Pre-licensing visit·May 18, 2023

On 5/18/2023 at 11:15 AM, Licensing Program Analyst (LPA) Cassie Yang arrived announced and met with Alejandra Deluca. LPA explained the purpose of the visit is to conduct Pre-licensing inspection. LPA wore the following Personal Protective Equipment: surgical mask. LPA observed four (4) residents to be present in their rooms. Currently zero (0) resident on hospice services. This application is a change in ownership. Facility has a clearance for five (5) non-ambulatory and one (1) bedridden. LPA and Deluca toured the interior and exterior of the facility. Areas toured included but not limited to: common areas, resident bedrooms, staff bathroom, resident bathroom, staff room, kitchen, and backyard. LPA observed knives and sharps found to be locked and secured in the kitchen. LPA observed cleaning products and other toxins to be locked away. LPA observed smoke detectors and carbon monoxide detectors present at the care home. LPA was informed that resident files and medication were centrally stored at their facility next door. LPA observed fire extinguisher was last serviced 3/3/2023. LPA observed the facility to have adequate food supplies, 7+ days of non perishables and 2+ days of perishables. LPA observed Theft & Loss Policy, blank admission agreement and visitation policy is posted in facility public binder. LPA observed the facility to not have the adequate required postage. Deficiencies were observed but corrected immediately. Component III was waived during today’s inspection as co-Applicant David Deluca was recently Administrator certified and a previous licensee. Applicant has satisfied all requirements in accordance to Title 22, California Code of Regulations on today's pre-licensing inspection. A copy of this report was provided to the facility. Exit interview conducted.