Pre-licensing visit·March 11, 2026

On 03-11-2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived announced to conduct the pre-licensing inspection visit. LPA met with applicants, Mauricio Perez and Susana Perez, and stated the purpose of the visit. Overview : Facility is a one-story home located in a residential neighborhood. Facility will be licensed to serve up to 6 elderly residents. Facility is fire cleared for up to 6 non-ambulatory residents; has a clearance for 1 bedridden room. Facility does not have fire clearance for delayed egress and locked exteriors. Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. Outdoor Area: Front yard was observed to be maintained and clear of debris and obstruction. The back area has a outdoor furniture with umbrella. Outdoor passageways, walkways, driveways, and ramps are free from obstructions. Fence and gate are in fair condition at this time. No pool or bodies of water at this time. Residents' Bedrooms: LPA inspected 4 of 4 resident bedrooms and were observed to be equipped with the required furniture and sufficient lighting throughout. Each bedroom is equipped with smoke detector. Bedroom #4 is cleared for bedridden. Bathroom: Facility has 3 bathrooms. Bathrooms have working toilets, wash basins and full baths with showers. Bathrooms are equipped with non-skid flooring and close-lid garbage bins. Grab bars were in good condition. Linens & Hygiene Supplies: Adequate supply of linen and hygiene supplies. {1 of 2} Emergency and Exit Plan : Emergency Disaster Plan will be posted & available for review. One fully charged fire extinguisher were observed at the kitchen. Dangerous Items: Sharp objects, cleaning supplies, toxins, and chemicals were locked. Advisory was provided to ensure all dangerous items are always locked and not accessible to residents in care. Water and room temperature: Hot water temperature was taken in one of the bathrooms and measured at 107 degrees Fahrenheit. Room temperature was maintained at 75 degrees Fahrenheit throughout the visit. Food Service: Dishes, cups and flat ware are stored in the kitchen cupboards, inspected and in good repair. Knives, cutlery and other sharp kitchen utensils are in locked cabinet. Smoke Detectors and carbon monoxide: Smoke/carbon monoxide detectors were observed in each bedrooms, common areas and hallways. One was tested and found to be working. Appliances : Stove burners and oven are in good working condition. Refrigerator/freezer temperature were within regulatory standard. Washer and dryer are located in the upstairs laundry room. Medications, First-Aid Kit & Records: First aid kit has been inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and manual which are stored in locked cabinet in the kitchen/dining area, available for staff use but inaccessible to residents. There is a medication cabinet that was observed to be locked in the dining area. Residents & Staff Files: Applicants will not be handling cash resources of residents at this time but currently has a surety bond in place. Activity Supplies/Materials: LPA observed activity supplies stored in the living area. Advisory was provided for licensee to provide residents with a variety of activities and choices. Component III: Component III was waived by the applicants. This pre-licensing is complete and no deficiencies were observed. An exit interview was conducted, and a copy of the report was provided. {2 of 2}