Pre-licensing visit·December 3, 2024

Licensing Program Analysts (LPAs) Michael Hood and Cassie Mikkelson met with Administrator, Nicoleta Hegseth, to conduct a Pre- Licensing visit. The facility has a fire clearance for one (1) ambulatory resident and five (5) non-ambulatory residents. Administrator Nicoleta Hegseth has an active certificate (#6058750740 with expiration date 2/15/2025). LPAs conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) bedrooms and three (3) bathrooms for resident use. Bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 110.1 degrees F. LPAs observed facility has the ability to prepare and store food, to lock away cleaning products and other toxins, and lock medications to make inaccessible to residents. LPAs observed smoke detectors and carbon monoxide detectors at the care home to be operational. Component III was waived. Application is pending and LPAs will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.