Pre-licensing visit·July 5, 2022

Licensing Program Analyst (LPA) Ramon Serrano, conducted an announced Pre-Licensing inspection. LPA met with Executive Director (ED) Rene Leon and we discussed the purpose of the visit. Facility is applying to serve 145 residents over 60 years of age. All rooms at the facility are approved for ambulatory. During today's visit LPA Serrano was accompanied by ED Rene Leon who conducted a facility tour. LPA observed resident rooms and found them to have proper furnishings, and adequate linens. Sinks accessible to residents had water temperatures measured at 114.1 Fahrenheit. Facility temperature was read at 74 degrees Fahrenheit. Facility had multiple working fire extinguishers. Smoke and carbon monoxide alarms were observed and operational. Facility had preparation space for food service and kitchen was observed to have all needed supplies for food service. Space inside the facility is sufficient for activities. ED Rene Leon stated that there will be no weapons or ammunition kept on the facility property and there is no pool on site. Staff and resident records will be stored in a locked cabinet. There is a shaded outdoor space and appropriate resident activities. All cleaning supplies or potentially hazardous materials were locked. Facility has a locked area for resident medications and first aid kits. Component III was reviewed with ED Rene Leon. The application will be sent to the Centralized Application Bureau for final review and approval. An exit interview was conducted with ED Rene Leon . A copy of this report along with Licensee Rights (LIC 9098, 01/16) was provided to ED Rene Leon whose signature below verifies receipt of these rights.