Pre-licensing visit·February 23, 2026

On 2/23/2026 at 1:00 PM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived announced to conduct a Pre-Licensing Inspection of the facility to ensure compliance with Title 22 regulations. LPA Hughes met with the licensee Mulu, who assisted LPA Hughes in today’s inspection. This Applicant is seeking licensure for a (5) Non-ambulatory and (1) Ambulatory Residential Care Facility for the Elderly (RCFE) to accept and retain at any given time.  The facility will have (2) facility staff with no live-in care staff. There were no residents at this time. The facility administrator's certificate # 7027211740 expires on 01/09/2028. The facility has an infection control plan and an emergency disaster plan completed and provided to Licensing for approval. LPA Hughes toured the facility, and inspected the kitchen area cabinets and drawers were opened and reviewed, silverware, plates, and utensils were observed to be sufficient to meet the needs of the residents at this time.  Knives, cleaning agents, and bleach were observed to be locked and made inaccessible to the residents. The food storage unit, facility refrigerator, was observed to be functional and in good repair. Food supplies were reviewed for adequate 2-day perishables and 7-day non-perishable quantities, and they both were observed sufficient a this time. The common area and dining area were observed to be furnished and sufficient to meet the needs of the residents at this time. LPA observed activities and board games made available in the facility. LPA Hughes observed a telephone made available to residents in the common area, LPA observed the required posters posted. The facility smoke detectors, carbon detectors and fire extinguisher were observed to be in good condition. The fire extinguisher was last serviced on 10/22/2025. The water temperature measured at 107.6 degrees Fahrenheit, and the facility temperature measured at 68 degrees Fahrenheit. Continuation 809-C Linen closet was observed and a sufficient supply of sheets, bedding, pillowcases, and blankets to were available to meet the needs of the residents. LPA observed a washer and dryer in the facility, in good repair at this time. LPA observed sufficient hygiene items on the premises. Residents’ bedrooms were toured, furniture and furnishings were observed to be sufficient and able to meet the needs of the residents. LPA observed the centrally stored medication areas to be locked. LPA observed a storage cabinet located inside of the staff room for personnel and resident records. LPA inspected the first aid kit and it was complete. LPA toured the garage and courtyard. LPA observed the outdoor area equipped for outdoor use, free of obstruction and enclosed by a fence with a self latching side gate. LPA observed a outdoor shed, clean and empty at this time. The emergency exits were observed unobstructed. A Component III was completed at this time with the Applicant. The applicant has passed the pre-licensing component of the application process. LPA Hughes 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 was provided to the Applicant.