Pre-licensing visit·November 21, 2025

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an announced pre-licensing inspection at the facility and met with Licensee Judith Embury. Application : The inspection is for an initial application for a Residential Care Facility for the Elderly (RCFE).The Riverside County Fire Department approved a fire clearance on 05-28-2025 for two(2) ambulatory and four (4) non-ambulatory residents. Buildings and Grounds: The facility is composed of four (4) residents' bedrooms, four (4) bathrooms, an office, a living room, a kitchen area, and a garage. Water temperature was measured within regulation at 110.1 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 no pool at the facility. There is a locked weapon stored in the garage and meeting the department's requirements. 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, staff files and residents files will be stored in a locked cabinet by the office area, inaccessible to any unauthorized individuals. A complete first aid kit was observed to be available. Cleaning supplies are locked and stored in the kitchen area under the sink. Linens and equipment appeared to be in good repair and sufficient for the approved census. Fire extinguishers were available and fully charged with an expiration date of April 17, 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 in a locked cabinets in the kitchen area, available only to authorized individuals. Forms: The following signs were observed to be posted at the facility: Personal Rights, Complaint information, emergency and disaster plan, and the facility sketch. LPA verified the Administrator's Certification, with an expiration date of February 20, 2027 and CPR certification with the expiration date of January, 2027. The applicant completed COMP III on November 18, 2025. 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 Judith Embury.