Pre-licensing visit·May 23, 2023

Licensing Program Analyst (LPA) Michael Hood met with applicant, Alex Novell, to conduct a Pre- Licensing visit. The facility has a fire clearance for 2 ambulatory residents and 4 non-ambulatory. Applicant holds a current administrator certificate (#6065982740 with expiration date 2/23/2025). Facility also has an administrator, China Washington, with a current administrator certificate (#6064566740 with expiration date 11/30/2024). LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and five (5) bathrooms for resident use, along with one (1) bedroom and one (1) bathroom for staff. LPA 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 111 degrees F. LPA checked the kitchen area for the ability to prepare and store food. LPA observed cleaning products and other toxins to be locked away. LPA observed the area used for medication to be locked and inaccessible to clients. LPA observed smoke detectors and carbon monoxide detectors at the care home to be operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. Pre-licensing passed and Component III completed. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations. Application is pending and LPA will forward findings to the Centralized Application Bureau (CAB) for final review and approval. CAB will further contact applicant on final status of application. A copy of this report was provided to the facility. Exit interview conducted.