Pre-licensing visit·October 10, 2023

On Tuesday, 10/10/2023, Licensing Program Analyst (LPA) Janette Romero conducted an announced visit to conduct a pre-licensing inspection. The facility is undergoing a change of ownership. LPA was informed by Administrator Bernarda Rocha that Applicant Joshua Rocha was unavailable to meet with LPA at the time of LPA's visit. Fire clearance has been granted for (6) non-ambulatory elderly residents. Applicant Rocha's administrator certificate expires on 1/23/2025. LPA conducted of a tour of the facility’s interior and exterior. The facility is made up of five (5) resident bedrooms and four (4) resident bathrooms along with a kitchen, living/family room, and garage. LPA did not observe bodies of water on the premises. The physical plant is in good repair. Indoor and outdoor passageways are free of obstructions. The facility has an outside shaded seating area available for the residents. LPA observed a charged fire extinguisher, operating smoke alarms, carbon monoxide detectors, and a working land line. LPA observed a locked storage area for cleaning solutions, centrally stored medications, and knives/sharp instruments. Resident and staff files are secured in a file cabinet stored near the kitchen. Continued on LIC809-C.. Continued from LIC809. LPA toured the bedrooms. Resident bedrooms had the required bedding, furniture, and functional lighting. Additional linen and towels are available in the hallway cabinet. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a 2-day supply of perishable food and 7-day supply of nonperishable food items. LPA also observed emergency food and water stored in the kitchen. LPA toured the resident bathrooms. Resident bathrooms are equipped with grab bars and non-skid mats in the shower. The hot water temperature in resident bathrooms measured at 106-degrees Fahrenheit. Emergency disaster plans, personal rights, and complaint procedures were posted in living/family room wall. LPA observed two complete first aid kits. Living/family room has a working television and adequate seating in common areas. During today's visit, LPA did not observe any issues or concerns. Administrator Rocha is scheduled to complete the Comp III on Thursday, 10/12/2023, at 9:00 a.m., at the Riverside Regional Office. Final approval of licensure will be granted by the Centralized Application Bureau analyst. An exit interview was conducted where a copy of this report was discussed and provided to Administrator Rocha.