Pre-licensing visit·January 12, 2023

Licensing Program Analyst (LPA) arrived unannounced to conducted a Pre-Licensing (CHOW) Inspection of the facility to ensure compliance with Title 22 regulations. LPA Avelina Martinez met with Marnelli Johnson and explained the purpose of today's visit. Facility has a fire clearance for six non-ambulatory residents. Marnelli Johnson, will be the Administrator of this facility. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, and kitchen. The facility sketch needs to be updated to reflect STD 850 fire Clearance approval. The facility resident rooms and staff rooms need to be numbered as reported on the STD 850 Fire Clearance. As a result, the facility has not passed today's pre-licensing inspection. LPA Martinez will return to the facility when the corrections have been made. Applicant was informed to call LPA Martinez when the correction has been completed. An exit interview was conducted, and a copy of this report was given to the applicant.