Pre-licensing visit·November 1, 2021

Licensing Program Analyst (LPA) K. Hiratsuka, arrived at the facility announced on 11/01/2021 to conduct a pre-licensing visit. LPA met with Applicant Baby Quintero and Administrator Ferdinand Argana, and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Facility Representative and completed a facility risk assessment. LPA ensured they washed hands just after entering the facility and Caregiver. This facility has four resident rooms; two shared and two private. None of the rooms have exits to the outside. There is no staff room so the facility shall have 24 hour awake night staff. The main entrance opens into the hallway that has the resident rooms and locked laundry room. Directly to the left is a door that leads to the garage. To the right is a short hallway that leads to one shared room, one private room, and a full common bathroom that has a shower with nonskid floor and appropriate grab bars. On the right past the door leading to the garage is a private resident room with a full private bathroom. Past the short hallway on the right of the main entrance is another short hallway that leads to the right and the final shared resident room with a full private bathroom. The kitchen, dining, and main common area is located in the back of the facility. There is a sliding glass door leading to the outside. The kitchen has a locked cabinet for sharp knives. Laundry room has a locked cabinet for medications and small refrigerator for medications. There is a locked cabinet in the garage for facility records. There are gates on both sides of the facility. Component III orientation was waived because this is the second facility for the applicant. LPA did not find any deficiencies during this visit. LPA is going to submit this application to the application's specialist for their final review.