Pre-licensing visit·May 13, 2025

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an announced pre-licensing inspection at the facility and met with Licensee/Administrator Agnes Martinez. Application : The inspection is a Change of ownership (CHOW) for a Residential Care Facility for Elderly (RCFE). The Murrieta Fire Department approved a fire clearance on 03-20-2025 for one (1) non-ambulatory residents and five(5) bedridden residents. Buildings and Grounds: The facility is a single story building with five(5) residents bedrooms, three and half(3.5) bathrooms, a dinning room, a family room, an office and a kitchen area. Water temperature was measured at several places averaging at 110.3 F. The interior and exterior walkways of the facility were observed to be clutter free with no obstructions present. Smoke and Carbon Monoxide detectors were in working order. There is a no pool and there are no weapons stored in the facility. Residents' bedrooms are fully furnished, and privacy is available. Outdoor areas have sufficient room for activities and leisure. A washing machine and dryer were available and in working order. The facility has a working phone witnessed by calling the phone number. Storage and Supplies: Medications will be stored in a locked cabinet in the kitchen area, and residents and staff files will be stored in the office and inaccessible to unauthorized individuals. A complete first aid kit was observed to be available. Cleaning supplies will be stored in the laundry room area. Linens, and equipment appeared to be in good repair and sufficient for the approved census. Continued 809-C.... Fire extinguishers were available and fully charged with an expiration date of February 28 th , 2026. Food Service: Utensils and dishware are sufficient for the requested capacity. The refrigerator and freezer are in working order. Sharps knives will be stored under the sink in the kitchen area, available only to authorized individuals. Forms: The following signs were observed to be posted at the facility: See something say something, Personal Rights, Emergency disaster plan, the facility sketch. The Administrator hold an Administrator's certificate with the expiration of December 29, 2025 and a CPR certification with the expiration date of August 20th, 2025. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. The applicant will be contacted by the Regional Office to schedule COMP III. LPA determined the facility meets the operational requirements for licensure . The Pre-licensing inspection is complete and has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and a copy was provided to Licensee/Administrator Agnes Martinez.