Pre-licensing visit·March 13, 2026

Licensing Program Analyst (LPA) Michael Hood met with Applicant, Ma Lourdes Dela Paz, to conduct a Pre- Licensing visit. The facility has a fire clearance for four (4) non-ambulatory residents. Administrator Ma Lourdes Dela Paz has an active certificate (#7035764740 with expiration date July 12, 2026). LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are four (4) bedrooms and three (3) bathrooms for resident use. Bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 106 degrees F. LPA observed facility has the ability to prepare and store food, to lock away cleaning products and other toxins, and lock medications to make inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris. LPA observed emergency exits to be unobstructed. LPA observed smoke detectors and carbon monoxide detectors to be operational in the care home. First aid kit is maintained and ready for emergency use. Component III was completed. 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.