Pre-licensing visit·March 12, 2024

On 03/12/24, Licensing Program Analyst (LPA) Talwinder Bains met with administrator ,Brigitte Peterson , to conduct an Pre- Licensing visit. This application is a change in ownership (CHOW) . This address is currently licensed as IRIS HOME CARE , Facility # 342700684 . Administrator holds a current administrator certificate (# 6065158740 with expiration date 01/25/25). The facility currently has 5 residents during today's inspection. Facility has Fire Clearance Approved (date-10/25/23) for 4 non ambulatory and 2 bedridden ( in bedrooms with exit 5 and 6 only as shown in facility sketch) residents. LPA toured the facility inside and outside with administrator . LPA toured residents bedrooms and they were properly furnished and maintained. LPA toured common bathrooms and observed to be clean and sanitary. The food supply is within compliance, 2 days of perishable and 7 days’ worth of non-perishable food items. Smoke detectors are operational. There are carbon monoxide detectors which are functioning. The Fire extinguisher was charged, serviced (01/28/24) and functional. Grab bars were present at the toilet and in the shower. All exits were unobstructed. All toxins, medications, and sharps were locked and stored away. The disaster drill is current. Facility's temperature was 73 degree F during inspection. Hot water temperature was observed to be 120 degrees F, which is within the regulation range of 105-120 degree. First aid kit found to be complete. All required postings were observed. Facility has staff room which was shown in facility sketch. Facility has pool in the backyard which was properly fenced and locked during inspection. Backyard area was found to be clean and well maintained. LPA reviewed 1 sample file for 1 resident and for 1 staff and found out that all required paperwork was present . Component III was waived as the current administrator has been administrator for other RCFEs licensed by CCLD . LPA will forward findings to the Centralized Application Bureau (CAB) that facility met all the pre-licensing components. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations on today's pre-licensing inspection. A copy of this report was provided to the facility. Exit interview conducted.