Pre-licensing visit·October 12, 2022

On 10/12/2022, Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility and met with Administrator, Karl Ramos, to conduct Pre-licensing inspection. LPA toured the interior and exterior of the facility with Administrator. Fire extinguisher is current. The facility has (6) six residents bedrooms and six (6) bathrooms. LPA observed required furniture, and lighting throughout the facility. L PA observed knives/ sharps area were locked. LPA observed toxic and cleaning supplies locked in the laundry room. LPA observed food supplies of non-perishables for a minimum of one week and perishable foods for a minimum of two days. Bathrooms are clean, sanitary, and in good repair. The hot water temperature was measured in the kitchen at 105 degrees Fahrenheit. First aid kit was completed with bandages, tweezers, scissors, and thermometer. LPA observed centrally stored medications area were locked and inaccessible to residents in care. LPA observed one (1) fire extinguisher, smoke and carbon monoxide detectors in the facility. Licensing complaint poster are posted as required. Component III presentation conducted with Administrator. LPA observed that the facility is ready to be licensed. This report will be submitted to the Central Applications Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required. An exit interview was conducted with administrator.