Pre-licensing visit·July 30, 2025

On 07/30/2025 at 11:20 AM, Licensing Program Analyst (LPA) Raquel Hernandez conducted an announced visit to the facility for purpose of Pre-licensing evaluation. LPA met with Administrator/Applicant Maria Lourdes Alemnana and Paullen Alemnana. An initial application to operate an Residential Care for The Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) November 1st 2024 for a total capacity of six (6) Ambulatory. Fire clearance was granted on 05/08/2025. LPA Hernandez observed the following: Structure: Facility was a one (1) story house with four (4) resident bedrooms and two (2) bathrooms, living room, dining area and kitchen. Heating/Cooling System: Central heating and air conditioning system installed with one (1) central panel. Bedrooms: Each resident bedrooms accommodate any ambulatory resident. All resident bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting. Bathrooms: The two (2) bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. LPA Hernandez tested the water temperatures in the residents' bathrooms. Water temperature tested within regulation at 108 degrees Fahrenheit. ***CONTINUED ON LIC 809-C*** ***CONTINUED FROM LIC 809*** Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives/sharp instruments were secured in a locked cabinet located in kitchen. There was adequate room for food storage. Refrigerator/freezer were in working condition. There is sufficient storage for perishable food. There was adequate seating for meals for all residents. Washer and dry was located in laundry room. Laundry detergents and cleaning supplies were observed in a locked cabinet in laundry room. Living/Family room: There was a living/family room with adequate seating for all residnts and a working TV. Linens and Hygiene Supplies: An adequate supply of linens was stored in a cabinet in the hallway. Yards/Outside: Patio furniture for outdoor seating observed. Self-lock handle gate on right side of the house was observed. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Emergency disaster plan was observed posted near the main entrance as well as emergency disaster phone numbers. General items: Two (2) fire extinguishers was charged and located in kitchen and hallway. Four (4) smoke detectors and four (4) carbon monoxide dual detectors were tested and were observed to be in working order. Resident records and staff records will be stored in a locked cabinet. First Aid kit with required components, and locked area for medication storage was observed. LPA Hernandez observed a facility phone and was operational. LPA evidenced by LPA dialing the number. The phone number designated for the facility is 951-579-1643. There is enough Emergency water supply and the required 72-hour emergency food supply for residents and staffs available at the facility. Component III was completed on this day as well. The facility was evaluated in accordance with the California Code of Regulations (CCR), Title 22, Division 6, Chapters 1 and 6 to ensure the health and safety of clients in care. Facility appears to be ready for licensure. An exit interview was conducted, and a copy of this report, LIC809 was discussed and provided to Applicant/Administrator/Licensee Maria Lourdes Alemnana and Paullen Alemnana .