Pre-licensing visit·April 14, 2022

Licensing Program Analyst (LPA) Jesse Gardner conducted an announced pre-licensing inspection to the facility to complete the pre-licensing inspection and Comp III. LPA arrived at the facility at 08:52 AM and met with Licensee Annalisa Blancaflor. Licensee Blancaflor accompanied LPA on a tour of the inside and outside of the facility. The facility is a five bedroom, three bath home with a living room, dining room, family room and kitchen. Per the approved fire clearance, the licensee is approved for 3 non-ambulatory residents and 1 bedridden residents. All bedrooms are furnished with bed, night stand, dressers and have adequate lighting for residents use. The facility currently has linens, towels and a sufficient amount of hygiene products for residents. The bathrooms have grab bars and non-skid mats installed. The water temperature was tested and measured between 111.8 to 116.0 degrees Fahrenheit. The smoke alarms and carbon monoxide alarm were tested and are in operating order. LPA observed one fire extinguisher present in the kitchen area and fully charged. The kitchen was observed to have dishes, silverware and pots and pans. The knives were stored in a locked drawer in the kitchen. The medications, will be stored in a locked cabinet in the kitchen. The chemicals are locked in the kitchen under the sink. The client files will be stored in a hallway cabinet. The backyard was observed to be fully fenced with an unlocked gate. The facility has a pool that is fully fenced with a locked gate. LPA found all facility features to be in compliance and in line with Title 22 Regulations. An exit interview was conducted and a copy of this report was reviewed with and provided to Licensee Annalisa Blancaflor.