Pre-licensing visit·May 13, 2025

On May 13, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived for a scheduled visit for the purpose of conducting a Pre-Licensing visit. LPA Mixson met with Christine Bulaoro, Administrator, introduced herself, and stated the purpose of the visit. LPA toured the location along with the Administrator and made observations following is a summary. Physical Plant: The location is a single-story facility located at 32454 Bullard Street Menifee CA 92584, and has four bedrooms, two full bathrooms, a living room, dining room, and a kitchen. A backyard and front yard with two car drive-way. The Riverside County Fire Department City of Menifee approved this facility for zero (0) non-Ambulatory, zero-Ambulatory, and four (4) bedridden residents, on April 28, 2025. The home has a first aid kit and manual, the Administrator has received First Aid and CPR training, and the Administrator’s certificate is current, and posted. With an expiration date of 11/18/2025. Medications : LPA Mixson observed where medications are to be stored, locked, and inaccessible to the residents. The home is equipped with lights in the passages and stocked with emergency night lights throughout the home. The smoke and carbon monoxide detectors were observed and are operable. LPA Mixson observed one brand new fire extinguisher, charged and in the green, and obtained on 04/10/2025. The cleaning supplies were locked and inaccessible, along with the sharp objects and the Administrator informed LPA there are no firearms on the premises. Bedrooms: four (4) bedrooms were observed and are large enough to allow for easy passage. The required items of furniture were observed currently at the time of this inspection. Chair, nightstand, and sufficient lighting. Kitchen/Food : Knives were locked in a kitchen drawer, plenty of pots, pans, and other kitchen accessories. Facility has the required seven-day supply of non-perishable food items. LPA Mixson observed hygiene supplies for residents. There were no pesticides, poisons, or other toxic substances stored in any food storage or preparation area currently at the time of this inspection. (87555). Records : There is confidential storage space for personnel records at the time of this visit. (87412). Bathrooms: Two bathrooms floors were clean and sanitary and free of odors. Other appliances were operable, water temperature tested within regulations and was logged. There was at least one toilet and sink for each six persons to include residents, family, and personnel. (87307), and at least one bathtub/shower for each ten persons which includes residents, family and/or live-in personnel. (87307). Administration: LPA Mixson observed emergency exiting plans and telephone numbers posted, Personal Rights, Complaint Poster, and other required documents were posted currently at the time of this visit, along with the current Administrators certification, which has an expiration date of 11/18/2025. The facility theft and loss program policy are posted (87218). Activities: There are activity supplies and equipment, including access to a variety of reading materials in the language of choice. There is an outdoor activity area equipped for outdoor use. (87219). Miscellaneous: There is a first aid kit, including sterile dressings, bandages, thermometer, and other items as required by regulations. (87465). There are laundry supplies and equipment and there is space for clean linen storage and a separate space for soiled linen. (87307). LPA Mixson observed emergency lighting supplies to include flashlights, and extra batteries. (87303). Dementia Care: There were no bodies of water on the premises currently at the time of this visit, and there are auditory devices in place to monitor exits and completely enclosed outdoor activity space with self-closing latches and gates. (87705). Inside/Outside: All doors, and passageways are clear of obstruction. There were no bodies of water on the premises, and the fireplace was covered with a screen. There was enough clean linen and hygiene items, and there was appropriate lighting in each room. LPA Mixson observed central heating and air conditioning systems, and they are operable currently. The Administrator dialed the land line phone number (951) 223-3018, and it was operable. Outside/Yards : Had shade and covering for shaded visits, and activities. There were no obstructions observed. The Licensee stated there were no firearms, and/or ammunition on the premises. CAB 8.0 Pre-licensing / COMP III requested and anticipation to scheduled. An exit interview was conducted, and a copy of this report was provided to Christine Bullaoro, Administrator,