Pre-licensing visit·March 19, 2026

On 03/19/2026, Licensing Program Analyst (LPA) Cynthia Tamayo arrived at the facility, announced, to conduct a pre-licensing inspection to ensure compliance with Title 22 regulations. LPA met with applicant Michael Sarmiento, Gabby Mendoza, and Michelle Tindogan both of whom assisted with the inspection. Applicant Michael Sarmiento, will serve as the administrator of the facility. The administrator certificate number is 6076710740, with an expiration date of 5/7/2027. The facility has a fire clearance for three non ambulatory, 3 bedridden, 6 total. Two bedridden, in bedroom #1, one non ambulatory in bedroom #2, two non ambilatory in bedroom #3, and on edridden in room #4. The applicant is seeking licensure residential care elderly to serve 6 ambulatory adults age range 60 and over to accept and retain adult clients at any given time. The facility will not employ live-in staff; however, staff will work scheduled shifts to provide 24-hour care and supervision. At the time of the inspection, there were no clients in care. LPA Tamayo toured the facility and reviewed the facility sketch. The physical plant was observed to be consistent with the approved fire clearance (STD 850). LPA Tamayo also advised the applicant that the physical plant cannot be altered or changed without first notifying the Department and that the facility must adhere to the original facility sketch submitted to the Department. The kitchen area was toured, and a review of the food supply was conducted to verify compliance. It was observed that the two day perishable food supply and the seven day non-perishable food supply requirement was met. A locked medication cabinet was observed in the kitchen. A first aid kit containing the required components was observed and complete. A fire extinguisher was located in the common area and was last service on 12/16/25 CONTINUED ON 809 The common area was toured, and furniture and furnishings were observed to be in good repair. Activities were observed to be accessible to clients in the common area. The backyard was toured, and no hazards were observed. The perimeter gate was in good repair, and the emergency exit was unobstructed. The patio covering was observed to be in good condition. The garage was toured, and no concerns were observed. Detergents, toxins, and cleaning supplies were observed to be locked and inaccessible. Client bedrooms were toured, and furniture and furnishings were observed to meet client needs. A linen closet located in the hallway contained a sufficient supply of linens at the time of the inspection. Hot water temperature measured 114.6° F, which is within the regulatory range of 105°F to 120°F. The facility thermostat was observed to be set at 71°F , which is within the regulatory range of 68°F to 85°F. Centrally stored medications storage location was observed in a hallway cabinet and were locked. The facility was observed to have a designated, locked area for clients and staff files. Component III orientation was reviewed with applicants. LPA Tamayo will notify Centralized Applications Bureau (CAB) that the pre-licensing and Component III Orientations has been completed. An exit interview was conducted with applicants, and a copy of this report was provided.