Pre-licensing visit·October 1, 2025

Licensing Program Analysts (LPAs) Sarina Ramirez and Edith Conchas conducted an announced visit to the pending facility for the pre-licensing inspection. LPAs met with applicant Dean Anderson. Residential Care for the Elderly facility (RCFE) application was submitted to the Central Applications Bureau (CAB) on 03/14/25. Fire clearance was granted on 07/22/25. The pending application is for Six (6) Non-Ambulatory residents in an Residential Care Facility for the Elderly (RCFE). LPAs toured the facility inside and out. The following was observed, reviewed, and inspected: there are Five (5) bedrooms and three (3) bathrooms. There is a pool that is gated and locked inaccessible to residents in care. The physical plant, in general, was in good repair. Buildings and grounds are free from hazards, however debris along the facility needs to be removed. Indoor and outdoor passageways were free of obstruction. There is a charged fire extinguisher, operating smoke alarms, and carbon monoxide detectors. There is a locked area for medications, cleaning supplies, and sharps. LPAs observed a working telephone and basic laundry equipment. Resident bedrooms had the required bedding and furniture. Bedrooms had sufficient lighting. LPAs measured the hot water temperature in the resident bathrooms and it was measured 126 to 138 degrees F, water temperature needs to be adjusted. The facility had a sufficient amount of linens for residents. The facility had a sufficient amount of nonperishable food items. The food was kept in a safe and healthful manner. Dishes, glasses, and utensils were in good condition. The facility had a designated area for staff and resident records. Personal rights, resident rights, evacuation sketch, and complaint procedures were posted in a common area. The facility was equipped with a complete first aid kit and manual. There is adequate seating in the common areas. Facility had a supply of board games for residents. Pre-licensing inspection and Comp III is complete, a few corrections are needed to be made prior to licensure: Emergency Disaster plan, facility sketch, infection control plan, LIC 500, House Rules, Menu, Activity calendar needs to be posted. Fire extinguisher purchase date or receipt provide LPA, water temperature needs to be measured between 105-120 Degrees F, trash cans with lids, 1-3 nightlights in hallways, two day nonperishable emergency food supply, and the removal of debris along the facility. An exit interview was conducted where this report was discussed and provided to the applicant Dean Anderson.