Pre-licensing visit·March 3, 2022

Licensing Program Analysts (LPAs) Michael Hood and Talwinder Bains met with applicant, Darrel Price, to conduct a Pre- Licensing visit. This application is a change in ownership. This address is currently licensed as ALMOND AVENUE RESIDENCE CLUB Facility #: 347001329. The facility has a fire clearance for seventy-five (75) non-ambulatory residents and three (3) bedridden residents. Applicant holds a current administrator certificate (#6050752740 with expiration date 12/13/2022). LPAs conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are forty (40) bedrooms and forty (40) bathrooms for resident use. LPAs observed facility to be properly furnished, including appropriate bedding and lighting in bedrooms. Bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 114 degrees F. LPAs checked the kitchen area for the ability to prepare and store food. LPAs observed at least a 2-day perishable and 7-day nonperishable food supply at the facility. LPAs observed cleaning products and other toxins to be locked away. LPAs observed the area used for medication to be locked and inaccessible to residents. LPAs observed smoke detectors and carbon monoxide detectors at the care home are operational. Fire extinguishers are ready for emergency use. LPAs reviewed five (5) resident files and five (5) staff files. LPAs observed during visit that one (1) fire extinguisher needs to be serviced, sensor on one (1) door was not operational, debris and tools were in courtyard area, files for staff and resident were missing items, and sinks were missing hand washing signs and covered trashes. LPAs indicated all the above observations need to be fixed and facility will send corrections to CCLD within 7 days from today's date. Component III was completed. Application is pending and LPAs will forward findings to the Centralized Application Bureau (CAB) for final review and approval once requested items have been received. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.