Pre-licensing visit·June 20, 2023

Licensing Program Analyst (LPA) Melody Brown conducted an announced Prelicensing visit 06/20/2023 at 09:53 AM. This is an announced Pre-Licensing visit conducted with Applicant/Administrator Shreeta Yadav who assisted in the tour of inside and outside of facility and the evaluation. LPA Melody Brown made a second (2 nd ) announced Prelicensing visit this date. The follow up visit was made to confirm that all corrections have been made. Obtain/Purchase 72-hour emergency food supply for residents, Obtain/Purchase 72-hour emergency bag pack for residents, Staff Medication Training with Staff Training Log (medications need to be in a locked drawer), Purchase Closet for Resident #1 (R1) and Resident #5 (R5), Post Rights of Resident Council Board, Post Family Council Board - All were found to be corrected on this visit date, 06/20/2023. The facility was evaluated in accordance with the California Code of Regulations (CCR), Title 22, CCR. Based on the observations and evaluation of the facility this date, the facility’s ready for licensure. Applicant/Administrator will be notified once facility is licensed. An exit interview was conducted, and a copy of this report (LIC809) was discussed and provided with Applicant/Administrator Shreeta Yadav.