Pre-licensing visit·December 9, 2024

On 12/09/24, Licensing Program Analyst (LPA) Kimberly Viarella made an announced prelicensing inspection. LPA identified herself upon arrival, stated the purpose of the visit and met with the Licensee/Administrator, Shabana Buksh. A brief interview followed. The facility has applied for a license for 6 ambulatory residents with a hospice waiver of 2. LPA conducted an inspection of the facility including but not limited to the 3 resident bedrooms, office, and two bathrooms, all of which contained the required furniture, furnishings, and lighting to be in compliance at the present time. The kitchen, living room, dining room, laundry room, and garage were also inspected. LPA observed the locked closet where medications for future residents will be stored so that they remain inaccessible to residents in care. LPA also inspected the first aid kit and it contained all of the required items to be in compliance at the time of this inspection. This facility had no bodies of water or outbuildings present on its grounds. LPA conducted an inspection of the perimeter and found the exterior to be in good repair and the grounds to be free of debris. LPA Viarella noted no health and safety concerns at this time. LPA Viarella conducted the Component III portion of the application process and will notify the CAB analyst that the Pre-Licensing is complete and this facility has no deficiencies. Per California Code of Regulations (CCR) - Title 22, no deficiencies were observed. An exit interview was held, and a copy of the report was provided.