Pre-licensing visit·December 19, 2025

Licensing Program Analysts, (LPAs) Armando Perez and Robert Campbell made an announced visit to the facility for the purpose of conducting a pre-licensing inspection due to a change of ownership with residents in care. LPA met with Administrator Patrick Atienza , who accompanied LPAs for the inspection. Applicant has submitted an application for five (5) non ambulatory residents and (1) bedridden for a total capacity of 6. On October 1, 2025, Riverside County Fire Department approved a fire clearance for the facility. The facility is a one story home with four (4) client bedrooms, three (3) bathrooms, laundry area, living room, dining area and kitchen. LPA’s observed clients’ bedrooms with the required bedding and furniture, such as, clean mattresses/linen, night stands, dressers, chairs, lighting, and emergency lighting. Client bathrooms and showers had the required bars, non slip mats and had clean appliances that were operating in safe and sanitary condition. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. The facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Sharps, such as knives and scissors, will be stored in a locked drawer in the kitchen. Client and staff files will be in a locked cabinet by the entrance door. Client medication will be centrally stored and locked in a separate cabinet in the kitchen as well. LPA’s observed no bodies of water. There is an covered patio with sufficient seating for all the clients. All passageways were free from obstruction. LPA observed fire extinguisher was serviced on 9/11/25. The smoke detectors and carbon monoxide alarms are a combined unit and were operational. Continued on LIC 809-C. The facility does not have any known firearms and ammunition on the property. LPA observed the required postings of the emergency disaster plan, resident personal rights, complaint procedures, employee rights, visitation rights, facility sketch, and the Long-Term Care Ombudsman poster. Facility contains emergency supplies and first aid kits with the required items. The facility has working telephone for client use. LPA observed Applicant's Administrator Certification on file with expiration date of 04/30/2027. LPA's observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. LPA's determined the facility meets the operational requirements for licensure . The Pre-licensing inspection is complete and this facility has no issues or concerns. 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 Administrator Patrick Atienza.