Pre-licensing visit·November 17, 2025

Licensing Program Analysts (LPA) Edith Conchas conducted a third announced pre-licensing visit to the facility. LPA met with Facility Administrator Regina Chavez and Chris Cerami. The pending application is for a Residential Care Facility for Elderly (RCFE). The capacity is six (6). The census is zero. The Administrator accompanied the LPA on a tour of the inside and outside of the facility. The physical plant, in general, was in goo d r epair. The buildings and grounds are free from hazards. The indoor passageways are free of obstruction. The outdoor passageways were observed to be free of obstruction. LPA observed an in-ground pool at the facility with no water. All bedrooms are furnished with a bed, night- stand, dresser, and chair. All bedrooms have adequate lighting for resident use. Bathroom's toilet, and showers are in good repair and have non-skid mats. LPA observed two (2) of the communal shower have water stopper to allow the water to drain as intended and keeping it from widespread pooling. LPA observed both bathroom water temperatures measuring at 105 degrees Fahrenheit. LPA observed food storage and preparation areas to be clean and sanitary. LPA inspected indoor kitchen a new dual freezer and refrigerator in working condition . There is enough Emergency water supply and the required 72-hour emergency food supply for residents and staffs available at the facility. The outdoor space is suitable for residents use. LPA observed one (1) fully charged fire extinguisher present in the facility with last inspection of August 13, 2025. Smoke alarms and carbon monoxide are present and functional. Facility has a designated area (Med-cabinet) where medications are locked and stored. Continue LIC 809-C The facility had a designated area where staff and resident records are stored. Emergency disaster plans, personal rights, and complaint posters were posted in a common area. There is adequate seating in the common areas. Facility had a supply of activities for the residents. During review of records LPA's found plan of operation, admission agreement, along with an updated facility sketch. The following are things LPA observed to be completed. All mattresses have mattress covers/ pads Back yard surrounding the pool is free of debris. Back yard pool has a pad lock. Outdoor fan was replaced with lighting in working condition Staff files were observed and were complete with updated training, CPR/ First aid and jobs descriptions etc. Indoor refrigerator was replaced and in working condition. The indoor magnetic doors (2) are in working condition. Pre-licensing inspection is complete and meets the requirement to pass the inspection. Component III was completed on 8/29/2025. An exit interview was conducted, and a copy of this report was provided to Administrator Regina Chavez Chris Cerami.