Pre-licensing visit·November 13, 2025

Licensing Progra m Analyst (LPA) E. Conchas conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. I met with Licensee Nick Vermani. An initial application to operate an Residential Care Facility Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) on February 11, 2025 for a total capacity of six (6). One (1) bedridden and five (5) non-ambulatory. Fire clearance was granted on 7/17/2025. LPA Conchas o bserved the following: Structure : Facility is a house with four (4) resident bedrooms , one staff/office room, three (3) resident bathrooms, living room, dining area and kitchen. There was an attached two car garage. Heating /Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway a to control entire house . Bedrooms: Bedroom 1,3 and 4 can be used for non-ambulatory bedroom 2 is for bedridden only per fire clearance. All bedrooms are adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, Night lights were observed in hallway. . Bathrooms : All three (3) bathrooms have working toilets, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. The water temperature was measured at 133 and 128 degrees Fahrenheit. Licensee will adjust water temperature and and send image to LPA with water adjustment. Kitchen: The kitchen has adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked drawer located in the kitchen drawer. There was adequate room for food storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition. There was sufficient storage for perishable food and non-perishable. and an emergency water and food supply. There was adequate seating for meals for all clients. Laundry: Laundry room with washer and dryer was located near the garage . Laundry detergents and cleaning supplies will be secured and locked. Living /Family Room: There was a living/family room with a TV and adequate seating for all clients. Linens and Hygiene: An adequate supply of linens was stored in a cabinet in the main hallway of the residence. Yards/Outdoors: There is sufficient covered seating area in the backyard. There is a gate on the left side for entry and exit The gate on the right side is also for driveway. All outdoor pathways were free of obstructions. Emergency Phone Numbers and Exit Plan : Facility sketches were observed posted in the main office area . There were one (1) fire extinguishers and dual carbon monoxide and smoke detectors which are working. General items: Client records will be stored in a locked cabinet in the staff/office room . First Aid kit with required components are located in living room. Medication will be locked in a cabinet in the garage . Emergency water supply and food was observed. An exit interview was conducted, no deficiencies were cited , Component III was completed during this visit and a copy of this report was reviewed and provided to Administrator Amanda Santos . According to Title 22 California Code of Regulations, Licensee has satisfied all of these requirements and is ready for licensee.