Pre-licensing visit·August 29, 2024

Licensing Program Analyst (LPA) Christina Valerio and Licensing Program Manager (LPM) Stephen Richardson arrived announced to conduct the Pre-Licensing Visit and complete Component III. LPA and LPM met with Licensee Vivek and Property Owner Jay Vijay, and explained the purpose of the visit. The facility has an approved fire clearance to service individuals aged 60 years and older, approved for six (6) non-ambulatory residents, of which one (1) may be bedridden and live in bedroom #4. The facility has been approved for a Hospice Waiver for two (2) residents maximum. LPA observed a discrepancy on the fire clearance vs the location of the bedridden room. LPA observed bedroom #6 to be the room intended for the bedridden resident. LPA Valerio contacted the fire inspector listed on the granted fire clearance. An updated clearance was sent to LPA Valerio's email with the correct room number. The facility is approved for one (1) bedridden resident to live in bedroom #6. LPA Valerio will submit the updated copy to Licensee and CAB analyst Morrison. LPA Valerio reviewed the facility's Emergency Disaster Plan and Infection Control Plan. The facility has a dementia care plan on file. LPA, LPM, and Licensee conducted a walk-through of the physical plant inside and out to ensure compliance with Title 22 regulations. LPA observed resident bedrooms to be fully furnished, clean, and organized. Resident bathrooms were observed to be stocked with hygiene supplies, a trash can, skid mats, hand rails, and shower chair. Common areas were fully furnished. LPA Valerio observed where medications, cleaning supplies, files, and sharps will be locked and inaccessible to residents. Exterior areas were observed to be furnished with areas for outside activities. No emergency exits were obstructed. Fire extinguisher, Carbon Monoxide detectors, and fire extinguisher were in working condition. Component III was conducted and completed with Licensee Vivek. Licensee Vivek had no further questions. Pre-Licensing is complete and this facility has no deficiencies. An exit interview was held, and a copy of this report was provided.