Pre-licensing visit·May 27, 2021

Licensing Program Analyst (LPA) K. Hiratsuka, arrived at the facility announced on 05/272021 to conduct an announced prelicensing visit. LPA met with Applicants/Administrator s Kevin Lee and Maria Cucicea and explained the purpose of the visit. Prior to initiating the prelicensing visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted applicant and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by Administrator at the front door. This has a fire clearance for all non-ambulatory. The main entrance opens to an reception area. There is a door leading to the main resident area This facility has twelve resident rooms; nine private and three shared resident rooms.. Thee rooms have full private bathroom, eight have private half-bathrooms, and one does not have any type of bathroom. There are two full common bathrooms. There are four hallways; two on each side of the facility and all have exit doors at the end. There is a laundry room that has a lock on it. There is a short hallway at the across the main entrance that has locked storage for medications and also a door leading to the outside back courtyard. The middle of the building is the main common area and kitchen. There are locked cabinets for sharp utensils. LPA waived the component III orientation because Administrator already operates another facility. Multiple topics were discussed during this visit. This facility meets regulations. LPA is going to submit this report to the applications specialist