Pre-licensing visit·June 18, 2025

On 06/18/2025, Licensing Program Analyst (LPA) Debbie Palacios conducted an announced visit to complete the Pre-licensing inspection. LPA met with applicant Mark Delon and LPA was granted entry to the facility. The facility was approved to serve elderly of ages 60 and over, for six (6) ambulatory residents, of which four (4) may be non-ambulatory in rooms two (2) and three (3). Waiver/granted for hospice care for six (6). The facility has three (3) bedrooms, two (2) bathrooms, kitchen/dining area, living room area, backyard and an attach garage. LPA toured the interior and exterior areas of the facility. The following were inspected: LPA observed resident bedrooms with the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting. Resident bathrooms had clean appliances that were operating in safe and sanitary condition and the showers contained non-slip mats and grab bars. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. The knives and sharp objects were locked in kitchen cabinet. The facility contains PPE equipment and hand washing supplies locked in the hallway closet. The washer and dryer are located in the laundry room and has a locked cabinet for the chemicals and detergents. Resident files, staff files, and medication will be located in a locked closet located in the hallway. The facility maintains an adequate supply of clean linen and personal hygiene supply. The facility does not have any bodies of water on the property. There is a covered area with seating for the all the residents. All passageways were free from obstruction. LPA observed two (2) charged fire extinguishers in the facility last serviced 11/23/2024. The smoke detectors and carbon monoxide alarms were operational. LPA observed required postings including emergency/disaster plans, LTCO poster, and personal rights. LPA observed an adequate amount of activities present in the living room cabinet. LPA observed first aid kit with the required items and manual. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. LPA have determined that the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete, and this facility has no deficiencies. The facility has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to applicant Mark Delon.