Pre-licensing visit·April 3, 2025

On 04/03/25, Licensing Program Analyst (LPA) Talwinder Bains met with Administrator, Selam Kidane to conduct a announced Pre- Licensing visit. The facility has a fire clearance for five (5) non-ambulatory and one (1) bedridden residents . Facility has no residents at this time. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA inspected 4 bedrooms for residents, 3 bathrooms, common area, family room, kitchen, laundry room ,garage and outdoor area. LPA observed facility to be properly furnished, including appropriate bedding and lighting in the facility . Bathrooms were in sanitary condition and properly maintained. 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 medications to be locked and inaccessible to residents. 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. Water temperature was observed at 110 degrees F. Applicant agrees to notify LPA once first resident is admitted. A working telephone has been set up for residents use. Pre-licensing passed and Component III (RCFE) was waived as applicant is associated with other facilities licensed by the department. Facility 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.