Pre-licensing visit·May 8, 2025

Licensing Program Analyst (LPA) Seo Jeon conducted an announced visit to the facility for purpose of a Pre-Licensing inspection. LPA met with Applicant, Marilou Tumaliuan. An initial application to operate a Residential Care for the Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) on 7-22-2024 for a total capacity of 27, (21) ambulatory and (6) bedridden residents. Fire clearance was granted on 11-18-2024. LPA Seo Jeon observed the following: Structure: Facility is consisted of 3 separate buildings for residents. 397 E. Main Street has 6 resident bedrooms, 1 shower room, and 3 half bathrooms (toilette and sink only). 377 E. Main Street has 3 resident bedrooms, 1 full bathroom, and 1 half bathroom (toilette and sink only). 350 S. Alessandro Ave has 7 resident bedrooms, 1 staff room, 2 full bathrooms, and 1 half bathroom (toilette and sink only). There is 1 fenced structure in the backyard for laundry equipment with locked gate. Bedrooms: All bedrooms in 397 E. Main and 377 E. Main are for ambulatory residents only. 350 S. Alessandro Ave is approved for 10 ambulatory and 6 bedridden residents. However, fire inspection report did not specify what rooms are approved for bedridden residents for 350 S. Alessandro Ave. LPA observed resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, and adequate lighting. Some of the bedrooms did not have required furniture and they are listed at the end of this report. Continued on LIC809-C..... Bathrooms: Bathrooms in all 3 buildings have a working toilet, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 93 degrees Fahrenheit. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots and pans were observed. There was adequate room for food storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition and had sufficient storage for perishable food. There was adequate seating for meals for all residents. Washer and dryer were tested and operable. Laundry detergents and cleaning supplies were observed in secured laundry room inaccessible to residents. Sharps and knives need to be inaccessible to residents in care. Living/Family room: There is a living room in each building with adequate seating for all residents and TV. Linens and Hygiene Supplies: An adequate supply of linens was stored in a cabinet in the hallway of all 3 buildings. Yards/Outside: There is sufficient patio furniture for outdoor seating. There is no body of water in the premises. There are debris in the backyard that needs to be cleared out. General items: Total of 6 fully charged fire extinguishers are mounted on the walls of this facility. Client records will be stored in a locked cabinet. First Aid kit with required components, and locked cabinet for medication storage was observed. The facility food supply was observed to be sufficient as there was 2-day supply of perishable and a 7-day supply of nonperishable food items. The facility has an emergency food and water supply. Continued on LIC809-C.... Pre-Licensing is incomplete and the following corrections to be resolved. Applicant will advise LPA upon resolution of the following items. obtain and post required postings obtain locked storage for sharps and knives adjust hot water temperature to be between 105 and 120 degrees F install smoke alarms in all 3 buildings remove debris in the backyard remove locking door knobs and replace with passage door knobs chest of drawers for each resident remove third bed from 2 rooms in 350 S. Alessandro Ave An exit interview was conducted, and a copy of this report was given.