarms were tested and observed to be operational. Fire extinguisher was fully charged, mounted, located in the kitchen, and was purchased on January 12, 2026. Stove is a five burner gas stove that lights unassisted, and there is single oven, dishwasher, refrigerator and freezer. Washer and dryer are located in the garage. All appliances were operational. There is a locked cabinet underneath the kitchen sink for toxins. LPA observed that First-Aid kit had all the required components. Medication cabinet was observed in the kitchen. Applicant will keep this locked at all times. There is one exit gate in the backyard, which is self-latching and self-closing. Binders will kept in a locked cabinet located in the kitchen for resident and staff files. The facility has activities that commensurate with plan of operation. LPA reviewed the Component III with applicants, Minerva Sansano and Daisy Pascua. All items reviewed during the visit are in compliance. Facility appears to be ready for licensure. The applicant was notified that the final application approval will be issued by Centralized Applications Bureau (CAB). LPA conducted an exit interview with Minerva Sansano and a copy of this report was reviewed and provided to the facility.