Pre-licensing visit·May 15, 2025

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Pre-Licensing inspection utilizing the inspection tool. LPA met with caregiver and explained the purpose of the visit. Additionally, LPA spoke with Applicant on the phone and explained the purpose of the visit. There are four residents in care with zero residents on hospice services. LPA and Caregiver conducted a tour of the interior and exterior of the facility to ensure the health and safety of the residents in care. Areas toured included but not limited to: five residents bedrooms, staff room, bathroom, laundry room, backyard and the common areas. LPA observed fire extinguisher present with service date of June 8, 2024. LPA informed Caregiver that fire extinguisher should be renew servicing soon to stay in compliance. LPA observed facility to have two days of perishable and seven days of nonperishable foods. LPA observed facility having a designated space for sharps, toxins, and medications. File review revealed Applicant and other individuals working at the facility are fingerprint cleared. LPA observed facility to be clean, safe, sanitary and in good repair. LPA spoke with Applicant on the phone who stated she would like to waive Comp III as this will not be their first community care facility. Based on today's inspection, the pre-licensing inspection has passed. Applicant has satisfied all requirements in accordance to per Title 22, California Code of Regulations. CAB will be notified accordingly of licensure. Exit interview and a copy of report was provided.