Pre-licensing visit·April 22, 2021

Licensing Program Analyst (LPA) Javier Prieto conducted an announced visit with facility administrator Julie Navarez for the purpose for performing a virtual pre-licensing inspection. Fire clearance is approved for six (6) non-ambulatory, one of which can be bedridden, on 03/22/2021. Facility will serve Elderly resident 59 years and above Structure : Facility is a one story, four (4) bedroom, three (3) bathrooms with two car garage. The facility maintains a shaded area for all clients in the home. The client bedrooms can accommodate the client's furnishings. Bathrooms : All bathrooms have a working toilet, shower and sink. Bathrooms have appropriate washing supplies and towels for client use. Linens: Are kept in the facility hallway adjacent to all the bedrooms. Hygiene Supplies : Are kept locked in the cabinets Food Service: Kitchen has adequate counter and cupboard space to meet the staff and client’s needs. Stove burners, oven, microwave, washer & dryer are working. Knives are kept locked in the pantry located in the kitchen. Refrigerator in the home is stocked. . Smoke detectors and Carbon Monoxide Units Were tested and found in working condition. Toxins Are stored in a locked in the laundry room and as well as the garage. Medications Are centrally stored and locked in the kitchen cabinet including the first aid kit will be kept in cabinet. Medication Administrator Records logs are locked as well Resident & Staff Files; Are centrally stored and locked. Overall, the residence meets Title 22 requirements for licensing standards. No corrections are needed at this time. A copy of this report was provided to the administrator. LPA Prieto conducted a Component III with administrator Navarez on this day as well.