Pre-licensing visit·November 20, 2025

On 11/20/2025, Licensing Program Analyst (LPA) Sommer Hayes arrived announced regarding a prelicensing inspection. This pre-licensing is for Change of Ownership (CHOW). LPA met with Administrator Jayson Caridad and Licensee Amy Caridad. LPA Hayes inspected the physical plant of the facility to ensure compliance of Title 22 regulations. LPA Hayes observed 5 resident bedrooms, the activity room, dining room, kitchen, and outdoor areas. The facility is a one-story building. Outdoor passageways, walkways, driveways, and steps are free from obstructions. LPA Hayes did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility. Bodies of water were not observed at this time. Resident Bedrooms: LPA inspected 5 resident bedrooms. Each bedroom is fire cleared for non-ambulatory residents. The resident bedrooms are spacious and observed to be furnished with adequate storage for resident belongings. The water temperature was measured at 113 degrees Fahrenheit (F). Bathroom: All bathrooms inspected have working toilets, wash basins and showers and bath tubs. Toxins and Chemicals: Toxins and chemicals for cleaning are properly stored, locked, and inaccessible to residents in care. continued on 809-C Food Service and Kitchen: The kitchen area and dining area were inspected and observed to be in good repair. Knives, cutlery and other sharp kitchen utensils are locked and inaccessible to residents. The food supply was adequate and stored in the kitchen refrigerator and kitchen cabinets and consists of the following: A variety of fresh and canned fruit, vegetable and meat food items. The date of purchase was written on food items in the refrigerator and freezer. Stove burners and oven were observed to be in good repair. Smoke Detectors/Carbon Monoxide: Smoke detectors are hardwired and interconnected, and they are fully operational. The facility conducts quarterly smoke alarm testing. The most recent fire drill occurred 09/09/25 and 09/10/25 that included all residents and 5 staff. Medications and First-Aid Kit: Resident medications were observed to be stored in the medication room and locked and inaccessible to residents in care. The first aid kit has been inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and manual which are stored in the locked medication room. Based on a review of this facility during this Pre-licensing visit, it was determined that this facility was found to be in compliance at this time. The applicant has passed the pre-licensing component III of the application process. LPA Hayes will notify the Central Application Bureau (CAB) that the pre-licensing has been completed and passed. An exit interview was conducted, and a copy of this report has been provided to the facility.