Pre-licensing visit·July 12, 2021

Licensing Program Analyst (LPA) K. Hiratsuka, arrived at the facility announced on 07/12/2021 to conduct an announced prelicensing visit. This facility is undergoing a change-of-ownership. LPA met with Facility Representatives Danielle and Hakim Hazziez and explained the purpose of the visit. Prior to initiating the prelicensing visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Facility Representative and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Additionally, LPA was screened by Hakim Hazziez . This facility has a fire clearance for six non-ambulatory residents. The main entrance opens to a small foyer. To the left of the main entrance is a hallway leading to three shared resident rooms and one full common bathroom. The largest shared resident room has an exit to the outside and a full private bathroom. To the right of the main entrance is a common area that also has a door leading to the garage. The garage is used for storage and has the clothes washing and dryer machines. Across the main entrance is a second common area. The kitchen is to the right and in front of the sitting area. The backyard was inspected. There is a gate on both sides of the property. There is also a locked shed on the side opposite the garage. There is a locked cabinet for medications and files Component III orientation was conducted.. This facility meets regulations. LPA is going to submit this report to the applications specialist.