Pre-licensing visit·August 28, 2025

On 08/28/2025 at 09:50 AM, Licensing Program Analyst (LPA) LaVette Farlow conducted an announced visit to the facility for purpose of Prelicensing evaluation. LPA met with Administrator Luis Gonzalez. An application to operate an Adult Residential Facility for the Elderly was submitted to the Central Applications Bureau (CAB) on 02/15/2025 for a total capacity of 172 Ambulatory, 157 Nonambulatory, and 15 Bedridden. Fire clearance was granted on 04/15/2025. LPA Farlow observed the following: The Facility is a four (4) building one story complex. Each room is designed for a shared space with two (2) client bedrooms, one (1) bathrooms. A private room is designed with a bed, private bathroom, living room. Each building has dinning area, kitchen, activity area, a shared common area for activities, with TV, a covered patio with sufficient furnishing for residents in care. Heating/Cooling System: Central heating and air conditioning system are installed in each building and controlled and maintain in the Med-Tech room and the hallway of each memory care building. Bedrooms/Bathrooms: Each client bedrooms accommodate any ambulatory client. All client bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, a lamp. The client bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. LPA Farlow tested the water temperatures in the clients' bathrooms. ***CONTINUED ON LIC 809-C*** LPA Farlow verified water temperature and measured at 119.5, 112.3, 111.7, and 109.3 degrees Fahrenheit. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives/sharp instruments were secured in a locked area. There was adequate room for food storage. LPA Farlow observed the appliances to be operational. Refrigerator/freezer were in working condition. There is sufficient storage for perishable and nonperishable food. There was adequate seating for meals for all clients. The facility has a Laundry room with several washers and dryers for residents in care. Laundry detergents and cleaning supplies were observed and secured and inaccessible to residents in care. Living/Common Area: The facility has adequate seating space for all clients in care with a working TV in the common area. Linens and Hygiene Supplies: The facility has an adequate supply of linens in the facility for residence in care. Yards/Outside: All four buildings have a covered patio area with adequate seating in the Assisted Living and memory care building for outdoor seating for residents in care. A secured coded gate on the left and right side of the memory care building leading to the parking lot and side of the facility. All outdoor pathways were free of obstructions. Emergency Phone Numbers, and Exit Plan: Facility sketch, Let-US-No poster, Residents Personal Rights, Visitor Policy, and Labor Laws was observed posted near the main entrance and common area of all four buildings. ***CONTINUED ON LIC 809-C*** General items: The facility is equipped with charged fire extinguishers located throughout the buildings. LPA Farlow observed sufficient amount of smoke detectors and carbon monoxide detectors in all four buildings. LPA observed and tested the functionality of the detectors. Client records and staff records were stored in a locked area. LPA observed the First Aid kit with required components, locked in the Med-Tech station. LPA Farlow observed a facility phone and was operational as evidenced by LPA dialing the number. The phone number designated for the facility is 909-490-5375. Additionally, LPA Farlow observed facility having Visitor Sign In/Sign Out Sheet and Client Sign In/Sign Out Sheet, upon entering facility. There is enough Emergency water supply and the required 72-hour emergency food supply for clients and staffs available at the facility. Component III was completed on this day as well. Pre-Licensing is complete and this facility has no deficiencies. Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulations. An exit interview was conducted where this report was discussed and a copy was provided to Luis Gonzalez, Administrator.