Pre-licensing visit·May 13, 2021

Licensing Program Analysts (LPA) Kerry Hiratsuka and Jacob Williams, contacted the facility via telephone due to COVID-19 and pre-cautionary measures. The purpose of this call is conducting an announced prelicensing visit. LPAs spoke to facility representatives Applicant Krisztina Ivascu via Facetime. This facility has a fire clearance for five non-ambulatory and one bedridden resident. This facility has six private resident areas and no staff bedroom. Because there is no staff bedroom the facility is required to have awake staff at all times. The main entrance opens into a common area. The main common area has sitting, dining, and kitchen. On the left of the main entrance there is a hallway that leads to one resident room that has an exit to the outside, laundry area with locked cabinets, a common half-bathroom, and the door leading to the garage. Past the first hallway on the left is door leading to a resident room. That resident room has a door connecting to the resident room with the resident room that has an exit to the outside for fire safety. At the back of the facility on the left is the largest resident room that has an exit to the outside and a private full bathroom. On the right side of the facility behind the kitchen there is a hallway that leads to three resident rooms and one full common bathroom. The bedroom at the back, right corner has an exit to the outside. The backyard was toured. There is a gate on the same side as the garage. -Component III orientation was waived by LPA Hiratsuka due to the experience levels of the facility representative. . -questions applicants had were answered. -several topics were discussed. This facility meets all regulations. LPA is going to submit this report to the application specialist for final review. LPA is going to email a copy of this report to Administrator and Administrator is to sign, and email a copy back to LPA.