Pre-licensing visit·March 4, 2024

On 03/04/24, Licensing Program Analyst (LPA) Talwinder Bains met with administrator Danielle Shanklin, to conduct an Pre- Licensing visit. This application is a change in ownership (CHOW) . This address is currently licensed as , BLOSSOM VALE SENIOR LIVING , Facility # 342700257 . Administrator holds a current administrator certificate (# 6057022740 with expiration date 07/24/2025). The facility currently has 92 residents during today's inspection. Facility has Fire Clearance for 120 residents of which 108 can be non-ambulatory and 12 can be bedridden( rooms 101-157 only) from date Fire Inspection date- 02/07/24. LPA toured the facility with administrator. LPA toured 2 sample residents bedrooms and they were properly furnished and maintained. LPA toured common bathrooms and observed to be clean and sanitary. The food supply is within compliance, 2 days of perishable and 7 days’ worth of non-perishable food items. Smoke detectors are operational. There are carbon monoxide detectors which are functioning. The Fire extinguisher was charged, serviced and functional. Grab bars were present at the toilet and in the shower. All exits were unobstructed. All toxins, medications, and sharps were locked and stored away. The disaster drill is current. Component III was waived as the current administrator has been administrator for other RCFE licensed by CCLD . LPA will forward findings to the Centralized Application Bureau (CAB) that facility met all the pre-licensing components. 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.